Nose surgery in Raleigh, NC

Quite obviously, noses come in an endless variety of shapes and sizes, as do patients' expectations for nasal refinements. These factors make rhinoplasty an extremely challenging, and extremely rewarding, surgical endeavor. Prior to performing rhinoplasty surgery I carefully evaluate preoperative pictures with every patient, on at least two occasions. We determine together the postoperative goals, with a realistic appraisal of the improvements which are possible. It is absolutely essential to ensure that the proposed changes will ultimately 'fit the face'.

Rhinoplasty may be performed alone, or in concert with other facial rejuvenation procedures. One important consideration in assessing the appearance of the nose in profile is whether or not the anterior projection of the chin is in harmony with the anterior projection of the nose. An inadequately projecting or 'weak' chin may contribute to the appearance of an overly large nose. In some patients undergoing rhinoplasty, I also perform chin enhancement using a soft, anatomic implant placed over the most anterior aspect of the mandible through an incision below the chin. On occasion I perform a chin implant alone (instead of rhinoplasty), as in some patients the enhancement of the anterior chin projection in profile may be adequate to 'reduce' the apparent nasal projection.