Rhinoplasty (Nose Surgery)
Dr. Zakhary makes Rhinoplasty a large focus of her practice in Calgary and Edmonton. Rhinoplasty surgery, which is commonly referred to as a Nose Job, is one of the most common plastic surgery procedures performed by facial plastic Surgeons. Dr. Zakhary has extensive training and expertise in both cosmetic and reconstructive nasal surgery.
Calgary Rhinoplasty Specialist
Rhinoplasty nose reshaping surgery can have a dramatic effect on an individual's appearance. Nasal surgery can reduce the size, reshape or augment the size of a person's nose, to create pleasant facial harmony and boost self esteem. Dr. Zakhary also has extensive experience in reconstructive rhinoplasty to correct a broken or crooked nose. Since nasal development is not fully complete until around 16-18 years old, younger patients may be advised to wait until at least 18 years old before having a Rhinoplasty surgery, although patients are welcome for a rhinoplasty consultation with Dr. Zakhary at any age.
Breathing Problems and Rhinoplasty
If a patient has a deviated septum, which is a crooked internal wall between the nostrils, this may cause breathing problems. Septoplasty surgery is a functional surgery in which the goal is to correct a deviated septum. It is possible to have a cosmetic surgery to reshape the nose (Rhinoplasty) at the same time as a septoplasty. It is very important for the patient to have a detailed idea of what he or she would like to change about the nose when considering a Rhinoplasty surgery. This will help Dr. Zakhary to develop a good plan to deliver the desired changes. It is equally as important for the patient to know that there may be limitations as to what changes are possible to achieve in a cosmetic nasal plastic surgery, depending on the person's skin type, bone structure, and other facial features. Function and Aesthetics are always equally as important in all cosmetic rhinoplasty surgery cases.
Dr. Zakhary, is a Calgary Otolaryngology - Head and Neck Surgeon, Cosmetic and Reconstructive Facial Cosmetic Surgeon. During your consultation with her, she will discuss your desired changes with you, and then evaluate your nasal structure and assess your breathing. She will determine if you have a deviated septum, nasal allergies, or any structural deformities of the nose.
During your Rhinoplasty consultation in Calgary, Dr. Zakhary will examine your nose from the inside and outside. She will carefully assess the quality of your skin, shape and size of your nose,you're your overall facial features, and this will help her to create a plan for your rhinoplasty surgery. The nose and chin balance each other on the face in order to provide good facial harmony. If your chin is small in comparison to your nose, Dr. Zakhary may suggest a chin augmentation for you in order to achieve the good facial balance. Dr. Zakhary offers Advanced Computer Imaging in which photographs are taken and digitally manipulated during the consultation to give you an idea of a realistic final nasal surgery result. The fee for this digital imaging is $150. When you are booking your consultation with Dr. Zakhary, please ask about this service so that you can ensure that the extra time will be reserved for you during your consultation.
Primary Rhinoplasty Surgery
Primary Rhinoplasty is nose reshaping surgery performed on a nose which has never been operated on before. It is an excellent procedure to reshape the nose to:
• Improve the side profile of the nose by reducing a bump or building up the nasal bridge
• Change the width of the bridge of the nose
• Narrow or widen a nasal tip
• Improve a droopy tip
• Narrow the nostrils
• Straighten a crooked nose
No matter how simple or complex the procedure, rhinoplasty surgery needs excellent skill and precision to get the best possible results.
Dr. Zakhary performs a "min-dissection" rhinoplasty technique in which tiny incisions and minimum surgery are used to attain the maximum results and minimum swelling. Scars are hidden and will fade away in time. Nasal cartilages are reshaped and excess bones and cartilage is gently removed in order to preserve the nasal support and breathing function. Sometimes, Dr. Zakhary uses a cartilage graft (from inside the ear or nose) or an implant, to augment or straighten the nose. This will be discussed with you during your consultation. Infection of the implant is rare but possible. If an infection occurs, the implant is removed and replaced in a few months. Rhinoplasty surgery typically takes 2.5-3 hours and is performed in an out-patient surgery facility, so that you can recover comfortably at home.
Nasal packing is rarely needed. When needed, Dr. Zakhary will use a slender, small dissolvable nasal packing to reduce nose bleeding during recovery. This means that Dr. Zakhary's patients have an easier time with recovery from rhinoplasty surgery since there is no uncomfortable nasal pack to remove.
After Rhinoplasty Surgery
Rhinoplasty surgery is generally a well-tolerated and painless procedure. Many patients experience minimal discomfort after surgery, and Dr. Zakhary always offers pain medication if needed to help in the first few days after surgery. In all cases, Dr. Zakhary will provide a prescription along with instructions to help you in your recovery stage.
After rhinoplasty, patients will experience swelling and bruising around the eyes, nasal stuffiness and slight nose bleeds, which tends to disappear within the first week after surgery. Dr. Zakhary will remove your nasal cast painlessly one week after surgery. Numbness of the upper teeth and mild blocked nose sensation will resolve over the first few weeks after surgery. On average, patients are socially presentable 2 weeks after rhinoplasty surgery. The nose will continue to improve for at least one year after nose reshaping surgery, and so, while there is a nice result one week after surgery, the final result will not be obvious as soon as the cast is removed. The nose will continue to refine and reshape during the months after surgery.
If a person has thick skin, it will be difficult to make the nose much smaller since thick skin does not shrink around the reshaped nasal bones and cartilages as much as thin skin. This means that individuals with thick nasal skin will have a slightly prolonged recovery time. Special injections may be needed after surgery to help shrink the nasal skin after surgery if you have thick skin, and you must be patient and realistic in the goals of surgery as well.
