Open vs. Closed Revision Rhinoplasty Surgery: Which Is The Best Option For Me?

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Every year, Dr. Porter of Chevy Chase Facial Plastic Surgery in Bethesda, MD sees patients in need of revision rhinoplasty because they received unsatisfactory results from their initial rhinoplasty procedure performed by another plastic surgeon Sometimes a lack of communication results in a look the patient didn’t want. Occasionally the patient has increased difficulty breathing. Whatever the reason, revision rhinoplasty is sometimes needed, and Dr. Porter has the skill, precision, and artistic eye to provide the natural-looking results you’re looking for.

But what approach will be the best option for your rhinoplasty procedure? Dr. Porter wants all of her patients to be happy with their final look, which is why she takes ample time to fully evaluate the structure of your nose, inside and out. In addition to fully examining your nose, Dr. Porter will also sit with you during your initial consultation to learn more about you as a person and find out exactly what you want to achieve with your revision rhinoplasty surgery. Keep reading as we discuss more about open rhinoplasty versus closed rhinoplasty and how you can better understand which approach might be best for your revision surgery.

Let’s Discuss The Different Surgical Rhinoplasty Approaches Used By Dr. Porter

Open rhinoplasty and closed rhinoplasty are two separate approaches. However, they both provide the same, long-lasting results for patients in the Washington, DC area.

Open Rhinoplasty

At Chevy Chase Facial Plastic Surgery, Dr. Porter most often uses the open approach during revision rhinoplasty surgery. This surgery involves making a tiny cut between the nostrils (the columella). This incision is used to lift the skin of the nose out of the way so Dr. Porter is able to fully visualize the structures of the nose in order to perform the procedure. This technique does leave a small scar on the outside of the nose, but Dr. Porter is able to disguise it well.

Closed Rhinoplasty

A closed revision rhinoplasty surgery only involves incisions on the inside of the nose; therefore, Dr. Porter’s patients who choose this technique will not have any visible scarring. However, this approach has limitations and is not appropriate for all revision rhinoplasty candidates. If extensive changes are needed, Dr. Porter may require an open approach instead.

How Will Dr. Porter Decide On The Best Option For Me?

To determine the best technique to use for your revision rhinoplasty, Dr. Porter will first perform a full examination on your nose. She will carefully discuss your treatment goals with you and look at the current structure of your nose to determine which type of rhinoplasty approach would provide the results that align with your expectations.

Dr. Porter has treated patients from the immediate are of  the DMV (Washington DC, Maryland, Northern Virginia), as well as patients from far and wide, including many interiational patients.

Washington, DC patients needing a moderate amount of work done on their nasal bridge can benefit most from a closed rhinoplasty technique. Others needing work performed on their nasal tip or another extensive reshaping will benefit most from an open rhinoplasty.

Call Dr. Porter Of Chevy Chase Facial Plastic Surgery Today

Patients needing revision rhinoplasty tend to require a more complex treatment plan than their initial procedure due to changes that the first surgery made to the structures of the nose.

If you are having trouble breathing after your initial rhinoplasty, or you are unhappy with the cosmetic appearance of your initial results, call Dr. Porter today at her office in the Washington, DC area (301) 652-8191 to book your revision rhinoplasty consultation and find out how she can help!


What Is The Ideal Age To Get A Rhinoplasty?

Rhinoplasty Washington DC Rhinoplasty performed by Dr. Porter at Chevy Chase Facial Plastic Surgery, involves surgical techniques that will improve the appearance and function of Washington, DC patients. If you want to change certain features of your nose, or improve your breathing, having rhinoplasty can improve both and lead to a better quality of life. Dr. Porter often finds that many people are curious about what the ideal age is to have rhinoplasty. We’re here to discuss just that, so keep reading to learn more about the procedure, and what’s required to proceed with surgery.

What is Rhinoplasty?

