The Nose Knows!

11 May 2016 7:53 pm


What does the nose know?

Seductive scents, regular respiration, inconvenient illness, annoying allergies, and beautiful aesthetic balance. We expect it to work and function well. If an imbalance exists, it can be difficult to ignore.

How do I make it Better?

Illness and allergy are clearly manifest in the sneezing and sniffling that range from mild to debilitating. Silent losses in smell (olfaction), our taste experience, and conversion to mouth breathing are frequently present. Although these conditions are managed medically, the latter problems can be the result of an anatomic functional obstruction unrelated to an acute or chronic disease process. Septal deviation, inferior turbinate hypertrophy, internal valve collapse, and external valve collapse are the usual suspects for such symptoms. Correction of these structures require surgical intervention, but make an immediate, permanent improvement with minimal downtime. Often performed simultaneously, external appearance improvements (Rhinoplasty) are a matter of quality of life. As a facial feature, the nose is front and center. For some, the appearance has bothered them their entire life and has been a focus of unwanted attention. The goal is establish facial harmony, not create a facial statement piece. Positive improvements can be made while still maintaing one’s heredity, culture, and identity. Performed by an expert, the distracting features are erased, and the eyes, lips, and cheeks, the most intriguing facial features, can make the first impression.

How do I know what is necessary?

That is determined by you and the findings on an evaluation for the the problem at hand. Once performed, a candid, clear explanation of what can be managed medically and what will require surgical intervention should be completed. Someone experienced and knowledgable in both aspects will best present the options to you, avoid misdirection, and help you make an informed decision. As for aesthetic changes, a discussion about your goals and the limitations of surgical intervention is paramount. This is reinforced by the use of digital imaging so that you and your surgeon will be of the same mind about the desired outcome when changes in millimeters make a large difference.

Who should do My Surgery?

Making positive improvements to this most central of facial features requires advanced technical skill, attention to detail, expert knowledge, and the focus on a facial specialist. This is validated by the large percentage of plastic surgeons choosing to exclude rhinoplasty from their practice. Many surgeons, will depend on their board certification in plastic surgery as all the necessary credentials required for the operation. Unfortunately, this does not mean a surgeon is capable of giving you the results that you desire. Check his/her plastic surgery photos, read their plastic surgery reviews, and determine for yourself whether you feel they are qualified for your operation. Lastly, you should like your surgeon and feel good about your relationship prior to moving forward with any interventions.


Dr. Robert Brobst

Dallas Plastic Surgeon