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Plastic Surgery Clinic of Chicago

Nasal Reconstruction
Is Nasal Reconstruction Right for Me?

 

Nasal Reconstruction Chicago

Nasal reconstruction is a broad term to describe complex surgeries of the nose to repair and reconstruct the nose in form and function after trauma or after tumor removal. The surgery is typically performed when there are asymmetries or defects of the nose. The complexity of the surgery depends on how extensive the defect is and what aspects of the nose require reconstruction. The reconstruction can involve all three layers of the nose: nasal lining, cartilage framework, and nasal skin.

Nasal reconstruction can also be useful to treat:

  • A skin defect of the nasal bridge or nasal dorsum
  • A skin or full thickness defect of the middle portion of the nasal dorsum or nasal sidewall
  • Missing or absent nostrils
  • Abnormally shaped or absent nasal tip
Nasal Reconstruction

AM I A CANDIDATE FOR NASAL RECONSTRUCTION?

If you have an asymmetry of the nose from trauma or skin cancer removal, you may be a candidate for nasal reconstruction. If you are unhappy with the way your nose looks after a previous nasal surgery and still have asymmetries, nasal reconstruction may be an option for you.

Patients who have had skin cancer of the nose removed with Mohs surgery are good candidates for nasal reconstruction. Open wounds of the nose can be reconstructed with local tissue of the nose or regional tissue from the cheek or forehead.

WHAT TO EXPECT FROM A CONSULTATION

Any medical center or practice you choose should be willing to sit down with you and take the time to explain all aspects of the procedure beforehand, including associated risks and recovery. At the Plastic Surgery Clinic of Chicago, we thoroughly review your medical history, speak with you about your expectations, and provide you with an extensive overview of the nasal defect or asymmetry and how we will be performing the nasal reconstruction.

HOW NASAL RECONSTRUCTION IS PERFORMED

In most cases, nasal reconstruction after Mohs surgery for skin cancer can be performed in the office with local anesthesia. When the defect is small, local tissue and flaps can be used to reconstruct the nose. When defects are larger, the procedure may have to be performed in the operating room with general anesthesia or sedation in order to ensure safety and comfort during the procedure. If the defect is small, the hole may be closed primarily or sutured together. If the defect is too large to be closed together primarily, local tissue nearby can be used to close the defect. At time, cartilage from the ear has to be used to support the nose during the reconstruction. If the defect is large, tissue from the cheek or forehead may have to be used close or reconstruct the nose, for example cheek flaps or forehead flaps. Once the flaps are thinned and contoured, they are rotated to close the hole and sutures are placed to close the incisions. Incision lines are strategically placed to be hidden in shadow lines of the nose so that scars are not prominent.

RECOVERY AFTER NASAL RECONSTRUCTION

If the reconstruction is performed in the office with local anesthesia, the recovery is relatively quick. Immediately after the procedure, the patient is able to go home. If the procedure has to be performed in an operating room under sedation or general anesthesia, the recovery is longer. Patients are required to remain at the surgical facility until anesthesia wears off. It is also necessary to have another adult bring you home after a the nasal reconstruction procedure.

Recovery on the day of surgery should involve lying in a comfortable position, a lot of rest, liquids, soft foods, and prescribed medications. Immediately after surgery, the nose and the area under the eyes will typically be swollen and bruised. The swelling will go down within a few weeks. Patients should avoid any strenuous physical activity right after surgery, as it can increase the risk of bleeding and inhibit healing.

It is very important to follow all instructions issued by the plastic surgeon and to attend follow-up appointments so that your doctor can check your healing progress and let you know when it is safe to return to a normal activity and work schedule.

POTENTIAL RISKS OF NASAL RECONSTRUCTION

Patients should be aware that nasal reconstruction, as with any medical procedure, come with potential risks. Each individual should consider both the benefits and known risks before undergoing nasal reconstruction. Such risks may include:

  • Scarring
  • Bleeding
  • Infection
  • Altered sensation in affected area
  • Nasal asymmetries

Always make sure that the surgeon performing the procedure is board-certified by the American Board of Plastic Surgery, and that the surgery is being carried out in an accredited surgical facility.

WHAT DOES NASAL RECONSTRUCTION COST?

The cost of this type of procedure is going to fluctuate based on location, surgeon, center, and the individual patient’s needs. Nasal reconstruction is usually covered by medical insurance, but be sure to contact your health insurance carrier to verify your benefits prior to your consultation.

