Your safety is Dr. Rad’s highest priorities are your safety and comfort. A board-certified anesthesiologist will use a light general anesthesia which is very safe for healthy patients. You will remember nothing about the procedure, you will not feel any pain during your procedure, and you will wake up gently in the recovery room. While a mix of excitement and anxiety is common, keep in mind that Dr. Rad works with a highly skilled team and risks of problems during surgery are extremely low and rare. For your safety, Dr. Rad performs surgery in a AAAASF certified operating facility (“AAAASF” is the highest standard of certification in the US).
The average duration of surgery is 2.5 to 3.5 hours depending on complexity and the desired goal.
Although Dr. Rad is able to perform open or closed rhinoplasty, his preferred method is closed as this is minimally invasive and avoids an external scar across the columella.
If you have a dorsal hump then Dr. Rad employs a “dorsal preservation” approach where the tissues are lifted under the “perichondrium and periosteum (strong layers overlying the cartilage and bone, respectively), then the cartilage and bone are shaped to give the desired appearance. Dr. Rad uses a “let down” or a “push down” method to reduce the nasal pyramid to straight or gently curved. When performing a dorsal preservation rhinoplasty, Dr. Rad will bring down the bridge by removing small areas of cartilage or bone from below the dorsal hump and the top or bottom of the septum.
If you have a bulbous or asymmetric tip then “preservation tip-plasty” can improve the appearance and harmony of your nasal tip. Dr. Rad carefully separates the overlying soft tissues from the cartilages of your tip, and then shapes them with sutures and repositioning maneuvers to create the desired tip shape. Keep in mind that skin thickness is very important to take into consideration because thin skin will show edges more so than thick skin. Think of it like pillows on the bed – a thin bed sheet over the pillows will show the undulations and edges of the pillows, whereas a thick duvet comforter will not. Sometimes tissue thinning can be done but only very carefully as the tissues must be preserved.
Once the desired nasal shape is achieved then Dr. Rad checks symmetry, shape and contour to be sure that your new nose balances beautifully with your facial features. Then he closes the incisions and places internal and external nasal splints to support the underlying structures.