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Toronto Rhinoplasty Clinic: Cosmetic Nose Surgery

Lafontaine Surgery Clinic

Dr. El Masri-Best Rhinoplasty surgeon in TorontoLa Fontaine Source De Jeunesse Cosmetic Surgery Centre is pleased to have Dr. El Masri on our team. Dr. El Masri is one of Toronto’s leading and most requested Cosmetic Surgeons. His artistic and precise skill set combined with his compassionate manner has made him a leading surgeon in the field of Rhinoplasty and face and neck surgeries. With many years of experience and a true dedication to his work Dr. El Masri is absolutely your number one choice when considering your options. He is fluent in Armenian, Arabic, French, Italian and English languages. Call us today to book your complimentary consultation.

YOU ARE NOT ALONE.

Every year, millions of people seek consultation with plastic surgeons to improve facial appearance including nose surgery.

If you suffer from breathing issues or injury to your nose or simply do not like the shape or size, you have come to the right place.

Are you contemplating cosmetic nose surgery?

If you feel you are ready to take the step to learn more about it, then we are here to help.

We at La Fontaine Source De Jeunesse Cosmetic Surgery Centre will comfortably support you through the procedure and help you to meet your aesthetic and health goals.

Our rhinoplasty procedure is very much tailored to your personal requirements and wishes.

Our procedure is very safe and the results can be life changing.

We at La Fontaine Source De Jeunesse Cosmetic Surgery Centre understand that successful cosmetic facial plastic surgery is a result of good rapport between patient and surgeon.

Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery.

Your Toronto rhinoplasty surgeon can answer all of your questions about your specific needs.

 Prices

 

Is Cosmetic Nose Surgery for You?

As with all facial plastic surgery, good health and realistic expectations are prerequisites.

We are one of the leading cosmetic surgery and rhinoplasty centres in Toronto and our patients and clients are number one.

Put your trust in us and call for your complimentary consultation today. 416-962-4444

Rhinoplasty Overview

Rhinoplasty is a form of plastic surgery that enhances the nose by surgically altering its form, shape and structure. Rhinoplasty may also be done for non-cosmetic reasons, such as improving breathing through the nasal passage. As the nose is a very defining part of the face, it is important that anyone considering rhinoplasty know the different procedures that are offered, any risks involved during and after surgery, and possible outcomes of the procedure. Further, it is essential that patients have reasonable expectations for the outcome of a rhinoplasty surgery.

Candidates for Rhinoplasty

Most people are interested in getting a rhinoplasty for the following reasons:

  • They want to reduce or increase the size of their nose
  • They want to remove a bump on the bridge of the nose
  • They want to make their nose symmetrical
  • They want to change the size of their nostrils
  • They have an asymmetrical nose due to an injury or accident and want it corrected
  • They have nasal breathing problems and would like to clear their nasal passages

In order to be considered for a rhinoplasty procedure, all patients must have a fully developed face, be physically healthy, refrain from smoking and have realistic expectations about the procedure.

Types of Rhinoplasty Procedures

There are three common rhinoplasty procedures. Each has its own goals and outcomes.

Cosmetic rhinoplasty- A cosmetic rhinoplasty involves incisions made inside and outside of the nostrils. Where the incisions are made is dependent on what kind of nasal issue is being addressed. During the procedure, cartilage, bones and soft tissue are reshaped to best attain the desires of the patient.

Septoplasty surgery- A septoplasty surgery focuses on straightening the nasal septum in order to reduce obstructions to the nasal passage. When the position of the nasal septum prevents air from flowing through the nose properly, sinus issues and infections can occur. A septoplasty can help patients who suffer from serious sinus problems.

Injection rhinoplasty- An injection rhinoplasty works to correct the size and shape of the nose by injecting a filler into the nose for a smoother appearance. An injection rhinoplasty is minimally invasive, involves very little pain and swelling and provides immediate results.

There are two types of incisions that can be made when undergoing a rhinoplasty: open/external rhinoplasty and closed/internal rhinoplasty.

Open rhinoplasty involves incisions made at the base of the nose. Specifically, the incision is made across the tissue that separates the nostrils, called the columella. Next, the nasal skin is lifted up over the cartilage and bone to allow surgeons to access the entire nasal structure.

