The nose is the central, dominant feature of an individual’s face and as such it is one of the most important aspects of our appearance. Changes in the aesthetics of the nose can have a dramatic effect on any individual’s look. Even the slightest change to the nose can greatly affect one’s overall facial appearance, improve their look and boost their self-confidence.
Dr. Brenner is one of a select group of plastic surgeons who has undergone specialized training in advanced rhinoplasty procedures. He is specifically trained to utilize advanced techniques such as rib grafting for challenging revision cases.This makes him highly qualified to perform surgery on this delicate and important portion of the body.
Whether you are looking to achieve a more proportionate appearance or want to improve a functional issue that is impairing your breathing, Dr. Brenner is well-qualified to assist you in achieving your goals.
The first step in any rhinoplasty is a thorough analysis of the patient’s nose and goals. From there, it is a matter of utilizing expert surgical technique to help the patient reach those goals. During your consultation with Dr. Brenner, a comprehensive review of your aesthetic goals will be reviewed. He will take all the time necessary to reach full understanding so as to ensure a satisfactory outcome. Additionally, evaluation of your nasal airway will be performed to help determine any functional problems that you may have, such as a deviated septum.
Rhinoplasty may be performed using either a closed or an open technique. Endonasal, or closed, techniques, have the advantage of no incision along the columella. However, the surgical exposure is not as good. The open technique, on the other hand, provides much better exposure and allows for much more precise graft and suture placement. As one of the top rhinoplasty surgeons in Beverly Hills & Los Angeles, Dr. Brenner has been extensively trained in the open structure rhinoplasty and prefers this technique in all but the most simple rhinoplasty cases. While patients who undergo open rhinoplasty may have swelling that persists a bit longer, ultimately the long term results are often better.
Since no two noses are the same on the outside or on the inside, candidacy for either open or closed nose surgery will depend greatly on each individual’s internal nasal anatomy, degree of deformity and desires. Following your initial evaluation, Dr. Brenner will review your surgical options with you and also determine if additional graft material such as ear cartilage or rib cartilage may be required.
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Types of rhinoplasty
Primary rhinoplasty is used when nasal corrective surgery is performed on someone’s nose for the first time. This may include patients who simply wish to have a prettier, more aesthetically appealing nose. It may also include patients who have had significant traumatic injury to their nose in the past, but never sought treatment.
Secondary rhinoplasty, also known as revision rhinoplasty, is the term used for nasal corrective surgery performed on someone who has already undergone a first (or second or third...) nasal operation in the past. The reasons that patients seek a secondary operation are multiple, including:
- A persistent defect that was never corrected during the first operation
- A new defect that has occurred as a result of unfavorable healing from the prior operation
- Ongoing aging or scarring changes that have occurred to the nose over time. These include nasal airway compromise that occur as a result of collapse from prior surgery
Dr. Brenner has seen innumerable patients who are in need of revision rhinoplasty. His expertise has depth and breadth, allowing him to utilize multiple advanced techniques to help correct these sometimes tricky cases. Dr. Brenner’s ultimate goal is to leave his patients satisfied with the appearance and function of their nose. If you have unsatisfied with the appearance of your nose or unhappy with the result of your prior rhinoplasty, please call us to find out how Dr. Brenner can help correct it.
Ear cartilage graft
There are some nasal deformities that require correction with the patient’s own cartilage tissue. If additional tissue is needed during your operation, the ear is a common source of graft tissue for these purposes. A small incision behind the ear or within one of the curvatures on the front of the ear can be used to easily obtain this additional tissue.
Rib cartilage graft
Rib cartilage can be harvested for use in a rhinoplasty when a large amount of strong cartilage tissue will be required to rebuild or augment the inside of your nose. Patients who require this procedure commonly have had one or more previous operation, resulting in nasal deformity or instability. Most revision patents lack adequate available cartilage inside of their nasal septum. Common deformities that require a rib cartilage graft include:
- Excessive removal of tissue during a previous nose job surgery
- Severe nasal trauma with septal fractures
- Cocaine abuse with loss of septal tissue (septal perforation)
- Congenital nasal deformities
Deep temporal fascia graft
The thin connective tissue lining the temporalis muscle in the temple area is an excellent source of tissue that can be used to re-line the inside of the nose. The tissue is easily harvested through a small incision in the hair-bearing portion of your scalp in the temple area. Deep temporal fascia is useful for many purposes including providing new lining, and wrapping diced cartilage grafts.
The nose is a very special part of the face. It dramatically affects the way a person looks and feels. Operations that alter the nose must be delicately performed with deep respect for the individual’s facial features and his or her desires. There is no substitute for superior technical ability coupled with a keen aesthetic eye.” - Dr. Kevin Brenner
With this approach Dr. Brenner strives to achieve the ultimate result for each patient who desires nose surgery.
Schedule Your Consultation Today
At the Beverly Hills practice of Dr. Brenner, your face is given the respect it deserves. There is absolutely no room for compromise when it comes to cosmetic procedures in the face, and the entire office is situated accordingly. Your entire experience is tended by professionals who understand the rigors involved in a rhinoplasty, and no detail is left behind. Schedule a consultation to find out more about the finest rhinoplasty Beverly Hills has available.Call us at 424-230-7779 today or click here to schedule online