Rhinoplasty, more commonly known as a nose job, is the operation designed to improve the appearance of the nose. The rhinoplasty surgery involves the meticulous removal and/or reshaping of the nasal bones and cartilage.
Most rhinoplasty surgeries are performed to improve appearance. Facial harmony may be disturbed when a nose is out of proportion with other facial features (because it is too wide, too long, too large, is crooked, is deformed secondary to traumatic injury, has a hump or drooping tip, etc.). Fixing nasal deformities through rhinoplasty can often improve a person’s self-image, which in turn may improve that person’s self confidence and self-esteem.
Deformities inside of the nose that impair breathing can sometimes be improved by an internal nasal procedure called septoplasty. However, with rhinoplasty surgery, internal changes can be achieved while simultaneously straightening the external nose.
A rhinoplasty can often improve your overall appearance as well as improve how the nose functions. Some of the cosmetic improvements that our rhinoplasty patients in Memphis seek include decreasing or increasing the nose size, changing the shape or position of the tip of the nose, narrowing the nostrils, or straightening the nose.
The Langsdon Clinic specializes in facial procedures like the rhinoplasty, and through their decades of work with thousands of patients they’ve gained invaluable expertise and the experience with the nuances of facial procedures.
The Ideal Rhinoplasty Candidate
Many people wonder if there is an ideal age to perform a nose job. To ensure the results are as predictable and long-lasting as possible, it’s highly recommended that patients undergo a rhinoplasty only after their facial bones have completely matured. In most cases, girls’ facial structures stop developing at fifteen and boys at eighteen. Maturity is variable; therefore, the timing of rhinoplasty depends on each individual’s growth, maturation, and specific problem. It is essential that a parent accompany a young adult for his/her consultation visit.
On the other hand, if you are in good health, it is never too late for nasal surgery. Sometimes a nose becomes progressively disfigured with age. A long nose with a drooping tip may be a result of aging, and a rhinoplasty surgery can provide a nose life for a more youthful appearance. In fact, those seeking a rhinoplasty in Memphis often pair it with a facelift to give themselves comprehensive facial rejuvenation.
Rhinoplasty Surgery at The Langsdon Clinic
Patients who are unhappy about their nose and seeking rhinoplasty surgery in the Memphis area should consult with an experienced cosmetic surgeon like Dr. Langsdon. Dr. Langsdon has specialized in facial plastic surgery for over 25 years and there is no one more experienced in the community.
Our rhinoplasty will be performed in the clinic’s outpatient surgical facility. Preoperatively, the patient will be given medication to help them relax, promote healing, and help minimize swelling and bruising. Generally, twilight sedation is used and supplemented by local anesthesia. Most patients report that the rhinoplasty surgery is painless and that they have very little memory of the experience.
To achieve Dr. Langsdon’s goal of a balanced and proportional nose, he reconfigures the underlying structures of the nose so that it can properly support and contour the nasal skin once it has settled on top of the bone. The rhinoplasty surgery takes about one to two hours for uncomplicated cases. Dr. Langsdon places most incisions entirely inside the nose. The injured, twisted, or difficult nose may require a small incision below the tip of the nose between the nostrils. To help shape the structure of the nose, Dr. Langsdon shaves down any bumps in the cartilage and the bone. Then Dr. Langsdon will create incisions in the bone to bring the width of the nose a little closer together.
During the patient’s consultation, Dr. Langsdon will analyze the width of the nose to see if it needs to be narrowed. Wide, flaring nostrils may necessitate an incision in the crease where the side of the nostril joins the upper lip and cheek. These incisions usually become inconspicuous with time.
Your rhinoplasty will be performed in The Langsdon Clinic’s on-site private outpatient facility. The surgical suite is certified by the State of Tennessee Department of Health and is staffed by medical professionals dedicated to providing outstanding care for our patients.
The Rhinoplasty Results We Strive For
A rhinoplasty that’s noticeable is one that hasn’t been performed well. Rhinoplasty has advanced far from the traditional “upturned” or “pinched” look, and today the very best cosmetic surgeons create results that look natural for the patient. While advanced techniques give the surgeon more precise control and make the rhinoplasty surgery more comfortable for the patient, surgical skill and experience are the biggest factors for creating those natural and balanced results.
At The Langsdon Clinic, we strive to personalize each rhinoplasty so that the patient’s results are perfect for them and them alone. We understand that there’s no such thing as a one-size-fits-all type of nose, so our goal is to shape our patients’ noses in a way that fits their facial architecture perfectly. By striving to create results that are balanced and proportional to the patient’s unique facial features, we create results that are natural and right for the patient.
Dr. Langsdon takes multiple factors into account when planning his rhinoplasty: before your rhinoplasty, Dr. Langsdon will carefully analyze your nose to look at the shape of your nasal structures and the quality of your skin.
Meet Dr. Langsdon
2018-2019 President of the American Academy of Facial Plastic and Reconstructive Surgery
Phillip R. Langsdon, MD, FACS is Professor and Chief, Division Facial Plastic Surgery, Department of Oto-Head & Neck Surgery, University of Tennessee Health Science Center, Memphis. Dr. Langsdon’s career has been limited and focused entirely on Facial Plastic Surgery and he has dedicated himself to the pursuit of excellence in this field.