Closed rhinoplasty involves incisions made inside the nostrils to eliminate the appearance of scars. However, internal rhinoplasty is best suited for less dramatic procedures to the nose. These can include small changes to the dorsal bridge, tip and nasal passages.

Most surgeons combine both the open and closed rhinoplasty to better access the nasal structure, while leaving minimal scarring and maintaining nasal function.

Various Structural Problems Corrected By Rhinoplasty

Most patients undergo a rhinoplasty for aesthetic concerns. There are several different cosmetic corrections that can be made through rhinoplasty. Some may find that they prefer a straighter nose bridge due to a hump on their nasal bridge. Others may want to change the shape and size of the tip or base of their nose. Some other patients may desire a shorter or longer nose due to protruding or a stumpy appearance, respectively. It is also common for patients to want to straighten crooked noses.

Dorsal Hump

Many people may find that due to an overgrowth of the bones and cartilage in the nasal bridge, which is most often hereditary, they have a bump along the bridge of their nose. This bump may also occur as the result of an accident or injury. This bump often makes the nose appear more prominent on the face and can elongate its appearance from different angles. During the procedure for a dorsal hump alteration, incisions are made either internally or externally, depending on whether or not the tip of the nose needs to be addressed as well. Most frequently open rhinoplasty is used because this type of incision allows surgeons to access a large area of the nasal structure in order to properly assess what corrections need to be made. Once the small incisions are made, the bones and cartilage of the bridge bump are filed down using a nasal rasp and excess cartilage is removed. The incisions are then stitched closed.

Bulbous Tip

Some people may have a large tip of the nose usually caused by excess growth of the lower lateral cartilages. Injury may also cause this to happen. During the procedure, an open rhinoplasty is done and the upper portion of cartilage on the tip of the nose is removed. The remaining cartilage is then contoured to ensure a pleasing and proportionate appearance. Finally, the incisions are sutured together.

A bulbous tip may also be the cause of an overly protruding nose tip. This problem requires the tip of the nose to be dropped so that it is proportioned to the rest of the nasal structure. This correction is done by removing lower lateral cartilage from the tip of the nose.

Wide Nose

To correct excessively wide nasal bones, the nasal structure must first be broken. Surgically, this procedure is referred to as a nose osteotomy. During the procedure, specific tools are used to break the nasal bones and push them inward. This will decrease the width of the upper part of the nose. To ensure a smooth appearance and contour, the bridge of the nose can be filed to an appropriate shape during the surgery.

Narrow Nose

In the case of an extremely narrow nose, patients may find their nasal structure is too thin and weak. As a result, when they inhale the middle portion of the nasal structure collapses. During the procedure, cartilage can be taken either from the ear or the nasal septum and sutured together to widen and support the middle section of the thin nose. This helps to prevent the nose from collapsing when inhaling.

Long Nose

Those with very long noses may find this aesthetically displeasing, as their long or protruding nose looks disproportioned to the rest of their face. Most of the time, along with a long nose, patients may have a bridge bump and a deviated septum. To change the length of the nose, it is important to first determine the strength and structure of the nose bridge to evaluate if it needs to be altered with surgery as well. During the procedure, an open rhinoplasty is done and the skin on the bridge of nose is lifted. Next, the lower part of the septum is removed to shorten the length of the nose. As the tip of the nose is now shortened, it must be properly supported by grafted cartilage and closed with sutures.

Short Nose

Some patients may have an excessively short nose, or a nose with little projection. During the procedure, open rhinoplasty is done and the cartilage in the nasal tip is modified to a desired length. The change in the cartilage is supported by cartilage that is grafted unto the columella, allowing the nose to stay projected for a long time.

Weak Nose Bridge

A weak nose bridge results from having insufficient bone and cartilage in the nose bridge, leaving the nose bridge to sink in. This may also occur from injury or irregularities from a previous rhinoplasty. There are two ways to correct this problem: an injection rhinoplasty or insertion of cartilage and tissue. An injection rhinoplasty would involve injecting a filler to strengthen the nose bridge and reconstruct it. However, these results last up to two years. A more permanent solution would be to surgically remove and insert bone, cartilage or tissue from another part of the body to the nasal bridge. As well, an artificial solution would be to insert silicone to lift and strengthen the nose bridge.

