Nose Procedures

Primary Rhinoplasty

Rhinoplasty, or nose reshaping surgery, is becoming one of the most widely performed operations in facial plastic surgery. Reasons for having a rhinoplasty performed are highly variable and range from purely cosmetic changes, due to a dorsal hump or wide nasal tip, to more functional reasons like severe nasal/septal deformities, nasal obstruction due to collapse or blockage, or previous nasal bone fracture.

The surgical approach remains the same across all rationale, but results are highly tailored towards each patient’s desires and individuality. The surgery is typically done as an outpatient, with the operation performed in a surgical suite under general anesthesia. Procedures can vary widely depending on patients’ goals and aesthetic desires. Both open and closed approaches are utilized, depending on the situation and the patient’s anatomy, and would be discussed beforehand. Preoperative computer imaging or “photo-morphing” is done with all rhinoplasty patients before surgery so that they may have an active role in determining the desired outcome.

Dr. Steitz has written extensively on rhinoplasty surgery and completed a fellowship with Dean Toriumi at the University of Illinois-Chicago, studying advanced rhinoplasty techniques. Contact us today to schedule a consultation to discuss the possibilities available to you.

Revision Rhinoplasty

Revision rhinoplasty, or secondary rhinoplasty, is an operation aimed at correcting deformities encountered after a previous rhinoplasty or from multiple previous rhinoplasties. The nose can change extensively over time after a rhinoplasty especially if there is weakened structural support of the nose. Problems can range from contour deformities of the bridge to septal perforations and alar retraction.

Revision rhinoplasty often becomes a structural operation aimed at restoring the natural support of the nose that was disrupted by previous trauma or surgery. A variety of grafting materials may be utilized in revision surgery including cartilage grafting from the septum, ears or from the rib. As in primary rhinoplasty, realistic goals and expectations for revision surgery will be discussed at length at the consultation and preoperative computer imaging will be performed with all patients so that patients can feel comfortable and have input into the desired outcome.

Dr. Steitz has written extensively on rhinoplasty surgery, including multiple on revision rhinoplasty, and completed a fellowship with Dean Toriumi at the University of Illinois-Chicago, studying advanced rhinoplasty techniques. Contact us today to schedule a consultation to discuss the possibilities available to you.

Ethnic Rhinoplasty

Ethnic rhinoplasty is a broad categorization of rhinoplasty which describes primarily patients of Asian, African and Hispanic descent. It is absolutely paramount to understand that noses vary substantially across races and that maintaining an individual, natural appearance is of utmost importance to all people.

It is the goal of St. Louis Facial Plastic Surgery to create a heavily personalized experience for each patient, considering their preferences, culture, and ethnicity. Preoperative computer imaging or “photo- morphing” is done with all rhinoplasty patients before surgery so that they may have an active role in determining the desired outcome.

Dr. Steitz has written extensively on rhinoplasty surgery, including multiple on ethnic and Asian rhinoplasty, and completed a fellowship with Dean Toriumi at the University of Illinois-Chicago, studying advanced rhinoplasty techniques.

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