 Rhinoplasty (Nasal Surgery) Portland
 Rhinoplasty, or nose surgery, is one of the most common plastic surgery procedures performed today. It can reshape, reduce or augment a person's nose to achieve facial harmony and boost self-confidence, and may also be performed as a reconstructive procedure to correct a birth defect or an injury such as a broken nose. Many people are bothered by the appearance of their nose and seek treatment to correct any abnormalities and achieve the results they desire.
Rhinoplasty may be performed for functional rather than cosmetic reasons as well. Combining nose reshaping with septoplasty can effectively treat certain breathing problems, such as those caused by a deviated septum.
Under the care of a highly skilled and experienced surgeon, rhinoplasty can transform the appearance of the face while still maintaining the patient’s individual character, for stunning results that can improve a patient’s emotional, physical and overall well-being. Most patients are extremely satisfied with the results of their rhinoplasty procedure performed by Dr. Petroff, who uses the most advanced, minimally invasive techniques to achieve stunning results.
What can rhinoplasty do for me?
Rhinoplasty is an excellent procedure for achieving the following:
- Balance the size of the nose with the other facial features
- Modify the width of the nose at the bridge
- Improve the nasal profile, including removing humps or depressions
- Contour a nasal tip that is too large, "boxy", drooping or upturned
- Change the angle between the nose and the mouth
- Narrow and reshape the nostrils
- Correct asymmetry or deviation
Each procedure is completely customized to help the individual patient achieve their desired results from surgery. The desired results will be discussed with your doctor prior to surgery in order to ensure clear communication and complete understanding between patient and doctor for the most accurate, personalized results.
Am I a good candidate for rhinoplasty?
The best candidates for rhinoplasty:
- Are at least 15 years old;
- Have finished facial growth;
- Are generally healthy;
- Do not smoke;
- Are seeking rhinoplasty for personal reasons, not pressure from others; and
- Have realistic goals for the procedure.
Dr. Petroff will determine candidacy for each individual patient after a thorough evaluation of the patient’s nasal structure, medical history and overall health, as well as a discussion of the patient’s desired goals after surgery.
What results can I expect from rhinoplasty?
All patients interested in rhinoplasty will have the opportunity to meet with Dr. Petroff and discuss their goals for surgery during a one-on-one consultation. Developing an honest and open relationship with your surgeon can help.
For most effective results, it is important for patients to maintain realistic results for their procedure, and understand that rhinoplasty or any surgical procedure will not change who you are, but can help enhance your appearance for more aesthetically-pleasing results.
What preparations are needed before rhinoplasty?
Before your rhinoplasty procedure, Dr. Petroff will provide you with specific instructions to help ensure safety and efficiency on the day of surgery. In most cases, you will be required to not smoke or drink alcohol for at least a week before surgery. Patients will also be asked to not eat or drink after midnight of the evening before the procedure.
Certain medications may need to be discontinued prior to surgery as well, such as ibuprofen and certain vitamins and supplements. It is important to discuss all of your current medications with Dr. Petroff prior to surgery in order to determine personalized pre-surgical instructions.
How is the procedure performed?
Rhinoplasty is performed in our state-of-the-art surgery center under IV sedation or general anesthesia, depending on the age, overall health and preference of the patient.
Dr. Petroff uses one of two techniques when performing nose surgery. In a closed rhinoplasty, incisions are made within the nostrils. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils. With both methods, Dr. Petroff gently lifts the soft tissues covering the nose. He sculpts the bone and cartilage to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum or the ear in some revision procedures.
If the patient has a deviated septum, Dr. Petroff will adjust the septum and the inner structures of the nose to improve breathing. Then the tissues are re-draped and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of rhinoplasty.
The entire procedure generally lasts one to two hours, with patients able to return home shortly after. In most cases, patients will need someone to drive them home after surgery and will be asked to rest for the remainder of the day.
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