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Types Of Nose Surgeries And Other Rhinoplasty Information

There are quite a few things to consider when getting a nose job of any sort. People who have had them before may surprise you if you were to ask, “Why?” Choosing to get a rhinoplasty can go beyond simply wanting the “perfect” nose. They can also depend on health needs and wanting to live a life with a little more comfort.

Take a look at the number of reasons people think about when making the decision to get a rhinoplasty procedure, and find out how to best make the same decision for yourself.

Primary rhinoplasty

A primary rhinoplasty is for any patient who would be getting a nose job for the first time. Patients seeking a primary rhinoplasty are usually looking to correct a deviated septum, or to fix a previously damaged nose. In the first case, a deviated septum is when the bone and cartilage within the nose becomes more prone to being on one side of the nose or another rather than resting in the middle where it should be. This can result in difficulty breathing, loud breathing, and frequent nosebleeds. A primary nose job can take care of this by correcting the crooked portion within the nose by removing, or realigning it. In other cases of primary rhinoplasties, others may choose to simply improve the look of their nose for their personal satisfaction. They may have a slight hump they want to reduce the appearance of, or they may also want to even out the look of asymmetrical nostrils. In the second instance, someone who may have broken their nose before due to circumstances beyond their control may realize they want measures to be taken to fix it.

Revision rhinoplasty

A revision rhinoplasty is popular for patients who are either looking to fix ongoing issues regarding their first rhinoplasty, or for patients who would like to fix their noses based off of a prior injury. In the first case, someone may have thought they were making the right choice in choosing their plastic surgeon only to find out later that their doctor made a mistake or simply did not give them the results they were expecting. In this situation, Dr. Eisemann, who has done over 200 revision rhinoplasty procedures without issue, would evaluate where your nose is currently and decide based on his extensive knowledge and what he sees, what can be done from there. It can be devastating to be disappointed by a previous procedure, but Dr. Eisemann and his team at Eisemann Plastic Surgery Center can help.

Incision options

Incision can vary based on the patient and what they are looking for in a nose procedure. We can starting discussing 3 outside incisions made during an open (external) rhinoplasty.

  • Columellar
  • Wedge
  • Weir

A columellar incision cuts between the nose in the tissue connecting the nostrils while a wedge incision cuts in between the nose and cheek. Lastly, a weir incision cuts more closely towards the edge of the nostrils.

A closed (endonasal) rhinoplasty has quite a few options for types of incisions made within the nose.

  • Hemitransfixion
  • Intercertilaginou
  • Kilian
  • Marginal
  • Rim
  • Transfixion

Starting with a hemitransfixion incision, this cut takes place in front of the septum where cartilage resides. Using an intercertilaginou incision, a cut is made between the upper lateral cartilage and the lower lateral cartilage. A Kilian incision cuts behind the caudal edge where cartilage resides. A marginal incision is made towards the end of the lower lateral cartilage. A rim incision is done at the end of the nostril, and a transfixion incision is made in both sides of the membranous septum by going through them. Incision choices made with a closed rhinoplasty are usually more popular because they conceal incision locations and scars.

Choosing your plastic surgeon for rhinoplasty

It is always best to go over your requirements for a solid plastic surgeon candidate. Make absolutely sure they are board-certified by a reputable organization, and that they have the adequate licenses and education to carry out your desired procedure. Dr. Eisemann is triple board-certified by the American Board of Plastic Surgery, American Board of Otolaryngology, and American Board of Facial Plastic and Reconstructive Surgery. Dr. Eisemann has over 30 years of practice in the plastic surgery industry and always provides his professional opinion on each patient he sees. Dr. Eisemann has photos available as proof of his previous, successful rhinoplasty work, and is willing to listen to patient’s questions and concerns providing honest answers and feedback in return.

At Eisemann Plastic Surgery Center in Houston, we are here to keep are patients informed and encouraged to make the plastic surgery decision that is right for them. The choice is personal and always up to the individual to seek out their ideal body goals.

To schedule your one-on-one consultation with Dr. Michael Eisemann and Dr. Bradley Eisemann
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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation

Practice Policy Update Regarding COVID-19

Dr. Michael Eisemann, Dr. Bradley Eisemann, and the entire staff at Eisemann Plastic Surgery are committed to the health and safety of all of our patients and ourselves.

We are thankful to be connected to Houston Methodist Hospital, one of the most respected hospitals in the country. Because of this, our screening policy is aided by the hospital's official policies and checkpoint screening measures completed prior to entering our building. These measures allow us to do everything we can, at this point in time, to minimize the chance that we expose ourselves or our patients to someone who has been sick or contagious with the virus.

We are set up to perform new consults and patient follow-ups via ZOOM video conferencing.

As of Monday, March 23rd, our office is open. We are open and seeing select patients. If you are currently on the schedule, please call our office if you have any concerns about your own health.

While all major hospitals have stopped elective surgery at this time, we are very selectively performing indicated operative procedures in our procedure room and in our AAAASF certified operating room under local and IV sedation.

As always, both Dr. Michael Eisemann and Dr. Bradley Eisemann are available by phone and email to answer any questions you may have.

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