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Is There Such a Thing as a “Scarless” Rhinoplasty?

Is There Such a Thing as a “Scarless” Rhinoplasty?

The term "scarless" rhinoplasty is widely marketed. In reality, all incisions heal in a manner different than untouched skin. Incisions can be well-hidden and so subtle that almost no other individual would notice their presence. They can also be poorly hidden and/or abundantly obvious due to abnormal features. The scarless rhinoplasty is approach that can hide the incisions from the view of the public. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. The nose surgery (rhinoplasty) technique marketed as "scarless" is also referred to as a closed, or endonasal rhinoplasty. The technique was developed over one hundred years ago and is associated with some of the earliest rhinoplasty surgeries. However, the technique is currently not widely taught to training physicians. A closed rhinoplasty requires a detailed understanding of nasal anatomy, because it involves manipulating that anatomy in ways that do not match the classically learned visualization of the anatomy. All the incisions are placed inside the nose, also called the nasal vestibule. This approach can reduce post-operative swelling and bruising. But while this hides the incisions from external view, the same healing process occurs with these incisions as with others. Therefore, there truly is no such thing as a "scarless" rhinoplasty as defined by the technique used. This approach to rhinoplasty surgery can be an excellent option for the right individual. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon. Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us today to learn more! Contact Us

Septoplasty versus Rhinoplasty: What is the Difference?

Septoplasty versus Rhinoplasty: What is the Difference?

A general Otolaryngologist (ENT) is the usually the first person a patient sees when they have difficulty breathing through their nose in Cincinnati, Ohio. There are multiple causes of nasal obstruction. A deviated nasal septum is one possible cause. Repair of a deviated septum can often improve nasal obstruction. However, the cause of nasal obstruction may involve not only the septum but also the cartilage and bones that give the external shape to the nose. It is in those cases that the patient is usually referred to a sub-specialized, fellowship-trained facial plastic and reconstructive surgeon. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. The Septum is a "Wall" Composed of Cartilage and Bone The septum is a "wall" composed of cartilage and bone that separates the left and right nasal cavities. The septum starts at the front of the nose and ends at the back of the nose into a common opening called the nasopharynx, which sits above and is continuous with the throat. The front of the septum is primarily cartilage. This quadrangular cartilage supports the nasal bridge and tip. The back of the septum is composed of multiple bones that have fused together and which extend from the skull base to what is referred to as the "floor" of the nose. The Severity and Location of Deviation Contributes to the Severity of Nasal Obstruction A septum that causes nasal obstruction is usually deviated or curved from the midline. The deviated portion of the septum can be composed of cartilage, bone, or both. A septal deviation can occur due to trauma, or it can be the result of genetics. A septum can be deviated to one or both sides (i.e., S-shaped septum). The more severe the deviation to one side, the more likely it is to cause nasal obstruction. A septum can be deviated low, towards the nasal floor, or high, towards the nasal bridge. The lower the deviation is in the nose, the more likely it is to cause nasal obstruction. A Septoplasty Procedure Can Improve Nasal Obstruction Secondary to a Deviated Septum A septoplasty utilizes an incisions inside the nostril to remove the deviated portion of the septum (cartilage and/or bone). Some cartilage is left behind at the nasal bridge and tip. This cartilage functions as a strut to minimize the risk of deformation of the nasal bridge and/or tip. A Rhinoplasty Can Address More Complex Causes of Nasal Obstruction In contrast, a rhinoplasty involves the manipulation of the complex of cartilage and bone that contributes to the external appearance of the nose. A rhinoplasty can be performed with all of the incisions inside the nostril in some, select cases. However, a rhinoplasty is performed utilizing a small incision at the base of the nose in most cases. The procedure can be performed to improve nasal breathing if these external components are narrowed and contributing to the nasal obstruction. A rhinoplasty can also be performed to improve the appearance of the nose. A Rhinoplasty and Septoplasty Can be Performed Together A septoplasty is often performed with a rhinoplasty not only to improve breathing but also to supply cartilage for grafting for rhinoplasty. Cartilage removed from the septum can be used as a supportive and shaping graft to improve nasal obstruction and/or the appearance of the nose. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us to learn more! Contact Us

What Concerns Can Be Addressed with Nose Surgery?

What Concerns Can Be Addressed with Nose Surgery?

