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Rhinoplasty

Texas Rhinoplasty surgeon, Dr. Samuel Lam, is an expert in the cosmetic and functional aspects of rhinoplasty, or plastic surgery nose reshaping. Also known as a “nose job”, Rhinoplasty does not need to be an unnatural looking procedure with a long recovery period.
Experienced Rhinoplasty Surgeon in Dallas, Texas.Dr. Lam’s training has been exclusively dedicated to the face, and more specifically, to both the internal and external aspects of the nose. He is double board certified by the American Board of Facial Plastic & Reconstructive Surgery and the American Board of Otolaryngology (ENT) –Head & Neck Surgery. As rhinoplasty is the most complicated facial procedure that exists, Dr. Lam emphasizes not only achieving natural looking results but also maintaining or enhancing breathing. Dr. Lam does not create “scooped noses” or “pinched tips” that do not look natural. Also, he always evaluates the nose as a respiratory organ so as to ensure that your breathing functions are in no way compromised.

Revision Rhinoplasty – Revision rhinoplasty refers to corrective or secondary rhinoplasty to correct previous rhinoplasty. Most often, revision rhinoplasty is performed to correct an over-reduced nose. Inexperienced rhinoplasty surgeons remove 2 to 3 mm off of the bridge of the nose, when most cases all you need is approximately 1 mm. That small a difference in removal can make a large impact in the way that a nose looks following cosmetic rhinoplasty. Similarly, a nose tip can be pinched in too tightly or over-resected leading to little horns on the tip known as nasal bossae. Besides cosmetic problems following rhinoplasty, the nose can also have impaired function whether breathing or humidification due to overzealous reductive rhinoplasty. These types of over-aggressive rhinoplasty problems are more commonly encountered in the Caucasian nose.

Ethnic Rhinoplasty– Ethnic rhinoplasty is uniquely different from the requirements necessary to undertake rhinoplasty for the Caucasian nose. In the Middle Eastern nose, the nose may also be overgrown like the Caucasian nose and techniques for reductive rhinoplasty are similar. However, preserving adequate bridge height is important so as to ensure that the result appears natural by enhancing the cosmetic appearance of the nose rather than eliminating/effacing ethnicity altogether which can look unnatural. For Asian and African noses, augmentation rhinoplasty may be needed to correct a flat nasal bridge and/or a wide and flat nasal tip. Oftentimes, the exact opposite method must be used to perform ethnic rhinoplasty in these noses to attain a beautiful result that is also still culturally sensitive. Many rhinoplasty surgeons perform rhinoplasty that entirely Caucasianizes the nose. Dr. Lam does not perform this kind of procedure, as he believes that the ultimate result is that the nose looks unnatural looking. For Hispanic rhinoplasty, he must tailor his surgery depending on the facial features. The Hispanic nose is known as the Mestizo nose, encompassing different aspects that can include white, black, and indigenous Indian (Oriental/Asian like) features. Therefore, Dr. Lam at times performs more Asian/African types of rhinoplasty for Hispanic noses and at times more Caucasian rhinoplasty depending on the ethnic background of the Hispanic patient.

Functional Rhinoplasty – Functional rhinoplasty refers to reshaping the nose (either inside and/or outside) in order to help the nose function better, i.e., to breathe better. The idea of functional rhinoplasty may seem to be a misnomer as rhinoplasty may be thought as purely a cosmetic procedure. However, remember that rhinoplasty simply means to change the shape of the nose, which in this case is intended to help an individual breathe. Most people think of functional rhinoplasty as synonymous with septoplasty. But functional rhinoplasty can be a much more complicated procedure. Although a deviated septum can be the culprit for difficult nasal breathing, there are many other parts of the nose that can impair breathing function and airflow. For example, the internal nasal valve consists of the head of the inferior turbinate, the anterior septum, and the angle that the septum makes with the upper lateral cartilage. Therefore, correcting this very narrow isthmus of the breathing passage may involve a septoplasty, partial turbinate reduction, and/or spreader graft to stent the septal-upper lateral cartilage angle. Besides natural incidences of nasal obstruction in this area, previous rhinoplasty can also compromise this region by over aggressive hump reduction of the nasal bridge. The external nasal valve is the second most common area for airflow obstruction and consists of the nostril itself. Cmpromise of the external nasal valve can arise from aggressive prior surgery or flimsy cartilages that arise naturally. Reconstituting the nasal valve through cartilage stenting and suturing can help restore precious nasal airflow.

Traumatic and Reconstructive Rhinoplasty – The nose can also be crushed or injured through sports, automobile accidents, or other related traumatic insults. Dr. Lam is skilled in correction of traumatic injuries to the nose that can affect the shape of the nose as well as impair breathing. Reconstructive rhinoplasty involves rebuilding parts of the nose that have been lost either due to extensive trauma or cancer. Dr. Lam can even essentially put a nose back on the face if it is missing using complicated nasal flaps like forehead flaps, turbinate and septal flaps and cartilage framework grafts to restore all three layers that may be missing of the nose.

01, August, 2018admin0 Comments

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