The aftermath of a facial trauma can serve as a glaring reminder to an ordeal a person once faced. In some cases the trauma is strictly physical, but other times it is also psychological. Skin cancer can devastate a person’s health and finances, while also serving as a reminder to one’s own mortality.
Car accidents can also leave long term marks on the face, as this area of the body is especially vulnerable to damage from shattered glass. Some people may feel their looks are compromised after a wreck, and suffer from low self-esteem.
Another especially sensitive reminder is the mark left by an abuser. Not only do victims want to recover from a physical injury to the face, but they must also restore their confidence.
Reconstruction of the Nose
While many different areas of the face can be affected by a facial trauma, the nose is especially susceptible to harm. It is located in the central region of the face, and protrudes from the main plane that the rest of the features sit on. The location and position of the nose can also lead to feelings of discomfort when the look of the nose is compromised.
Skin Cancer Surgery
During a skin cancer reconstruction where lesions are removed from the skin, the surgery affects multiple layers of tissues. It is necessary for the patient’s health that any traces of the disease be eliminated from the body entirely. Sun damage tends to affect the nose more readily than other areas of the face because it is a protuberance.
There are a number of ways to reconstruct the nose when its integrity is affected by a necessary surgery.
Patient-donated cartilage and bone can reshape the interior of the structure, while tissue grafts can replace any that have been excised away.
If the doctor is unable to use harvested materials, it may be necessary to insert small implants made of animal compatible or synthetic material.
Accidents and Facial Trauma
When the nose is impacted, there are a number of changes that can take place. Initially, the tissues will swell, and later may develop scar tissue within the interior and on the exterior of the nose.
The nasal bones can break, and make the nose look permanently crooked. This type of injury can also produce internal changes that alter the functionality of the nose, such as a deviated septum.
The irregularity affects the air intake through one or both nostrils of the nose, and should be fixed for medical reasons. A deviated septum can lead to chronic sinus infections and regular headaches, not to mention uncomfortable breathing. Through a septoplasty or functional rhinoplasty, the doctor can typically fix this issue during a single surgery.
Other Reconstructive Rhinoplasty Procedures
Some patients undergo reconstructive rhinoplasty due to a prior unsatisfactory nose surgery. If a doctor’s technique created an abundance of scar tissue, it may need to be surgically removed.
Less skilled surgeons, or those who do not specialize in facial plastics, may perform overly aggressive rhinoplasty surgeries where too much tissue is removed. The nose may need to be rebuilt internally to restore normalcy to the feature.
Congenital irregularities can also be treated during a reconstructive surgery. Different areas of the nose may not have fully formed, or may have formed improperly. Even if the nose is not directly affected by a condition such as cleft palate, it may be abnormally shaped nonetheless.
The Reconstructive Rhinoplasty Consultation
Those who may be candidates for surgery are interested in fixing some aspect of the nose that has been damaged, or was abnormally shaped from birth.
Facial plastic surgeons are experts in facial anatomy, and the many ways the nose can be treated to increase its functionality and overall look. If a patient has specific aesthetic desires, the doctor may be able to meet those needs through rhinoplasty.
Many reconstructive rhinoplasty patients have seen prior doctors for issues relating to the nose, and can bring along those medical records for the most thorough appointment possible.
When the doctor has a clear picture of the patient’s issues, he can formulate a treatment plan to suit his or her specific needs. Traditional rhinoplasty is not thought of as a one-size-fits-all procedure, and reconstructive rhinoplasty becomes an even more distinctive procedure from one patient to the next.
Other Aspects of Reconstructive Rhinoplasty
While surgery is the most common method to treat issues of the nose, the doctor may add additional treatments into the patient care plan. In certain cases, scar tissue may not be able to be fully treated through excision due to blood vessels that supply the tissue with vital nutrients. Steroid injections may be a viable solution to be used in conjunction with surgery.
Injectable fillers can also be performed with a reconstructive rhinoplasty. Once the nose has healed, divots in the skin that could not be altered through rhinoplasty or do not warrant a second operation, can be plumped. Dermal injections can pad the area below the skin so the outer appearance is smooth and uniform.
Choosing Shervin Naderi, MD, FACS for Reconstructive Rhinoplasty
While there are many plastic surgeons to visit in the Washington DC area, few specialize in facial plastic surgery and even fewer dedicate the majority of their practices to one specialty surgery.
While Dr. Naderi performs other surgeries of the face, he is most sought after for the role of rhinoplasty expert. Dr. Naderi performs a higher volume of the surgeries than other plastic surgeons, and on a more frequent basis.
The doctor has experience with a wide array of nasal anatomies and different situations that can arise. Dr. Naderi is trusted to perform surgeries on patients from all over the world, and often correct the work of other doctors in revision rhinoplasty procedures.
Contact Dr. Naderi’s Herndon, Virginia office at (703) 481-0002, or the Chevy Chase, Maryland (301) 222-2020, or via the doctor’s Patient Contact Form to schedule a consultation for any of the following surgeries:
- Primary Rhinoplasty
- Secondary or Revision rhinoplasty
- Reconstructive Rhinoplasty
- Reduction Rhinoplasty
- Refinement Rhinoplasty
- Ethnic Rhinoplasty
- Adolescent Rhinoplasty
- Aging Rhinoplasty