Rhinoplasty plastic surgery procedure can be performed using customized techniques to match with the unique aesthetic or functional needs of a patient.

During the pre-operative consultation, the surgeon will determine the candidacy of the patient for a particular cosmetic rhinoplasty procedure.

Successful cosmetic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities.

Reduction Rhinoplasty

Reduction rhinoplasty is one of the more common nose reshaping procedures. This surgery is aimed at creating a nose that is more proportional to other facial features. Reduction rhinoplasty is useful in addressing problems such as an elongated nasal tip, flared nostrils, and a bump on the nose bridge.

The nose surgeon will carefully remove minuscule pieces of cartilage and bone to achieve a reduced and proportionate nose. To reduce the size of nostrils, the surgeon may employ a technique called alar base reduction. In this procedure, the surgeon will remove small amounts of tissue from the area where the nostrils and the cheek meet.

Augmentation Rhinoplasty

Augmentation rhinoplasty is another popular nose reshaping cosmetic procedure. In this rhinoplasty, the surgeon will graft tissue or bone to create a more substantive nasal tip or bridge. In many cases, the surgeon may use cartilage taken from other sites such as the nasal septum.

But if the patient does not have adequate spare tissue in this area, the surgeon may use cartilage from other sites in the body, such as the rib bone. They could also use synthetic material or other types of biological tissue.

Post-Traumatic Rhinoplasty

A post-traumatic rhinoplasty procedure can help restore normal nose appearance and function for patients with nose injuries. Surgeons could use this procedure to correct a crooked nose or rectify problems in the nasal septum.

In many cases, post-traumatic rhinoplasty patients suffer from a broken nose. The surgeon may have to re-fracture the nose, and then reset it for optimal results. An experienced nose surgeon can set the nose quickly after the fracture.

Reconstructive Rhinoplasty

Patients that have suffered a loss of their full or partial nose skin cancer, facial trauma, or another condition could benefit from reconstructive rhinoplasty.

The surgeon will use this procedure to rebuild the nose through flap technique, skin grafts, or other innovative techniques. Reconstructive nose surgery is a complicated procedure which may need multiple surgeries over several months.

Ethnic Rhinoplasty

In ethnic rhinoplasty, the surgeon will use the same techniques as other types of nose reshaping surgeries, but the focus will be on ethnic patients. This procedure is usually performed on people of Afro-American, Hispanic, Middle-Eastern or Asian descent.

People from these ethnic communities often have softer, broader or flatter nasal contours than their American counterparts. The surgeon will enhance the nose shape, while ensuring that the distinct features of these faces remain undisturbed.

Adolescent Rhinoplasty

Doctors usually recommend that a teen patient should wait till their nose is fully developed before choosing rhinoplasty. But if the patient experiences difficulty in breathing or has been through facial trauma, adolescent rhinoplasty may be performed. The surgeon will protect the fragile nasal features if a teen patient receives this surgery.

Prudent cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and other towns and suburbs in this area of the US for rhinoplasty.
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Nose reshaping plastic surgery or rhinoplasty is designed to resolve cosmetic as well as physiological problems that could restrict a patient’s ability to breathe through the nostrils.

The surgery can significantly improve the shape, size as well as function of the nose. Different rhinoplasty techniques can be used to meet the unique needs of a patient.

Dependable cosmetic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and other towns and neighborhoods in this region of America.

Functional Rhinoplasty

Correcting a Deviated Septum

Nasal septum is the cartilage and bone which bifurcates the nasal cavity into two halves. The septum could bend on either side, resulting in an S-shape if it bends internally or in a C-shape externally.

The point where the septum bends will help the nose surgeon determine whether they should reshape the upper bony part of the septum close to the top of the nose or the lower cartilaginous portion.

In some cases, the nasal septum might shift from the frontal nasal spine (this condition is known as septal deviation). In this case, the surgeon will have to correct the shift of the septum and align its base once again with the frontal nasal spine.

Turbinate Rhinoplasty

This nose surgery technique is designed to treat turbinates that may be inflamed due to an allergy or some other irritants. A turbinate could sometimes contract if it is pushed to one side by the deviated septum.

As a consequence, the opposite turbinate gets larger to compensate for the turbinate which has constricted. This may create an additional hindrance in breathing, which can be addressed with turbinate rhinoplasty.

Nasal Polyps

Just like an oversized turbinate, a nasal polyp may also develop because of an allergy or other irritants. Nasal polyps are mostly benign growths that may occur within the nasal passageway. They feel like a soft jelly bulb within the nostrils. The astute surgeon will make use of a snare instrument to access the nose from inside and remove the nasal polyps carefully.

Cosmetic Rhinoplasty

Correcting the Radix

Radix is the bony upper portion of the nose. The radix and cartilage underneath could sometimes cause a nose bump if they are oversized. A shallow radix, on the other hand, may create a nasal depression. The surgeon will reduce or modify the radix size and shape carefully to improve the outer nose appearance.

Straightening a Crooked Nose

Some people may be unhappy with their marginally crooked nose. The trained surgeon can usually straighten the nose by removing some portion of cartilage and bone. They may also move the nose tissue to further improve this condition.

Tip Rotation and Reduction

If the nose is poorly defined appears overly defined, it may not have the correct rotation. Tip rotation refers to the upward or downward turn of the nasal tip. The nose surgeon will carefully evaluate the nasal base and adjust the tip as needed by reshaping the cartilage.

Ethnic Rhinoplasty

Nose reshaping surgery is popular among people whose facial ethnicity is marked by a broad nose. Patients of African and Asian descent often choose ethnic rhinoplasty to reduce the width of their nose. It is paramount for a surgeon to maintain the integrity of the face and the patient’s original ethnic identity when performing this rhinoplasty procedure.

