Contact Us  |  Locations

What Causes a Droopy Nasal Tip?

What Causes a Droopy Nasal Tip?

Patients often consult with rhinoplasty surgeons to address a drooping nasal tip or droopy nose. They might notice this all the time, or sometimes only when they smile. In the age of social media, people are more critical of their profiles, and this often gives rise to insecurities over this feature.  A drooping nasal tip, medically referred to as nasal tip ptosis or nasal tip ptosis, can be caused by several factors:

  1. Age: As people age, the structures of the nose, including cartilage and connective tissues, can weaken or lose elasticity, leading to a drooping appearance. In addition, the maxillary bone, the bone upon which the nose sits can become retrusive over time. As a result the tip loses support and starts to droop.
  2. Trauma or Injury: A nasal injury or trauma can damage the supportive structures of the nose, causing the nasal tip to droop. Oftentimes this is from prior rhinoplasty surgery.
  3. Genetics: Some individuals may inherit nasal structures that predispose them to nasal tip ptosis. Nasal tip ptosis is definitely more common in certain ethnicities, such as hispanics and eastern europeans.
  4. Previous Surgery: Prior nasal surgeries, especially rhinoplasty procedures, can sometimes result in nasal tip ptosis if the supporting structures are not adequately addressed during the surgery.
  5. Weak Cartilage: Weakness or malformation of the lower lateral cartilages, which provide support to the nasal tip, can lead to drooping. Also, an absence of a long enough septum, which gives nasal support, can cause drooping.
  6. Septal Deviation: Deviation of the nasal septum can affect the support and alignment of the nasal tip, contributing to drooping.

How Do You Treat A Drooping Nasal Tip?

Treatment for a drooping nasal tip typically generally requires surgery.  Fillers give limited support to a tip and can only partially camoflauge the problem. The cause of the tip droop is always lack of structural support, therefore, a surgery that can give structural support is necessary. This support can be added surgically by the usage of cartilage grafts, usually obtained from the nasal septum. However, in some cases, cartilage from the ear or ribs may be necessary. This is why it is important to choose an excellent open rhinoplasty surgeon.

Choose a Rhinoplasty Expert?

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

Can I Use My HSA to Pay for My Nose Job or Rhinoplasty?

Rhinoplasty surgery is a surgery that addresses both form and function of the nose. In contradistinction, septoplasty, which simply involves removing and not straightening of the septum, addresses only function. Septoplasty is easy to get covered under insurance, whereas rhinoplasty does not get covered through insurance as it is considered cosmetic.

However, there is a loophole.

You may still be able to use your Health Savings Account(HSA) to pay for rhinoplasty surgery. Rhinoplasty surgery typically involves several functional maneuvers that are needed to improve both appearance and breathing. It includes septoplasty as well as internal splinting which both contribute to improved breathing. For this reason, rhinoplasty may be deemed medically necessary based on IRS rules.

Using your Health Savings Account (HSA) to pay for rhinoplasty surgery can be possible, but there are some considerations and steps you should take:

  1. Check Eligibility: Rhinoplasty surgery must be deemed medically necessary to qualify for HSA funds. Cosmetic procedures are typically not covered unless they address a medical need, but rhinoplasty can address several medical needs, such as:
    1. Trouble Breathing 
    2. Snoring/Sleep Apnea
    3. Headaches(60% of headaches are considered rhinogenic in origin)
    4. Frequent Sinus Infections
  2. Consult with your Rhinoplasty Surgeon: Discuss your situation with your surgeon. They can provide documentation and justification for the medical necessity of the procedure, which may be required by your HSA provider.
  3. Review HSA Guidelines: Understand your HSA plan’s rules and guidelines regarding eligible expenses. Some HSAs have specific requirements or documentation processes for using funds on medical procedures.
  4. Keep Documentation: Maintain thorough documentation of the medical necessity of the rhinoplasty, including any diagnoses, treatment plans, and recommendations from healthcare professionals.
  5. Submit Claims: If your rhinoplasty qualifies as a medical expense under your HSA plan, you can use your HSA funds to pay for it. Keep receipts and any other relevant documentation for your records.
  6. Follow IRS Regulations: Ensure that the expenses you claim comply with IRS regulations for HSA withdrawals. Non-qualified expenses may incur taxes and penalties.
  7. Consider Reimbursement: If you’ve already paid for the rhinoplasty out of pocket, you can reimburse yourself from your HSA. You can treat your HSA like a bank account to cash out and pay yourself back. There is no tax penalty for this. Also, remember that there is no time limit on how you can pay yourself back. This means you can spread your payments over several years. For example,
    • Mary doesn’t like her crooked nose and wants a rhinoplasty. She has a septal deviation or perhaps gets headaches. These are medically qualifying conditions. She pays $10,000 for her rhinoplasty. She has several options for payment through her HSA.
      • Option 1-Mary has the funds. Mary pays the full amount for her rhinoplasty with her HSA funds at time of service. She can either use her HSA card, or use a credit card or cash to pay for the surgery. She can then withdraw from her HSA bank account to pay off her credit card(interest included) or pay herself back.
      • Option 2-Mary does not have the funds. Mary does not have the full amount for her rhinoplasty within her HSA or bank account. She can then finance the balance for the surgery through a credit card, bank, or Carecredit. HSA rules allow you pay for medical expenses over the course of several years. She can use successive years of HSA contributions to finance her surgery purchase.

