RHINOPLASTY SPECIALIST SEATTLE BELLEVUE
By Award Winning Dr. Philip Young & Vanderbilt Trained Plastic Surgeon Dr. Rikesh Parikh
Have the look you've always wanted and feel like new. Change your look dramatically with Rhinoplasty.
Below is an introduction video to our Rhinoplasty Procedure:
Before Rhinoplasty for Nasal Dorsal Hump | Prominence with Nasal Tip Projection | Refinement
After Rhinoplasty for Nasal Dorsal Hump | Prominence with Nasal Tip Projection | Refinement
Rhinoplasty Topic Link of Seattle Bellevue
Here is a link to a page for this Rhinoplasty Introduction Video with Closed Captioning for the hearing impaired.
Our Featured Rhinoplasty Nose Plastic Surgery Testimonial:
Here is a link to our testimonials: Aesthetic Facial Plastic Surgery Testimonials. Also Learn why People from all over the world have chosen Dr. Philip Young including Patients from Syria, Lebanon, Germany, Dubai, China, Korea, Japan, Australia, England, Canada, the Netherlands and Singapore by clicking here: Top Ten Reasons to Choose Aesthetic Facial Body Plastic Surgery.
Feel the Benefits of Beauty:
You don't have to hide behind your nose or feel self conscious about your appearance. You can have these same positive changes as these people who have had our Rhinoplasty Procedure. More people these days are benefiting from subtle changes in their looks. A rhinoplasty can make these small to more signficant changes that can make a major impact to your looks. As more research is being done, the benefits of beauty are becoming more obvious. From how your parents treat you and getting better grades to making the difference in becoming a world leader in the political realm, there are many benefits of beauty that are often overlooked. Since your nose is in the center of your face, changing your nose can be the one thing that can dramatically change your looks and beauty for the better. Dr Philip Young who discovered an Award Winning Theory on Beauty knows the impact of Beauty very well. According to Dr. Young, our appreciation for beauty is related to our desire for good things to happen in our lives. It's all based on order. We like order in our lives and we like things to be ordered in the face. In a word, Beauty is order in the face. You can learn more about his theory by clicking here: Dr. Young's Theory on Beauty.
More on Rhinoplasty at our Seattle Bellevue Office:
Rhinoplasty is the most complicated procedure for a Facial Plastic Surgeon. That is why we spend so much time with our patients when discussing Rhinoplasty. We want the best results for You. That is why we will go over Your Rhinoplasty Procedure through at least 3 meetings: 1.) Your initial consultation; 2.) Your Pre Procedure Appt; 3.) On the day of your procedure when we will spend at least 1/2 to an hour going over the details of your Rhinoplasty. Most of the time will be spent with our Computer Morphing Program. We will morph your pictures to get a sense of what you want. This is vitally important. In order to get You the best results, we need to understand all of your desires, preferences, and ultimately the appearance of your ideal nose. Although the morphed picture is the perfect result and Rhinoplasty is not a magical thing, we will do everything we can to get your results as close to the morphed picture as humanly possible. Although computer morphing is important, sometimes the morphing can be difficult, especially if your nose is significantly different from what you want in your ideal, desired nose. Hence, bringing in pictures of people whose noses you like can also help us get the best results for you. Importantly, our team here at Aesthetic Facial Plastic Surgery believes in quality and not quantity. We want the best results for you and we like to take our time during your Rhinoplasty procedure. Instead of doing 2-4 rhinoplasties in one day, we concentrate on 1 and rarely 2 in a day. This allows us to spend more time getting You the best results.
Award-winning, Double board certified and published author Dr. Philip Young is a rhinoplasty | rhinoplasty revision expert and has over 12 years of experience in this highly specialized area of medicine. He has published multiple chapters in major textbooks in Facial Plastic Surgery and multiple peer reviewed scientific journal articles (Click here to See Dr. Young’s Research). Click here to find out about his article on the Management of the Crooked Nose Deformity. Also find out why people from all around the world travel to see Seattle Rhinoplasty Expert Dr. Young here: Top Ten Reasons to choose Dr. Philip Young.
Click here to Learn More about Rhinoplasty. You can also scroll down to see our many topics on Rhinoplasty:
The open versus closed approach to Rhinoplasty:
Below you will see the nose from a worm's eye view. What you're seeing is where the location of the incision is done for an open procedure usually a wavy line incision or an inverted gullwing incision is used. This is a picture of the before and after image of the incision and how it has healed. Why do people use the open approach versus a closed approach? The open approach allows the rhinoplasty surgeon to see the structures better and have an actual view of what the structures are looking like under the skin. This gives the rhinoplasty surgeon an incredible view of the structures and knowing what effects are being done to the nasal anatomy. In the closed approach this incision is not made and the incisions are located inside the nose and nostrils hidden from view. The closed approach is favored by some because this incision is not made on the outside. However, the closed approach limits your view on how the structures are actually looking like. There are a lot of limitations with a closed approach and there are things that are much harder to do with that incision not being made as in the open approach. At our Seattle Bellevue office we prefer and almost strictly do the open approach.