Rhinoplasty is more commonly known as a nose job. This plastic surgery procedure is one of the most popular cosmetic surgeries performed in Washington, DC and is used to change the appearance, or improve the functionality, of the nose. Dr. Porter most often conducts this surgery for the following reasons:
  • To improve the appearance of the nasal tip or bridge of the nose
  • To reduce the overall size of the nose
  • To remove humps or bumps on the nose
  • To change the size of the nostrils
  • To give the nose a straight, narrow appearance
  • To improve breathing 

How to Know if You’re Ready for Rhinoplasty

Dr. Porter performs hundreds of rhinoplasty procedures for patients in Washington, DC each year. Every time, she provides natural-looking results that complement the unique features of each patient. When preparing a treatment plan, Dr. Porter is careful to consider the functional aspects of each case in order to improve or maintain proper breathing for each patient. While there’s no minimum or maximum age to receive a nose job, there are requirements that need to be met before Dr. Porter will consider taking you on as a patient.
  • Physical Maturity and Overall Health
In order to receive a rhinoplasty at Chevy Chase Facial Plastic Surgery, Washington, DC patients will need to be ready physically, meaning you will need to have reached skeletal maturity. This is different for everyone, and Dr. Porter can determine whether or not your nose is “mature” enough to withstand an operation. Additionally, you will need to meet other qualifications in order to undergo elective plastic surgery including:
    • Being in good overall health
    • Being in good psychological health
    • Being a non-smoker, or promise to quick smoking 2 weeks before and 2 weeks after your surgery
    • Communicating that you have realistic expectations for rhinoplasty surgery 
  • Emotional Maturity
In addition to ensuring you are ready from a physical perspective, you will also need to be emotionally ready. Dr. Porter will only clear teens for rhinoplasty after she has discussed the procedure with them and believes they can handle the emotional effects of this surgery.

Choose Rhinoplasty For The Right Reasons

Ultimately, whether your 17 or 77, you should only have rhinoplasty for YOU. Remember, you shouldn’t have rhinoplasty because your parents or friends are pressuring you. And this surgery won’t get you the perfect job or significant other, either. Rhinoplasty will boost your self-confidence, but it should ultimately be a decision you make for yourself - not anyone else.

Call Dr. Porter at Chevy Chase Facial Plastic Surgery Today

Regardless of the age at which you choose to have rhinoplasty, the first thing you should do is schedule an initial consultation with Dr. Porter so she can perform a complete examination of your face, medical and health history, and talk to you about what your ultimate goals are for your final results. If you’re ready to move forward or learn more about rhinoplasty, call Dr. Porter’s Washington, DC office today at (301) 652-8191.

What Are The Different Rhinoplasty Approaches?

Close Up of Female Model for RhinoplastyAt Chevy Chase Facial Plastic Surgery, Dr. Porter and her team want to ensure that each patient gets the care they need. If you’re considering rhinoplasty, she encourages you to start by calling her Washington, DC area office to make an appointment so you can discuss your concerns and goals, get the information you need about rhinoplasty, and learn what type of rhinoplasty technique will be best for your unique needs. Dr. Porter has developed her practice around her patients. From the moment you walk through her doors you will feel welcomed, safe, and at home. She employs the latest techniques and technologies to give her patients the best outcomes possible. And to top it all off, Dr. Porter utilizes the sophisticated MIRROR imaging technology to show her Washington, DC area patients what they can expect from their rhinoplasty results. How cool is that?

The Benefits of Rhinoplasty

Patients choose rhinoplasty both for cosmetic improvement and functional comfort. With rhinoplasty, Dr. Porter can:
  • Correct a hump or bump on the nose
  • Create a nose that is more proportional for the patient
  • Give a nose a more narrow shape
  • Improve the appearance of a flat or droopy nose
  • Change the shape of the nostrils
  • Correct a nose that has been damaged due to injury

