Rhinoplasty and Septoplasty

In Rhinoplasty or nose surgery, the surgeon reshapes and/or resizes the nose to make it more attractive, symmetric, and balanced with the other features of the face. Functional rhinoplasty can be performed at the same time as cosmetic rhinoplasty to restore air flow by correcting such breathing problems as a deviated septum, issues with the turbinates, or nasal valve collapse.

Dr. Velargo’s unique training and experience as a head and neck nasal surgeon and cosmetic rhinoplasty surgeon makes him an expert in the latest rhinoplasty techniques that not only correct cosmetic problems but also restore breathing, while maintaining structure and function.

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A “nose job” is a highly specialized and individualized procedure that requires considerable skill on the part of your surgeon. Each case must be evaluated carefully to determine the best way to create the result you want. Even in surgeries solely for cosmetic reasons, function and nasal structure must be taken into account.

Rhinoplasty can be performed on both teenagers and adults. Pediatric rhinoplasty is performed on a case-by-case basis and is usually performed in the face of structural breathing trouble and trauma. Extreme care and caution is exhibited in these rare cases to avoid disrupting facial growth centers in developing children.

In older patients, rhinoplasty is sometimes performed along with a face lift for a more comprehensive makeover. As we age, the nose begins to droop. Dr. Velargo is skilled at performing “rhino-lifts” to bring the nose back into harmony with the face.

Dr. Velargo may recommend that other procedures, such as chin augmentation, be performed as an adjunct to rhinoplasty to further refine and balance facial proportions.

Noses that have been severely injured (as from athletic injuries, or an accident), those which are markedly crooked, or those which have had a previous operation which left the patient with an unsatisfactory result, are technically more difficult to correct. Although some surgeons would approach these problems with two operations scheduled approximately six months apart, we try to make the necessary corrections in one operation. We succeed in the vast majority of cases, but additional procedures are sometimes required six months to one year later.

Like faces, every nose is different; some noses are too long, some too wide, some have large humps, some project away from the face, and so on. Since rhinoplasty surgery is as much artistic in nature as it is scientific, rarely are any two of our patients’ noses identical.

Dr. Velargo strives to make each patient’s nose fit his or her face. The alterations he recommends will be determined by many factors, including one’s height, age, skin thickness, ethnic background and configuration of other features such as the forehead, eyes, and chin. All in all, he strives to achieve a natural-looking nose rather than one that appears to have been operated upon. No patient really wants an assembly line “nose job,” but a nose individually tailored to their own features. Dr. Velargo is particularly attuned to these desires.

Septoplasty and Sinuplasty

The septum is the partition that separates the nose into right and left sides. It is comprised of both bone and cartilage. Most people actually have some degree of deviation in their septum, which contributes to breathing difficulties. In most cases, septoplasty is performed in the same setting as the rhinoplasty. Septoplasty not only allows Dr. Velargo to correct the deviation and improve breathing but also allows for him to harvest any cartilage that may be needed to support and give structure to the nose during the functional and cosmetic rhinoplasty.

In select patients with chronic sinus disease, Dr. Velargo may utilize a procedure called Endoscopic Balloon Sinuplasty to open the sinus passages. This can be done in the same operative setting as septoplasty and rhinoplasty.

What can rhinoplasty and septoplasty accomplish?

Rhinoplasty can:

  • Correct a hump on the bridge of the nose
  • Straighten a broken or crooked nose
  • Make the nose shorter or longer
  • Make the nose narrower
  • Reduce the size of the nostrils
  • Build up a nose that is too small, flat, or out of proportion with the rest of the face
  • Correct nasal airway obstructions

Septoplasty can:

  • Correct nasal airway obstructions
  • Straighten a crooked nose

Does insurance cover septoplasty or rhinoplasty?

If you are receiving septoplasty, functional rhinoplasty, or endoscopic balloon sinuplasty, some insurance plans cover that aspect of the procedure. Contact your insurance carrier for information. Note that cosmetic rhinoplasty is never covered by insurance plans, and even if your insurance covers a simultaneous septoplasty, functional rhinoplasty, or endoscopic balloon sinuplasty, a separate charge will be generated for the cosmetic component of your surgical plan.

Read more about what happens during Nasal Surgery →

Contact the New Orleans Center for Aesthetics and Plastic Surgery today to find out more about expert rhinoplasty.