Nose surgery (rhinoplasty) can address multiple concerns about the nasal bridge (dorsum) and nasal tip. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. Nasal Hump Composed of a variable combination of cartilage and bone, a hump on the nose can make other features of the nose appear small and the length short. The treatment of a nasal hump is not a one-size-fits-all approach. It is important to consider each patient's aesthetic goals, gender, and ethnic background when developing a surgical plan. Some individuals may benefit from – and desire – the creation of a gentle concavity to their nose. In contrast, over aggressive reduction of a nasal hump in a male patient can make their nose appear more feminine. Instead, the nasal hump tends to be softened or straightened. It is also important to be respectful of the beautiful features of a nose that communicate the ethnic background of an individual. For example, individuals of Arab, Iranian, or Turkish background may request only a subtle reduction in their nasal hump. Wide Nasal Bridge A wide nasal bridge often needs to be narrowed when a large nasal hump is reduced to reduce the risk of long-term complications. It is also important to consider the width of the nasal bridge when a large, bulbous nasal tip is narrowed. The nasal bridge may appear wider than the tip if it is not narrowed with the tip, thereby breaking an aesthetically ideal curve from the eyebrow to the nasal tip. Bulbous Nasal Tip Narrowing and refining a bulbous nasal tip, like addressing a drooping tip, is among the most technically difficult portions of nose surgery (rhinoplasty). This is due to the complexity of the paired cartilages that contribute to the shape of the nasal tip. Refinement of the nasal tip usually employs some combination of suturing and reorientation of the cartilages, sometimes with removal of a small amount of the cartilage. Drooping Nasal Tip Lifting a drooping nasal tip naturally is technically difficult because the complex nasal tip cartilages need to be reoriented and secured to the septum – the wall separating each nasal cavity - symmetrically. Moreover, the projection of the nasal tip can change as a result of lifting a drooping a nasal tip, which needs to be accounted for when securing the final position of the nasal tip. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon. Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us to learn more! Contact Us

What is the Difference Between a Functional and a Cosmetic Rhinoplasty?

What is the Difference Between a Functional and a Cosmetic Rhinoplasty?

The difference(s) between a functional and a cosmetic rhinoplasty is(are) of philosophy and goals, not necessarily of specific surgical maneuvers. A functional rhinoplasty is focused on improving nasal breathing by widening or strengthening the opening of one or both nasal cavities. A cosmetic rhinoplasty may be like a functional rhinoplasty but may also involve maneuvers that narrow or reduce the size of the nose. Most patients desire both functional and cosmetic improvement, demanding a mixed philosophy which informs the surgical approach. Overall, it is important to work towards a natural appearing result that fits each patient's unique facial features when performing a functional rhinoplasty, cosmetic rhinoplasty, or a rhinoplasty that incorporates both functional and cosmetic goals. An in-person consultation is always necessary to evaluate the nose to determine the most appropriate approach. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. Some Maneuvers are Primarily Cosmetic Maneuvers that may be more cosmetic than functional include: Dorsal hump (bump) reduction, which is meant to reduce the height of the nasal bridge Dorsal onlay graft, which is meant to increase the height of the nasal bridge Nasal tip cartilage suturing (stitching), which is meant to narrow the nasal tip Nasal tip grafting (e.g., columellar strut graft, caudal septal extension graft), which is meant to control the projection and rotation (i.e., upturn) of the nasal tip Lateral crural trim, which is meant to decrease the "fullness" of the nasal tip Lateral and medial osteotomies, which are meant to narrow the nasal bridge The above maneuvers change the height of the nasal bridge, the size and shape of the nasal tip, and the projection and/or rotation of the nasal tip. One or more of these maneuvers may be an appropriate approach to achieve a patient's cosmetic goals. However, this list is not comprehensive, as there are many other maneuvers available to surgeons. Maneuvers that Widen and/or Strengthen Can be Functional and Cosmetic Maneuvers that open a collapsed area of the nose or strengthen the opening of one or both nasal cavities can improve restricted nasal breathing as well as the appearance of the nose. Maneuvers that may be functional as well as cosmetic include: Spreader grafts that widen the nasal bridge and open up the interior of the nasal cavity Lateral crural grafts that open and strength the valve that keeps the opening of the nose stable Grafts that straighten and strengthen the nasal septum While most osteotomies are intended to narrow the nasal bridge, they can be used to return a previously fractured nose to a more symmetric position, thereby opening a previously narrowed nasal cavity. All functional rhinoplasty procedures should seek to at least preserve and, when possible, enhance the cosmesis of the nose. The focus of functional rhinoplasty, however, should be on improving air flow through the nose. There may be instances in which the cosmesis of the nose is sacrificed when function of the nose is by far the most valued goal of a patient. Facial Plastic Surgeons Have an Eye Towards Long-Term Results A facial plastic surgeon has an aesthetic eye regardless of the primary goals of a rhinoplasty. As a result, there is not a purely functional or cosmetic procedure. Instead, each procedure is tailored to the individual patient based on a detailed discussion of their aesthetic and functional goals. A facial plastic surgeon's aesthetic eye should be aimed towards the future such that the best, most natural appearing, long-term result that is possible is achieved, not necessarily the most trendy result immediately after surgery. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching "plastic surgery near me." Get in touch with us to learn more. Contact Us

When is it Unwise to Narrow the Nasal Tip?

