The nose, being the most defining central feature of the face, has a very significant impact on how a person looks. Even a slight alteration in nasal shape and structure can often greatly improve one's appearance.
Dr. Ovchinsky, a double board certified facial plastic and head & neck surgeon, will provide you with the highest level of expertise in both esthetic and functional rhinoplasty. This dual training allows Dr. Ovchinsky to know the nasal anatomy and function literally "inside out" and to be able to encompass esthetic and functional (breathing) improvements in one procedure without compromising either.
It cannot be overemphasized that good communication between a patient and a doctor is essential in planning of rhinoplasty. Nasal anatomy, skin type, history of prior nasal surgery, ethnic background, and age are important factors to be considered in preoperative discussion. During the preoperative evaluation, Dr. Ovchinsky will both listen carefully to your concerns and desires, not only with respect to what you want changed, but also to what you wish to remain the same. Today, computer imaging is an enormous help in the exploration and dialogue between you and your surgeon. By utilizing the imaging system, Dr. Ovchinsky would be ale to greatly facilitate the discussion and mutual understanding and to show you a realistic view of what can be accomplished by surgery.
Dr. Ovchinsky is equally versatile in either the "closed" or "open" rhinoplasty techniques. In the closed technique, all incisions are concealed inside the nostrils. In open rhinoplasty, most of the incisions are also made inside the nostrils except for one small incision over the columella – the narrow strip of the nasal skin at the bottom of the tip. The selection of one approach over another is based largely on the nasal anatomy and surgical goals and not on the mere presence or absence of the external incision.
Nasal Tip Surgery
Many patients present for rhinoplasty because they are unhappy with the appearance of the nasal tip: it may be too big or bulbous, sticking out too far away from the face (over-projected), droopy, or excessively pinched and collapsing (especially common in patients who had prior rhinoplasty surgery). While there are many nasal tip techniques involving modification of the nasal tip cartilages, with time certain techniques may result in excessive narrowing or asymmetries of the nasal tip with or without nasal obstruction.
Dr. Ovchinsky's techniques rely primarily on preservation of the tip cartilage strength, precise suture placement and the use of cartilage grafts to create a naturally appearing and stable nasal tip contour, no matter whether this is your first nose job or a revision.
Dorsal hump reduction is one of the most commonly performed procedures in rhinoplasty, usually resulting in a much more pleasing profile and smaller appearing nose. While removal of the dorsal hump may seem like a fairly straightforward procedure, it is very important, especially in cases with very prominent dorsal humps, to provide the nose with an extra support in order to prevent future weakness and collapse of the dorsal cartilages.
In many instances, especially in cases of prior nasal trauma, nasal bones may be shifted to one side or another, thus causing nasal deviation and asymmetry. This problem can be successfully corrected during rhinoplasty. It is very important to carefully examine these noses internally prior to surgery since most of them have septal deviation as well. The correction of septal deviation should never be neglected; if uncorrected, it may lead to incomplete improvement of nasal deviation and persistence or worsening of nasal obstruction after the surgery.
Rhinoplasty in Men
A masculine nose is characterized by a profile with a strong, straight nasal dorsum and by a well defined, but not overly narrowed nasal tip. In approaching male rhinoplasty, Dr. Ovchinsky's goal is to improve the overall nasal appearance while preserving the masculinity of the nose, specifically avoiding scooping out of the nasal bridge, over-rotation of the tip (tips that are turned up too much), or excessive narrowing.
Nasal anatomy and tissue characteristics are largely defined by patients' ethnicity. For example, African American patients who present for rhinoplasty usually feel that their nose is too wide, "too big," and undefined for their face. This is due to a combination of shallow and wide nasal bones, weak nasal tip cartilages, short septal cartilage, and thick skin. Hispanic noses may vary widely in appearance, however most of them have fairly thick skin, droopy nasal tip and a dorsal hump. Iranian, Middle Eastern, and Mediterranean patients have an overall larger nose, with either a straight bridge or a large hump. In these patients, the nasal tip is also typically large and generally droopier as compared to the average Caucasian nose. Asian noses usually have low-set or flat dorsum and fairly bulbous nasal tip
All these noses require different approaches and techniques to achieve the beautiful result the patients are looking for. Dr. Ovchinsky has years of experience with ethnic rhinoplasty surgery working with diverse patient population of greater New York area.
If you are considering Rhinoplasty or Revision Rhinoplasty surgery, you have come to the right place. Dr. Ovchinsky specializes in naturally beautiful rhinoplasty results and is passionate about rhinoplasty surgery, having made it a focus of his facial plastic surgery practice. He is the author and the teacher of the latest rhinoplasty techniques proven for reliability and longevity, and places as much importance on function (good breathing) as on appearance. It is Dr. Ovchinsky's paramount goal that your satisfaction with your beautiful new nose lasts for a lifetime.