Northern Virginia Rhinoplasty Surgery

Rhinoplasty or nose reshaping surgery

The nose can be one of the strongest features of a person’s face. People seek to change their appearance through nasal surgery. This is also known as rhinoplasty. These changes can be subtle. They can also be dramatic. Your nose changes over your lifetime. Some people who do not mind their nose at a young age may want to change it as they age. Some people will want a change at an early age. People seek a change because they are concerned about the appearance. There are many reasons a person may want to change their nose shape. They may not like:

  • the way their nose looks in photographs
  • their nose from the side view
  • the tip of their nose
  • their bump
  • the width of their nose at the bridge
  • their nose width at its tip
  • the width of their nostrils

A person can come meet with Dr Brown and not like a few things about their nose. Some like nothing at all about their nose. Others may want just a subtle correction. Some may want a dramatic change. When it comes to the nose, what needs to be modified is a matter of personal choice.

In some cases when there is a breathing problem, it may be covered by insurance. Dr. Brown’s focus is cosmetic plastic surgery. He does not work to combat airway difficulties

Rhinoplasty can be done through small incisions from within the nostrils. This is called a closed rhinoplasty. There is no scar. In some cases, patients will want work to be done on the tip of the nose, or on the nose bump. In these cases, open rhinoplasty is called for. Open surgery uses a slightly larger incision, which does leave a small scar on the underside of the nose. Both closed and open rhinoplasties are good choices. The approach depends on the concern of the patient.

The preceding and following videos demonstrate open rhinoplasty. Open rhinoplasty makes it easy to see. It also allows for more surgical options. Please ask to see more results during your visit.

To learn about cosmetic facelifts or other facial plastic surgery and eyelid cosmetic surgery, please visit those pages.

Prior to a cosmetic surgery, you should read and understand the risks of rhinoplasty.

Non surgical facial improvements?

Cosmetic laser treaments can do wonders without surgery. Fraxel can effectively treat a variety of skin conditions. Dr. Michael J. Brown, MD also provides Genesis Skin Therapy, which is a comfortable laser treatment for sun damage, redness, large pores and uneven textures. IPL Therapy helps to eliminate broken capillaries, wrinkles, rosacea, spider veins and freckles. Titan Laser is an innovative laser used to treat sagging skin of the face.




Tip Rhinoplasty

Nasal Reconstruction after Dog Bite in West Virginia

Soft tissue nasal reconstruction after dog bite

Case Study: Plastic Surgery for reconstructing a traumatic dog bite injury to nose

A 43 year-old West Virginia woman was attempting to feed a friend’s dog when the dog (Rottweiler) jumped up and bit off the woman’s nose. The dog bite injury caused the loss of the nasal tip down to and through some nasal cartilage. The dog proceeded to eat the nose so it could not be reattached. Unable to locate a plastic surgeon to reconstruct the nose in West Virginia, a search in Northern Virginia was emergently begun.

INOVA Loudoun Hospital was contacted and they in turn contacted the Medical Director of The Loudoun Center for Plastic Surgery, Dr. Michael J. Brown. The patient was evaluated by Dr. Brown and arrangements were made to have the patient travel to Northern Virginia to undergo a staged nasal reconstruction to repair the dog bite injury.

This images depicts the loss of nasal tissue. The underlying cartilages are visible in the nasal wound. September 18, 2008. As a side note, this is the cartilage that can be adjusted during a cosmetic rhinoplasty.

In this photo, the patient is in the first stage operation and a plastic surgery forehead flap is drawn on her forehead. This tissue will remain attached to its blood supply near the eyebrow and rotated around to cover the nasal defect.

In these plastic surgery photos (above and below), you can see the flap inset onto the nose and it has been sewn into place. There is essentially a tube of skin, fat, muscle and blood vessels that are resting the nasal bridge. The defect on the forehead will heal in over time and will be further revised with additional stages of the plastic surgeries.

The tube is only attached in the area of the nasal amputation.

Here she is, 4 days later. Because of her smoking history she remained with this flap like this for 4 weeks. At that point, she was taken back to the operating room to thin the flap and put it back onto the nose. This allowed for the flap to lie flush with the thin nasal skin.

She developed a complication secondary to resumption of smoking after her second operation and lost part of the skin on her new nose. This required another trip to the operating room and her flap was raised again, trimmed and then attempted to be replaced. Despite only loosing 3 mm of tissue, it was in critical areas and her result was partially compromised. She remained with her nasal flap in place for another 4 weeks and then was ready for flap division.

She went to the operating room for the division of the flap with the left over tissue placed back in her forehead.

Here she is glad to have that flap stage completed. This photo is 5 days after the division and nasal tip reconstruction.

These are two months after stagged nasal reconstruction after dog bite. The flap remains swollen. This swelling will take a few more months to resolve. She may still require another revision if there is still a contour dissatisfaction.At this point, she is in no hurry for more surgery. All of her nasal reconstructions were performed at Inova Fair Oaks Hospital in Fairfax, Virginia.