Rhinoplasty

Rhinoplasty is regarded as one of the most delicate and most difficult plastic surgery procedures because it alters the central characteristic of the face. Nose surgery can be performed to change the appearance of your nose as well as to improve your nasal breathing. Dr. Ho specializes in rhinoplasty and will implement the most suitable techniques to improve the breathing function and shape of your nose and elegantly restore facial harmony.

What is Rhinoplasty?

Rhinoplasty is nasal surgery with the intent to improve the breathing function and/or appearance of the nose. It is regarded as one of the most delicate and most difficult plastic surgery procedures because it alters the central characteristic of the face. This procedure therefore requires the expertise of a surgeon who specializes in plastic surgery of the face. Common nose issues that can be addressed by rhinoplasty include but are not limited to nasal obstruction, broken nose, crooked nose, septal deviation, nasal valve collapse, dorsal hump, bulbous tip, and nostril asymmetry. Rhinoplasty is one of Dr. Ho’s surgical specialties, as she possesses dedicated training in rhinoplasty and a genuine commitment to evolving her technique and creating positive nasal outcomes. Each rhinoplasty procedure is uniquely planned and executed by Dr. Ho according to the anatomic findings and surgical goals of the individual patient.

What is Dr. Ho’s approach to Rhinoplasty?

As a facial plastic surgeon, Dr. Ho specializes exclusively in aesthetic and reconstructive procedures of the head and neck region. She possesses dedicated training in functional and cosmetic rhinoplasty from one of the top facial plastic and reconstructive surgery fellowship programs in the country under mentor Dr. Dean Toriumi, a world-renowned leading authority in rhinoplasty. Dr. Ho dedicates ample time and effort with the aid of imaging software to establish realistic goals and expectations with every patient. She has the training and experience to implement the best surgical techniques including the most suitable cartilage grafts and suturing maneuvers to improve the breathing function and shape of every nose while also tailoring her approach to the surgical needs and goals of the individual patient. Furthermore, Dr. Ho closely follows her patients after surgery and makes herself available and approachable for patient questions and concerns to ensure that each patient heals well and is satisfied with their surgical outcome.

What should patients expect after Rhinoplasty?

Each rhinoplasty procedure is different and catered to the individual patient. Therefore, the types of incisions utilized as well as extent of swelling, bruising, and tenderness that occur after surgery will vary by patient. An outer nasal splint cast is placed at the conclusion of the surgery to protect the operated nose. Every rhinoplasty patient will follow-up with Dr. Ho one week after surgery for splint and suture removal. Any immediate bruising and swelling after surgery can be managed well with icing and head elevation with the majority resolving by two weeks out from surgery. Residual swelling following this period will continue to improve significantly over the next six months to one year with gradual improvements or fluctuations noted years out. Post-operative pain is usually managed well with prescribed pain medication. Improvement in nasal breathing is typically observed soon after most of the swelling has subsided. Dr. Ho seeks regular follow-up with her patients to ensure that every patient heals well and is satisfied with their surgical outcome.

What is the Ideal Nose?

Dr. Ho believes that while every nose is unique, the ideal nose demonstrates adequate breathing function and natural facial harmony. The length and width of the nose should be proportionate with other facial features according to the rules of the horizontal thirds and vertical fifths of the face, respectively. The ideal nasolabial angle (angle spanning between the nasal tip and upper lip) is usually 90-95 degrees in men and 95-110 degrees in women. The ideal nasofrontal angle (angle spanning between the forehead and nasal bridge) is 115-130 degrees. On side view, the ideal nose may illustrate close to a 3:4:5 proportion, as described by Crumley’s method. Dr. Ho uses several of these principles as a foundation for her surgical technique as well as her artistic intuition in creating noses that are aesthetically pleasing and harmonious with the rest of the face.

What is Septorhinoplasty?

Septorhinoplasty is a type of nasal surgery where the septum is corrected in addition to the outer appearance of the nose. A patient with a septum issue such as a deviated septum or a septal perforation may be a candidate for a septorhinoplasty to improve the breathing function of the nose. Depending on the nature of a patient’s anatomic issues and nasal breathing problems, the septorhinoplasty portion of the surgery may be eligible to be covered by medical insurance. Rhinoplasty, on the other hand, is usually designed to address the external appearance of the nose alone. Dr. Ho possesses specialized training in both rhinoplasty and septorhinoplasty and will work with each patient to determine which type of nasal surgery is most ideal to address their surgical goals.

What is Ethnic Rhinoplasty?

Patients of non-Caucasian ethnicity often desire rhinoplasty to help improve certain features of their nose. Most patients will seek nasal surgery to enhance the breathing function and shape of their nose and elegantly restore facial harmony that is still natural and consistent with their ethnicity. Common ethnic nose issues that can be addressed by rhinoplasty include but are not limited to dorsal hump, bulbous tip, flat dorsum, and overprojected nose. Dr. Ho has unique training in ethnic rhinoplasty and has performed surgery on patients of various ethnicities including patients of Asian and African descent.

What is Revision Rhinoplasty?

Revision rhinoplasty is an additional nasal surgery that takes place after a first rhinoplasty procedure. A patient may be a candidate for a revision rhinoplasty if they demonstrate a persistent or new nasal deformity or nasal breathing problem that has not improved after they have fully healed from their initial rhinoplasty procedure. Revision rhinoplasty is often an even more difficult procedure compared to primary rhinoplasty, and revision rhinoplasty patients are at a higher chance of requiring additional nasal procedures in the future. Dr. Ho is available for consultation with all patients with history of previous rhinoplasty and will devote thorough evaluation and discussion with each patient to determine whether they may be a candidate for revision rhinoplasty. Dr. Ho has extensive training in revision rhinoplasty including experience in harvesting and using a patient’s own ear and rib cartilage graft material to create a natural, durable nose with a functional and aesthetically pleasing long-term outcome.

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