Choose a Rhinoplasty Expert?

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

At What Age Can I Get a Rhinoplasty?

Middle and high school can be a very difficult time. The body is changing especially your face. Your sinuses continue to grow which expands your face. Your jaw (especially for boys) begins to increase in size. Your nose changes shape and enlarges along with your face. In addition, people become more self aware of their flaws and are also increasingly ready to point out flaws in others.

Because of these physical changes, many of our rhinoplasty patients are teenagers who express displeasure with the appearance of their noses. If you’re unhappy with your nose, every time you look in the mirror you may notice only that feature. On Social Media photos, all you see is your nose. It’s an overwhelming feeling and one that may easily make you self-conscious. Although your friends and family say your nose is just fine, ultimately it is you who wears it each day. It is you who decides if it is a displeasing feature. This feeling may come and go, but ultimately the uneasiness will typically persist. It affects your confidence and the way you carry about your daily life. This is natural and understandable.

At What Age is Rhinoplasty a Good Option?

This is a common question asked by teens and their parents. The answer is that it depends. The nose, specifically the septum (the wall that separates the two sides of the nose) serves as the focal point or center for midfacial growth. Prematurely disturbing this growth center could lead to abnormal development of the face. Therefore, it is essential that a facial surgeon evaluate your facial growth and assure that it is an appropriate time to consider a rhinoplasty. Most teenage girls can have rhinoplasty approximately one year after their menarche. This is around age 16 years old. Teenage boys are more variable, but usaully lag behind in development. Their rhinoplasty surgery can typically be performed successfully by age 18. Dr. Graham will perform rhinoplasties on females at age 16 years old and on males at 18 years old. 

What Is The Rhinoplasty Consultation Process?

When preparing for your surgery, not only will we evaluate you from a physical perspective, but also from a psychological one. Rhinoplasty patients must be of mature stature and have reasonable expectations. There is not such thing as perfection in rhinoplasty. Perfection is a filter. Your nose will be better, but never perfect.  These physical and emotional components are qualities that Dr. Graham will evaluate during your consultation and take into account before agreeing to proceed with your surgery.

Choose a Rhinoplasty Expert?

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

Why Choosing the Right Rhinoplasty Surgeon is Important

Choosing the right rhinoplasty surgeon for your first rhinoplasty surgery is extremely important. This is because secondary rhinoplasty is much more challenging than primary rhinoplasty and often times “your first shot is your best shot”. Scarred tissue as well as limited graft material make secondary rhinoplasty an entirely different operation than a primary rhinoplasty. It is also much more likely during a second rhinoplasty that you will need to harvest tissue from distant site, such as rib or ear cartilage, as septal cartilage was removed during the first operation.

Several factors contribute to the increased complexity of secondary rhinoplasty:

  1. Scar Tissue: Scar tissue from the previous surgery can make the tissues less pliable and more challenging to work with during revision.
  2. Altered Anatomy: The anatomy of the nose is always altered by the previous surgery, making it more difficult to achieve the desired outcome. The structure of the nose can be contorted with scar and weakened from prior surgery.
  3. Limited Grafting Material: In most cases, the surgeon may have used available grafting material(ie. the septum) during the primary rhinoplasty or septoplasty, leaving fewer options for revision.
  4. Patient Expectations: Managing patient expectations can be more challenging in revision cases, as patients may have had a previous experience that did not meet their expectations.
  5. Risk of Complications: There may be an increased risk of complications, such as infection or poor wound healing, in revision cases.

Choose a Rhinoplasty Expert?

