Beauty
Knows No Bounds
& Neither Does Our Care.

0The Aesthetic Center for Surgery has become an eminent and leading private plastic surgery practice in Texas and the US since its establishment in 1996 under the leadership of plastic surgeons Dr. Christopher Patronella, Dr. Henry Mentz, Dr. German Newall, Dr. Paul Fortes, Dr. Rolando Morales, Dr. Kristi Hustak, Dr. Olivier Deigni and Dr. Courtney El-Zokm.

Board certified plastic surgeons at the Aesthetic Center for Plastic Surgery (ACPS) provide treatments for the breast, body and face to patients in Houston, Texas, TX, and surrounding communities.

 

Dr. Christopher Patronella

Board certified plastic surgeon Dr. Patronella has over two decades of experience in the area. His unique True Form Approach to breast surgery, body contouring procedures, and facial rejuvenation treatments set him in a league apart as an outstanding surgeon.

Dr. Patronella has received several awards, honors, and has spoken at numerous cosmetic surgery conferences. He was named as one of the most eminent providers of plastic surgery procedures in the US in a recent study published in the renowned Forbes magazine.  

 

Dr. Henry Mentz

Dr. Henry Mentz is a nationally and globally recognized plastic and cosmetic surgeon. He holds the unique distinction of being the first triple board certified surgeon in the US.

In addition, he has been chosen numerous times by his peers in the medical profession as one of the “Top Docs” in the list published by the H-Texas Magazine. Dr. Mentz has over 25 years of experience in the art and science of plastic surgery.

 

Dr. German Newall

Dr. German Newall’s professional experience spans over two decades. He presently ranks among the most eminent plastic surgeons in Houston. He is renowned for his expertise in the field of large volume liposuction and fat transfer techniques.

The astute Dr. Newall has conducted extensive research and treatment in this area. He is no stranger to the media and is regularly invited to speak on TV newscasts and radio shows.

 

Dr. Paul Fortes

Dr. Paul Fortes has been a top performer during his education and training period. He is presently a Diplomat of the American College of Surgeons and the American Society of Plastic Surgeons.

The reliable Dr. Fortes has been certified by the American Board of Plastic Surgery and the American Board of Surgery. He is a fluent Spanish speaker as well. Dr. Fortes feels that cosmetic surgeons must continually update their skills and knowledge and never stop evaluating their work.

 

Dr. Rolando Morales

For young cosmetic surgeons in Houston and around the US, Dr. Rolando Morales has set exceptionally high standards. In his initial year of professional practice in 2013, Dr. Morales was invited to present at the Annual Meeting of the American Society for Aesthetic Plastic Surgery.

This is a rare honor for most surgeons. He has conducted pioneering research on Exparel long-lasting anesthetic. This has brought him nationwide acclaim and earned him renown at various platforms.

 

Dr. Kristi Hustak

Dr. Hustak has undertaken a highly prestigious integrated plastic surgery program at the University of Texas Medical Branch (UTMB) in Galveston, Texas.

In 2013, she was recognized as the UTMB Plastic Surgery Resident of the Year. Dr. Hustak has also been awarded the UTMB 2014 Outstanding Resident Leadership Award and the 2014 Golden Scalpel Outstanding Surgical Resident of the Year.

Cosmetic surgeons at ACPS receive patients from Houston, Texas, TX, and nearby areas for aesthetic procedures.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

Cosmetic Rhinoplasty - Ethnic Rhinoplasty | Houston, TexasEach race has aesthetic features that are specific to it. Every member of a particular race may not share these characteristics. But people who do sometimes seek plastic surgery to alter these features.

Rhinoplasty is a popular procedure among patients whose ethnic characteristics include a broad nose. Individuals from African and Asian ethnicities often seek nose reshaping cosmetic surgery to reduce the wide appearance of their nostrils.

It is vital that the surgeon modifies their surgical approach to suit the specific physical anatomy of the patient’s nose. The surgeon should not change the shape of the nose to a point where it completely changes the appearance of the patient.

Board certified plastic surgeons at the Aesthetic Center for Plastic Surgery (ACPS) provide ethnic nose reshaping surgery to patients in Houston, Texas, TX, and surrounding communities.

 

Enhancing the Appearance of the Nose in Ethnic Patients

Ethnic rhinoplasty is nose reshaping cosmetic surgery where the nose is surgically altered to create a nose shape that is more harmonious and proportionate to other facial features of the patient, without drastically changing their ethnic characteristics.