Wide Nostrils

Those with excessively wide nostrils can undergo rhinoplasty to decrease the width of their nasal bones. During the procedure, either an open or closed rhinoplasty is done and then a small portion of the nostril tissue is removed.

A rhinoplasty procedure can also be done to improve nasal function or to correct the deformation of a previous rhinoplasty surgery. During the procedure, patients are given either local or general anaesthesia. Open or closed rhinoplasty can be done, depending on the severity of the correction needed. Due to the nature of this specific type of rhinoplasty, surgeons may either need to reposition already existing cartilage and tissue in the nose, or they may have to replace previously removed cartilage and tissue to provide improved results. Though the recovery process will vary for each patient, patients find that there is less swelling, bruising and pain in a revision surgery than a first time rhinoplasty.

Most rhinoplasty surgeries take between one to three hours, depending on the type of procedure being done. As well, patients may need to rest after the surgery for a few hours before going home, but will be able to return home on the same day of the surgery.

In order to determine which type of procedure would be most suitable for each patient, it is best that patients be honest about their expectations and any health problems during a consultation with a surgeon. A consultation will also allow surgeons to answer any questions or concerns one may have before undergoing rhinoplasty surgery. To better get an idea of what the results of rhinoplasty may look like, patients can see before and after images of previous patients who have undergone rhinoplasty. Another preferable option is for patients to view computer imaging of the outcome of their rhinoplasty surgery.

During Surgery

During many rhinoplasty surgeries, it is common for nasal fluid to flow back into the throat. It is crucial that surgeons be aware of this factor and provide a throat protector to prevent this fluid from entering the lungs. A throat protector is usually given with a general anaesthesia. In addition to the general anaesthesia, a local anaesthesia is injected into the nose in order to minimize pain, bruising and swelling after the procedure. A local anaesthesia alone can be used for procedures that solely focus on the tip of the nose. Nonetheless, rhinoplasty surgeries involve very minimal pain. After the surgery, a sterile packing is placed inside the nose and kept for about three days to reduce bleeding. A cast is also placed on the nose to support the bones that may have needed to be broken during surgery. The cast is usually left on the nose for a week. Further, pain medications will be administered to accommodate any post-operative pain.

Nose Types by Ethnicity

The best surgeon understands that all noses are different. One reason why noses vary in shape and size is due to ethnicity. Some people from certain ethnicities have flatter noses, while others from another ethnicity have wider noses. Patients can have the most appealing results if their surgeon takes into consideration any genetic factors that contribute to not only the shape of a patient’s nose, but also what enhancements the patient desires. By considering and understanding each patient’s ethnicity, surgeons can better provide patients with more natural looking results. After all, most patients do not want their rhinoplasty to look dramatic or fake.  Caring and intelligent surgeons will avoid treating all rhinoplasty surgeries with a “one size fits all” approach, and will strive to provide patients with authentic and customized care to meet their expectations as best as possible.It is important to note that it is incorrect to categorize all people from a specific ethnic background as having the same shaped nose, but in general, those of the same background tend to have similar facial features.

Rhinoplasty for Caucasian Patients

Caucasian patients considering rhinoplasty typically have an overly projected nasal tip. The tip itself may be shaped like an equilateral triangle. As well, the nasal bridge tends to be higher on the face. Though this varies, it is not uncommon for Caucasian patients to have thinner skin on the skin, which is also a factor to consider when doing rhinoplasty because it is not appealing to have surgical changes show from under the skin. It is common for the skin of the columella on the noses of Caucasian patients to be long, so it is crucial that cartilage grafting be placed properly.

Rhinoplasty for African-American/Canadian and Mixed Race Patients

Patients who fall under this category typically have noses with a less projected and wider tip. The nose bridge may also be lower. The nose may start lower on the face and the columella may be short. Sometimes the skin at the base of the nose must be removed to narrow the width of the nose because African-American/Canadian and patients mixed with Black may have thicker skin. It is essential that surgeons be cautious not to reduce the nose excessively, as this will lead to a disfigured and unappealing nose. The noses of African-American/Canadian and mixed race patients are likely to vary greatly in size, shape and thickness of skin, so a skilled surgeon will take all of this into account.

