DR. JACK P. GUNTER: Ethnic rhinoplasty is a rhinoplasty for the different races. And in Dallas the type of ethnic rhinoplasty that we usually perform are for African Americans, Asians, mid-easterners. Each one of these races have common traits and characteristics of their noses. And one of the things you always are concerned about is whether the, how much of the ethnicity the patient wants to keep. You know? They don’t want to be changed too much but yet they want something changed.
So the main thing about ethnic rhinoplasty is you have to have a very good consultation with them. And to really get down and talk about exactly what they want, because you know some people with the same deformities won’t want the same thing. So that’s the main thing in ethnic rhinoplasty. We do a lot of ethnic rhinoplasties and you know they’re very happy, as long as both sides know what we’re trying to achieve. And so that’s what I, that’s what we think is the most important thing, is to individualize the operation for them and try to get them exactly what they want.
DR. JACK P. GUNTER: Well the nose is the most prominent feature of the face and certainly it plays a very important role in the facial aesthetics. So rhinoplasty has actually two benefits, improving facial aesthetics and also improving nasal function. The nose has a very strong psychological effect on ones self-image and can decrease ones self-confidence, especially in the younger patients.
It’s very satisfying for us to see a patient come in to the office with a big smile on their face and very outgoing who, before their rhinoplasty, was very shy, retiring, and you know didn’t have much to say, but has become a much happier person. And this makes us very, it is very satisfying to us.
We also must remember though that the nose is functioning organ and that the air that goes through the nose is healthier for the lungs than if it goes through the mouth. So it’s very important that when we’re improving the aesthetics we also must keep in mind the problem of decreasing breathing and to open the airways so that they can breath better.
DR. SPENCER COCHRAN: Our rhinoplasties are usually performed under general anesthesia, which means patients are asleep. Typically surgery lasts approximately three hours. The surgery may last up to five hours for patients who undergo a secondary rhinoplasty. For patient who have a rib graft we often keep them in the hospital overnight, but generally rhinoplasty is considered an outpatient procedure.
After surgery the nose will appear swollen and there may be some mild bruising around the eyes. A cast is placed on the outside of the nose to help maintain its shape during the recovery period. One week after surgery the cast and any sutures or splints are removed. When the cast comes off the new shape of the nose is apparent, although it may appear a little bit swollen. That swelling generally subsides over the next several weeks so that by approximately four months the final shape of the nose is apparent.
DR. JACK P. GUNTER: Secondary rhinoplasty is a rhinoplasty performed for patients who have already had a previous rhinoplasty and either they’re dissatisfied, well they are dissatisfied with the operation for one reason or another. Now there can be, these can be due to minor deformities that they have or major deformities. And if it’s a minor deformity it can be fairly easily fixed. However if it’s a major deformity it becomes more difficult and is much more difficult than primary rhinoplasty. And it can be a problem with the aesthetics as well as a problem with breathing.
And when we go into secondary rhinoplasty we start having to take cartilage from other parts of the body because the cartilage inside the nose has been operated on, some of its been removed, some of it is distorted, and sometimes we have to build a complete new framework and it’s under the skin. And then if the skin’s been damaged it’s very difficult to improve the skin. So because of its difficulty it is very important that the patient select a highly qualified surgeon to perform any type of secondary rhinoplasty.
They will not cover any portion performed to improve the cosmetic appearance of your nose. The Gunter Center for Aesthetics and Cosmetic Surgery does not contract with any insurance plans. However, if it is determined that you have a functional problem, we will contact your insurance company in attempt to obtain approval of coverage. You must have out of network benefits in order to be reimbursed for the surgeon’s fees and anesthesia.
For our cosmetic rhinoplasty patients we offer several patient options. The Gunter Center for Aesthetics and Cosmetic Surgery accepts cash, direct wires, verified checks, MasterCard, Visa, and American Express. We also offer financing plans through Care Credit. If you have any questions about this service, please contact our office or visit their website, carecaredit.com.