At ALABAMA PLASTIC SURGERY in Birmingham, Alabama, Dr. Eugene Moor has an in-depth understanding of both the cosmetic and functional aspects of nasal surgery. He has completed a four year residency in ENT (Otorhinolaryngology) at UAB and also has completed a two year Plastic Surgery fellowship at the University of Kentucky in Lexington. He is board certified in plastic surgery by the American Board of Plastic Surgery. Dr. Moor considers his rhinoplasties a highly individualized surgery. The rhinoplasty requires in-depth training in facial proportions and relationships as well as sophisticated surgical techniques.
Dr. Gene Moor understands that patients may have several reasons to be unhappy with the size or shape of their nose. The goal of cosmetic surgery of the nose is to improve the appearance of the nose and promote the balance within the face in harmony with other facial features.
In most cases it concerns heredity, but the source of concern may also be the result of trauma or previous surgery. The nose is the most noticeable feature of the face and when it is out of proportion with other facial features, it can affect the self image and self confidence. Nasal surgery is one of the most performed plastic surgery procedures.
The surgery to improve the appearance, size, and shape of the nose is known as rhinoplasty and the surgery that improves the function (breathing) of the nose is known as septoplasty. These two procedures can be done at the same time to achieve a more cosmetically pleasing and better breathing nose.
The rhinoplasty re-shapes the nose and addresses the size of the nose, the width and the profile (hump or depression). The rhinoplasty can change the shape and size of the nasal tip and address the nostril size and any nasal asymmetries and can address the crooked nose and the angle between the nose and upper lip.
Nasal surgery to correct structural breathing problems and repair traumatic injury to the nose or repair the congenital deformation may be covered by insurance.
The Rhinoplasty Procedure:
The rhinoplasty procedure is done in the safety of the hospital as an outpatient procedure and usually under general anesthesia. Dr. Moor performs both the open and closed technique. In most circumstances, Dr. Moor prefers the open technique which allows for maximum visibility for the surgeon and the most precise reshaping of the cartilage and the bone.
A small incision is made across the columella (picture) and the skin is elevated to expose the nasal structures.
The closed technique utilizes intranasal incisions with less visibility for the surgeon of the nasal structures.
The Septoplasty procedure:
There are many different factors that cause difficulty breathing which can be treated medically. There also may be a structural intranasal blockage, a deviated-crooked septum, which contributes to difficult breathing. The septum separates the right side of the nose from the left side. The septum may be deviated to one side, allowing you to only breathe out of one side of the nose and obstructing the other side. The septoplasty surgically returns the septum back to the middle of the nose to allow for better airflow. If there are other structures that interfere with airflow, they can be corrected at the time of the septoplasty.
After the nose surgery:
At the completion of nose surgery, external and internal nasal splints may be applied to help protect the nose during the healing process.
Post operative pain and swelling is treated with oral medication and cold packs. The intranasal pack will be removed the first or second post operative day. Most of the swelling and bruising around the eyes will resolve in the first few weeks. Make-up may be utilized to camouflage any lingering bruising. It may take 6-12 months for total resolution of the swelling. The nasal splints are removed in 1 week. You may return to work in 1-2 weeks and you may engage in more strenuous activity in 2-3 weeks. And as with all facial procedures, it is best to avoid strenuous activity, stooping, bending over, hitting the nose, and getting a sunburn for 6-8 weeks.