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

The Art of Rhinoplasty-Crafting Confidence

Rhinoplasty, commonly known as a “nose job,” is a surgical procedure that has evolved into both an art and a science. Beyond merely addressing cosmetic concerns, rhinoplasty aims to harmonize facial features, boost confidence, and improve overall well-being. In this blog post, we will explore the intricacies of rhinoplasty, its transformative effects, and considerations for those contemplating this life-changing procedure.

Section 1: Understanding Rhinoplasty

Rhinoplasty is a surgical procedure designed to reshape the nose, either for cosmetic purposes or to correct functional issues such as breathing difficulties. The decision to undergo rhinoplasty is deeply personal, often driven by a desire for facial balance, enhanced aesthetics, or the resolution of breathing problems. A skilled and experienced surgeon can achieve remarkable results, tailoring the procedure to each individual’s unique facial anatomy.

Section 2: The Art and Science of Nasal Harmony

A successful rhinoplasty involves a delicate balance between the artistic vision of the surgeon and the anatomical science of the procedure. Surgeons take into account facial proportions, skin thickness, and the structural framework of the nose to create a result that complements the patient’s overall appearance. The goal is not just to alter the nose but to enhance the natural beauty and symmetry of the face.

Section 3: The Transformative Impact

Beyond the physical changes, rhinoplasty can have a profound impact on an individual’s self-esteem and confidence. Many patients report increased satisfaction with their appearance, leading to improved social interactions and a more positive outlook on life. The psychological benefits of rhinoplasty are a testament to the procedure’s potential to transform not just the nose but the entire sense of self.

Section 4: The Consultation Process

Before embarking on a rhinoplasty journey, a thorough consultation with a qualified surgeon is essential. During this process, patients discuss their goals, expectations, and concerns with the surgeon. A skilled surgeon will assess the patient’s facial anatomy, provide realistic expectations, and develop a personalized treatment plan. Open communication between the patient and surgeon is crucial for achieving the desired results.

Section 5: Recovery and Aftercare

Rhinoplasty is a surgical procedure, and a proper recovery period is necessary for optimal results. Patients can expect swelling and bruising, which gradually subside over a few weeks. Following post-operative care instructions, attending follow-up appointments, and practicing patience are key components of a smooth recovery process.

Conclusion:

Rhinoplasty is more than a cosmetic procedure; it is an art form that aims to enhance facial harmony and boost self-confidence. As individuals consider this transformative journey, it is crucial to choose a qualified surgeon who understands the delicate balance between art and science. With proper consultation, realistic expectations, and post-operative care, rhinoplasty can be a powerful tool for achieving not just a new nose, but a renewed sense of self

Choose a Rhinoplasty Expert

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

 

Is Open or Closed Rhinoplasty Better?

The choice between open and closed rhinoplasty depends on various factors, including the specific goals of the surgery, the surgeon’s expertise, and the patient’s individual anatomy. However, most rhinoplasty experts in the world perform an open rhinoplasty approach. This affords better visibility and control of the operation as opposed to a closed approach. (Imagine a mechanic working on a car engine without lifting the hood.) In fact, I call closed rhinoplasty “good enough” rhinoplasty as most speakers at meetings who perform closed rhinoplasty will present the results of their surgeries and will say “it wasn’t perfect, but the patient was happy” so it was good enough.

  1. Open Rhinoplasty:
    • Advantages:
      • Provides better visibility for the surgeon.
      • Allows for more complex and detailed procedures.
      • Easier access to nasal structures for modifications.
    • Disadvantages:
      • Longer recovery time due to more extensive incisions.
      • Increased swelling and potential for visible scarring at the base of the nose.
  2. Closed Rhinoplasty:
    • Advantages:
      • Shorter recovery time as it involves smaller incisions.
      • Generally results in less postoperative swelling.
      • No visible external scarring.
    • Disadvantages:
      • Limited visibility for the surgeon, which may be a challenge in complex cases.

Choose a Rhinoplasty Expert

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

 

Is Taping After Rhinoplasty Helpful?