Rhinoplasty Approaches

At Chevy Chase Facial Plastic Surgery in Washington, DC, Dr. Porter performs both open and closed rhinoplasty procedures. The approach she chooses to use will be determined during your consultation after an examination and discussion regarding your aesthetic goals.
  • Open Rhinoplasty
When performing an open rhinoplasty, Dr. Porter will create an incision on the outside of the nose, between the left and right nostril. This incision, though small, will give Dr. Porter the access she needs to the bone and cartilage in order to accurately reshape the nose. Another benefit of an open rhinoplasty is that it allows for the creation of a well supported tip for those whose nose droops when they smile. It is also the approach of choice for revision rhinoplasty or crooked nasal deformity.
  • Closed Rhinoplasty
For patients receiving a closed rhinoplasty, Dr. Porter will make incisions on the inside of the nostrils. Patients who only need minimal reshaping benefit most from this technique since it doesn’t provide as much access to the underlying nasal structures. Additionally, closed rhinoplasty does not allow Dr. Porter to reshape the tip of the nose very much. However, this approach means that Washington, DC patients will have no visible scarring, and a shorter recovery period. Regardless of the goals of your rhinoplasty procedure, Dr. Porter will use special techniques to give you the results you want.

Let Dr. Porter Give You The Profile You’ve Been Dreaming Of

When you’re ready to move forward with rhinoplasty, call Dr. Porter’s Washington, DC office to schedule your initial consultation. During this time, you will be able to discuss the procedure with Dr. Porter and ask any questions you have so you will be comfortable and confident in your decision. Dr. Porter has over 20 years of experience providing men and women with amazing, natural-looking results, and she can do the same for you! Call her today at (301) 652-8191.

How Will My Nose Be Adjusted During Rhinoplasty Surgery?

Rhinoplasty Washington DC Men and women all over Washington, DC come to see Dr. Porter at Chevy Chase Facial Plastic Surgery each year to make a change to their nose through rhinoplasty. In fact, according to the, rhinoplasty is one of the top three plastic surgery procedures performed in America. Not only can a nose job give you the profile you’ve always wanted, but it can also help patients in a functional way. If you struggle to breathe because of your nose shape or a deviated septum, rhinoplasty is the surgery that can help you get back to leading a full life. When it comes to rhinoplasty, precision and skill are key. Dr. Porter will perform one of two types of rhinoplasty procedures to give you the look you want. Each type changes the nose shape in different ways, so your rhinoplasty treatment plan will be based strictly on you and your ultimate cosmetic or functional goals.

Types of Rhinoplasty

Every Washington, DC patient Dr. Porter sees is different and unique. Therefore, every rhinoplasty she performs is different and unique. As we mentioned above, depending on your specific needs and desires, Dr. Porter will use one of the following types of rhinoplasty procedures:
    • Open Rhinoplasty Open rhinoplasty procedures are used to address more extensive concerns, such as significant reshaping of the nose. For this approach, Dr. Porter will first make a small incision just under the tip of the nose, in between the nostrils. This incision is tiny and will be well hidden, but by placing it on the outside of the nose, Dr. Porter will have access to the nasal structures she needs to adjust. Through this incision, Dr. Porter will lift the soft tissues covering the nose and sculpt and adjust the nose to a more flattering shape. Open rhinoplasty is more involved and Washington, DC patients will require a longer healing period before they are able to see their final results.
  • Closed Rhinoplasty Closed rhinoplasty procedures are most commonly used for Washington, DC men and women who only need minor adjustments to their nose. For this approach, Dr. Porter will make incisions inside her patient’s nostrils, rather than on the outside of the nose as with open rhinoplasty. Even though incisions are made inside the nostrils with this procedure, Dr. Porter will still gain access to the needed structures of the nose by lifting the soft tissues covering the nose to change the bone and cartilage to a more desired shape. The best thing about this type of rhinoplasty is the lack of visible scarring left behind. Healing from closed rhinoplasty also goes more quickly, and patients can see their final results faster than they can with open rhinoplasty.

Rhinoplasty With Dr. Porter at Chevy Chase Facial Plastic Surgery

With every rhinoplasty procedure she performs, Dr. Porter produces natural-looking results that are in harmony with each patient’s unique features. She will carefully consider the functional aspect of your procedure to improve or maintain proper breathing, in addition to the aesthetic appearance you long for. Call her office in Washington, DC today at (301) 652-8191 to schedule your initial consultation!

Thinking About Rhinoplasty in Maryland?

