Rhinoplasty
Rhinoplasty, or “nose job” surgery, is performed to change the external shape of the nose. It may also be performed to improve air flow through the nose. Regardless of the reason for rhinoplasty, Dr. Longino believes it is of utmost importance to ensure all patients have an optimized nasal airway for breathing after surgery.
There are many techniques and approaches that may be used in rhinoplasty. Every nose is unique, requiring different maneuvers. Dr. Longino does not take a “cookie cutter” approach to rhinoplasty; rather, she considers a patient’s goals and what is surgically achievable with his/her anatomy. Her goal is to deliver classic, natural results that stand the test of time. She believes that a well-performed rhinoplasty takes attention away from the nose, allowing it to sit in harmony with the rest of the face.
In the vast majority of cases Dr. Longino performs open rhinoplasty, which involves a small incision on the columella of the nose (on the “underside” of the nose between the nasal tip and the base of the nose). This allows the most visibility and control of nasal structures, and the columellar incision heals imperceptibly.
Preservation Rhinoplasty
“Preservation rhinoplasty” may have become a buzz word in the media in recent years, however these techniques are not new. Preservation techniques date back more than 100 years. Dorsal preservation rhinoplasty is a broad term that, in general, means lowering a dorsal hump without disturbing the surface anatomy of the nose. This allows us to “preserve” natural dorsal aesthetic lines, or the natural shape and geometry of the bridge of the nose.
Most importantly, it is not the technique that makes a great rhinoplasty, but rather the proper selection and application of a technique. Dr. Longino will choose the technique that best suits each individual nose and the desired end result.
Ultrasonic Rhinoplasty
Similar to Preservation Rhinoplasty, “Ultrasonic rhinoplasty” has become a buzz word in facial plastic surgery. “Ultrasonic” refers to a device that uses high-frequency ultrasonic vibrations to manipulate the nasal bones during rhinoplasty. Ultrasonic devices, such as the piezotome, are used instead of “hammers and chisels”. They are both more precise and less traumatic, and may result is less bruising and swelling after surgery. Dr. Longino uses ultrasonic devices when manipulation of the nasal bones is required.
Revision Rhinoplasty
Patients may seek revision rhinoplasty when the cosmetic or breathing result from prior surgery (or surgeries) is suboptimal. This is a highly nuanced surgery, and both pre- and post-operative care must be carefully planned. Patients often require cartilage and/or soft tissue from other sources to rebuild the nose - this may include the patient’s own rib cartilage, fascia, or ear cartilage. Dr. Longino is experienced in revision rhinoplasty and takes a keen interest in these challenging cases.