Nasal surgery/Rhinoplasty


Nasal surgery/Rhinoplasty

Do you have difficulty breathing through your nose? Was your nose ever broken? Are you unhappy with the shape of your nose? Rhinoplasty, the formal term for surgery that reshapes the nose, is one of the most common facial cosmetic surgery procedures. Regardless of the reason bringing patients into Dr. Athré’s Houston, Texas area office, rhinoplasty can create dramatically increased harmony and proportion of the face. Dr. Athré is one of the foremost rhinoplasty surgeons in the United States. Patients seek him out from all over the United States and from many international countries for his rhinoplasty and revision rhinoplasty experience.

Basic anatomy of the nose

The nose is composed ofskin,bone and cartilage. Five cartilaginous structures and the nasal bones come together to form the structure of the nose. Skin and soft tissue then drape over this triangular structure. Rhinoplasty involves manipulating the bony, cartilaginous, and soft tissue elements to improve breathing, straighten the nose and air passages, and enhance the aesthetic appearance of the nose.

About the nose

Your nose is the most defining feature of your face and one of the first things people notice about you. The nose can be improved by increasing or decreasing the overall size, removing an unwanted hump, changing the shape of the tip, narrowing the bridge, narrowing the width of the nostrils, or changing the angle between the nose and upper lip. Rhinoplasty can improve the balance between the nose and the rest of the face.

Over a lifetime of sun exposure, the skin of the nose can show signs of significant aging such as uneven texture and age spots, large pores, roughness, and an overall decrease in elasticity. A medical grade sunblock is key in preventing such damage, while an individualized medical skin care regimen can improve the appearance of skin on the nose.

Surgical approaches

Rhinoplasty can be performed via an open approach or via a closed approach. The two approaches differ in the location of the incisions. The open approach involves an incision across the columella of the nose, the strip of skin that separates the nostrils. The advantage of this approach is that it allows complete visualization of all of the bony and cartilaginous structures of the nose.

The closed approach involves several incisions that are concealed within the nose. This approach is useful for minor adjustments to nasal structure. The disadvantage to this approach is that Dr. Athré’s ability to visualize the entire surgical area is drastically reduced. The choice between the type of approach is based on the complexity of the repair and enhancement required.

Rhinoplasty is one of the most demanding surgical procedures and is one of the specialties undertaken at Athré Facial Aesthetics. Successful rhinoplasty requires the surgeon to take into account every variable including:

Skin color
Skin texture

Overall facial shape
Height of the patient
A patient’s aesthetic sense
Facial bone structure
Patient’s ethnicity

All of these considerations, a complete physical exam, and a consultation to discuss the patient’s desires and aesthetic norms are all part of the initial consultation. If you’re considering rhinoplasty, or if you are unhappy with the nose surgery results you have achieved from another surgeon and are considering revision rhinoplasty near Houston, you’ll want to know how the surgery is performed and how it can improve your looks, self-confidence, or health.

Revision Rhinoplasty

If you have had nasal surgery before and you are not happy with the results, read on to learn how Dr. Raghu Athré can help you achieve a satisfying outcome through revision rhinoplasty (nose surgery) at his Houston area practice.

Revision rhinoplasty is the formal term for surgery that reshapes and restructures the nose after previous nasal surgery and is one of the most demanding and complex facial plastic surgeries. This type of surgery is exceptionally complex because previous nasal surgery causes a certain amount of scarring. If previous surgery was performed incorrectly, the scarring can significantly alter the shape of the nose and even adversely affect nasal airway breathing. Women and men in the Houston, Texas area, in all the surrounding states such as Oklahoma and Louisiana, and in several international countries choose rhinoplasty surgeon Dr. Raghu Athré because he is both a board-certified otolaryngologist and facial plastic surgeon and has extensive rhinoplasty experience. Dr. Athré actually trained with Dr. William Silver, one of the forefathers of modern rhinoplasty in the United States.

Revision rhinoplasty is mostly performed via an open approach because the open approach allows better visualization of all of the nasal structures. The open approach involves a small incision on the columella of the nose (the strip of skin between the nostrils). This incision fades away and is imperceptible within 6 to 8 weeks after surgery. Revision rhinoplasty many times requires ancillary procedures such as ear cartilage grafting and rib cartilage grafting.

Ethnic Rhinoplasty

Have you ever noticed that Hispanic people look different from Caucasian people who look different from Indian people who look different from Persian people? All of us have an ethnic heritage, and as such have certain facial characteristics that identify us. Our nose frequently is that identifying characteristic. Many times, the nose can be out of balance with other facial features. Patients from these various ethnicities don’t ask to change their ethnicity. They still want to look like themselves. However, they ask to modify small characteristics to bring their nose into proportion with their face, but still to look like themselves. This is the challenge of ethnic rhinoplasty and is one of the specialties of Athré Facial Aesthetics. If there is one thing that AFA is known for, it is ethnic rhinoplasty. Dr. Athré specializes in rhinoplasty procedures for Hispanic, Persian, Asian, and African-American patients

Computer Imaging in Rhinoplasty surgery

Computer imaging is one of the newest technologies in the field of facial plastic surgery. Dr. Athré utilizes computer imaging for most of his rhinoplasty cases). His Houston area patients benefit from this technology because they gain a better sense of what the results could look like.

A nose that may look perfectly fine on a 5 foot 2 inch blond Caucasian female would definitely not look appropriate on a 6 foot tall ethnic female. Therefore, the computer-imaging program allows us to go through multiple variations of possibilities so that the patient and the physician can both be on the same page with respect to what is desired and what can be accomplished.

Imaging Performed by Dr. Athré

One of the things that is unique to Athré Facial Aesthetics is that Dr. Athré does all of his own computer imaging. At many other practices, computer imaging will be performed offsite or even by nurses and other ancillary personnel. The problem with this is that the surgeon is the only person who can evaluate the patient and realistically determine what can be accomplished in the OR. Some limitations may be anatomic considerations such as prominent nasal bones or lack of cartilaginous strength. All of these variables come together to formulate a surgical plan.



Book an appointment with Dr. Athré’s plastic surgery clinic by calling at:

281-557-3223