Approximately 30% of Dr Young's practice is devoted to Rhinoplasty:
We specialize in the face and neck only. Rhinoplasty is one of our main procedures that we do. In fact, we do almost just as many revisions as we do 1st time rhinoplasties. Revision rhinoplasties are among the hardest things that a plastic surgeon can do and we have a lot of experience with this situation. You can click here to learn more about Revision Rhinoplasty.
Below are some Helpful Links on Rhinoplasty:
If you would like to start out with a live video consultation on rhinoplasty click here (Rhinoplasty Consultation)
Below are some topics for you to learn more about your rhinoplasty. We are constantly updating our website. So some of the topics are in process. So stay tuned. We have other topics to the right as well:
- Rhinoplasty Anatomy
- Rhinoplasty Dictionary Terms
- Rhinoplasty Facial Beauty
- Rhinoplasty Frequently Asked Questions (FAQs)
- Rhinoplasty Open vs. Closed Approaches
- Rhinoplasty Procedural Steps
- Rhinoplasty Risks and Benefits
- Rhinoplasty Specific Treatments
- Rhinoplasty Videos
Rhinoplasty From Consultation to Beautiful Results
Rhinoplasty Functional Surgery
Rhinoplasty Specific Treatments
More on Rhinoplasty and Nose Plastic Surgery:
Please peruse the paragraphs below to learn more about rhinoplasty at Dr. Young’s Seattle / Bellevue office. You can also Learn More about Rhinoplasty and the details on the procedure with this link. You can find live demonstration videos and more discussions on this topic through this link: Facial Plastic Surgery Videos.
The nose is the most prominent feature on a person’s face, so it is not surprising that rhinoplasty is one of the most frequently performed cosmetic procedures for people of all ages. Disproportion in the size and shape of the nose can do much to distract from an otherwise attractive face. Your desires and facial structure are important criteria in deciding how your new nose should look. As a foremost Bellevue / Seattle rhinoplasty surgeon, Dr. Young has performed over 3,000 cosmetic and reconstructive procedures including nose reshaping to provide balance and symmetry to his patients, and has trained with some of the most prominent plastic surgeons in the country. More importantly, because of his internationally acclaimed understanding of Facial Aesthetics (you can read about Dr. Young’s Theory on Facial Beauty by clicking this link), he will have a very unique perspective on how nose reshaping can enhance your natural beauty and bring your nose into an ideal relationship with the rest of your face.
Incisions hidden at the nostril base and/or inside the nose allow access to reshape underlying cartilage and/or bone. This may include lowering humps, narrowing of nasal bones, shaping of the nasal tip or nostril size and improving the angle between the nose and the upper lip. This procedure also can correct breathing difficulties caused by structural irregularities.
More Links on Rhinoplasty Specific Topics:
Here are some specific topics that you might be more interested in learning about. If there are any questions that you would like more clarification on our website you can contact us with this link: Facial Plastic Surgery Contact Page:
Rhinoplasty Before & After Images:
Before Rhinoplasty and Nasal Tip Shaping
After Rhinoplasty and Nasal Tip Shaping
Before Rhinoplasty and Nasal Tip Shaping
After Rhinoplasty and Nasal Tip Shaping
Click here for more Rhinoplasty Before & After Photos
If you are interested in scheduling an appointment you can email, call 425-990-3223 (Office) and even text message 425-505-0938 (Mobile) us at anytime. Click here if you would like to find out more about our consultation process. If you live out of town, we can schedule a phone consultation with you and show you how to take the five basic photos you will need. For more information on preparing for your procedure, we have an informative Plastic Surgery Patient Care Page and Wound Care and Scar Prevention Page. If you are having a procedure, it is important to stay off blood thinners and the listed medications to avoid for two weeks before and two weeks after the planned date of your procedure.
