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Rhinoplasty – Nose Job Surgery

Rhinoplasty is a nose surgery that can improve the shape, size and function of the nose. Because even a slight imperfection or asymmetry of the nose can divert the balance and beauty of the entire face, rhinoplasty is one of the most sought after procedures in facial plastic surgery. While there are countless plastic surgeons that perform nose job surgery, it is critical that you choose one that carries the experience, skill and artistry it takes to master this complex procedure and produce ideal results the first time. At Forever Faces Plastic Surgery, we consistently have patients who choose us for both primary rhinoplasty and revision rhinoplasty. Dr. Kenrick Spence is a renowned nasal plastic surgeon who successfully performs all types of rhinoplasty, including those that repair the function of the nose as well as improve the cosmetic appearance.

There are many factors that can influence the aesthetics of the nose, including genetics, injury, previous nose surgeries, birth defects and even aging. Dr. Spence is equipped to address all types of cosmetic concerns with the most proven rhinoplasty techniques available. If you suffer from the following common nasal imperfections, you may be a candidate for rhinoplasty at Forever Faces Plastic Surgery:

  • Large nose
  • Crooked appearance
  • Long (“hook”) nose
  • Nasal hump
  • Bulbous tip
  • Drooping tip
  • Wide or flared nostrils

Considering Dr. Spence’s expansive knowledge and training in rhinoplasty, the possibilities are endless when it comes correcting the shape, size and symmetry of the nose. He also holds the distinguished ability to enhance or restore nasal function when breathing difficulties are present. This may occur when the septum is deviated or after a nasal fracture. At Forever Faces Plastic Surgery, we want our patients to achieve a nose that is beautifully sculpted and balanced as well as highly functional.

Nose Reshaping

Rhinoplasty can be considered a nose reshaping procedure. This is achieved by adding, removing or shaping the nasal cartilage and bone. By altering the internal framework of the nose, the outward appearance of the nose can be dramatically improved. During rhinoplasty, Dr. Spence can correct the overall size of the nose, the tip projection, the nasal bridge and nostrils. Whether you need simple refinement of your nasal tip or a complex nose job with functional restoration, you can trust Dr. Spence for superior, patient-centered care at all times.

Depending on the unique needs of the patient, incisions may be confined to the inside of the nose, known as endonasal or closed rhinoplasty. However, Dr. Spence also performs open rhinoplasty, which means there is a small incision under the tip of the nose between the nostrils. There are specific indications and benefits for each approach, which will be carefully determined and explained by Dr. Spence.

Dr. Spence values the importance of delivering optimal results in primary rhinoplasty, when the cartilage is undisturbed and scar tissue is not present. This involves careful evaluations and meticulous planning to determine the best possible rhinoplasty approach. Dr. Spence considers factors such as the quality and position of the nose cartilages, the size and shape of the nasal bones as well as the skin thickness and quality. However, in order to help patients achieve ideal results, the harmony of the entire face must also be a guiding influence in rhinoplasty. In addition, Dr. Spence is careful to preserve ethnicity during rhinoplasty, and he understands how to create desirable nasal traits that are specific to each gender. Forever Faces Plastic Surgery offers Teen Rhinoplasty, Male Rhinoplasty and Revision Rhinoplasty in Raleigh.

If the beauty of your eyes or smile is overshadowed by an unsightly nose, consider North Carolina’s leading nose job surgeon. Contact our office today to schedule a consultation with Dr. Spence. We welcome the opportunity to meet your goals for rhinoplasty and restore your self-confidence.

Rhinoplasty FAQ

What is a Supratip break?
Supratip break is a gentle break in the shape of the nose just before the nasal tip. In women the supratip is much more pronounced then in male patients.

I have thick skin and a broad nose and I want the size of my nose reduced.
Thick skin large nose must be approached carefully too much cartilage removal can cause the thick skin to contract against a thin framework resulting in collapse. A solid defined framework is important to establish a good aesthetic result.

Why open verses closed Rhinoplasty?
There are patients who are excellent candidates for closed Rhinoplasty for example, minimal hump removal. Dr. Spence preference is open Rhinoplasty for most patients for better control of shaping of the nose and stabilizing the cartilage framework.

Can I just have my tip refined?
Yes, tip refinement alone can be performed this can be done by reinforcing, reducing, grafting or shaping the tip with sutures.

I think my nose is too short for a man.
Rib cartilage grafts work well to lengthen and strengthen the shape of the male nose.

What about silicone implants?
Dr. Spence does not use silicone implants in the nose. The preference is to use the patient's own tissues, using cartilage from the nose, ear or rib, thus eliminating the risk of a foreign body.

I am showing too much of my nostrils.
This occurs for two reasons: Either the Ala, the side of the nostril is too high (retracted) or the Columella (the central portion of the nostril) hangs too low or a combination of both. Both can be corrected without more extensive Rhinoplasty and can often be done under local anesthesia.

How successful is revision rhinoplasty?
Revision rhinoplasty is often much more challenging than primary Rhinoplasty. Often time scar tissue has set in with significant distortion of cartilage and there are times that it takes more than one operation to reach your final goal. All revisionary surgeries are journeys that require both reconstructive and cosmetic skills. Choose your surgeon wisely.

After I had the hump on my nose removed it seems like I have a hole there?
This may be an open roof deformity, the dorsum of the nose needs to be reconstructed this can be done with cartilage grafts.

I had a silicone implants placed in my nose, and it came out through my nostril can this be fixed?
Yes the implant needs to be removed after ensuring that the nose is free of infection, cartilage grafts can then be used successfully.

Where do most cartilage grafts come from?
Most often cartilage grafts are taken from inside the nose using the septum; this avoids a second surgical site at other parts of the body.