Nose

Patients generally seek out rhinoplasty to achieve more facial harmony and balance, while potentially also wanting to improve breathing. These patients are understandably apprehensive about how their face will change, and whether they will continue to look like themselves after the surgery. Dr. Cabin provides each patient with a customized nose treatment plan, making sure all goals are addressed. Dr. Cabin uses the least invasive, most effective techniques to achieve a natural rhinoplasty result, so that patients can feel they have achieved the correction they want, while still looking like themselves. Dr. Cabin believes in a “structural” approach to rhinoplasty, considering not only the immediate outcome of surgery but also taking into account how the nose will change over time. This ensures that the nose maintains its ideal shape and structure for years to come. In patients with certain deformities, and who are not ready or are not interested in surgery, non-surgical rhinoplasty may be an option. Finally, the skin itself thins and loses elasticity, resulting in an increase in fine lines and wrinkles, and undesirable textural changes. At the CENTER for Advanced Facial Plastic Surgery, Dr. Cabin will comprehensively evaluate your face and neck, making recommendations to address all aspects of aging to harmonize and revitalize.

It can be quite discouraging to have unsatisfactory nose surgery. As an expert in revision rhinoplasty, Dr. Cabin is sought out by patients around the world to correct the nose after failed rhinoplasty surgery from other surgeons. Dr. Cabin uses his deep experience and pioneered techniques to address the underlying structures, improving the cosmetic appearance and/or breathing issues. During revision rhinoplasty consultation, Dr. Cabin will review his plan to achieve patient desires. Using a minimally-invasive, hidden incision, or through the patient’s previous scar, Dr. Cabin will refine the nose, correcting asymmetries of previously failed surgery. If needed, Dr. Cabin is specially trained in the use of complex tissue grafts from other places in the body, to provide critical structure to under-supported noses.

There can be a bias in the media toward a sloped, small Caucasian nose as the ideal nose; however, the notion of a balanced and harmonious nasal profile can vary from one person to the next. “Ethnic rhinoplasty” refers to the idea that a patient may understandably want to preserve his or her ethnic nasal features while subtly refining the nose.

Dr. Cabin has extensive experience across various patient ethnicities – from African-American, to Middle Eastern and Hispanic – with the ability to subtly correct nasal imbalances while maintaining strong ethnic features. Part of Dr. Cabin’s comprehensive consultation is a discussion about a patient’s specific goals, and only addressing the areas of the nose that the patient desires.

Many patients will first seek out rhinoplasty during their teenage years, as an asymmetric or disproportionate nose can unfortunately lead to peer ridicule and self-consciousness. By making subtle changes to the nose, the patient can feel more confident in their appearance, allowing them to thrive in school and in their personal life.

Dr. Cabin is particularly sensitive to the younger patient, spending time listening to their unique needs and crafting a plan that addresses the patient’s concerns. If under the age of 18, this process is coordinated with parental support. The ultimate goal is to address the patient’s concerns naturally, preventing peers from knowing that any surgery was performed. The office reserves certain procedure times during school transitions, summer break or holidays, to help accommodate to the scheduling needs of these patients

Please note that, depending on the patient’s particular growth pattern, patients must be between the ages of 15 – 17 at the youngest to qualify for surgery. This allows the surgery to be performed safely, without risk of interference with facial growth.

The nose is critical in providing an open passage for air to enter the body. Certain patients have structural abnormalities which can lead to blockage of air, congestion or snoring. Functional rhinoplasty/septoplasty can improve the passage of air without necessarily changing the appearance of the nose. In many patients, however, functional rhinoplasty will be combined with cosmetic rhinoplasty to improve both breathing and nasal aesthetics.

A nasal fracture typically occurs as a result of trauma to the face and can affect both the bone and cartilage of the nose. Unlike a broken arm or leg, there is no requirement to fix a nasal fracture unless it has made breathing worse, or otherwise changed the appearance of the nose.
Swelling from nasal trauma usually lasts a week. During this time, it can be hard to tell whether the nose has been impacted structurally, or whether it needs to be fixed. It is always a good idea to seek medical attention immediately in the setting of a possible nasal fracture, to ensure there are no urgent medical issues.

It is best to meet with a highly specialized facial plastic surgeon like Dr. Cabin for evaluation. In some cases, a quick surgical adjustment can be performed to set the nose back into place, avoiding long term deformities. This adjustment generally needs to be performed within 3 weeks of the trauma, otherwise the bones have healed too much.

Dr. Cabin offers non-surgical rhinoplasty as an alternative to traditional, surgical rhinoplasty. In this procedure, a filler injection is used to balance asymmetries and nasal deformities in the office, in minutes, without anesthesia. This is an excellent option for certain patients who are not interested in surgery but would like to alter the shape of their nose. Dr. Cabin performs non-surgical rhinoplasty consultations in a similar manner as surgical rhinoplasty consultations. He is one of the only plastic surgeons that will use three-dimensional photographic morphing software to discuss goals with non-surgical rhinoplasty patients before proceeding with injection.