Taping is a common practice after rhinoplasty, and it is often recommended by rhinoplasty surgeons to help support the healing process and optimize the final results. Taping is theoretically done to provide additional support to the nasal tissues, minimize swelling, and help shape the nose during the initial stages of recovery. However, it is not beneficial to all patients, and it may actually cause harm if done incorrectly.  Purported benefits include:

  1. Reduced Swelling: Taping can help minimize postoperative swelling by applying gentle pressure to the nasal tissues. This pressure can encourage fluids to drain away from the surgical site.
  2. Support Nasal Tissues: Taping provides support to the newly shaped nasal structures. It helps maintain the desired shape and alignment of the nose during the early stages of healing.
  3. Control Edema: Edema, or fluid retention, is common after surgery. Taping can help control and reduce edema, contributing to a smoother recovery.
  4. Prevent Scar Tissue Formation: Taping may help prevent the formation of excessive scar tissue by keeping the skin and underlying tissues in place and minimizing tension. This is particularly important after large reductions in size or rearrangements of cartilage. Otherwise, one may develop issues like Pollybeak Deformity.

Who is a Good Candidate for Taping After Rhinoplasty?

Not all patients actually benefit from taping after rhinoplasty. A Randomized Controlled Trial published in JAMA Facial Plastic Surgery in 2016 by Ozucer and associates studied 57 patients undergoing rhinoplasty. Three groups were allocated: One control group(no taping) and two taping groups(2 weeks and 4 weeks of taping). The desired outcome was a difference in edema and tissue thickness due to the taping. The study concluded that taping had no effect in thin skinned patients, but was effective in reducing tissue thickness in thick skinned patients. This translates into a smaller nose overall, less chance at pollybeak deformity,  and better definition of the tip(cuter tip with ski slope or button).

How Does One Go About Taping After Rhinoplasty?

Taping

• Only use the allocated taping approved by your physician(Usually 3M 0.5 inch flesh colored micropore paper tape).

• Stay nasal taped “as many hours as is socially feasible,”

especially at night.

• Before applying the tape, make sure to clean your nasal skin with

an alcohol pad.

• Place your taping in front of a mirror for proper placement. Apply

horizontally oriented, single-layer taping—as you were instructed—

from top to tip. Do not overlap the tapes more than 2%.

• Pull the tape tightly on the skin; the idea is to compress the skin

down to underlying cartilage and/or bone.

Untaping

• Before peeling off, contact with water or alcohol (during shower

or after washing your face).

• Pull the tape gently back over itself 180 degrees to minimize

pulling the skin up.

• Make sure to wash your nose skin 2 to 3 times a day.

 

Choose a Rhinoplasty Expert?

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

What is A Saddle Nose Deformity in Rhinoplasty?

A “saddle nose” in the context of rhinoplasty refers to a deformity where the bridge of the nose has a concave or flattened appearance, resembling the shape of a saddle. This deformity occurs when there is a loss of structural support in the nasal bridge, leading to a collapse of the midportion of the nose.

There are various potential causes for a saddle nose deformity, including:

  1. Over-resection during rhinoplasty or septoplasty: If too much cartilage and bone are removed during a rhinoplasty or septoplasty procedure, it can result in a weakened nasal structure, leading to a saddle nose appearance.
  2. Trauma: Nasal trauma, such as a significant injury or multiple injuries over time, can damage the nasal structure and contribute to the development of a saddle nose.
  3. Congenital factors: Some individuals may be born with a predisposition to a weak nasal structure that can lead to a saddle nose deformity.
  4. Inflammatory conditions: Diseases that affect the cartilage and tissues of the nose, such as certain types of autoimmune diseases, may contribute to the development of a saddle nose.

How Do You Fix a Saddle Nose Deformity

Correction of a saddle nose typically involves reconstructive rhinoplasty, where the surgeon aims to restore the nasal structure and support. This may involve using cartilage grafts, often taken from the patient’s own body (such as the septum, ear, or even rib), to rebuild the nasal bridge and create a more aesthetically pleasing and functional nose. Usually, the septum has already been damaged before the revision surgery. Therefore, rib or ear cartilage is often required. This is why it is important to go to a rhinoplasty expert for correction.

Choose a Rhinoplasty Expert

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

What is the Difference Between a Septoplasty and a Rhinoplasty?

People often think that a septoplasty and a rhinoplasty are interchangeable terms. However, there are major differences between the two surgeries. Septoplasties are typically performed by ENT doctors, take about 20 minutes, and are strictly functional. Rhinoplasties are typically performed by Plastic Surgeons, take 3-4 hours, and are both functional and cosmetic.

