rhinoplasty in Toledo

Rhinoplasty is usually performed under general or occasionally intravenous anesthesia at an accredited outpatient surgery facility. Dr. Barone will discuss the recommendations with you and a board-certified anesthesiologist will administer the anesthetic to make you comfortable during the procedure.

Rhinoplasty in Toledo may be done from entirely internal intranasal incisions (closed technique) or more often, through a small incision in the columella, the narrow column of tissue separating the nostrils (open technique).  Dr. Barone will discuss which approach is preferred based on your anatomy and goals. Through these incisions, the nasal tissue is gently elevated allowing access to the cartilage, bone, and other nasal structures allowing your surgeon to reshape and balance the nose.

Reshaping and balance: Once all involved structures are exposed and accessible, excess, or asymmetrical areas may be trimmed or reshaped.  Deficient or poorly supported structures may require cartilage to other grafts to get adequate and stable shape. Cartilage graft may be harvested from the excess or deviated portions of the nasal septum as well as from other sources.  Sutures and other forms of fixation are typically used for securing grafts and other materials. Internal nasal valves and other structures regulating airflow and shape may also be addressed with grafts or suture techniques.

Correcting a deviated septum and narrowing nasal width: If the septum is deviated or imbalanced, it can be straightened and secured in the midline in order to improve airflow and breathing along with trimming of excess nasal turbinates that can interfere with proper air movement. Excessively wide or asymmetrical nasal bones may be narrowed by creating a small slit in the nasal bone base and then moving the nasal bones closer together.

Completing the procedure: After all reshaping and contouring are completed, the skin and tissue are re-draped, final evaluation is made, and the incisions closed. Nasal packing and an external splint are applied to complete the operation and we will take you to the recovery room. Although not all surgeons utilize nasal packing, Dr. Barone has found that the packing is important to stabilize the new shape and position as well as to reduce the chance of post-operative bleeding and drainage.

See the results: The packing and splint are removed after a few days. Although there is initial swelling, you will notice immediate improvement which will increase with time as the swelling resolves. We will provide you with specific post-operative instructions.