Rhinoplasty in Flower Mound, TX

Rhinoplasty is cosmetic surgery of the nose to alter its shape and appearance. Typically, patients who had a broken nose at one point get a rhinoplasty procedure to fix the disfigured nose. However, sometimes people just don't like the look of their nose and want a cosmetic change. Dr. Bickert specializes in the rhinoplasty procedure for all kinds of patients.

Why Get a Rhinoplasty?

Nearly half a million people want to alter the look of their nose each year, and there isn't just one reason or just one type of person who get a rhinoplasty

Post-Injury – People who just suffered an injury, usually involving a broken nose, want to get a rhinoplasty. When the nose breaks, it usually heals in a disfigured way and may look crooked.

Cosmetic Reasons – Some people just don't like the look of their nose, either a crooked or slanted nose, a bulged out bridge, or a sloped bridge. This is a totally a valid reason to get a rhinoplasty. It doesn't need to meet a certain criteria, even the most minor change that other people may not notice can make the biggest difference for you and your own confidence.

Breathing Troubles – Some people have a deviated septum, which is a displacement of the wall between the nostrils which sometimes can cause breathing issues or sleep apnea. Others may have such a disfigured sinus that it affects their breathing as well. A rhinoplasty, in addition to cosmetic benefits, works to improve breathing through the nose as well.

Consultation and Evaluation

At your consultation, the first thing Dr. Bickert will do is see if rhinoplasty can achieve the desired outcomes. He will also assess you based on your conditions, health concerns, reasons for wanting surgery, and your nose's physical appearance to see if you're a good surgical candidate. If so, they will evaluate your nose at different angles and determine what needs to be adjusted to make it symmetrical.

They will then use a digital palpation (physical examination) of the dorsum, sidewall and septum. In some cases, medication like a decongestant will be given to further inspect nasal mucous and sinus. Some form of digital imaging may be used to help you understand the procedure and your situation a little better.

After the examination, you will be consulted about the procedure, expectations, limitations, and any questions you may have.

The Rhinoplasty Procedure

The majority of the rhinoplasty procedure is reshaping cartilage. An incision is made and the cartilage is removed, reshaped or changed to affect the shape of the nose. Cartilage or tissue from one area can be graft to a different area as well. Each case is so unique that each surgery is different in its own way.

When the cartilage is in place, the tissue is placed back on the new frame of the nose and incisions are closed. A plastic stint will be placed on the nose along with bandages to reduce swelling and to help keep the new nose shape in place. Sometimes gauze is placed inside the nose to help support the nasal cavity and to absorb and discharge.

Rhinoplasty Recovery

Rhinoplasty is outpatient surgery, and you will be monitored in a recovery room as the anesthesia wears off. When you're feeling well, you will then be discharged and allowed to go home. Most patients don't experience pain after the surgery, but pain medication may be prescribed just in case for discomfort.

A few days after surgery, breathing through the nose may be difficult and bruising around the nose and eyes are normal. This is all due to the swelling. As the swelling goes away, breathing becomes easier and bruising becomes less prominent. Bruising around the eyes usually goes away within 5 days of the surgery.

Any stitching either doesn't need to be removed, or will be removed about a week after surgery during your first follow up. The splint will be removed about 10 days after the surgery.

All questions and instructions will be discussed at length during your discharge and your follow up appointments. It is vital you follow all post-op instructions.

Post-Op Tips

  • A cold compress can help reduce swelling
  • Keeping your head elevated helps with discomfort and swelling
  • Avoid all impacts with the nose, or blowing your nose
  • Avoid any activity that has a risk of injury
  • Be careful if you wear glasses not to put too much pressure on your bridge

For more information or to schedule a consultation, call Lone Star ENT at (972) 691-1368.