Learning Videos on Rhinoplasty:
Below is a video on a Revision Rhinoplasty to replace a Goretex Tip that was too pointy and a Silicone Bridge that was unnatural looking and too narrow:
Rhinoplasty Frequently Asked Questions:
How long is the recovery from Rhinoplasty
The most challenging time of recovery is the first 6-7 days. During this time you will have a nasal cast splint on your nose. This splint is to help protect your nose and control the swelling. You may notice this cast getting looser closer to the 5-7 day mark. This may indicate that your nose is coming down in swelling. The most noticeable part will be your cast, splint. The bruising is often not too pronounced. This is due to our use of small instruments to shape your nose and nasal bones. This cuts down on the trauma of the tissues around your nose. Less trauma leads to less bleeding and less subsequent bruising. Everybody is different though and you may have a propensity to bleed. It may be hard to breath the first couple of days due to internal swelling. We don't use a internal splint but instead suture the septum through a sandwich stitch that keeps the septal mucosa or covering closely adherent to the septal cartilage. You will still have swelling at day 6-7 when the splint comes off. This swelling that is mild can take a few more weeks to come down. But this swelling is usually less noticeable. Your ultimate results can take up to 6 months to a year. During this time, the more subtle changes take place. People often have a headache as well and this is due to the central location of the nose. This gets better and you should not be too concerned unless the headache is out of the ordinary pain. In this case you should call your doctor. Bleeding persists the first 1-2 days and should be a trickle. Anything flowing more aggressively should be looked at by your doctor. Icing, and irrigating with cold solution helps with cutting down on bleeding. The Afrin sprays can also help with decreasing bleeding as well as helping you to breath. Frequent cleaning during the first 6-7 days really helps your recovery and results. This also can have a role in preventing infections as well.
How much does a rhinoplasty cost?
For more limited work with the nostrils the range can be from 2500-5000. For tip work, it can range from 3500-6000. For the full rhinoplasty it can range from 6000-12000 depending on what you need. So we would have to see you during your consultation to figure out what you would need.
What implants do you use to increase the bridge of the nose?
Sometimes you will need to increase the height of the tip and bridge to get what you desire in your nose. This likely occurs in many non-caucasian patients. The artificial or alloplastic options include silicone, goretex, and medpor for the bridge. Silicone is likely placed 70-90% of the time. Goretex and Medpor come 2nd and 3rd. Silicone does not have tissue in growth and is never really part of your body. Many times it can be come encased in bone. This is less likely in the nose. Goretex does not have tissue ingrowth as well but sometimes the tissues encases this implant so well that it becomes fairly fixed. We know this because of the many revisions we do and from first hand experience. Medpor has pores that allow your tissues to grow into the implant. This integration allows the medpor implant to function like your own tissue. The drawback with medpor is that if this gets infected it is hard to get rid of the infection.
Natural Augmentation: options here include using the septal cartilage or ear cartilage. You can also use rib cartilage but this is usually the last result in our practice. We can create a full bridge using one of your ears. We do this sometimes by wrapping little cut up pieces of your ear cartilage with the tough tissue that covers your muscles. Specifically, we use your fascia (muscle covering) from your temporalis muscle, the muscle next to your temples and behind your hairline. This technique has been called the turkish delight in the past. It has worked for us very well. You can see our before and afters to see some individual cases. This temporalis fascia ear cartilage graft is used when you need 3-6mm of augmentation. When you don't need as much augmentation, we can use ear cartilage by itself shaped, crushed or minced to give you the augmentation you need. Septal cartilage can also be used for mild needs. Anything larger than 6-7 mm of augmentation may need a rib cartilage.
Do you have a lot of scars after Rhinoplasty?
The scarring should not be bad at all. Often times, when we have to do revisions, we often have a difficult time finding our own incisions. The most noticeable area should be just under the nose in between the nostrils. You can see more on the open technique in the paragraphs above. There is a picture from under the nose that shows where the incision is located if you scroll above. All the rest of the incisions are located inside the nostrils. We specialize in scar revisions, so we are aware of reducing the risk of scarring and treating the worse types of scarring. Frequent cleaning earlier in your recovery will help the incision heal with less scarring.
How do you narrow the nasal bridge?
Narrowing the nasal bridge can entail taking wedges of bone at the most anterior portion and then closing the gap. If the root of your bridge is wide, this can entail cutting through the bone near your cheek bone to allow the nasal bones to become more medialized and narrow. So each area requires a different approach, whether the narrowing entails the anterior part of the bridge or the posterior portion next to the face.
When can I resume normal activity after a rhinoplasty?
Based on wound healing research, previous studies have found that you get about 20% of your wound strength after an incision compared to normal at 2 weeks. You get 60% at 6 weeks and 80%-90% at 6 months. This is a good rule for resuming activity as well. You will get 20% of your healing at 2 weeks although visibly most will be done at 1 week. You should start exercise slowly at 2 weeks. We usually say do about 20% of your effort from full 100% normal exercise. If you squat with 100 pounds, you should start with 20 pounds at 2 weeks and work up slowly, etc. Sexual activity should be started no sooner than 2 weeks. We would suggst no blood thinners until 2 weeks later unless you have complications. Smoking and drinking should not be started until at least 2 weeks after your procedure.
* To reduce the risk of bruising, you will be advised to stop taking fish oil, Vitamin E, herbal medications, supplements, aspirin and anti-inflammatories 1-2 weeks prior to treatment, if possible. Inform Dr. Young of all of your prescriptions, over-the-counter remedies and herbal supplements, oral or topical products, and if you may be pregnant.