The nose is the focal center of the face and is often one of the first things someone will notice about you. An ideal nose should be proportional to the surrounding structures to appear aesthetically pleasing and in harmony with the rest of the face. Las Vegas, NV plastic surgeon Dr. Chris Costa has a passion for rhinoplasty and it is one of his favorite procedures. Having trained with some of the top rhinoplasty surgeons in the world, Dr. Costa has developed a keen aesthetic eye and attention to detail that produces amazing, natural results.
Rhinoplasty is one of the most sought-after procedures in plastic surgery. If you suffered trauma to your nose when you were younger and now have a difficulty breathing or a crooked nose, Dr. Costa will be able to help fix the underlying problem while also giving you an aesthetic result. If you are unhappy with the appearance of your nose because it appears too wide, large, or misshapen, Dr. Costa will meet with you to discuss your specific needs and develop an individualized plan to get you to your goals. The objective is to allow for a more aesthetically appealing nose that meets your cosmetic desires and functions well. Dr. Costa takes both the aesthetic concerns and functional concerns into consideration when developing a treatment approach. To learn more, contact Platinum Plastic Surgery to schedule a consultation.
Anatomy of the Nose
The nose functions not only to create beauty on the face but also acts a big part in how we experience the world around us. The nose takes in air and humidifies it as we breathe and houses the nerves that give us a sense of smell. To preserve all the multiple functions of the nose, rhinoplasty will focus on the structural components that define the external appearance of the nose and how they relate to rhinoplasty. Dr. Costa has a thorough understanding of the anatomy of the nose and always takes into consideration the important surrounding structures to preserve the natural anatomic functions of the nose while performing rhinoplasty surgery.
Structure: The structures that give the nose its shape and allow it to project off the face, yet remain soft when we touch it, are related to the underlying bones and cartilage
Skin: The skin of the nose varies in each person, but in general the top third of the nose has very thin skin that is more mobile while the bottom of the nose has a thicker skin that is less flexible. It is important to recognize that not all people have the same thickness of skin in the nose and those with thinner skin may be more likely to show changes to the underlying structures of the nose. Between the skin and underlying support structures lie several small, thin muscles, blood vessels, lymphatics, and nerves that give sensation to the skin of the nose.
Bones: There are two thin bones that sit at the top of the nose, these bones can be of different sizes depending on the person and are attached to the underlying skull. The bones project out and are partially responsible for the hump that can develop along the bridge or dorsum of the nose.
Cartilage: The rest of the nose is supported by five distinct cartilage structures that give the nose its shape called the upper lateral cartilages, the lower lateral cartilages, and the nasal septum. The upper lateral cartilages are mostly straight structures that both extend down off of the nasal bones (one on each side) and make of the mid-vault portion of the nose and dorsum. If they are too high, they can contribute to a dorsal hump on the nose. If they collapse and are too low, they can cause an issue, commonly referred to as an inverted-V deformity because it creates a depression in the middle of the nose. As the upper lateral cartilages descend off the bones they extend towards the tip of the nose under the lower lateral cartilages. There are two lower lateral cartilages, one on each side of the nose. They extend from the lateral base of the nose from an area called the pyriform and meet in the center of the nose to create the underlying structure that defines the nasal tip.
After meeting in the center to define the tip, they bend down and descend down the base of the columella to give support to the tip. The two arms of the lower lateral cartilages and the central dorsum of the nose provide the structure to hold up the tip, much like a tripod. The last piece of cartilage is the nasal septum. This is a straight piece of cartilage that splits down the center of the nose between the nostrils. It is approximately the thickness of a credit card. In some cases the septum may be warped or deviated thus causing an obstruction of the nostril, making it difficult to breathe. Often a part of the septum may be harvested to be used for grafts that can be used to help support the structure of the nose.
