As a facial cosmetic plastic surgeon in Charlotte, I consider rhinoplasty surgery one of the most common and a favorite procedure that I am lucky to perform on a daily basis. When my patients are considering a nasal refinement surgery, I discuss that the nose not only has a form or aesthetic that we will improve, but the nose has a central function in our everyday lives, breathing. During breathing, the nose is the area of the breathing passageway that has the highest level of resistance. Decreasing the resistance of breathing in the nose can greatly improve the quality of one’s life. Chronic nasal obstruction can cause:
2) Limit exercise ability
3) Hypo-nasal voice
4) Predisposition for sinusitis
6) Poor sleep
During my intern and residency training in head and neck surgery, I was able to focus and concentrate on the function of the nose and breathing. I learned to identify the multiple locations where breathing is commonly obstructed in the nose, and the best procedures to correct them.
In evaluating patients with nasal obstruction, it is most important to identify the cause. There are 3 main causes of nasal obstruction: medical, anatomical, or both.
Common medical causes of nasal obstruction are:
2) Chronic sinusitis
3) Medication induced (rhinitis medicanmetosa)
If patients have medical causes of nasal obstruction, they have to be properly treated with medications to improve breathing out of the nose. If they are not properly treated, then any surgery to improve breathing will be limited as part of the cause is not corrected.
The nose is composed of an underling bone and cartilage framework that is enveloped by muscle, fat, and skin. There are multiple anatomical areas of the nose that may contribute to nasal obstruction. In the evaluation of a patient with nasal obstruction for rhinoplasty, the anatomical obstruction may be one location or many locations. The common anatomical areas responsible for chronic nasal obstruction are:
1) Deviated septum
2) Hypertrophies turbinate
3) Collapsed internal nasal valve (Highest area of resistance in the entire airway!)
4) Collapsed external nasal valve
After identifying the anatomical cause of the nasal obstruction, the surgical treatment plan can be created. It is during this time as a facial cosmetic plastic surgeon, I can create a plan that will not only improve your breathing, but will also improve your facial harmony. During a rhinoplasty procedure in Charlotte, the nose is weakened in some areas and strengthened in other areas to build a nose that will last a lifetime.