Is your nose too large or too small? Is it flat, crooked, or pointed? Do you struggle to breathe from one or both sides of your nose? Did you break it while playing sports? Whether you’d like to change your nose for aesthetic or functional reasons, the best rhinoplasty in San Francisco performed by Dr. Michael Kulick, board certified plastic surgeon, can help you achieve your desired outcome.
Not All Created Equal
Rhinoplasty, often referred to as a nose job, is one of the most difficult facial surgeries with a revision rate as high as 15 percent.* With its prominence on the face, nose surgery demands extensive knowledge of facial anatomy and respiratory function. Understanding the artistry of reshaping and the desired outcome of the patient is equally important to individualize each procedure for an optimal outcome. Dr. Kulick’s steady hands have more than 20 years experience to modify and reshape your nose for both form and function.
Being one of the most respected and sought-after practitioners in the Bay Area for rhinoplasty begins with careful and extensive preoperative discussions prior to surgery to build understanding between patient and doctor. Bring both pictures of desirable and unattractive noses to your consultation. Dr. Kulick will examine the prominence of your cheeks, your jawline, your skin, and the overall dimensions of your nose. A picture of your nose will be taken, and computer imaging helps visual potential nose anatomy. He will provide wisdom on how to achieve overall facial harmony but will also be honest with you to describe what are attainable results. As with any plastic surgery, results cannot be guaranteed, but patients can schedule as many consultations as necessary to feel comfortable with the surgical procedure.
Candidates For Nose Surgery
Rhinoplasty is one of the top five cosmetic plastic surgeries** in 2017 with 218,924 procedures but not everyone is a good candidate for a nose job. All candidates should be in good physical health, a non-smoker, have realistic expectations for improvement, and a desire to change your appearance for yourself – not anyone else’s standards. Your face must be done growing. If you meet those standards, then here are some of the reasons for rhinoplasty:
- Increase or decrease the overall size of the nose
- Remove a hump or hump
- Improve facial symmetry or a crooked appearance
- Narrow the tip of the nose
- Adjust the tip projection
- Reduce nasal width
- Reduce nostril size
- Modify the angle between your nose and upper lip
- Attaining chin and nose symmetry
- Address medical conditions such as a deviated septum or breathing difficulties
Choosing The Best Rhinoplasty Surgical Option In San Francisco
While we may all want to look like our favorite celebrity or athlete such as David Beckham, your nose surgery must marry your desires with the natural features of your face and cartilage and bone structure of the nose. Two common surgical options include open or closed rhinoplasty. Revision rhinoplasty is sometimes necessary to fix corrections to prior nose jobs.
A tiny horizontal incision, between 4 and 5 mm, is made across the vertical strip of soft tissue called the columella, separating the nostrils for open rhinoplasty. One major benefit to this option is the surgeon’s ability to elevate the skin off the nose for greater visibility of nasal bones and cartilages. By seeing more of the nose’s structure, a more precise surgical result can occur.
In closed rhinoplasty, known as endonasal rhinoplasty, all incisions are inside the nostrils which are invisible to the naked eye. Surgeons have limited visualization during the procedure because all the work is done through extremely narrow nasal openings.
Either outpatient surgery occurs under local sedation or general anesthesia. Following patient’s wishes for reshaping and redefining the nose, Dr. Kulick manipulates the bones and cartilage with surgical skill and artistic talent, separating him from other surgeons. In every minute of the surgery, he must pay precise attention to symmetry on both the right and left sides of the nose to alter both sides to the same degree. In addition, extensive understanding about scarring during the healing process must be anticipated to achieve a final, aesthetically satisfying result. As an experience rhinoplasty surgeon, Dr. Kulick has performed both open and closed rhinoplasty surgeries throughout his more than a two decade career and can help you decide which technique is required for your individual needs to get the best possible results.
What About Nasal Function?
In certain cases, previous trauma or congenital manifestations can create a crooked nose with a breathing problem. In such situations, insurance companies may pay for corrections of these concerns. Patients would need documentation of the trauma. So, if you had trauma that changed the appearance and breathing function of your nose, you should have a consultation with Dr. Kulick, ASAP. If you have breathing concerns, they may be treated without any surgical intervention. In non-trauma situations, inhaling medication or taking oral medication may help improve one’s breathing to deal with one’s unknown allergies could be your first step to breathing better.
Creating A Better Nose
Your nose, whether you like or not, is one of the most prominent facial features easily distracting from an overall pleasing facial aesthetic appearance. Surgical intervention is the only way to change a humped nasal bridge, an overly round tip, disproportionate nose size or poorly sized nostrils. Check out the before and after photos of past patients and see why Dr. Kulick is the best board certified plastic surgeon to contact in the San Francisco area for rhinoplasty.
* American Society of Plastic Surgeons, February 2017
** American Society of Plastic Surgeons, 2017
*** Esquire, September 2016