  1. Septoplasty:
    • Purpose: Septoplasty is a surgical procedure designed to correct a deviated septum. The septum is the wall of cartilage and bone that separates the nostrils. A deviated septum occurs when this wall is off-center or crooked, potentially causing breathing difficulties and nasal congestion. This can be due to both traumatic and developmental causes.
    • Procedure: During a septoplasty, the surgeon typically makes incisions inside the nostrils and repositions or trims the deviated portion of the septum to improve airflow through the nasal passages. The outer appearance of the nose is usually not altered significantly in septoplasty. A  crooked septum stays crooked, but the internal portion is cut out, resulting in improved breathing. The curved appearance of the nose will not improve, and in certain circumstances may worsen.
  2. Rhinoplasty:
    • Purpose: Rhinoplasty, often referred to as a “nose job,” is a cosmetic surgery aimed at enhancing the appearance of the nose. It can involve reshaping the nose, altering the size, changing the angle between the nose and upper lip, or correcting other aesthetic issues. In most cases a septoplasty is actually performed during the rhinoplasty, resulting in functional improvement.
    • Procedure: Rhinoplasty may involve the removal or addition of bone or cartilage, and incisions are often made on the outside of the nose (open rhinoplasty) or within the nostrils (closed rhinoplasty). The goal is to achieve a more harmonious and aesthetically pleasing nasal structure. Therefore, a septoplasty will only improve breathing, but a rhinoplasty will improve breathing and improve appearance.

Functional versus Cosmetic

In summary, while septoplasty focuses on correcting functional issues related to the nasal septum and improving airflow, rhinoplasty is a cosmetic procedure that aims to enhance the overall appearance of the nose. In most rhinoplasty cases, both septoplasty and rhinoplasty are performed together to address both functional and aesthetic concerns.

Choose a Rhinoplasty Expert

It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply  does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.

Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite. 

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

 

What are Ozempic Breasts?

Plastic Surgeons are seeing a huge uptick in business related to excess skin after weight loss. This isn’t the result of traditional diets or even bariatric surgery,  but a wave brought on by the successes of glucagon-like peptide-1 (GLP-1) medications like Ozempic, which are increasingly seen in the media and touted by celebrities and everyday individuals alike. GLP-1 medications, like Ozempic, are changing the face of medicine. Orthopedic and Spine surgeons are afraid of losing their cash cow obesity related joint replacements, while Plastic Surgeons stand to see an uptick.

One procedure Plastic Surgeons are increasingly seeing is that of breast lift, or mastopexy. Often one of the places a woman loses weight first is in her breasts. This weight loss can leave the skin envelope empty, resulting in sagging and a downturned nipple. “Ozempic Breast” is a term gaining in popularity to describe this situation.

What are GLP-1 medications?

Ozempic, primarily used to treat type 2 diabetes, has found fame for another of its benefits – weight loss. GLP-1 agonists are drugs that mimic the natural hormone GLP-1 in the body, which helps regulate blood sugar and decrease appetite.These medications can lead to significant weight loss by enhancing the body’s response to insulin, especially when coupled with diet and exercise. They serve to slow gastric emptying, resulting in feeling of fullness, but they also trick the brain into feeling satiated and suppressing appetite.

These medications are manufactured under many brand names, and according to the Mayo Clinic, these GLP-1 medications are also called:

  • Dulaglutide (Trulicity)
  • Exenatide (Byetta)
  • Exenatide extended release (Bydureon BCise)
  • Liraglutide (Victoza, Saxenda)
  • Lixisenatide (Adlyxin)
  • Semaglutide (Ozempic)
  • Semaglutide (Rybelsus)

What can plastic surgery do for Ozempic weight-loss patients?

Plastic surgery can offer transformative post-weight loss procedures to remove extra skin that sometimes hangs from patients breasts, arms, abdomen, thighs and other areas.

This is where plastic surgery can play a crucial role in the final steps of a person’s transformation through skin-tightening procedures like breast lifts.

What is a breast lift or mastopexy?

A breast lift in plastic surgery is a procedure used to eliminate hanging skin on the breasts and also elevate the nipple to a position where it is facing forward instead of down. It can be used with or without an implant.

What’s is the difference between a breast lift alone and a breast lift with an implant?

The main difference is in the fullness and cleavage one can achieve in the upper portion of the breast. If one wants a round upper portion of the breast and wants to have great cleavage in a dress or bathing suit, then an implant will be required.

What is unique about Dr. Graham’s breast lift technique?

Dr. Graham utilizes and advanced breast lift/augmentation technique that he learned from Dr. Bradley Calobrace, of Louisville Kentucky. This technique eliminates sagging tissues of the breast while augmenting the upper portions of the breast. The implant is placed first, protected by overlying breast tissue, and then the breast is meticulously sculpted around this construct (Think of the papermache projects you used to do in school). This provides safety for the implant and yields a longlasting perky result.

 

ACS