African American, Asian, and Hispanic rhinoplasty procedures should account for the diverse internal and external ethnic attributes of an individual patient’s nose.

An experienced and well-qualified ethnic nose surgeon will evaluate if an ethnic nose needs major changes in the internal structures to improve the external appearance and attain an appearance that is satisfactory to the patient.

The ethnic nose anatomy has different characteristics necessitating special attention. For instance, African American, Asian, and Hispanic patients usually have rounder, fuller, and less protruding nasal tips.

They may want to extend and refine the nose tip to help it appear taller and narrower. Ethnic nose reshaping can also correct the common condition of the nostrils appearing excessively flared or too wide.

 

Ethnic Rhinoplasty Techniques

Ethnic rhinoplasty plastic surgery procedures involve the use of specialized techniques including changing the bone and cartilage shape within the nose, making the nostrils narrower or taking cartilage from other body areas for grafting to develop an extended nose tip.

Some surgeons prefer to use synthetic implants due to their ease of placement. But sometimes they can only use the patient’s own tissue for safe and effective outcomes. This also lowers the risk of complications, migration, or extrusion typically associated with synthetic implants.

Patients of Middle Eastern descent typically choose nose reshaping surgery to refine the nasal tip, reduce the nasal hump, and attain a nose shape that is more harmonious with the other facial characteristics.

African American patients consider nose surgery for refining a wide nasal bridge, narrowing flared nostrils, and augmenting a weak nose tip by using a cartilage graft sourced from another location on the body.

Hispanic patients may seek to reduce a very prominent nose bridge. On the other hand, they may want to strengthen the profile by augmenting a very flat nose. The cosmetic surgeon will refine a thick or bulbous nose tip to restore the focus on the patient’s eyes and smile.

 

Conservative Approach

It’s essential for the surgeon to create a conservative surgical plan for ethnic rhinoplasty patients. This procedure should maintain the features that lend an individual their identity and uniqueness. It should only enhance the patient’s inherent beauty in a subtle manner.

Cosmetic surgeons at ACPS receive patients from Houston, Texas, TX, and nearby areas for ethnic nose reshaping surgery.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

Cosmetic Rhinoplasty Procedures - Alar Adjustment | Houston, TexasAlar adjustment is a surgical technique that reduces wide or flared nostrils. The outer edges of the nostrils are called the ala. In general, alar adjustment is usually undertaken along with width reduction.

In this cosmetic surgery procedure, the surgeon can alter the level of tension that is creating the excessive width in the nostrils by removing a portion of tissue.

The Weir technique is a specialized alar adjustment technique that involves a specific type of incision. The surgeon removes a piece of tissue to create a wedge-shaped void and then sutures it to create the desired contours.

 

A Common Trait for some Ethnicities

Some ethnic patients are more likely to have wide nostrils along with a nasal flare. It is often seen in people of African American ethnicity.

Certain patients feel that wide nostrils and/or flared nostrils can distract from other characteristics of the face. This can impact the patient’s confidence and self-image.

Board certified plastic surgeons at the Aesthetic Center for Plastic Surgery (ACPS) provide nose reshaping surgery to patients in Houston, Texas, TX, and surrounding locations.

 

Procedure

The surgeon will eliminate a wedge of tissue from the sides of the nostrils near the junction with the cheek in a procedure called alarplasty. The pointed apex will be near the sides where the nose joins to the cheek groove, and the wedge base will be level with the alar rims.

The width of the nostrils will determine the amount of tissue excision. Many patients and surgeons seek to measure the change in mm narrowing on the frontal view. But this can be difficult as the wedge size eliminated does not appropriately reflect the frontal narrowing distance.

The surgeon will seek to understand whether the patient wants minor, medium, or dramatic change. A majority of patients want a medium change.

It is important to remember that more tissue reduction in the future is always possible if the patients still feel that their nostrils are too wide. However, the removal of an excessive amount of tissue is challenging to reverse.  

Some nose surgeons use a suturing technique to draw the walls in medially. This may cause tissue bunching and is likely temporary. Other surgeons make incisions only inside the nostrils from fear of causing scarring on the outside.

However, this approach will not create dramatic changes. Incisions made on the outside heal well and can be properly hidden next to the alar groove. This incision is placed in the region where the nostrils link to the cheeks. This enables the scar to remain hidden in the natural crease between these areas.

