Home » Rhinoplasty in Wilmington and Dover, DE

Rhinoplasty in Wilmington and Dover, DE

View Nose Reshaping Before and After Pictures

Located in Elkton, MD and Dover, DE, and serving the residents of Maryland, and Wilmington and Newark, Delaware, Replenish Cosmetic Surgery Institute performs rhinoplasty (nose reshaping) for those who desire plastic surgery.

Nose reshaping, also known as rhinoplasty, is the second most common facial procedure, performed on more than 250,000 people each year. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve the whole appearance of one’s face. Many people seek out nasal surgery for a variety of reasons, including being unhappy with the nose they were born with, finding that aging has changed their nose, improving breathing problems, or restoring the appearance after an injury.

Dr. Martini understands that the nose brings harmony to facial proportions by balancing the chin and profile. So, when considering a surgical procedure to change the nasal shape, these factors must be carefully considered. Rhinoplasty for cosmetic purposes may include refining the tip of the nose, raising or lowering the nasal profile, removing a nasal hump, or adjusting the angle of the nasal tip with the lip. Because of the strong aesthetic relationship between the nose and the chin, Dr. Martini may even suggest a chin implant to enhance your outcome from the rhinoplasty procedure. The chin implant can be performed during the same surgical period as the rhinoplasty. Frequently, patients will use their recovery period to further maximize their results by having eyelid surgery (blepharoplasty).

Dr. Martini’s interest and renowned expertise in nasal surgery goes beyond the cosmetic. In addition to being board certified in facial plastic surgery, Dr. Martini is also a board-certified otolaryngologist and can address functional problems such as nasal obstruction, congestion and sinusitis. With over 20 years of intensive study of the nose, Dr. Martini frequently finds solutions to patients’ nasal problems in the most difficult of cases, even when a patient has expressed their complaints elsewhere and have been told they are “normal.” With a craftsman’s dedication to continually refining techniques, Dr. Martini’s reputation for excellence attracts patients from far and wide desiring primary rhinoplasty. He handles both functional problems and revision work on cosmetic or functional surgeries performed elsewhere.

To correct breathing problems in one surgery, Dr. Martini offers a complex nasal reconstruction that has helped patients vastly improve their quality of life. He encourages new patients to come in for a friendly and thorough consultation, so that they can get their procedure done the right way and free from complications. In fact, many patients come to Dr. Martini to correct nasal procedures that were done incorrectly elsewhere.

Functionality is just as important to Dr. Martini as the appearance and aesthetics of the nose. Drawing on many years of experience, Dr. Martini employs a variety of techniques, both cutting-edge and those that have withstood the test of time. He is one of only a handful of doctors in the tri-state area qualified to perform a new innovation in sinus surgery called in-office balloon sinuplasty that requires no time off work and no general anesthesia. Endoscopic sinus surgery is another staple in Dr. Martini’s arsenal that has been an approved technique for years.

With his vast toolkit of techniques, Dr. Martini can resolve a number of breathing dysfunctions, including septal deviation and nasal fracture. He also helps improve the quality of life for allergy sufferers, helping those with severe sinus disease. Proper nasal function can greatly enhance general health and comfort, aid in sleep function, and under some conditions, increase athletic endurance. Dr. Martini frequently performs functional surgery in combination with cosmetic procedures such as rhinoplasty, sinus procedures, and eyelid surgery (blepharoplasty).

Nose Reshaping (Rhinoplasty) Procedure

The two most common methods for performing rhinoplasty are the open technique and the closed technique. During closed rhinoplasty, all incisions are made within the nose with no visible scarring. After the incisions are made, the skin is lifted, and the cartilage, bone, and tissues underneath are sculpted and reshaped to produce the desired result.

With open rhinoplasty, an incision is made in the tissue that separates your nostrils, allowing the surgeon to access the tip of your nose and better views of the nasal tissue. To build up nasal tissue in African Americans, Hispanics, or those of Asian descent, implants, grafts, and/or cartilage can be used. The skin is then draped over the newly shaped area and secured with very fine stitches. Once the procedure is complete, a splint may be placed to help your nose keep its new shape. Soft, absorbent packing may be used inside the nose to maintain stability and reduce postoperative bleeding.

If you’re having difficulty breathing through your nose due to a deviated septum, a septoplasty may be recommended and performed during your rhinoplasty. This surgery can also be performed as a stand-alone medical procedure, with the goal of creating an unimpeded airflow to the nasal cavity. During a septoplasty, a small incision is made in the lining of the septum so that the underlying cartilage may be manipulated and straightened. Small splints and sutures may be placed inside the nose to support the straightened septum.

