Dallas Rhinoplasty

There are many different types of rhinoplasty procedures.  One of the most common procedures is to remove what is commonly called a dorsal hump. The dorsal hump is primarily made up of cartilage and bone and can cause the nose to look much larger and deformed.  While techniques to perform this particular nasal surgery may vary depending on the surgeon and their preference and skill, the goal is the same: to reduce the hump. Listed below are some of steps taken by a surgeon to reduce a dorsal hump.

The new shape of the patients nose is determined during a thorough consultation well before surgery.  Before anesthesia, the surgeon will make small marks on the patients nose to act as a guide for amount of reshaping that will me needed. Many surgeons will also use digital computer imaging as a guide while preforming the procedure.  The surgeon will insert an osteotome, which is a chisel-like devise used to shave and cut bone, through small incisions made on the inside of the nose.  The surgeon will then skillfully carve away portions of the bone and cartilage until the nose reaches its desired shape.  Often a process called rasping is required to give the nose a smooth contour or reduce the bony hump.

Although not always necessary, an osteotomy may be required.  If the patient has an open roof, an open space following the removal of bone and cartilage, the surgeon my need to reposition the nasal bones and close the open roof. This generally involves carefully breaking the nasal bones with osteotome by tapping lightly along a specific path.  The nasal bones are then reshaped to close the open roof and achieve the desired shape.

Using dissolvable sutures, the plastic surgeon will close up the incisions on the inside of the the nose. To stabilize the nose as it heals nasal splints may be placed inside each nostril.