After rhinoplasty it is normal for the nose to heal by scar formation under the skin. The surgeon has little to no control over this natural healing after the operation has been completed. In spite of this, cosmetic plastic surgery incisions and techniques are designed to allow maximum result with minimum skin trauma, to allow for fine and unnoticeable scars. If an unfavourable scar develops during the healing process, Dr. Zakhary is prepared to perform such a procedure, or she may be able to help the healing process by applying a small dose of steroids injected into the site, depending on the situation:
This is why it is very important to attend all postoperative follow up appointments with Dr. Zakhary, so that she can monitor your healing over the course of around one year.
On occasion an additional, refining surgery (revision rhinoplasty surgery) may be needed to optimize the result.
Setting Realistic Goals For Rhinoplasty Surgery
A realistic goal of any plastic surgery, including rhinoplasty surgery, is to aim for improvement rather than perfection. No surgeon can guarantee results because surgery depends not only on the skill and experience of the surgeon, but also on the nature of the patient's concerns, goals, health, skin type, facial anatomy, and healing.
Risks of Rhinoplasty (Nose Job) Surgery
Understanding the benefits and risks of any surgery can help you decide if this surgery is a good option for you. Please prepare for your consultation with Dr. Zakhary by reviewing the following list and discussing with her any concerns you may have.
The Risks Associated with Rhinoplasty Surgery Include:
• Skin swelling and bruising
• Skin numbness, which may persist for weeks
• Infection (which can be treated with antibiotics and other medications)
• Thick scar tissue formation, Poor wound healing, slow healing
• Small surface vessel (spider veins) on the nose
• Internal nasal scars/adhesions
• Involuntary emergence of sutures through the skin requiring removal
• Nose asymmetry
• Changes in breathing after surgery
• Septal perforation (a hole in the nasal septum). Perforations are difficult to repair. These are more common if a patient uses cocaine or traumatizes their nose with fingers or Q-tips after surgery.
• Reduced sense of smell
• Reactions to medications
• Possibility of revision Rhinoplasty to refine or improve results or correct unfavorable healing.
• Risks of Anaesthesia
A rhinoplasty consultation with Dr. Zakhary is a very important meeting since Dr. Zakhary will explain to you your individual options for surgery and provide you with a realistic goal for surgery. . Along with the benefits of surgery, Dr. Zakhary will thoroughly explain to you the risks and possible complications of surgery. You will then need to decide if the surgical options available for you will meet your expectations and if you are ready to accept the risks of surgery
Follow Instructions for your Surgery
Every cosmetic facial plastic surgery carries with it some risks and limitations. One way to minimize these risks is to choose a highly trained, competent and skilled Board Certified Facial Plastic Surgeon, like Dr. Zakhary. Another way to reduce your risks is by carefully listening to and following Dr. Zakhary's instructions before and after your surgery
Asian Rhinoplasty with Dr. Zakhary in Calgary, Alberta
The goal of Asian rhinoplasty is to create a refined, and natural nose that is in harmony with the rest of the facial features. The goal is not to create a Caucasian nose. As compared to Caucasian rhinoplasty surgery, which often requires reduction and reshaping of the size of the nose, in Asian Rhinoplasty, the goal is often to increase the size of the bridge to better define the nose in the face. The goal is also often to narrow and augment a small under-projected nasal tip and narrow a wide nasal base. There are a number of surgical and sometimes non surgical options to achieve these goals.
The Nose Bridge
When performing Asian rhinoplasty a decision must be made whether to use synthetic medical grade implants (i.e. Solid Silicone implant) to build the bridge, or to use the patient's own cartilage from the nasal septum and/or ear. Silicone is a synthetic implant used in by many surgeons in Asia and North America. Most Asian patients do not have enough ear or septal cartilage to achieve a big enough improvement in the nasal bridge size. Therefore in Dr Zakhary's practice the two most common methods of building and reconstructing Asian patient's nasal bridge is to use the synthetic implant or injectable filler. Dr Zakhary will review your surgical options and discuss the advantages and disadvantages of each option. Together you will decide on the option that is best for you..
Asian Rhinoplasty techniques are different from Caucasian Rhinoplasty techniques
Dr. Zakhary has performed Asian Rhinoplasty in Calgary for many years, and she is familiar with the techniques that are needed to achieve a pleasing result in Asian rhinoplasty surgery. The traditional Caucasian rhinoplasty techniques of reducing the size of the nose with cartilage reduction and reshaping does not necessarily produce a pleasing result in Asian rhinoplasty. Dr Zakhary is one of Canada's most experienced rhinoplasty surgeons and she has performed well over 1000 rhinoplasty procedures. She treats patients of all backgrounds and has extensive experience treating patients of Asian descent.
Other General Considerations
If you have thick nasal skin, your nose may be improved by surgery, but you must be patient while healing, and realistic in your goals, since thick skin does not shrink as quickly over the reshaped bones and cartilages like thin skin does. In the case of revision surgery, when the nose has undergone one or more previous unsuccessful operations, improvement is possible but the surgery is technically more difficult and the results more limited than in primary rhinoplasty surgery.
In some cases, the appearance of your nose may also be influenced by other features that surround it, such as small chin, flat cheeks, double chin, thin lips, etc. These features can be improved at the same time, or shortly after nasal surgery, in order to enhance the final appearance of your features and of your nose. Even a slightly weak chin can make your nose appear larger. In such a case, increasing the size of your chin, even by a few millimeters may be recommended to improve the final appearance of your nose.