"I couldn't have been more satisfied with Dr. Costa. I am definitely the client no one wants to deal with for several reasons, and he handled me with excellent professionalism. I asked a million questions, I consistently changed my surgery date, and kept him in his office past business hours to express my fears prior to my surgery. My surgery was the best thing I could have done and I refer all my friends to him. I did my research on him prior and saw his work first hand, I would go to him again in heart beat for any surgery in my future."- L.S. / Yelp / Aug 01, 2018
"Great experience! Very professional, very knowledgeable! I would go back or refer anyone to him!"- C.L. / Google / Aug 31, 2018
"Rhinoplasty 😁 Still in the process of healing, but I absolutely love it. Thanks Dr. Costa, I’m so happy! I found you, on Instagram. You’re amazing, and your staff."- S.D. / Google / May 11, 2019
"Rhinoplasty 😁 Still in the process of healing, but I absolutely love it. Thanks Dr. Costa, I’m so happy! I found you, on Instagram. You’re amazing, and your staff."- S.D. / Google / May 28, 2019
"I’m only 2 weeks post surgery and my nose looks great - If you’re looking to get a rhinoplasty, look no further than Dr. Costa. He is very professional and explained the surgery very well. I’m only 2 weeks post surgery and my nose looks great. Can’t wait to see it in a month or so. His staff is very nice and professional. The entire experience went very smoothly."- A. / RealSelf / Jun 03, 2020
Rhinoplasty Ideal Candidates
Adults and teenagers over 16 years of age are candidates for cosmetic nose surgery. If you find yourself frustrated with the appearance of your nose and have distinct issues you hope to improve, enhance, or correct, Dr. Costa can probably help. There are many indications for rhinoplasty surgery. Many people who desire rhinoplasty are unhappy with a hump on the bridge of their nose or have a crooked bridge. Additionally, the tip of the nose may be too large (bulbous) or boxy, and require refinement. Others may have a deformity of their nose that limits their ability to breath through the nose. In this case, Dr. Costa can perform a surgery to improve your breathing, called a septoplasty or turbinoplasty. Often times patients desire to have this procedure performed at the same time as a cosmetic rhinoplasty to alter the shape of their nose.
Rhinoplasty Surgical Technique
Nose surgery is performed while the patient is under general anesthesia as an outpatient procedure. Rhinoplasty can be performed with different surgical methods depending on what is being addressed. Dr. Costa performs rhinoplasty using either an open or closed (endonasal) approach. During surgery, Dr. Costa will directly visualize and augment the underlying structures of your nose to create a natural-looking result that matches your desired outcome. This may include eliminating excess bone or moving the bone to give the desired profile. The cartilage of the nose will be shaped and augmented to build a symmetric foundation for the overlying tissues. Dr. Costa often uses your own excess cartilage to create grafts to support the structure of the nose or improve its shape. The nasal features are repositioned and the skin is draped over the newly structured framework. Absorbable stitches are positioned on the inside portion of the nose and small stitches are placed at the hidden incision site. After surgery, the new nose is supported with soft splints on the inside and outside of the nose to protect the shape as it heals.
What to Expect with Rhinoplasty
Upon completion of your cosmetic nose surgery, you will rest comfortably in the recovery space before our medical staff releases you to recover at home. The nose and the surrounding area will be swollen, bruised, and sore for the first few days. In almost all patients, there is some discoloration beneath the eyes in addition to the nose. Consistently using cold compresses and inflammatory medications can assist with these effects. Your post-op check-up with Dr. Costa will be scheduled within 72 hours after surgery to assess your healing progress. It takes around 2 – 4 weeks to look normal following nose surgery. Within this timeframe, strenuous exertion should be avoided.
Plan Your Procedure
- Recovery Time
- 1 – 2 Weeks
- Average Procedure Time
- 2 – 3 Hours
Your Best Nose
If you're dissatisfied with the size and shape of your nose or if you suffer from breathing problems, nose surgery may help. Nose surgery is a popular and effective cosmetic procedure with very high success rates. Plastic surgeon Dr. Costa aims to improve your nose so your entire face appears more attractive and proportionate. Even minor adjustments can lead to an impressive improvement. Contact Platinum Plastic Surgery in Las Vegas, NV to schedule an appointment.