When is it Unwise to Narrow the Nasal Tip?

Cosmetic nose surgery (rhinoplasty) is one of the most common procedures I perform. Patients who have never undergone nose surgery often request a "smaller" nasal tip. A more refined tip can be delivered with specialized techniques that also preserve the strength and structure of the tip of the nose in most instances. However, sometimes what individuals perceive as a large or "bulbous" nasal tip is something else entirely. Instead, it is a problem that requires a more complex technique to deliver on their aesthetic goals. It is important to ground an understanding of why this is sometimes the case by reviewing the anatomy of the nasal tip. The nasal tip is formed primarily by paired cartilages, called lower lateral cartilages, and their ligamentous attachments to each other as well as surrounding cartilage and soft tissue (see image below). The lower lateral cartilages pair up and align at the center. This area of the cartilage is called the medial crura or columella. The cartilages then separate, curving out over the nostrils. This section is called the lateral crura. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. Source: Modification of Image from Çakır B, Küçüker İ, Aksakal İA, Sağır HÖ. Auto-Rim Flap Technique for Lateral Crura Caudal Excess Treatment. Aesthet Surg J. 2017 Jan;37(1):24-32. The lateral crura are sometimes angled too vertically (see image below). The lateral crura can collapse when they are angled too vertically, resulting in a concave rather than a convex curve. The lateral crura are considered too vertically positioned. The nasal tip appears large not because it is but because the lateral crura are "pinched." It becomes clearer when comparing the tip of the nose to the middle third of the nose. If the tip is approximately the width of the middle of the nose it is unlikely to be too large. It is important to recognize this deformity because performing the standard suite of tip narrowing techniques on such a nose will not improve it and may, in fact, make it worse. Instead of trying to reduce the size and therefore strength of the nasal tip, this section of the cartilage needs to be strengthened and reoriented to provide the more refined shape the individual is seeking. This can be performed using cartilage taken from the septum inside the nose. The modifications I often recommend in these instances can require extensive counseling, because some patients are understandably confused when they present to my office believing they have a large nasal tip. This is a circumstance that requires a detailed exam to identify and treat correctly Source: Mohebbi A, Azizi A, Tabatabaiee S. Repositioned lateral crural flap technique for cephalic malposition in rhinoplasty. Plast Surg (Oakv). 2015 Fall;23(3):183-8. Trust Your Face to a Facial Plastic Surgeon It is important to seek a double board-certified, fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon. Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us today to learn more! Contact Us References Çakır B, Küçüker İ, Aksakal İA, Sağır HÖ. Auto-Rim Flap Technique for Lateral Crura Caudal Excess Treatment. Aesthet Surg J. 2017 Jan;37(1):24-32. Mohebbi A, Azizi A, Tabatabaiee S. Repositioned lateral crural flap technique for cephalic malposition in rhinoplasty. Plast Surg (Oakv). 2015 Fall;23(3):183-8.

Where Does the Cartilage Used to Graft the Nose Come From?

Where Does the Cartilage Used to Graft the Nose Come From?

