Rhinoplasty (Nose sculpting surgery ) is a surgery that helps to change the shape of the nose. The nose is made up of boney and cartilaginous portions that help provide shape and structure. These can be altered to provide a more aesthtetically pleasing nose.
Most surgeons perform this type of surgery via an incision in the columella (the tissue that separates the nostrils). This is referred to as the open approach to rhinoplasty. Unfortunately, this can lead to an unsightly scar if poor healing occurs or if the incision line heals with a darker pigmentation. For this reason, Dr. Nikolas Chugay is sought after for his closed rhinoplasty procedure. This surgery, as practiced by many surgeons in South America and Central America, relies on incisions within the nose to produce excellent cosmetic results WITHOUT EXTERNAL SCARRING.
Revision/ Secondary Rhinoplasty
Patients that have previously undergone rhinoplasty may have complications after their initial surgery or seek further improvement or correction after an initial surgery. These patients can undergo secondary or revision rhinoplasty to help address concerns that they may still have. Revision rhinoplasty is quite a bit more challenging than primary (first time) rhinoplasty and requires an eye for aesthetics. Having performed thousands of primary and revision rhinoplasty procedures, Dr. Nikolas Chugay can help you further sculpt your nose to the dimensions you may be seeking by using his expertise in nasal procedures.
Dr. Chugay uses soft nasal implants for certain types of secondary cosmetic and reconstructive rhinoplasty. These instances include augmentation of the nasal bridge or filling in concave deformities, often found in asymmetrical, injured or misshapen noses. These nasal implants produce a natural appearance of the nose and smooth contours, which cannot always be achieved with cartilage grafts or other natural or synthetic implants or fillers.
Nasal Tip Reconstruction with Cartilage Graft
Dr. Chugay has found that cartilage grafts produce an excellent reconstructive result in the case of patients requiring nasal tip reconstruction. When the nose has been damaged in previous surgeries or traumatic injuries to such an extent that a major nasal tip correction is required, cartilage grafts are sutured into the nasal tip to reconstruct the tip. This is a rare and unique procedure which requires enormous skill on the part of the surgeon. Because of its complexity, open rhinoplasty surgery may be required in these cases to access the nasal tip. Dr. Chugay will discuss your unique case and surgical options with you at the time of a consultation.
Reconstruction of Severe Nasal Deformity
Frequently, correction of septal deformities will allow for straightening of crooked noses. Occasionally a conservative reduction of most of the septum is the only effective solution to straighten out a severely misshapen nose. Such reduction of septal cartilage (inner barrier between the nostrils) is a fundamental revolution in rhinoplasty technique allowing for correction of previously thought-of-impossible nasal deformities. Such nose sculpting surgery of septal reduction, nevertheless, preserves the tip support. Dr. Chugay, in the United States, and Dr. Jose Juri, in Argentina, have popularized this technique.
Who should Perform Reconstructive or Secondary Rhinoplasty?
Successful Reconstructive or Secondary Rhinoplasty (nose sculpting surgery) is limited to a handful of highly skilled surgeons. Make sure that your surgeon has experience in these procedures.
Where is the Surgery Performed?
The surgery will be performed in our fully accredited surgical facility on an outpatient basis. No inpatient stay is required.
Nose surgery is not without its risks. The potential risks include but are not limited to: infection, bleeding, scarring, nasal deformity, numbness in and around the nose, difficulty breathing, and a possible need for additional procedures.
After Your Surgery
Following the surgery, the nose will be placed in a cast to allow the area to heal free from external damage. The cast will be removed on your post-operative visit. There will be swelling in the area and breathing may be difficult post-operatively; however, as the swelling decreases you should notice a dramatic change in ease of breathing.