Best Rhinoplasty, Nose Surgeon in Los Angeles

The nose is a complicated three dimensional structure that plays pivotal roles in both its form and function. As a result, there are times that additional surgery is necessary to improve aspects of the nose which have not been addressed or have failed to meet expectations. This surgery, called revision rhinoplasty, is usually performed by our Top Rhinoplasty Surgeon in Los Angeles only after at least one year has passed from the time of the original surgery, which is commonly referred to as the “primary” rhinoplasty. Ethnic rhinoplasty refers to nasal cosmetic surgery on non-caucasian noses. Both of these types of rhinoplasty are quite complicated and require extensive experience. Dr. Kerner, the best rhinoplasty surgeon in Los Angeles has performed over 4000 rhinoplasty procedures, and over 1000 have been revision surgeries and on ethnic noses.

Revision rhinoplasty is more challenging than primary rhinoplasty for several reasons. The anatomy of the nose has been altered during the original surgery, requiring exploration of the new and artificial anatomy. Cartilage may have been harvested and moved in order to straighten the nose or provide support during the original surgery, necessitating alternative sources of structural support should it be needed during revision.

Clearly, there are many special considerations unique to revision Rhinoplasty in Los Angeles. You should find a board certified surgeon who specialized in facial plastic surgery.  For further consideration, contact us at (818) 349-0600.

Each ethnicity has unique physical and cultural characteristics which affects the ideal shape and contours of the nose. Dr. Kerner has operated on patients of African-American, Latino, American Indian, and Middle-Eastern descent. He has experience with other ethnic groups (particularly more specific cultural and ethnic groups within these broad categories) as well. The ability to recognize particular characteristics related to ethnicity and address them in order to produce an attractive nose that results in high patient satisfaction.

Dr. Kerner is also a board certified head and neck surgeon, which means he spent six years training on functional and reconstructive nose surgery. He is not only trained to evaluate and shape the outer part of the nose, but also understands and treats the entire nose, taking into account allergies, sinusitis, deviated nasal septum, turbinate hypertrophy, empty nose syndrome, and a host of other factors. By scheduling an appointment today, you will be able to consult with Dr. Kerner regarding the underlying cause of your breathing difficulty and have your nose cared for both inside and out.

In some cases, your insurance will help cover the costs of revision rhinoplasty. When the function of the nose is impaired, correction is usually covered by your medical insurance. Examples include nasal obstruction, nasal collapse, septal deviation or collapse, as well as injury or chronic infection of the tear ducts. However, undesirable cosmetic features are rarely, if ever, covered by insurance.

The thickness of your nasal skin affects its final appearance. Subtle changes in the underlying framework are often easily seen and felt through thin skin. Therefore, any changes in your nose must be done carefully and gently to avoid any bumps or unnatural corners. Occasionally, a layer of tissue such as fascia or morselized cartilage is placed between the rigid inner structure and the thin outer skin to provide smooth contours and create an attractice nasal shape.

Thin skin is also more easily damaged in the period after surgery. Smoking can seriously impair blood flow, especially to the tip of the nose, causing skin break down. Therefore, pressure to the nose after the cast has been removed should be minimized and all smoking stopped for as long as possible starting in the weeks prior to surgery.

Dr. Kerner Best Nose Surgeon in Los Angeles uses computer imaging to allow you to share your specific thoughts about your nose. Since the nose is a very difficult part of your face to describe in great detail (and yet so easy to see!), having your nose altered to your liking allows us to understand your needs. Computer imaging also helps Dr. Kerner to show you what is possible with surgery after revision, and what is not. As always, such images are not a guarantee of your eventual outcome. They provide an excellent visual aid to discussion before revision rhinoplasty.