Primary rhinoplasty, or a nose job, refers to nasal corrective surgery being performed for the first time. This includes patients who desire a more aesthetically appealing nose as well as those who have suffered a traumatic injury to the nose and need cosmetic and functional procedures together.
In fact, Dr. Brenner finds that some of his strictly cosmetic rhinoplasty patients are unaware of minor functional problems until he informs them of the problems after his initial examination.
When Dr. Brenner looks at a patient’s nose, he doesn’t just see ‘a nose’. He sees many component parts of the nose that are either in balance or that could be altered to bring harmony to the face. Often making a simple change in one feature has a huge impact on how the nose ‘fits’ the face.
As a top rhinoplasty surgeon in Beverly Hills, Dr. Brenner understands how important it is for him as a surgeon to keep this in mind.
Why undergo rhinoplasty surgery?
The nose is the most prominent feature of the face and can be a great asset to one’s appearance if it balances the other features.
Balance and proportion are the hallmarks of beauty and when the nose is disproportionately large or distracting, a rhinoplasty procedure can make a profound difference. This is one feature that is impossible to hide. For those who are unhappy with the size or shape of their nose, rhinoplasty surgery can restore their self-confidence and boost enthusiasm in participating in social activities.
Rhinoplasty Before and After
What Does Rhinoplasty Fix?
Some common reasons people seek rhinoplasty include:
- Bulbous tip
- Too much nostril flare
- Nose is too wide, too short or too long
- Hooked nose
- Flat bridge
- Prominent bump – dorsal hump
- Too much or too little projection
Choose Your Rhinoplasty Surgeon Carefully
Nose surgery is among the most difficult procedures that a plastic surgeon will encounter. Working on a three dimensional structure with a highly complex functional interior requires extensive knowledge, artistic perception and exceptional surgical skill.
Dr. Kevin Brenner is a top nose surgeon in Beverly Hills with advanced training in rhinoplasty reconstruction. He is a board-certified plastic and reconstructive surgeon. This advanced knowledge and experience provides him with the ability to create balance by refining and reshaping the exterior structure of the nose without compromising functionality.
Successful nose surgery is as much about knowing how to perform the techniques as it is about knowing when to stop. His goal is to enhance his patient’s appearance, not to radically change it.
Dr. Brenner has performed many revision nose job surgeries, correcting the work of less experienced surgeons. He cautions anyone considering rhinoplasty to seek only a board-certified plastic surgeon with extensive experience in the procedure.
Recovery From Rhinoplasty Surgery
An important part of the nose job process is recovery. How well you follow Dr. Brenner's post-operative instructions can affect your results. Dr. Brenner is dedicated to making the process as smooth as possible and helping you get the best rhinoplasty results possible. Visit our rhinoplasty recovery page by clicking below to learn more.
Additional Types of Rhinoplasty
Primary ReconstructionNose Job
A functional nose job is primarily concerned with correcting impaired breathing. One of the most common causes of difficulties with breathing is a deviated septum. This is a condition in which the structure that separates the nostrils, called the septum, is off center or crooked. The septum supports the nose and directs air flow. Repair of a deviated septum is called Septoplasty and is performed on an outpatient basis.
Other conditions that impair breathing are swollen turbinates and internal valve collapse. Turbinates are narrow bone shelves which clean and humidify the air. These turbinates can become swollen which decreases air flow.
Nasal valve collapse is a narrowing of the airway caused by injury or by overly aggressive dorsal hump removal. The nasal valve provides airflow resistance, which contributes to healthy pulmonary function.
Reconstruction rhinoplasty is used to return the nose to normal function and appearance following disease or injury. This can involve replacing missing tissue through skin grafting, scar revision after cancer surgery, or reconstructing part of the nose that has been injured. Dr. Brenner uses advanced surgical techniques to reconstruct the damaged nose, if required.
Rib Cartilage Graft for Rebuilding the Nose Interior
When a large amount of strong cartilage tissue is needed to rebuild the inside of the nose, rib cartilage can be obtained for this purpose. Patients who require rib cartilage graft may have had previous surgery that resulted in nasal deformity or instability or may have suffered trauma to the nose.
Trauma patients often lack adequate available cartilage inside of their nasal septum. Common issues that require a rib cartilage graft include:
- An excess of removed tissue during a previous nose surgery
- Severe nasal trauma with septal fractures
- Cocaine abuse with loss of septal tissue (septal perforation)
- Congenital nasal deformities (issues the patient was born with)
Ear Cartilage Graft Used in Rhinoplasty
There are some nasal deformities that require correction using the patient’s cartilage during a nose job. The ear is a common source of graft tissue which is obtained by creating a small incision behind the ear or within one of the curvatures on the front of the ear. Cartilage is removed and the donor site is repaired.
Nasal Lining Repair
There are thin connective tissues lining the temporalis muscle in the temple area. These are well suited as a source for tissue to re-line the inside of a nose. It’s an easy procedure to get these; a small incision is made in the hair-bearing part of the scalp in the temple area and the tissue is harvested. Deep temporal fascia is useful for many purposes including providing new lining, and wrapping diced cartilage grafts for use in nose job surgery.
Revision rhinoplasty addresses patients who have previously undergone nose surgery, but didn't obtain the results they desired.
Ethnic rhinoplasty is for ethnic patients who desire nose surgery to fix aesthetic issues, while still maintaining their cultural look.
Discover The Possibilities…
From the first consultation, during the surgery and throughout the recovery period, Dr. Brenner is dedicated to helping his patients achieve their image goals.
Contact his office to arrange an in-depth consultation. Dr. Brenner prides himself on being a good listener. He feels that a complete understanding of the patient’s goals is vital to achieving the highest degree of patient satisfaction.
”The nose is a very special part of the face. It dramatically affects the way a person looks and feels. Operations that alter the nose must be delicately performed with deep respect for the individual’s facial features and his or her desires. There is no substitute for superior technical ability coupled with a keen aesthetic eye.”- Dr. Kevin Brenner
With this approach, Dr. Brenner strives to achieve the ultimate result for each patient who desires nose surgery.