Alarplasty or nostril narrowing is an effective procedure that can be performed stand-alone without the need for a full rhinoplasty and creates dramatic results.

 

After the Surgery

The patient will experience some pain and discomfort in the nose area as well as some puffiness and swelling during the first few days after the procedure. The pain will resolve in two to three days, but the swelling will take longer to subside.

Minor bleeding in the incision sites is normal after this procedure. This bleeding usually resolves in about two days. The swelling on the face will start to resolve in nearly one week and should be completely gone by two weeks.

On around the third day after the plastic surgery, the patient will need to go back to the office to have their bandages removed. The sutures will be removed at the end of the first week. Cosmetic surgeons at ACPS receive patients from Houston, Texas, TX, and nearby areas for nose reshaping surgery.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

 

Cosmetic Rhinoplasty - Nose Width Reduction | Houston, TexasThe nasal width can be made narrower by making the angles of this triangle steeper at the point where the nostrils attach to the face. Board certified plastic surgeons at the Aesthetic Center for Plastic Surgery (ACPS) provide rhinoplasty to patients in Houston, Texas, TX, and surrounding communities.

 

Nasal Base Reduction

A nose base reduction is a rhinoplasty procedure that decreases the nasal base width in cases where it is too broad in comparison to other facial features. Nose base reduction, in some variation, is generally a routine element of rhinoplasty and revision rhinoplasty.

Reducing the width of the nose base is done even more commonly in ethnic nose surgeries. Rhinoplasty candidates of Asian, African American, and Middle Eastern heritage usually require nose base reduction. These ethnicities often have a wider nose base which necessitates a reduction of this region to enhance the appearance of the nose.

Many patients seeking rhinoplasty or revision rhinoplasty commonly complain that their nose appears too broad or large at the base. The base is usually measured from the outer margin of one nostril to the outer margin of the other.

Ideally, the width of the nasal base should not be more than the distance between the eyes. If an imaginary line ran vertically down from the corner of the eyes (or inner canthus) on either side, the base of the nose should fall between these two lines.

But it is vital to comprehend that this adjustment is the aesthetic ideal for a Caucasian nose. This standard may not be appropriate for ethnic noses. A nose base that is slightly wider than this ideal measurement usually offers optimal outcomes to a majority of ethnic rhinoplasty candidates.

 

Anatomy Involved in Nasal Base Reduction

It is vital that the surgeon has an in-depth understanding of the anatomy of the nasal base area to decide on the surgical treatment of specific rhinoplasty patients. The columella is a column-like structure situated in the middle of the nasal base.

This divides the nostrils into right and left parts. The alar base insertion is the region of the nostril side wall that attaches to the upper lip-cheek junction. The nasal sill is the region that falls between the alar base insertion point and the columella.

 

A Wide Sill Area

Certain nose surgery patients with a broad nasal base also tend to have a wide sill area that causes extra nose width. In case this sill is excessively broad, it could lead to a more horizontal type nostril shape. This usually occurs in patients with a wide nasal sill.

 

What to Expect after Reduction Rhinoplasty Surgery?

Reduction rhinoplasty involves the same recovery period and strategies as any other nose reshaping surgical procedure. Following the surgery, the patient will experience swelling and discomfort for a few days as the nose, and adjacent tissues begin to heal. 

The bruising and swelling will slowly subside as the healing progresses. The final results of the rhinoplasty will become apparent over time, and the patient will be able to return to their regular routine after the recovery process.

Cosmetic surgeons at the ACPS receive patients from Houston, Texas, TX, and nearby areas for nose reshaping surgery.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

Cosmetic Rhinoplasty - Nasolabial Angle Adjustment | Houston, TexasUpon viewing the facial profile, it becomes obvious that the nasolabial angle consists of two lines. The first line extends from the nose tip to the region above the upper lip while the second line runs from the upper lip to the bottom of the nose where the nostrils divide.

The nose projection and the rotation of the nasal tip impact the degree of the nasolabial angle. The surgeon will try to develop a 90- to 95-degree nasolabial angle in males and a 100- to 105-degree angle in females for most patients. Adjustments in the projection and rotation of the nose can refine this angle.

Board certified plastic surgeons at the Aesthetic Center for Plastic Surgery (ACPS) provide rhinoplasty to patients in Houston, Texas, TX, and surrounding locations.

