Email: Rhinoplasty@rhinoplastynetwork.com

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Dr. Szczerba


Rhinoplasty, sometimes called a “nose job,” is a nose reshaping procedure to refine the size and/or shape of the nose to be in better balance with the facial structures and/or to relieve physical problems such as difficulty breathing through the nose. Rhinoplasty can be performed as a completely elective cosmetic procedure or performed as a reconstructive procedure after the nose has been broken, as a revision rhinoplasty due to poor previous results, or due to a deviated septum. If your desire for nose surgery is due to trauma, deviated septum or poor previous rhinoplasty results, your insurance may cover all or part of the procedure.

In terms of appearance, Dr. Szczerba firmly believes that your nose should fit the face it lives on—that your face should be balanced, with the upper, middle and lower face each about one third of your total face. He does not believe in doing the same nose reshaping procedure on every patient, or in creating a nose that matches that of a celebrity. His goal is that your face will be enhanced with a rhinoplasty procedure to better balance the size and/or shape of your nose to your face. Dr. Szczerba is familiar with all types of rhinoplasty procedures, including those requested by African American or Asian patients who wish their noses to be smaller in profile.

Because it often happens that a “weak” or receding chin is also present with a nose that is out of balance with the face, Dr. Szczerba may suggest the insertion of a chin implant or fat grafting to the chin to better balance the facial features. All these issues will be covered in your consultation in Dr. Szczerba’s office.

As a result of his extensive training in facial surgery techniques both at Emory University and at the New York Eye and Ear Infirmary in Manhattan, Dr. Stefan Mark Szczerba’s rhinoplasty procedures are based upon proven techniques. He takes no shortcuts in his rhinoplasty procedures but offers both completely internal rhinoplasty with no incisions of the outside or an open approach where a very small incision is placed in a very well-hidden area under the nose, between the nostrils. He recommends the open approach to those patients that require more focus on the tip of their nose to bring their nose into harmony with their face.

A rhinoplasty is a very complex procedure, felt by many plastic surgeons to be the most difficult facial surgery procedure. Your rhinoplasty will be individually tailored to your needs. At your consultation, Dr. Szczerba will use computer imaging to help you see the potential final results of your rhinoplasty procedure and uses that time to plan your surgery to match your goals.

GOOD CANDIDATES FOR RHINOPLASTY

Healthy men and women who are distressed about the shape or size of their nose are good candidates for a rhinoplasty procedure, as are those who have suffered from a previous broken nose, who are unhappy with their results from a prior nose-reshaping surgery, or who have a deviated septum that interferes with proper breathing through the nose.

Children are sometimes candidates for rhinoplasty, depending on age. It’s important that the child’s nose, (except for trauma reasons for rhinoplasty such as a broken nose), is fully developed to the adult size, which is generally around the age of 16 or so. Dr. Szczerba believes that rhinoplasty, like any cosmetic procedure performed on those not yet adults, should be the child’s choice, rather than the parents’ insistence. Children who are taunted at school because of their facial appearance may suffer with self-image problems that can last throughout adulthood and impair them socially and emotionally. If this is the case with your child, we urge you to meet with a qualified child psychologist to discuss the problem prior to planning a surgical procedure.

HOW RHINOPLASTY IS PERFORMED

There are two techniques available when performing rhinoplasty—the open approach and the closed approach. Dr. Szczerba is expert at both open and closed rhinoplasty and during your consultation Dr. Szczerba will guide you through the decision of open or closed rhinoplasty. In closed rhinoplasty, there is less swelling and the recovery is faster than with open rhinoplasty. Open rhinoplasty is recommended for those patients whose tip of their nose is the focus. Dr. Szczerba will discuss the appropriate solution to your specific problem when you meet with him for your consultation.

Dr. Szczerba performs the rhinoplasty procedure under IV sedation or general anesthesia in his accredited Chicago Aesthetic Surgery Institute next to Chicago’s O’Hare Airport in Rosemont. General anesthesia is recommended to allow your surgery to progress quickly and comfortably. Depending upon whether you will have an open or closed rhinoplasty, the procedure can take less than an hour for closed rhinoplasty while open rhinoplasty may take 1-2 hours. If you are having a rhinoplasty revision procedure, it may take slightly longer, as there will likely be scar tissue present from the previous rhinoplasty. You will go home the same day, so you’ll want to bring someone with you to drive you home after the procedure.

RECOVERY FROM RHINOPLASTY

After your procedure, Dr. Szczerba may apply a splint (also called a cast) on the top of your new nose to keep it protected during the first few days after surgery. Some patients may need to have internal splints if there needs to be work on the nasal airway. This internal splint is not seen from the outside and is removed about 10 days after surgery.

Dr. Szczerba will call you the night of your procedure to check in with you to make sure you are recovering well from surgery. You will visit the office within a week to remove the splint and to remove any stitches. Once the splint comes off, there is some swelling present but you are about 85% there in terms of final appearance.

Dr. Szczerba recommends that you sleep with a few pillows under your head (or in a reclining chair) the first few days after rhinoplasty surgery to keep the swelling to a minimum. Swelling and discomfort can be treated with ice packs and Tylenol.

Dr. Szczerba advises his rhinoplasty patients to avoid strenuous exercise or any activities that might damage the nose for at least 6 weeks following the procedure. If you have had a closed rhinoplasty, there will be no visible scars. If you have had an open rhinoplasty procedure, there will be a tiny scar between the nostrils that is very hard to see. This will fade with time to the point where it is very hard to find.

The full effect of your nose reshaping will require approximately 6 months to a year but 85% of the effect is there when your cast is removed one week after surgery.

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