Over the last decade, Dr. Motakis has performed numerous rhinoplasty procedures and revisions, ultimately providing the patient with an enhanced but natural appearance that is harmonized with the rest of their facial features. Dr. Motakis has also provided many patients with significant improvements to the shape and structure of the nose using non-surgical methods (non-surgical rhinoplasty).
During your consultation, Dr. Motakis will discuss your options and determine the best procedure that would address the specific issues and concerns regarding the appearance of your nose. In the expert hands of Dr. Motakis, rhinoplasty can create a more attractive profile bringing balance and harmony to the face while still appearing entirely natural.
What is rhinoplasty?
A full rhinoplasty (nose job, nasal reshaping), is a surgical procedure that is performed to change the shape and size of the nose. Most patients that require this type of surgical procedure typically exhibit a bump on the bridge of their nose and seek for some refinement of the nasal tip. Under this condition, the surgery is performed by reshaping the nasal skeleton (bone and cartilage), leading to a change in the underlying structure of the nose and allowing the skin to conform to the new shape.
Through the many years, Dr. Motakis has performed rhinoplasty surgeries to address a variety of patients concerns including removing nose bumps, changing the size and projection of the nose, straightening the curvature of the nose (crooked nose), narrowing the width of the nose and refining a droopy or wide tip. These procedures usually require Dr. Motakis to either add or remove cartilage and reshape the nasal bones.
One must note, there are limitations to what can be achieved with rhinoplasty surgery. Both technical and functional limitations exist, some being the overall size, shape, and skin of the nose. We must remember that our nose’s primary function is for breathing and excessive thinning may lead to the overall sacrifice of this function.
Who is a good candidate for rhinoplasty?
There are many reasons why someone would consider undergoing rhinoplasty surgery, the most common being the look, shape, and structure of their nose. There is no specific chronological age to have this surgery and most over the age of eighteen that are in good general health would be considered a good candidate. Patients that undergo this surgery find the results to be life-changing, displaying an increase in confidence, self-esteem, and comfort in social settings.
It is important to note that patients must have proper expectations before undergoing this surgery as there are limitations to what is achievable. Dr. Motakis though the use of his artistic skills and advanced surgical techniques will provide the candidate with a natural and symmetric nose while preserving or improving the patients breathing.
Rhinoplasty surgery generally takes 2-4 hours and is done as an outpatient procedure at our Avenue Road fully accredited on-site surgical facility. Over the last few decades, there have been great advances in the art of this procedure. The procedure can be performed either from inside the nose (endonasal or closed rhinoplasty) or through a tiny incision near the junction of the nose to the lip (open rhinoplasty). Depending on the complexity of the nasal reshaping required, Dr. Motakis will choose the closed or open approach. The type of approach will be discussed with you at your preoperative appointment. Dr. Motakis uses a technique that respects the structural elements from the nose, preserving or improving proper breathing and a natural appearance. Dr. Motakis reshapes the nasal tip by using special sutures, providing greater definition to the nasal tip. Today, grafts made from cartilage are widely used as structural elements to change or alter the shape of the nose. The best and strongest cartilage grafts are obtained from the nasal septum, inside the nose. However, with some patients that have had a previous septoplasty, Dr. Motakis may take cartilage grafts from the back of the ear. All incisions are placed in discreet locations and the advanced surgical techniques used by Dr. Motakis will produce virtually undetectable scars. Rhinoplasty is usually performed under a general anesthetic.
What is the recovery period for rhinoplasty?
You will receive instructions from Dr. Motakis concerning caring for your incisions while you recover from surgery. On average, it takes approximately 2 weeks to recover from a rhinoplasty procedure, however, the result of the surgery may not be completely evident until several months and sometimes up to a year after the surgery. Initially, you should expect a few days of swelling and bruising with minimal discomfort which is treated with mild analgesics. Although you will likely be able to resume light activities 24-48 hours after your surgery, it is recommended that any physical activity such as exercise only be resumed after the third or fourth week. You will likely need approximately one week off work. After your surgery, there is a small cast applied to the bridge of the nose which is removed 7 days after your surgery at the post-operative appointment with Dr. Motakis. If the nasal bones have been reshaped, the patient in not allowed to wear glasses for at least a month after surgery in order to allow the nasal bridge to heal.
What are the risk factors of a rhinoplasty?
Dr. Motakis makes every effort to execute the procedure in the most meticulous way, however, as with any surgery, bleeding, infection, irregularities or unfavorable healing or scarring, changes in sensation are among the risks of rhinoplasty surgery, although these are extremely rare. The list of all possible risks will be discussed in detail during your consult and pre-operative appointment with Dr. Motakis and his team.
Are there any alternatives to surgical rhinoplasty?
For patients looking for a more modest enhancement or those interested in a more gradual modification, injectable fillers can often be used to make corrections of the nasal bridge, hide a hump, lift the tip, or improve its definition (see non-surgical rhinoplasty).
Can rhinoplasty be combined with other procedures?
Many of Dr. Motakis’ patients combine their rhinoplasty procedure with other cosmetic procedures offered at the clinic. These procedures frequently include chin augmentation, buccal fat removal from the cheeks, as well as, submental liposuction of the neck among others.