After your rhinoplasty surgery, a small protective splint will be placed inside the nose and worn for one week. We do not ordinarily pack the nose. We find that our patients experience less discomfort, swelling, and discoloration by avoiding packing, thus making your postoperative recovery much more comfortable and pleasant.
We are usually able to eliminate packing by using a special absorbable suturing technique to reposition the internal nasal tissues. This technique is widely considered to be a new innovative technique in rhinoplasty surgery because it reduces much of the undesirable postoperative discomfort and swelling. The initial swelling usually resolves in seven to ten days. Keep in mind that every patient is different, so the rate of their recovery from the rhinoplasty will depend on several different factors.
Your Rhinoplasty Results
When the nasal splint is first removed, the nose may appear turned up because of the effects of the splint and swelling of the tissues. However, once enough time has passed and the nose has healed, the average person usually cannot tell that you have had a rhinoplasty. Most of the swelling subsides by one to two weeks, but it may take a year (occasionally longer) for the final 1 to 2 percent of side effects to dissipate.
The recovering nose does not typically bother the patient or even look noticeable; the nose gains definition over time as the last bit of swelling subsides. It may take longer for the swelling to totally diminish for patients with relatively thicker skin or who have had previous nasal surgery or trauma. The tissues inside your nose may also be swollen after your rhinoplasty. This causes some nasal stuffiness, but the stuffiness should also improve as the swelling decreases.
After one week, you may be able to return to light work or school. At this point, many of our patients do not look like they have had rhinoplasty surgery. Postoperative instructions are provided for you at your preoperative appointment. If you are an out-of-town patient, you should plan to stay nearby for at least two days after your rhinoplasty.
Common Rhinoplasty Questions
For patients hoping to learn more about rhinoplasty in Memphis, The Langsdon Clinic has collected and answered some of the most frequently asked questions about rhinoplasty.
With our rhinoplasty technique, an incision is made into the nasal bones when repositioning is required. There is also usually less postoperative discomfort, discoloration, and swelling when compared with older techniques. We don’t use nasal packing, which we’ve found greatly improves a patient’s comfort during their recovery.
Along with our advanced techniques, The Langsdon Clinic also offers patients an outstanding patient experience; our highly professional staff will guide our patients on every step of the way and inform them of every aspect of their rhinoplasty. We personalize each rhinoplasty procedure to fit each patient, but we also take the time to create a post-operative recovery plan to help each patient heal successfully from the procedure.
Many people ask if the nasal bones are broken during the surgery, which is typically done for traditional techniques. Our surgical technique eliminates most of the side effects of older approaches that usually resulted in extreme swelling and bruising.
A “closed” rhinoplasty is when all the incisions are placed inside the nose. In an external rhinoplasty, the surgeon makes external incisions to access the nasal structures. Many surgeons prefer the closed method because it tends to result in faster healing for the patient and the incisions will be hidden. Dr. Langsdon’s rhinoplasty is performed using incisions placed inside the nose; however, he might make some incisions along the nostrils if they are too wide and need to be resized. These incisions are usually well-hidden by the natural creases of the nose.
The Langsdon Clinic strives to creates results that are proportional to the patient’s natural facial architecture. The results should bring the patient’s facial features into harmony; while that does have an aesthetically pleasing effect, The Langsdon Clinic prides itself in creating results that don’t look unnatural or artificial.
Since rhinoplasty is an outpatient procedure, patients will be able to go home the same day as the surgery. Patients are required to have a trusted friend or family member drive them home.
Patients will experience some side effects like bruising, swelling, and soreness for the first few weeks of your recovery. These side effects may also be present in the area around your eyes. Dr. Langsdon will prescribe pain medication to help with any discomfort; however, many patients report the period after their rhinoplasty as being tolerable. It’s essential that patients keep their head elevated during the first couple of days of the recovery in order to limit the amount of swelling.
The majority of the swelling and bruising should dissipate after the first week or two of their recovery from the rhinoplasty. Patients are highly discouraged from undergoing strenuous activity for the first two weeks of the recovery. Patients should be able to go back to office work or school a week after their rhinoplasty. While it might take a full year before patients see a complete dissipation of swelling, The Langsdon Clinic creates results that already look balanced and proportional so the recovery will not be noticeable after a week or two.
Dr. Langsdon typically places almost all the incisions inside the nose. However, if the patient has the size of their nostrils reduced, some incisions might be made in the crease between the nostrils and the cheeks. These incisions are well-hidden and should not be noticeable once the nose heals.
It goes without saying that the nose needs to be protected while it’s recovering from the rhinoplasty. Patients not only need to keep their head elevated during sleep, but they also need to ensure that the nose does not bump into anything. Patients can use multiple pillows or a single incline pillow to make sure that they sleep with their head elevated. They can also prop pillows by their side to prevent themselves from rolling onto their side or their stomachs.
Because the rhinoplasty actually changes the structure of your bones and cartilage, your rhinoplasty results should be permanent.
Patients seeking a rhinoplasty in Memphis have chosen Dr. Langsdon time and time again because of his natural and balanced results. You should trust nothing less than a talented and compassionate surgeon for your rhinoplasty, and Dr. Langsdon has the experience and specialization to be able to create outstanding results. Contact The Langsdon Clinic now, for a consultation on the rhinoplasty.