Rhinoplasty for Asian Patients

Those of Asian decent, excluding South Asians, also may have certain similarities in the appearance of their nose. It is common for the nasal tip of Asian patients to be less projected. Further, the nasal tip is generally wider and the nasal bridge is lower. The noses of Asian patients may begin lower on the face and the columella may be short.

Rhinoplasty for South Asian Patients

Those of South Asian decent typically have a more projected and thinner nasal tip. The nasal bridge may be higher. As well, patients of South Asian decent commonly have thinner skin, so it is important that surgeons consider this when performing any reductions on the nose.

As previously stated, every nose shape, size and thickness of skin varies by patient, regardless of his or her ethnic backgrounds. Nevertheless, there are some commonalities found in noses of those of the same ethnic and racial backgrounds, which are to be considered when performing a rhinoplasty. This knowledge will help surgeons to give patients a more natural looking nose, as opposed to a dramatically enhanced one.

Possible Risks and Complications

As with any kind of surgery, there are possible risks and complications that can occur during and after the procedure. Nevertheless, these risk and complications can be avoided if the surgeon conducting the rhinoplasty is skilled and cares for their patients and if patients carefully follow the instructions of their surgeon. After surgery, because the nasal bones are broken during the procedure, some shifting of the bones can occur. This shifting results in an irregular appearance. However, this shifting can be corrected simply by sculpting the bone back into its regular position. Other risks involved in rhinoplasty include excessive bleedings, tearing, bone weakening, infections and trouble breathing through the nose. If the airways of the nasal passage are blocked, or the bones in the nasal bridge collapse, patients can have problems inhaling. If any of these complications occur, patients are required to go to emergency right away and contact their surgeons. Fortunately, in the hands of skilled and careful surgeons, such complications and risks are rare or minimal. One of the most effective ways patients can help to prevent such risks and complications from occurring is to stop smoking at least a month before their surgery. As well, if recommended by a cosmetic surgeon during consultation, patients should stop taking certain medications and supplements. Smoking causes the blood to thin, which can seriously affect the actual procedure and the recovery process. Patients are also advised to be completely honest about the condition of their health when they speak with surgeons during a consultation. This information can significantly help surgeons to know what rhinoplasty procedures would be most suitable for each patient.

Post-Operative Care

After a rhinoplasty procedure, it is important that patients take caution and care of their nose to ensure a fast and smooth recovery. There is very minimal pain associated with rhinoplasty and during recovery. Most patients feel more discomfort than pain. After the procedure, a sterile packing is inserted into the nose, which can be a discomfort. This pack is used to prevent excessive bleeding from occurring. Further, a cast is put over the nose to support weakened and broken bones and tissue. The cast prevents the nose from being able to move, which can also be a discomfort. For these reasons, patients will have to breathe through their mouths for the first three days after surgery, which is when the internal packing will be removed.

The cast is removed after a week. It is also best that patients take a week off from work and activities because of swelling, bruising and darkness around the eyes due to blood deep in the tissues. After a rhinoplasty, the surgically enhanced nose will be quite delicate. It is advised that patients avoid strenuous activities and glasses that sit on the nose for up to six weeks after surgery to ensure proper healing.

During the recovery period, patients should also refrain from using any ice packs on their nose, blowing their nose or getting their nose wet. Taking a bath rather than a shower would be an easier way to prevent the area from getting wet. As well, in order to prevent any shifting, damage or pain, it is best that patients who have undergone rhinoplasty surgery avoid making intense facial expressions and wearing clothing that has to be pulled over the head. During follow-up treatments surgeons will let patients know how their recovery is going and when they can return to doing certain activities.

It is most common for patients to go back to work after a week. It must be noted that the final outcome of the procedure, without any irregularities or swelling, takes about six weeks to five months to show. Swelling in the nasal tip takes the longest to go down, but this usually is not significantly visible. For those who are most concerned about the appearance of their nose during the recovery period, a simple distraction, such as a new hair cut or colour, can really decrease the attention on their nose. Overall, as long as patients have reasonable expectations for their rhinoplasty, surgeons can do their best to provide a more natural look.

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