 

Adjusting the CLA

The columella-labial angle (CLA) is an important metric to be evaluated in nose reshaping surgery patients to attain aesthetically appealing results.

An increase in this angle can lead to an upward tilt of the nose base along with an associated reduction in the nose length. This aspect is frequently overlooked due to the difference in nasal anatomies, which results in sub-optimal surgical results.

The columella and upper lip share a complex relationship. It is difficult to maintain a particular angle in rhinoplasty patients. Doing so involves the use of various methods such as nasal cartilage adjustments, cartilage grafts, and suturing techniques.

In shaping the columella, the nasal spine, caudal septum, and medial crura of the lower lateral cartilage play an important part. These aspects contribute towards determining the CLA.

The most aesthetically appealing CLA is 95 to 100 degrees in men and 100 to 110 degrees in women on profile view. The normal columellar display lies between two to four mm. A substantial or hanging columella can significantly disrupt the aesthetic appearance of the nose.

 

Tent Pole Grafting

The ‘tent pole graft’ refers to a cutting-edge technique used to set and maintain the CLA. This graft functions in a manner similar to the septo-columellar interpositional grafts.

But there is no need to delineate or dissect the upper lateral cartilages from the septum for graft placement. This graft type is used in challenging revision rhinoplasty procedures and cases where the tip projection needs to be increased significantly.

In this procedure, the surgeon fixes a piece of cartilage to the columellar strut in the desired position. Afterwards, they establish the optimal angle by fixing the posterior end of graft temporarily with a needle to supratip cartilaginous dorsum.

When this optimal angle is determined, the graft is sutured to the dorsum. The tent pole grafts allow the extensive columellar strut to be stable and prevents the tip from falling backwards. Along with the benefits of maintaining the nose tip, this also enables the development of the desired CLA.

 

Interesting Information

A surgeon may use this technique when the tip needs support in revision rhinoplasty procedures and in cases where the columella or tip lengthening is undertaken. It also helps preserve the nasal length in patients with short noses. The graft can be manipulated to adjust the CLA easily.

The tent pole graft technique is particularly useful in instances where the septal extension graft is very difficult to fix or not possible at all. For example, it can help patients with a mild to moderate short nose.

Cosmetic surgeons at the ACPS receive patients from Houston, Texas, TX, and nearby areas for nose reshaping surgery.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

Cosmetic Rhinoplasty - Nose Projection Adjustment | Houston, TexasNose projection is the distance that it projects outward from the point where it connects the upper lip to its tip. If the tip is excessively protuberant, it can have a significant effect on the overall appearance of the nose.

A nose that is under-projected, on the other hand, looks too shallow. The condition may make the nose appear too small in proportion to other facial characteristics.

A surgeon may trim away a portion of the cartilage at the nose tip to reduce the nose projection. To increase the projection of the nose, the surgeon may divide and re-set the cartilage.

 

Surgical Tricks

They will push the cartilage forward and suture it into the desired position. If the patient does not have sufficient cartilage in the nose tip, the surgeon may use a cartilage graft to augment it.

Board certified plastic surgeons at the Aesthetic Center for Plastic Surgery (ACPS) provide rhinoplasty to patients in Houston, Texas, TX, and surrounding communities.

 

Correcting an Over Projected Nose

Individuals who have over projecting noses which protrude too far out from their face can undergo corrective surgery involving trimming away the nose cartilage at the tip.

In a procedure known as nasal de-projection or retro-displacement, the surgeon moves the nose tip back to offer it a more aesthetically appealing look.

 

Correcting an Under Projected Nose

An under-projected nose is re-projected by extending the cartilage. The surgeon may use one of two techniques, depending on the anatomy of the nose. One approach involves shaving the nose cartilage and suturing it again to achieve a better nasal projection.

The second approach involves the surgeon taking a cartilage graft from another body area with adequate cartilage availability and using it to enhance the nose projection.

This cartilage graft is usually sourced from the nasal septum in primary rhinoplasty. It can also be taken from the ears or ribs if necessary.

 

Types of Cartilage Grafts

The grafts, depending on the location and technique of cartilage graft use, may be known as columellar struts used to provide support to the columella which divides the nostrils.

There may not be adequate cartilage in case the patient is undergoing secondary rhinoplasty. For such patients, the nose surgeon will typically take bone from the rib cage for the cartilage graft.

