Nasal Deformities

There are a large number of excellent options for nasal reconstruction. Depending on the degree of deformity and the nature of missing tissues, surgical solutions can be either simple outpatient procedures or complex, multi-stage surgeries that can last several hours. Graft material (rib or ear cartilage) is frequently necessary to build or reinforce the framework of the nose. Skin and mucous lining are brought in from adjacent areas. Nonetheless, the majority of nasal deformities will require a surgical approach. The key to treatment is a thorough systematic evaluation of the problem, including a close assessment of the functional impairment as well as the physical deformity.

In addition, the human nose will continue to grow into adolescence. When deciding to correct a nasal deformity, it is important to understand the implications of surgery on future growth of the nose. Surgery done too early in life can possibly result in permanent deformity, making correction difficult later on. Dr. Panossian is an expert in all aspects of nasal reconstruction from simple to complex options. His background in pediatrics is vital in formulating a treatment plan with the appropriate timing considerations.

Most nasal surgery is performed on an outpatient basis. Pain is minimal. Donor sites from harvest of ear or rib cartilage generally heal quickly with minimal discomfort. Patients will require 2-4 weeks of limited activity and avoidance of exercise, heavy lifting, rough play, or contact sports. During this time, aspirin and other non-steroidal anti-inflammatory medications (eg, ibuprogen, naprosyn, etc.) must be avoided. Dr. Panossian will discuss the expected postoperative recovery from each of the potential surgical options at the time of your consultation.

The risks of nasal surgery include bleeding, infection, anesthesia problems, or persistent breathing difficulties. Bleeding can create a hematoma that may need to be drained. This can sometimes be done in the office, or more often, under sedation in a surgery suite. A pocket of infection (also known as an abscess) may also need to be drained in similar fashion.

Complications can include contour bumps and divots, asymmetry, and bad scarring. Each of these problems is usually mild and can be corrected with minimal intervention or by simply giving it time (sometimes up to a year or more). In the setting of severe asymmetry, revision surgery may be required. Steroid injections may be used to settle thick scars.