Growing up, you were often made fun of because of your lumpy nose. Sure, you can take in air, but when you have any degree of nasal inflammation, it can be pure torture. In essence, your nose makes you miserable. So, to remedy this problem, you have been seriously considering having rhinoplasty performed in Maryland. But you are a little hesitant. You want to make sure the doctor that works on your nose will do an excellent job. The first step is finding a good surgeon for your rhinoplasty surgery. One easy way you can do this is by eliminating all plastic surgeons who are not board-certified. Even if they are board-certified in other branches of the medical field, you will only want to work with a plastic surgeon who is board-certified in the field pertaining to your procedure of choice. You should be happy to know that Dr. Porter at Chevy Chase Facial Plastic Surgery is board-certified by the American Board of Facial Plastic and Reconstructive Surgery, as well as the American Board of Otolaryngology. In addition, Dr. Chu is an experienced facial plastic surgeon who is board-certified by the American Board of Otolaryngology. Remember, you want your nose job to look good when it is all over, not worse than when you started. So, if you are considering rhinoplasty in the Washington, DC/Maryland area, you owe it to yourself to visit us at Chevy Chase Facial Plastic Surgery. You might be expecting that our plastic surgeon will provide you with a new nose that sits on your face with perfect balance and symmetry. You heard that people with symmetrical faces are deemed more attractive than those whose facial features are less symmetric. It’s important to understand, however, that no one's face is perfectly symmetrical. So, absolute perfection is likely not an outcome you will be able to obtain with rhinoplasty surgery, regardless of the surgeon who performs it. However, with the lumps worked out and the facial harmony balanced out, you will look and feel better when all is said and done. Make an appointment at Chevy Chase Facial Plastic Surgery in Bethesda, Maryland to learn more information about rhinoplasty. Contact us today to schedule a consultation!

Nose Job: What to Expect

chin Your nose has always stood out, and that has been a cause for concern most of your life. You were not born with what you consider to be an attractive nose. It may even be difficult to breathe. You have wanted a normal nose for a long time now, but you are not sure if you should get a nose job or not. While you may have your doubts and concerns, it might help to speak with a talented plastic surgeon to get some perspective on what a nose job can do for you. We warmly invite you to contact us at Chevy Chase Facial Plastic Surgery to get started. When you come in for an initial consultation, you should be prepared with all of your questions. If necessary, you will want to write the important questions you have down so that you do not forget them. Additionally, you will want the airways of your nose evaluated to see how the nasal structure of your face is affecting your breathing function. Our skilled plastic surgeon will be able to give you some guidance as to the best way to proceed in this area for optimal results. Having a nose job that will increase your breathing function can bring about a significant improvement to your quality of life. Not only can this help you to breathe better, but it will also improve your sleep and cause you to be more energetic during daytime hours. You will most likely look better as well. Do keep in mind that a nose job is a surgical procedure. This means you’ll have some recovery time. The length of the recovery really depends on the extent of the work that needs to be completed. If you are the type of person who takes a long time to heal, you will want to prepare for this well in advance with your current job. Using rhinoplasty, our plastic surgeon can restore balance to your face. Once you have fully recovered, you can look at yourself in the mirror and truly like what you see. Learn more by scheduling a consultation at Chevy Chase Facial Plastic Surgery in Bethesda, MD. We serve clients all around the Washington, DC area. Contact us today to book your appointment!