The nose is composed of multiple, matching, complexly shaped cartilage pieces and bone. The use of additional cartilage is often required to achieve specific functional or aesthetic goals during nose surgery (rhinoplasty). For example, cartilage can be used to open and strengthen the valves of the nose to improve nasal breathing. It can also be used to change the contours of the nose to achieve a specific aesthetic result. There are four different sources of cartilage used in nose surgery (rhinoplasty) to achieve the functional and aesthetic goals of the operation. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. Nasal Septum The nasal septum, located inside the nose, is the "wall" that separates the left from the right nasal cavity. It is composed of cartilage and bone. The bone is sometimes used for grafting. However, it is usually the cartilage only that is used for grafting. The nasal septal cartilage is an ideal source for most needs during nose surgery (rhinoplasty). It is relatively straight and strong. The thickness is usually ideal. There is typically enough that can be removed to accomplish the functional or aesthetic goals of grafting. Except in select circumstances, nasal septal cartilage is usually the first cartilage used during nose surgery (rhinoplasty). There are cases when this cartilage is not available or ideal. For example, patients with severe injuries to their nose may have septal cartilage that is crushed and severely scarred. Other patients may have undergone a septoplasty or nose surgery (rhinoplasty) previously and have inadequate cartilage available. The options below are typically used when this is the case. Ear The ears include a large piece of cartilage with complex folds. There are subunits to the cartilage in the ear, also known as the auricle. The area harvested is called the concha, which is the bowl-shaped area closest to the opening of the ear canal. This area contains cartilage that closely matches the size and shape of the nostrils. Removal of a portion of the concha is also less likely to result in deformities to the ear compared with other areas. Conchal cartilage is also not always ideal for use. It is not as strong as other cartilage sources. As a result, it is less useful when strong structural support of the nose is required. There is less cartilage available from a single ear when compared with a previously untouched septum. And this cartilage can become hard and brittle with advanced age, limiting its usefulness in some individuals. Rib The rib is an ideal source of cartilage for many reasons. First, it can be strong like septal cartilage. Second, abundant cartilage can be harvested. This makes it particularly useful for large grafts such as those meant to increase the height of the nasal bridge. Third, its shape allows additional flexibility in carving the exact shape and size graft required. This graft can be very useful for revision nose surgery (rhinoplasty) when extensive grafting is required and there is no longer septal cartilage to use. The rib cartilage is harvested through an incision below the breast. Many patients prefer to avoid the additional procedure below the breast and its associated recovery and incision. Another option for rib is donor rib cartilage that is processed and tested to ensure its safe, effective use. The Most Appropriate Source of Cartilage Depends on Multiple Factors Some patients do not require cartilage grafting. For those who do, the most appropriate cartilage source depends on the size and shape of the graft required, the patient's medical and surgical history, and their personal preferences. The plan for cartilage harvesting is discussed with the patient pre-operatively. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us to learn more! Contact Us

Why People Seek Revision Nose Surgery and the Expected Recovery

Why People Seek Revision Nose Surgery and the Expected Recovery

Revision, or secondary, nose surgery (rhinoplasty) is a technically challenging procedure, largely because the previous surgery usually alters the nasal anatomy in unpredictable ways that require creativity and skill to address and correct. There are many reasons why a patient would desire to undergo revision rhinoplasty. In most cases, however, the recovery from a secondary nose surgery is longer and less predictable than with the first surgery. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have difficulty breathing through your nose and/or concerns about the appearance of your nose after a previous nose surgery. Some Patients Experience New Difficulties Breathing After Their First Procedure There are multiple reasons why a patient may experience new difficulties breathing after nose surgery. Rarely, some patients experience abnormally aggressive scarring in the tissue deep to the skin of their nose that can weaken the support structures of the nose and even cause them to collapse. Abnormal scarring can be due to infection, autoimmune disorders, and/or other medical conditions that make abnormal healing more likely. New difficulty breathing is more likely when too much cartilage is weakened or removed during the first surgery. It is also more likely when the nasal bones are too aggressively manipulated during surgery. Revision nose surgery seeks to re-support and reinforce weakened cartilage and bone in a way that preserves or restores the cosmetic appearance of the nose. Other Patients Experience Persistent or New Concerns About the Appearance of Their Nose More often it is persistent or new cosmetic concerns about their nose that bring patients in for revision nose surgery. Abnormal healing may not result in difficulty breathing through the nose but may result in cosmetic abnormalities they would like corrected. Those abnormalities may be due to weakening and collapse of the cartilage and/or bone in the nose after the first surgery. Potential problems include a collapse of the bridge of the nose or the nostrils and a more significant asymmetry of the nasal bridge and/or nasal tip. Other abnormalities are due to poorly planned surgery resulting in an over projected nasal tip after removal of a large hump on the nasal bridge or a nasal tip that is overly rotated up or overly pinched after surgery. Correction of the above problems often requires reinforcement and realignment of cartilage with cartilage grafts and/or realignment of the nasal bones. Expect a Slightly Longer and Less Predictable Recovery after the Second Procedure Undergoing a revision nose surgery to correct problems associated with the first is a very rewarding procedure that can provide immeasurable benefits to patients. However, it is important to counsel patients that the expected swelling after surgery can be greater and take longer to resolve than after the first surgery. This is because the blood supply and lymphatic drainage system is not as robust after the first surgery, which is normal and expected. It is also for this reason that it is essential that all patients be counseled that the healing process overall can be less predictable with revision nose surgery. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon. Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us to learn more! Contact Us