Nose Surgery

Rhinoplasty in Chicago

 

rhinoplasty Chicago

Nose Surgery (Rhinoplasty) is a very delicate procedure. The goal is to correct the appearance and to improve its function of regulating and humidifying the airflow.

In order to best evaluate a nasal deformity, it is important for Dr. Makhlouf, a well-established surgeon in Chicago and its surrounding suburbs, to analyze the nose systematically. This means looking at the measurements of the nose’s anatomic planes and landmarks (the base of the nose, the tip of the nose, the base of the nostrils, etc.). Additionally, he analyzes the nose in terms of its relationship to the midface and its relationship to the whole face.

Dr. Makhlouf takes standardized photos which he then uses in his systematic evaluation which in turn leads him to plan what needs to take place to correct the nose. This evaluation is then presented to the patient during a second visit. At the conclusion of that visit, there is a common understanding of the problem and the various goals and then both doctor Makhlouf and the patient agree on the best course of action.

Rhinoplasty surgery is done under general anesthesia or intravenous sedation meaning it is an outpatient procedure. In order for the surgeon to properly carry out the detailed plan, proper visualization of the anatomic structures is done through a small columellar incision (the bridge that separates the nostrils), allowing accurate sculpting of the framework and re-establishing precisely the proper anatomic relationships. Any septal deviation or obstruction is corrected at the same time.

A hard splint is placed at the end of the surgery to protect the support structures of the nose and a nasal pack is placed when the mucosa (skin lining inside the nose) is separated from the septum (the divider between the nostrils deep in the nose).

Forty eight  hours after the surgery the nasal packs are removed. Five to seven days later, the sutures and the splint are removed.

There is an initial improvement that at the time of suture removal, but more subtle enhancements are best seen as the healing of the nose continues to occur over a year.

  • Before-Front
    After-Front
    Before Front After
  • Before-Right
    After-Right
    Before Right After
  • Before-Left
    After-Left
    Before Left After

24 year old female presented with a large nose and a dorsal hump. She did not feel it matched her face. A month after the surgery there is still swelling that will require one year to be fully gone, but the dorsum is straight and in harmony with the rest of her face.

  • Before-Left
    After-Left
    Before Left After
  • Before-Right
    After-Right
    Before Right After

Patient is an 18-year-old male who looked to change the aesthetic of his nose. After a thorough analysis, a Rhinoplasty was performed and his nose was left with a masculine look post-op.

  • Before-Front
    After-Front
    Before Front After
  • Before-Right
    After-Right
    Before Right After
  • Before-Left
    After-Left
    Before Left After

This 29-year-old patient did not like the dorsal hump and desired a more delicate profile.

  • Before-Front
    After-Front
    Before Front After
  • Before-Side
    After-Side
    Before Side After

25-year-old patient wanted to change the appearance of her nose, as it appeared to be too masculine, Post-op picture taken at 1 year.