From the Desk of Dr. Porter: Rhinoplasty Approach – Open vs. Closed

Rhinoplasty Washington DC Rhinoplasty, the art of changing the outside appearance of the nose, continues to be very popular. In my 19 years of practice, I have seen more and more patients are gravitating toward a natural result versus the overdone looks of yesteryear. The approach to rhinoplasty is variable based on the needs of the patient. The difference is related to a small scar across the columella, the bridge of skin separating the two nostrils. The closed approach, with no external scar across the columella, is one of the original approaches to rhinoplasty and is still useful in certain instances in my practice. The external approach which involves an incision across the columella to approach the rest of the nose is very helpful for full visualization of the nasal structure. I will discuss the benefits and risks of both approaches. The closed approach is the perfect approach for patients with very little to do and want a very natural result. It is ideal in patients with medium thickness skin desiring hump reduction and minimal to no change in the tip of the nose. It is also useful for patients that desire narrowing of the alar base, or nostrils, with no change in the tip of the nose. In these patients, the nasal bones located in the upper third of the nose are narrowed as well in order to keep harmony and balance in the appearance of the nose. It is also used in revision rhinoplasty cases where the patient has only some dorsal (the bridge of the nose) irregularity to improve. The external, or open, approach is used for a variety of patients with differing needs. It is very helpful for patients with a crooked nasal deformity for which I may use a spreader graft or need to place sutures in the middle portion of the nose. The external approach is also my choice for patients with a bulbous tip desiring distinct changes in the tip. In these instances, the open approach facilitates placement of sutures and use of cartilage grafts when needed. The open approach also helps the patient with the droopy nose. In these instances, through the use of a cartilage extender or the septum that is located in the midline of the nose, the nose can get support for the tip and help to prevent further droop. These are just a few of the reasons why I choose one approach over the other. The ultimate decision is made upon taking the history and performing an examination of the patient. Using the desires of the patient to work from, computer imaging is performed based on the desires and the patient anatomy. Realistic expectations are set and the image is used during surgery to achieve the desired result. The incision in the open approach is thin and heals well in most patients. Patients that are prone to poor scar formation will typically use a scar gel to allow for reduction of redness and improved healing of the scar. Ultimately the decision of considering a open rhinoplasty vs closed rhinoplasty is based on what is needed and not whether there will be a scar present as the appearance of the scar is usually negligible. The majority of the patients forget that an incision was ever made externally. Schedule your rhinoplasty consultation at our Washington DC office by calling (301) 652-8191 today! 

Benefits of Revision Rhinoplasty

It never fails. If something can go wrong, it is likely going to happen to you. It is as if the universe singles you out to be the unfortunate one. At least, this is how you felt after your first rhinoplasty surgery. Although the recovery time was not all that extensive, you really were not satisfied with the outcome. You thought getting this procedure would be the solution to many of your problems. Unfortunately, you did not have a great plastic surgeon, and the regret that followed your first rhinoplasty was considerable. The thought of having to do this procedure again is not exactly what you had in mind when you started this particular journey to looking and feeling better. However, if you do not undergo a revision rhinoplasty to correct the problems incurred by your first one, you know you are going to continue to feel miserable until you do.

The Right Plastic Surgeon for Revision Rhinoplasty

To truly benefit from revision rhinoplasty, you must take some time to find the right plastic surgeon for the job. Last time around, you may have gone with the first plastic surgeon you could find, and you did not really take much time to do your homework. This time around, you want to be more careful to make sure you are working with a board-certified plastic surgeon who truly understands the muscular-skeletal structures of the facial region. Utilizing the services of a board-certified plastic surgeon is the sure fire way to ensure that your outcome with revision rhinoplasty will be far more what you imagine it should be. They are also bound to a higher ethical standard to be open with you about any complications or issues that could impact your health or well being along the way.  At Chevy Chase Facial Plastic Surgery, both of our experienced doctors are board-certified.

Looking Better

Once you have found the right board-certified plastic surgeon to perform revision rhinoplasty at Chevy Chase Facial Plastic Surgery, you should notice that the quality of their work is much better than you experienced with your first rhinoplasty surgery. Not only is your nose properly aligned, but it is also properly shaped for an aesthetically pleasing look too.

Your Nose Functions Better

With revision rhinoplasty, our surgeon is not simply going to be interested in making the nose look better, but they will also want to ensure that your nose functions better also. It is important to be able to breathe freely in order to get oxygen where it needs to go and to more easily expel waste gases like carbon dioxide. This is especially the case when it comes to getting adequate, uninterrupted sleep. When your nasal passages are properly open, this helps to prevent snoring and other airway obstructive issues that lead to conditions like sleep apnea down the road.  If you're struggling with a rhinoplasty you had in the past, think about revision rhinoplasty! Call or visit Chevy Chase Facial Plastic Surgery in Bethesda, MD, to schedule a consultation today!