Breathing issues may also result from an enlarged turbinate and a turbinoplasty may be recommended. Turbinates are structures located within the nasal cavity that humidify and warm the air as you breathe. An enlarged turbinate is a common complication of a deviated septum. Turbinoplasty and septoplasty are often performed during the same surgical period. During a turbinoplasty, bone and/or soft tissue is removed from the turbinate to decrease the size. Temporary packing is used in place of sutures and will dislodge on its own after a few days.

Nose Reshaping (Rhinoplasty) Consultation and Preparation

Dr. Martini understands that each person has a unique perspective on what may be the best shape for their nose and your goals will affect the type and extent of surgery that is performed. It is important to discuss your desires and listen closely during the consultation so that you can set realistic expectations that align with your desired outcome. Great results are achieved when there is clear and honest communication between doctor and patient. It should also be kept in mind that the current shape of your nose will partially determine the shape you have after surgery.

Dr. Martin’s consultation process includes a detailed examination and discussion to determine what you want and what you can realistically expect from your procedure. Utilizing special imaging software, he will model the desired contour of the nose to be sure that it complements your overall facial structure and harmonizes with your other facial features. A refined yet natural look is the end goal, and Dr. Martini is careful to avoid the artificial or “operated on” outcome.

There are a few things you can keep in mind in order to reduce scarring, shorten your recovery time, and decrease your chances of complications. Discontinue using aspirin, ibuprofen, naproxen, Saint John’s wort, and Vitamin E for one week before and a few days after your procedure. These act as blood thinners and could cause problems with clotting. Stop smoking and drinking alcohol in excess well in advance of your nasal surgery and for one week following the procedure. Be sure to drink plenty of water in the days leading up to your rhinoplasty, as remaining well-hydrated will help you to recover more quickly.

To keep your recovery as easy and comfortable as possible, be sure to follow these guidelines:

  • Arrange for someone to take you home and take care of you for at least the first 24 hours.
  • Fill your prescriptions prior to surgery.
  • Place prescriptions within easy reach of where you will be resting.
  • Keep handy plenty of pillows or a bed wedge in a nearby location so that you can keep your head elevated.

Nose Reshaping (Rhinoplasty) Recovery

You should plan on resting with your head elevated for the first day. During this time, you may have a headache or feel puffiness and pain around your nose. It is normal to expect some bruising, swelling, and pain in the first week or two and this can usually be reduced by a cold compress. You may also notice some bleeding for the first day or two, which will usually stop on its own. Any nasal packaging you may have will be removed within a few days while splints and surgical dressings are generally removed within one week. Stitches will come out or be absorbed on their own within 4-7 days. Numbness on the tip of your nose is nothing to be alarmed about, and can be expected to last several months. Pain medication will be prescribed to control any discomfort, however, if you experience sudden or severe pain, be sure to contact us immediately.

The recovery process is different for every person just as every body is different, but within a day of your nasal surgery you should be up and walking around. For the first week, you should plan on being away from work and your usual activities. Over the next couple of weeks, your face may be bruised, and you may want to consider using special camouflage makeup as you heal. For the next two or three weeks, your nose may be very sensitive and strenuous activities should be limited. After two weeks, air travel, exercise, and sex can be returned to gradually. Be sure to avoid the sun and any physical contact to your nose for about two months. If you wear glasses, you will need to replace them with contacts or reposition them so they are not touching your nose for about six weeks.

Rhinoplasty is a permanent cosmetic procedure; however, your nose’s appearance may change as you naturally age. The appearance of your nose should improve over a period of up to one year after surgery.

Should you decide to move forward with your rhinoplasty, an appropriate surgery date will be scheduled. Prior to the procedure, you will be given full preparation and recovery instructions. Keep in mind that it is very important to stay on top of your follow-up visits, as we are here to help make this a positive experience for you.

How Much Does Nose Reshaping (Rhinoplasty) Cost in Wilmington or Dover, DE?

During our initial consultation, we will go over all costs associated with your particular procedure. Depending on the type of surgery that is right for you, as well as your established goals and priorities, the cost for nose reshaping will vary. Our office accepts CareCredit®, a simple alternative to cash and credit cards, so that you can finance your procedure without hassle.

Additional Facial Surgery Procedures

Dr. David V. Martini, board certified by the American Board of Otolaryngology, recognizes that each patient has unique requirements and desires. His services have improved the lives of people from the Wilmington and Dover, DE areas as well as Maryland, Delaware, Pennsylvania and New Jersey. Dr. Martini specializes in performing Plastic Surgery, Skin Rejuvenation, Hair Restoration, Skin Cancer Treatment and Nasal/Sinus Conditions. Please call 443-345-4131 today to schedule your initial consultation.