Reconstructive nasal surgery is defined as nasal surgery that is medical necessary to restore the function of the nose after an illness, injury or developmental anomaly. Although there is often an overlap between cosmetic and reconstructive goals and techniques, insurance will usually pay for surgeries that are primarily reconstructive, but does not pay for surgery that is simply performed to enhance your appearance. As nasal and facial plastic surgeons, we have the training and experience to reconstruct the complex three dimensional anatomy of the nose, with an appreciation of both form and function. We can advise you at the time of your consultation whether your goals are primarily cosmetic or reconstructive.
Always frightening for the patient, nasal fractures are usually easily reduced and splinted in the office under local anesthesia. Treatment is best if completed within ten days of the injury. If you have severe bleeding, nasal obstruction, change in vision or loss of consciousness, go to the emergency room without delay. In the meantime, elevate your head and apply cold compresses to minimize bruising and swelling.
Skin Cancer of the Nose
The nose is not only one of the most common sites for skin cancer, it is also the most difficult to reconstruct. We frequently work with Mohs surgeons – dermatologists who specialize in skin cancer removal. The Mohs technique provides us with a high chance of cure and the smallest possible defect.
Sometimes a nose is just too crooked to correct with a simple nasal septal repair. This might be the result of an old injury, a congenital deformity, or simply a family trait. Other times the nose is too flat, too narrow, or too floppy to stay open when breathing. When external nasal deformities block your breathing passages, then a rhinoplasty becomes medically necessary.
Congenital deformities include cleft lip and palate, and other malformations of the nose and mouth. Cleft lip is typically repaired in the United States by age 6 months, but we have encountered untreated adults in our missionary work. Secondary rhinoplasty is usually required for further repair after growth.