Patients requesting a Rhinoplasty are usually seeking specific changes in the external shape of the nose. It may vary from a small "bump" across the top of the nose to a significant deformity of the nasal tip, top of the nose, or a request for change in the overall shape of the nose. Frequently there are internal problems that contribute to difficulty in breathing through the nose, such as a deviated nasal septum.

       With my double board certification, in Ear, Nose and Throat, I feel that I offer a special expertise in this area. I practiced ENT for over eight years before returning and retraining in Plastic Surgery, adding to my knowledge and experience in rhinoplasty surgery.

       This procedure is one of the more difficult operations that cosmetic surgeons perform. Small changes in surgical technique frequently lead to changes that do not become apparent for several years. Surgeons that are considered experts in this particular procedure appreciate the minute details involved and modify their techniques based on the specific needs of each patient.

       This procedure is one of the few that may be partially covered by insurance, if physical findings support the need for airway improvement, such as in a deviated septum or a nose deformed secondary to a traumatic event.

I usually perform this procedure under general anesthesia, on an outpatient basis.