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The Seattle Facelift Center®
William A. Portuese, M.D.
1101 Madison Street, #1280
Seattle, Washington 98104
Phone: 206.624.6200

Rhinoplasty FAQs


Is it possible to correct an upturned tip after a rhinoplasty?
There are rhinoplasty techniques that make it feasible bring the nose tip back down. On occasion this may involve grafting of cartilage. Cartilage grafts taken from the nose won’t warp. Grafts from ear cartilage are known to warp and are inadvisable as a primary resource of cartilage. Take the necessary steps to confirm you nasal surgeon is experienced and extremely well-versed in revision rhinoplasty having done thousands of them.

What is a middle vault collapse?
An inverted V deformity and collapse of the center vault may be created by both open and closed rhinoplasty surgery. This is a direct consequence of what is done to the upper level cartilages, it is not a product of the open or closed technique. A middle vault collapse may occur using either type of nasal surgery.

Should I do facial muscle exercises after rhinoplasty?
Grimacing, laughing, smiling, and other facial movements will not hinder the surgery results and do not effect on the outcome of nasal surgery.

Are rhinoplasty normally done after a septoplasty?
Septorhinoplasty and rhinoplasty are generally performed simultaneously. It is possible to for them to be done separately. Once the patient has had a septoplasty, it is recommended the patient wait two to three months prior to having rhinoplasty surgery to allow complete healing to take effect in the inside portion of the nose. Weir excisions of the alar base allow the nostril size to be slightly adjusted, this is called an alarplasty.

Is it possible to do rhinoplasty to refine Asian nose without unnatural results?
Nasal surgery operations are intended as a static procedure for a nose in a fixed spot. When smiling, the nose will still be wider, a dynamic trait. Augmentation of the nose bridge is easily achieved using either a Silastic synthetic implant or natural cartilaginous tissue. Facial muscles are not injured after a surgery of this type. Reduction of a bulbous tip can be completed, even though the tip of Asian nose and skin are frequently rather thick and difficult to refine. There is a tendency for the nose to continue spreading a bit, even after the nose job, when smiling. The natural Asian ethnicity of the nose is possible to preserve.