SCHEDULE A CONSULTATION

The Plastic Surgery Clinic of Chicago welcomes any questions from both potential patients and returning patients regarding any of the procedures that we offer. We are committed not only to excellent patient care, but thorough patient education; our professional staff will answer any questions you have and ensure that you understand every step of the process. If you’re interested in looking and feeling like the best version of yourself, call us today for a consultation.

All surgical procedures by the Plastic Surgery Clinic of Chicago are performed at top hospitals in Chicago and CMS or AAAASF-certified surgical centers for safety.

BEFORE & AFTER

Nasal Reconstruction Before and After
Nasal Reconstruction Before and After

 

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Check out this interesting rhinoplasty case where I performed a combined primary rhinoplasty and sliding genioplasty. Fixing the crooked or deviated nose is very challenging for all rhinoplasty surgeons and the goal is to achieve a straighter nose because a perfectly straight nose does not exist. On the frontal view, you can see a nose that is midline and with beautiful dorsal aesthetic lines. On the profile view, you can visual a nice nasal profile with a slight break at the tip. The sliding genioplasty complements the nose and improves the overall proportions and balance of the face. A chin implant would not be able to achieve this amount of chin augmentation or chin length. Posted with permission.

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It’s never too early to starting thinking about that summer body. This patient underwent a mommy makeover or a breast reduction/lift and tummy tuck. Pay close attention to the belly button, this patient had an umbilical hernia, which made the reconstruction of her belly button even harder. Most plastic surgeons take their time trying to make the belly button look as natural as possible since the appearance of the belly button can be an obvious sign that the patient had a tummy tuck. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #mommymakeover #tummytuck #breastlift #breastreduction #chicago #chicagoplasticsurgery
...

A facial feminization case that highlights how subtle changes can have a major impact on the balance and proportions of the face. Do the post-operative images appear softer, less angular, more refined, and more heart-shaped rather than square-shaped? Can you tell what surgeries were performed? Hint: look closely at the forehead/orbital rims, nose, chin, jawline, and neck. Posted with permission.

#plasticsurgery #plasticsurgeon #craniofacialsurgery #FFS #facialfeminization #rhinoplasty #genioplasty #trachealshave #jawreduction #chicago #chicagoplasticsurgery
...

Post-operative results on a patient in her 50’s who wanted improvement in the contour of her neck and jawline. She felt like her neck showed her age and she wanted to appear as she did in her late 30’s. The patient underwent a lower facelift and neck lift. In the post-operative photos, you can see a nice and natural neck contour and improvement in the jawline (jowls were treated). Pay attention to the volume redistribution, now her volume is in a more youthful position at the level of the cheek bones. Her appearance changed from sad and tired to looking as though she is ready to take on the world. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #facelift #necklift #chicago #chicagoplasticsurgery
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6 month follow-up on a patient who underwent a breast reduction and lift for neck and back pain. For this surgery, we reduce the size of the breast and lift the breast and nipple to a more aesthetic position on the chest. These surgeries are some of the most rewarding surgeries plastic surgeons perform due to the impact they have on neck/back pain and improvement in mobility, exercise, and activities of daily living. The scars continue to fade with time and by 1 year, they blend in with the surrounding skin color. Posted with permission.

#plasticsurgery #plasticsurgeon #mastopexy #breastlift #breastreduction #chicago #chicagoplasticsurgery #chicagoplasticsurgeon
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Early follow-up (3 months) on a patient with thicker skin, who underwent a primary rhinoplasty. The patient’s goals were to reduce the dorsal hump, refine and lift the tip, but not change her nose significantly. In the post-operative photos you can see a natural result with improvement in the dorsal profile and tip aesthetics. Over the next 8-12 months, the tip will continue to improve in terms of swelling, refinement, and detail. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #nosejob #chicago #chicagoplasticsurgery
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A combined primary rhinoplasty and otoplasty or ear pinning. For the rhinoplasty, the goals of the surgery were to improve the deviation, remove the dorsal hump, and refine the tip. The patient had deviation to the right which was straightened. The dorsal hump was removed to create a nice profile. For the tip, the tip was de-projected, de-rotated and refined. In other words, the tip was brought back closer to the face, rotated downwards, and it was made smaller. Happy for this patient and the improvements we were able to achieve for her. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #otopalsty #nosejob #chicago #chicagoplasticsurgery
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This young patient wanted to feel more confident about the appearance of her ears and to be able to wear her hair up without feeling self-conscious about the asymmetries of her ears. The patient underwent a unilateral otoplasty of the left ear. The patient now proudly wears her hair up and is living her best life. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #otoplasty #earreconstruction #chicago #chicagoplasticsurgery
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