The ear cartilage is thought to be useful in providing support to the nose tip due to its elasticity. A standard cartilage transplant from the ear will be thicker compared to septum cartilage. But the result could be a nasal tip that feels more natural rather than one that is solid and rigid because of its elasticity.

Costal or rib cartilage is also a viable option for cartilage needed for a primary rhinoplasty. Generally, ear or septal cartilage is used in nasal tip refinement. But, at times, rib cartilage may be used.

 

Considerations for Male Patients

Male patients seeking nose projection surgery may have concerns about their nose looking too feminine after the procedure. However, an experienced and qualified nose surgeon will make sure to preserve the male aesthetic of the nose while enhancing its projection.

Nose projection surgery can provide an effective solution to enhancing the nose projection while preserving its masculinity for men who do not want to undergo comprehensive rhinoplasty.

Cosmetic surgeons at the ACPS receive patients from Houston, Texas, TX, and nearby areas for nose reshaping surgery.

For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

Cosmetic Rhinoplasty - Nose Tip Rotation and Reduction | HoustonIf the nasal tip lacks definition or is overly defined, it may not have a proper rotation. The cosmetic surgeon will modify the nose tip by reshaping the cartilage.

In this procedure, they will pay close attention to the nose base as this affects the tension and rotation.

Board certified plastic surgeons at the Aesthetic Center for Plastic Surgery (ACPS) provide rhinoplasty to patients in Houston, Texas, TX, and surrounding locations.

 

What is Nose Tip Rhinoplasty?

Nasal tip rhinoplasty is a surgical procedure undertaken on the lower third part of the nose. This is a complex procedure where the plastic surgeon should be skilled and experienced with an in-depth understanding of the nasal anatomy and how cartilage and other tissue impact the process of nose refinement.

Nasal tip refinement is not necessarily a cosmetic procedure.

It may be a medical requirement in some cases. For example, sometimes the patient may experience breathing problems due to an abnormally-shaped nasal tip either in routine life or when sleeping (causing breathing problems and snoring among other issues).

An abnormal nose tip can also cause a sinus infection. At times, patients may also experience speech impediments resulting from their abnormal nose tip.

 

Reasons to Undergo Tip Refinement

Patients choose to undergo tip refinement, either individually or as an alternative to rhinoplasty, for various reasons. But it is often undertaken to rectify a fuller or “bulbous” nasal tip.

Some patients may not find their nose structure appealing, for instance, patients with “hooked” noses, noses that sag at the tip, or upturned noses.

A tip refinement surgery can impact the overall appearance of the nose and face as these procedures are usually performed to create a slimming effect.

 

Wide Tip Correction

A wide or bulbous nose usually occurs due to a combination of large nasal domes that are spaced apart widely and thick skin on the nose. The nasal domes are the tip defining points of the tip cartilage. A thick ligament or fat divides the nasal domes in many cases.

To correct this condition, the surgeon will need to work on the soft tissue and shift to domes closer to address this condition. The surgeon may place a graft on the nose tip itself for patients with thick skin. This technique offers a better nose tip definition.

The nasal tip can also be made narrower by shaving off or tweaking the cartilage structure underneath the skin.

 

Less Invasive Procedure

In comparison to a complete rhinoplasty procedure, nasal tip refinement surgery is significantly less invasive. A traditional nose reshaping procedure involves major changes to the inner nose structure. This may also involve fracturing bones which will lead to an extended recovery phase.

However, nasal tip refinement typically involves the placement of two to three incisions providing the surgeon better access to the underlying cartilage in that region.

The surgeon will close the incisions once the procedure is complete. The recovery period associated with tip refinement is relatively short.

 

Key Takeaway

When a patient is a suitable candidate for tip refinement surgery, it can often provide an effective alternative to full rhinoplasty. Cosmetic surgeons at the ACPS receive patients from Houston, Texas, TX, and nearby areas for nose reshaping surgery.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

Rhinoplasty Procedures - Nasal Fractures | Houston, TexasIn cases of facial trauma, almost 40 percent of bone injuries are nose fractures.

The treatment commences with primary care, which involves evaluating the extent of the injury, assessing the reasons for the injury, and understanding the face and nose condition before the incident. A rhinoplasty cosmetic surgeon can effectively treat nasal fractures.

 

Not Ideal

There are various types of nose fractures, and these fractures can lead to breathing obstructions and a crooked or deformed nose if left untreated.