Functional Benefits of Rhinoplasty

When you think about the reasons why a person would want to get a nose job, or rhinoplasty, it’s likely you think about cosmetic reasons. Maybe their nose is too big, it’s too small, it’s crooked or they have a hump in their nose that they want to remove. And while it is true that a good portion of individuals who get rhinoplasty do so for purely cosmetic reasons, it is also true that a large number of rhinoplasty patients do so not necessarily to improve the way that their nose looks, but instead to improve the way that their nose functions. Many people use rhinoplasty as a way to restore their ability to breathe through their nose. This is referred to as functional rhinoplasty. It is different than cosmetic rhinoplasty, which is done solely to make a person look better. Functional rhinoplasty focuses not on the aesthetics of the nose, but on the functionality of the nasal valves. Some individuals have nasal valves that are narrow because of a congenital birth defect. Others have nasal valves that are narrow because with age or as a result of an accident, they have collapsed. While the goal of a functional procedure is not to change a person’s appearance, usually the only way to repair the cartilage in the nose is to make some change to the nose's appearance. A person may consider this procedure if they have endured a nasal injury, have a birth defect, have a deformity as a result of trauma, have obstructed breathing or a have had a collapse of nasal valves. Functional rhinoplasty can be performed using a variety of techniques, depending on the situation. The majority of patients would agree that the benefits of functional rhinoplasty far outweigh the minute risks that are involved in having a surgical procedure performed. They are able to breathe better, their nose may look better and they feel better because they are getting the oxygen they need to live in a healthy way. Talk to Dr. Jennifer Parker Porter at Chevy Chase Facial Plastic Surgery to get all the facts about rhinoplasty and how it can work for you, whether it be done for cosmetic or functional reasons. Dr. Porter and her team proudly serve clients in the Washington, DC and surrounding areas. Contact us today to schedule a consultation at our office in Bethesda, MD.

The Life-Changing Effects of Rhinoplasty

Rhinoplasty is a procedure that reshapes the nose and improves its balance with the rest of the facial features. For many people, rhinoplasty is a life-changing experience. Dr. Jennifer Parker Porter of Chevy Chase Facial Plastic Surgery would know; she is a talented rhinoplasty surgeon that has seen first-hand the incredible ways her patients’ lives improve after the operation. If you are weighing the pros and cons of rhinoplasty, Dr. Porter has information that might help you as you make your decision. Here, she shares the most common ways peoples’ lives change after rhinoplasty.

Positive Improvement in Appearance

The most obvious effect of rhinoplasty is positive improvement in the nose’s appearance. Even the slightest cosmetic tweak and subtle results can bring your nose into greater harmony with the rest of your facial features. With a more elegant nose, your entire face can look more proportional and defined — for some people, the face even looks thinner! A physical change can prompt a psychological change, too, especially for people that once suffered teasing and bullying about their appearance. Children and teenagers can be cruel toward one another about physical features (including the nose). If your nose was the subject of ridicule during your childhood or adolescence, you might feel much better mentally after having it fixed. With a nose you love, you won’t be critical of the way you look in pictures, nor tempted to Photoshop your face. You might actually feel inclined to take more pictures of yourself!

Unimpeded Breathing Function

Another important and life-altering benefit of rhinoplasty is the fact that making physical changes to the nasal structures can correct the flow of air. Some people know going into rhinoplasty that an anatomical abnormality in their nose affects their breathing function. Others don’t realize that their breathing has been affected until after surgery, when their nasal passages are opened and it becomes much easier to breathe through the nose. Some people are delighted to find that they sleep much better with improved breathing function after rhinoplasty.

Greater Self-Confidence

For many people, physical appearance correlates with self-confidence. Rhinoplasty can help eliminate lifelong insecurities for improved self-confidence. With better self-confidence, you can look people in the eye when they speak to you. You can attract the people you want, pursue new opportunities and engage socially in a way you never did before.

Speak with Dr. Porter about Rhinoplasty

To learn more about rhinoplasty and how it might change your life, please schedule a consultation with Dr. Porter. Call Chevy Chase Facial Plastic Surgery at (301) 652-8191 to make your appointment today. The post The Life-Changing Effects of Rhinoplasty appeared first on Chevy Chase Facial Plastic Surgery.