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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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3 month follow-up on this patient who wanted improvement in the projection of her chin and definition of the jawline. The patient has retrogenia or a small chin and underwent #chinaugmentation with a #genioplasty. In the pre-operative photos, you can see the chin is short and recessed and therefore I moved the chin forward and down. In the post-operative photos you can see improvement in the projection of the chin, a more defined jawline and neck, and a more balanced lower 1/3 of the face. This case highlights the advantages of a genioplasty versus a chin implant, a chin implant cannot lengthen and advance the chin to the same extent that a genioplasty can. Posted with permission.

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A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. In this case the dorsal hump was removed, the nose made straighter, the tip refined, and the tip rotated and projected more. Her new nose fits her face without overtly changing the ethnic features of her face. Posted with permission.



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Proud of our research team for getting this important manuscript published in the #1 plastic surgery journal in the world. In this study, we looked at the published literature to develop guidelines on how to treat visual impairments related to droopy eyelids and excess skin of the eyelids.

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Happy for this patient who underwent full facial rejuvenation surgery, which included a brow lift, upper/lower blepharoplasty, facelift, neck lift, and facial fat transfer. How much younger does he look now? Posted with permission.

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Amazing transformation for this lovely patient who wanted to have fuller, more symmetric, youthful, and natural breasts. The patient underwent a #breastaugmentation with gel implants. Posted with permission.

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One year follow-up on a #BBL or Brazilian butt lift. As you can see from the post-operative photos, the fat that is transferred stays and is permanent. Posted with permission.

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Male patient in his late 60’s who was able to turn back the clock after undergoing a #facelift, #neck lift, #blepharoplasty, and #fattransfer. Pay close attention to the “bags” underneath the eyes, the jawline, and neck. The scars have healed nicely and are inconspicuous even with short hair. In the post-operative photos, the patient has maintained his natural facial features and anatomy, but just looks like a more youthful version of himself. Posted with permission.

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#Primaryrhinoplasty to fix the dorsal hump, droopy tip, and crooked nose. In the post-operative photos, the patient has a nice dorsal profile on side view, the tip has been lifted, and the nose is straight. To evaluate how straight the nose is, look at the dorsal aesthetic lines on bird’s eye view and follow the two light reflexes along the dorsum. Posted with permission.

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Challenging #tertiaryrhinoplasty on this patient who had nasal deviation, a dorsal hump, and an under-rotated/under-projected tip. In the post-operative photos, you can see a straighter nose with more symmetric dorsal aesthetic lines and tip defining points. Posted with permission.

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Honored to be inducted into the Rhinoplasty Society. The Rhinoplasty Society was founded in 1996 by plastic surgeons who have pioneered modern rhinoplasty. The society is dedicated to the education and advancement of nasal surgery.

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Relatively small surgeries can yield big changes. This patient wanted to improve the contour of her chin and the overall profile of her face. The patient’s lower 1/3 of the face and chin were short and set back. Additionally, the patient had asymmetries of the chin and jawline that she wanted improved. The patient underwent a #slidinggenioplasty to achieve these goals where the chin was cut and mobilized forward and downward. In the post-operative photos, you can see a more aesthetic and balanced facial profile. The advantages of a #genioplasty over a #chinimplant are that the chin can be moved in numerous planes, the advancement can be more significant, and asymmetries can be addressed. Posted with permission.

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This patient had a bilateral constricted ear deformity where the top portion of the ear folds over the rest of the ear. In this deformity, the ear appears shorter in height and there are abnormalities of the outer and inner folds of the ear. In the postoperative photos you can visualize the ear is longer in height, the helical rim or outer portion of the ear is lifted up and the antihelical fold or inner portion of the ear is more defined. Posted with permission.


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