A fracture can develop in any place in the “bony pyramid,” which is the pyramid-like bony structure that projects from the face.

Different types of osteotomy (the practice of rejoining or resetting the bones) are necessary for different types of fractures. Board certified plastic surgeons at the Aesthetic Center for Plastic Surgery (ACPS) provide rhinoplasty to patients in Houston, Texas, TX, and surrounding communities.

 

Greenstick Fractures

Greenstick fractures develop of the edges of the nasal bones. These fractures typically occur in children as their bones are still developing and are quite malleable. Due to this reason, these fractures are usually partial rather than fully broken bones.

 

Saddle Deformity

The saddle deformity is a more serious type of nasal fracture that causes the nose bridge and septum to collapse and become conclave into the face. The condition gets its name from the saddle-like shape which is noticeable when the face is seen in profile.

Saddle deformity can occur due to acute facial trauma or the disintegration of cartilage due to snorting drugs such as cocaine. To address this condition, the surgeon will take cartilage or rib bone tissue from a donor to restore the nasal septum and bridge.

 

Comminuted Fracture

A comminuted fracture causes the bone to disintegrate into three or more fragments. The surgeon will remove the extra bone fragments, which can lead to severe complications if left untreated. Subsequently, the surgeon will align the nasal bones. This condition usually occurs due to severe injuries or in elderly patients with weakened bones.

 

Le Fort Fractures

At times, a serious injury can cause damage to the bones behind the nose, called the maxillae. The maxillae consist of two bones that make up the upper jaw and palate providing support to the nasal structure. These fractures are known as Le Fort fractures and are classified into three types.

Le Fort I fractures develop in a horizontal position and lead to damage to the jaw and nostril line. Le Fort II fractures affect the maxillae beneath the eye sockets in the area surrounding the nasal bridge.

A Le Fort II fracture damages the bones in the “bony-pyramid” area. This fracture extends from the nasal bridge to the mouth corners in an inverted V-shape. Le Fort III fractures cause damage to the bones around the eyes or the orbital sockets.  

Le Fort fractures are a serious condition and require immediate medical attention. Delays in treatment can lead to long-term damage to the brain and the palate. An experienced nose surgeon can effectively treat these fractures.

Cosmetic surgeons at the ACPS receive patients from Houston, Texas, TX, and nearby areas for rhinoplasty.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

Cosmetic Rhinoplasty - Straightening a Crooked Nose | Houston, TexasPeople who have a nose that is shifted to one side of slightly crooked may consider rhinoplasty cosmetic surgery to straighten it. In this procedure, the surgeon will remove some cartilage or bone or physically move the tissue.

 

A Splint may be Incorporated

In addition, the surgeon may place a splint to hold the nose in place as it heals, similar to the placement of a splint in case of a broken nose after functional rhinoplasty.

The degree of nose crookedness will depend on the reason behind it. A majority of crooked noses are only an aesthetic issue. However, sometimes it can also cause breathing problems.

The Aesthetic Center for Plastic Surgery (ACPS), led by board certified plastic surgeons, provides rhinoplasty to patients in Houston, Texas, TX, and surrounding locations.

 

What causes a Nose to become Crooked?

There are two primary types of crooked nose. The first type develops due to an issue within the complex system of bones, cartilage, and tissue within the nose.

This happens due to various causes, such as:

  • Nose surgery
  • Birth defects
  • Injuries, such as a broken nose
  • Severe infections
  • Tumors

Depending on the cause for the crookedness, the nose may be I, S, or C-shaped.

The second type of nose crookedness develops because of a deviated septum. The septum is the internal wall that bifurcates the nose into two identical airways.

Septal deviation causes this wall to lean to one side, partially blocking one passageway. Some people have a deviated septum since birth while others develop it after an injury.

A deviated septum can also lead to the following conditions, apart from making the nose appear crooked:

  • Nosebleeds
  • Loud breathing
  • Problems in sleeping on one side

The patient should consult a qualified doctor to understand the cause for their crooked nose as well as identify the most appropriate treatment option to correct this condition.

 

Surgical Treatment

Dermal filler injections can sometimes be used to straighten a slightly crooked nose. However, more severe cases will require surgery. Rhinoplasty cosmetic surgery helps correct the cosmetic issues of the nose while septoplasty helps straighten the wall that divides the inside of the nose into two parts.