Devoted cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas in this section of the state for rhinoplasty.
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• To see more services and treatments provided by Board Certified Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles | West Hollywood and his team please visit:
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Nearly 40 percent of all bone injuries in cases of facial trauma result in nasal fractures. The treatment begins with primary care.

This will involve an evaluation of the the extent of the injury, determining the causes of the injury, and reviewing the shape of the nose and face prior to the injury.

A rhinoplasty surgeon can provide appropriate treatment for a nasal fracture. Prudent board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities across the horizon.

Types of Nasal Fractures

Nasal fractures can be of different types. If left untreated, some of these fractures can cause obstructions in breathing and result in a deformed or crooked nose.

The fracture can occur at any place in the nasal “bony pyramid.” This is the pyramid-like bony structure that extends from the face. Different nasal fractures will require different kinds of osteotomy to reset or rejoin the bones.

Greenstick Fracture

This type of fracture occurs along the edges of the nasal bones. A Greenstick fracture is seen more frequently in children whose bones are softer and still developing. As the child’s nasal bones are highly flexible, these types of fractures are often partial instead of fully broken bones.

Saddle Deformity

These are more severe nasal fractures, which may cause the septum and the nasal bridge to collapse and become concave into the face. This creates a saddle-type shape, which becomes apparent when the face is seen in profile.

This deformity may occur due to acute trauma to the face or even because of a breakdown of the cartilage following a prolonged habit of drug snorting. To treat such cases, the nose surgeon will incorporate rib bone tissue from the cartilage or a donor to recreate the septum and bridge.

Comminuted Fracture

This type of nasal fracture occurs when the bone breaks into three pieces or more. The nose surgeon will remove the tiny bone fragments which could cause severe complications if left untreated. The bones within the nose are also aligned into position. This condition may occur typically in elderly patients with weak bones who suffer a nasal fracture.

Le Fort Fractures

In some cases, a serious facial injury could lead to damage to the bones that lie behind the nose, also called the maxillae. The maxillae consist of two bones that constitute the palate and upper jaw and offer support to the nasal structures. This fracture is known as Le Fort fracture and is categorized into three types.

Le Fort I fracture may occur in a horizontal position, resulting in damage to the nostril and the jaw line. Le Fort II fracture will cause damage to the maxillae below the eye sockets around the nose bridge. A Le Fort II fracture will damage the bone in a pyramid-like shape. The fracture may extend from the nasal bridge to the corners of the mouth in an inverted V shape.

Le Fort III fracture may involve the orbital sockets, which refer to the bony structure around the eyes. Le Fort fractures are considered a severe condition. They should be promptly treated to avoid long-term damage to the palate or the brain.

Caring cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and other cities and towns in this region of The Golden State for rhinoplasty.
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Nasal polyps can develop inside the nose in various sizes and colors. They commonly occur in pink or brownish-yellow color.

On the surface, the nasal polyp may look like a teardrop. But as it grows, it starts looking like a grape on a stem. Nasal polyps can occur in one or both nostrils at the same time, and could grow alone or in clusters.

Polyp clusters or large sized polyps can cause difficulties in breathing through the nostrils and affect the patient’s sense of smell. Polyps can also block the sinuses and cause problems such as recurrent infections.

The surgeon will determine the condition of the nasal polyps and recommend an appropriate treatment plan. Board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Who could get Nasal Polyps?

Nasal polyps found nearly two to four times more commonly in men than in women. People who get nasal polyps typically develop them in their younger years or middle age.

Nasal polyps are more likely to occur in people with recurring problem of sinus infections, asthma or allergies. They are also more likely to affect children who have cystic fibrosis.

Diagnosis

An experienced nose surgeon will be able to diagnose nasal polyps usually just by assessing the patient’s condition of the nose and asking a few questions about their symptoms. The surgeon may use a light device to view the polyps within the nose.

The following diagnostic tests may be ordered to determine the precise condition:

• Skin prick allergy test
• Nasal endoscopy
• Cystic fibrosis
• CT scan

Treatment

Steroidal Nose Drops or Spray

The surgeon could prescribe steroidal nasal drops or a steroid spray to treat the nasal polyps. This treatment will help improve the swelling in the polyps. It is a common course of treatment for patients have one large polyp or a cluster of smaller polyps. Side effects of the treatment may include nosebleeds, headaches, and sore throat.

Steroid Pills

If the nasal polyps are larger or reveal severe swelling, the nose surgeon may prescribe steroid pills with or without a nasal spray. Steroids can be quite effective in the reducing the size of the polyps. However, one of the complications of steroids is weight gain. The patient may be directed to use the pills only for a limited period.

Other Drugs

In some cases, the surgeon may prescribe other medications to treat the conditions within the nostrils that may be causing an aggravation of the inflammation. For instance, antifungal drugs may be prescribed to fight fungal allergies, antihistamines to treat other allergies, and antibiotics to combat bacterial infections.

Polypectomy

If the polyps are very large, or the patient is not responding to other treatments, the surgeon may advise a surgery to treat the nasal polyps. Polypectomy is a common treatment to remove polyps. The patient will undergo this procedure under either local or general anesthesia.

The surgery may be performed with an endoscope by placing a thin tube connected to a camera within the patient’s nose and sinuses.

Experienced cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for rhinoplasty.
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• To see more services and treatments provided by Board Certified Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles | West Hollywood and his team please visit:
  • drmotykie.com
  • motykiemedspa.com
  • drgarymotykierhinoplasty.com
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