 

Rhinoplasty

Cosmetic rhinoplasty and functional rhinoplasty are the two types of rhinoplasty procedures. While cosmetic rhinoplasty focuses solely on aesthetic issues, functional rhinoplasty addresses breathing problems.

A 2015 study indicates that regardless of the technique used, rhinoplasty can effectively straighten crooked noses in patients with or without facial symmetry. Facial symmetry refers to the similar appearance of both halves of the face.

 

Septoplasty

Septoplasty straightens a crooked nose by reshaping the wall between the nasal airways. In case a deviated septum is the reason for the patient’s crooked nose, the surgeon will likely recommend septoplasty to them. This procedure can straighten the nose while relieving the nasal airway of obstructions due to a deviated septum.

 

The Bottom Line

A crooked nose is a common condition which occurs due to an injury or septal deviation. Nearly 80 percent of people have some type of a deviated septum. The patient should seek treatment if their crooked nose is causing breathing issues or significant cosmetic problems.  

Cosmetic surgeons at ACPS receive patients from Houston, Texas, TX, and nearby areas for rhinoplasty.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

Click here to see our pricing list.

Cosmetic Rhinoplasty - Correcting The Radix of The Nose | HoustonAs a part of rhinoplasty plastic surgery, some patients may undergo dorsal hump or bump reduction. A variation of this condition, known as the pseudo-hump or low radix, creates the illusion of a major bump.

The radix comprises the upper bony part of the nose. The radix, as well as the underlying cartilage, may be substantial causing the appearance of a bump.

 

Skilled Work

In case the radix is shallow, it can lead to a depression and a bump. The plastic surgeon can reduce the radix size by cautiously shaving off tiny portions.

The surgeon may add fullness to a depressed region of the nose by using the patient’s own cartilage taken from another area of the nose. They can develop a straighter slope by augmenting the space right above the radix. To give the nose a natural appearance, it is important to manage the radix properly.

The Aesthetic Center for Plastic Surgery (ACPS), led by board certified plastic surgeons, provides nose reshaping surgery to patients in Houston, Texas, TX, and surrounding communities.

 

Pseudo-Hump

If the patient has a pseudo-hump, it means that the radix is not appropriately developed and under-projects.

This creates a facial profile where the tissue underneath the radix (towards the nasal tip) appears even more bulbous and fuller than it actually is. In case the radix bone does not project the overlying tissue correctly, it leads to the appearance of a pseudo-hump.

 

Correcting an Underdeveloped and Low Radix

The most suitable treatment for an under-projecting radix is rhinoplasty with radix tissue grafting. A radix graft comprises fascia, cartilage, or other soft tissue.

It is usually a sculpted fragment of cartilage, often taken from the septum. The surgeon places this graft underneath the skin and muscle of the radix, where it remains discreet.

Placing the cartilage graft over the bone where it elevates the depressed soft tissue addresses the deficit in the bony structure. This procedure helps develop a straighter profile without the need to excise any cartilage or bone from underneath the radix.

 

Is it possible to have Weak Radix and a True Hump?

A patient can have an under-developed radix as well as a true hump. In treating both these issues simultaneously, the surgeon can perform a more conservative hump removal.

They will bring the ideal profile line closer to the hump by elevating the position of the radix. Consequently, the surgeon will have to remove a lesser portion of the hump to develop a straighter profile.

This procedure helps create a less “surgical” and more natural nose appearance due to a stronger nasal starting point.

 

Correcting Radix as Part of Revision Rhinoplasty

The angle between the frontal and nasal bones of the nose determines the height of the radix. This height should be proportionate to the dorsal length, height, and tip for balanced and harmonious results.

In case the radix remains too high, or the graft used during the procedure is too large, the nose will have a Romanesque appearance following the surgery.

Revision rhinoplasty involves the reduction of the radix to its appropriate and most harmonious proportions compared to other nasal aspects and characteristics. Cosmetic surgeons at ACPS receive patients from Houston, Texas, TX, and nearby areas for rhinoplasty.
For more information about The Aesthetic Center for Plastic Surgery (ACPS) physicians and the cosmetic surgery treatments and procedures they perform please click here or call us at 713.799.9999. We have offices in and around Houston, Texas.

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Houston, TX 77024
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Houston, TX 77027
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SURGERY CENTER
12727 Kimberley Lane
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Houston, TX 77024
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