Nose | Rhinoplasty w/ Chin Implant Surgery

"I felt that the most comforting thing about Dr. Rahban is that he always spends so much time with us. He has never rushed us or made us feel like we weren't his priority, in fact, he does the exact opposite." D.N.

Dr. Rady Rahban on Daily Mail TV - Rhinoplasty w/ Chin Augmentation

What it is: Rhinoplasty and Chin Implant Surgery

In these dual surgeries, performed at the same time, the planes of your face are changed. Your nose is re-sculpted into a more attractive shape and size, and your chin is augmented with a small silicon implant.

This combined surgery is recommended by Dr. Rahban for approximately 30% of his rhinoplasty patients. The additional surgery, performed with a tiny incision and rapid healing, seems minor – but it can make all the difference in ensuring that your appearance change is exactly the change that you want.

Why you want it:

Did you know that it is the proportions of your face that determine how large or small your nose appears? The distance between your eyes, the size of your lips, and the size and shape of your cheekbones all contribute to the appearance of your nose, but the single additional feature that most affects the appearance of your nose is your chin.

If you have a chin that recedes, or simply doesn't protrude very much, your nose will appear larger and more dominant in your face. This is especially noticeable in your profile:

Before: This patient's nose has a hump that she would like removed, but it also seems too long for her face.

After: Her hump is removed and the tip of her nose has been elevated. The length of her nose seems quite appropriate when her chin is also augmented.

Improved appearance: Nose surgery means changes in micro millimeters, but it can radically change the appearance of your face. If you are unhappy with your nose because it is too large, too small, or misshapen because of an accident or birth, nose surgery can change your look in a way that creates balance and a more pleasing aesthetic, while a chin implant can strengthen and  improve your appearance from every angle.

Improved function: While your nose may be functioning perfectly, Dr. Rahban also finds that many patients who are looking for nose surgery are experiencing difficulties with breathing, allergies or vertigo: problems that could be caused or aggravated by malformations within the nose.

What you want:

A nose that fits your face. You don't want a nose that's too big, but you also don't want one that's too small. Maybe you broke your nose in an accident, and you'd like to have it straightened. Whatever change you need, you know that you want it to still look strong and masculine when Dr. Rahban is finished.

A nose that looks like you. Your goal with a nose job isn't to be unrecognizable when it's over. You still want to look like you, only better. Dr. Rahban understands that.

What you can expect in your Initial Consultation:

If you are considering this procedure, please come in for a consultation with Dr. Rahban. You can expect your initial exam and consultation to take an hour or more. In your consultation, Dr. Rahban will:

"Patients always want to know what they are going to look like. I tell them, I work backwards. I won't tell you exactly what you are going to look like. I tell you that I am going to avoid these five things. If I avoid these five things, I am certain that you will get a beautiful, natural result." Dr. Rady Rahban

Dr. Rahban's Philosophy - five things you don't want:

1. A nose with a pinpoint tip. This nose is called a "Woody Woodpecker" nose, and it is a sign of an overzealous surgeon. When a full, flat or round tip is corrected too much, it can narrow down to a pointy tip that looks, well, unnatural.
2. A nose with a "ski slope" scoop. Often with a nose job, says Dr. Rahban, less is more. If you have a hump on the bridge of your nose, too often an inexperienced or careless surgeon will remove not just the hump. The result is a nose with a scooped bridge. This type of nose also looks unnatural, particularly on a man.
3. A nose that is over-rotated. If you have started with a nose that droops down at the tip, you'll want it corrected so that it is straight. But if you go to a surgeon who isn't careful, you can wind up with a nose that is over-rotated, with nostrils pushed upward at an angle that is unnatural.
4. A super narrow nose. Maybe you've seen someone with this nose job: their nose looks impossibly thin and fragile. Too much has been removed. The nose looks unnatural - and it may take corrective surgery to help you breathe.
5. A nose with collapsed nostrils. If your nose looks tiny and perfect right after your surgery, that can be a red flag. The swelling in your nose will take over a year to completely subside. This means that if your nose is really small right after surgery, it will probably be too small after a year or two. And if the nasal support has not been rebuilt or left intact, your nostrils could collapse. It won't just look unnatural. It will also make it extremely difficult for you to breathe.

What you want to know about your nose surgery:

Your rhinoplasty/chin implant surgery is an out-patient procedure, but that doesn't mean that it is minor surgery, or that it will be brief. After your consultation and examination, Dr. Rahban will be able to estimate for you the length of time that you can expect your procedure to take. Rhinoplasties and chin implants are exacting, artistic work that requires careful attention to the tiniest of details.

"Remember: if it's made by hand, it takes time." Dr. Rady Rahban

For the best possible results, expect that your surgery will be performed while you are under a general anesthetic.

The surgical incisions that Dr. Rahban uses may be confined to the inside of the nose, (often called a "closed rhinoplasty"), or they may include an additional small incision under the tip of the nose (often called an "open rhinoplasty"). Dr. Rahban is very proficient with both techniques, so he can make an independent choice for your surgery, using the technique that will allow him to give you the best possible results.

Once the incisions are made, Dr. Rahban will separate the skin of the nose from the underlying bone and cartilage. Next, he will carefully reshape the bone and cartilage of your nose, providing the structure that will reshape your nose, and correcting any breathing issues that you may be experiencing. Finally, he will redrape the skin over the new nose structure, and close the incisions.

For your chin implant, Dr. Rahban will select an appropriately sized and shaped silicon implant. Using a small incision under the chin, he will construct a pocket to accommodate the implant and place it directly over the bone along the lower jaw. Once the implant is secure, Dr. Rahban will close the incision, completing your chin augmentation.

Dr. Rahban will rebuild your nose from the inside out.

Dr. Rahban notes that many plastic surgeons focus on removing parts of your nose in order to make it smaller. This is called a "Reduction Rhinoplasty," and it is easier for the surgeon to perform. However, if the structural parts of the nose – bone and cartilage – are merely removed rather than reshaped, the structure of the nose is compromised. Overtime, as the tissue swelling reduces, the nose can contract, shrink and even distort.

Dr. Rahban focuses on performing instead a "Reconstruction Rhinoplasty." In his words,

"I take out the things that you don't need, and then I put in new grafts, new struts and beams, new things that will reinforce the nose. You don't see it, it's the stuff that keeps the nose looking great at 1 year, at 5 years, at 10 years."

What you can expect after surgery:

What Our Patients Say: DeeAnn

"My sister and I both went to Dr. Rahban recently to discuss the problems that we have had with breathing for as long as we can remember. He was highly recommended to us by another physician in a similar field. He told us that Dr. Rahban would be the only doctor he would recommend or trust to do any surgical procedure on him or his family.

"As soon as we met him and his staff we knew that we were in good hands. Dr. Rahban welcomed us and listened to all of our medical and cosmetic concerns. He was so personable, warm and understanding. He gave us his medical advice and understood that there were also a few cosmetic concerns that we had as well. He thoroughly explained what he could do for us, both medically and cosmetic. We felt that he was realistic and honest about the results that we would see.

"I felt that the most comforting thing about Dr. Rahban is that he always spends so much time with us. He has never rushed us or made us feel like we weren't his priority, in fact, he does the exact opposite. When we are in his office we feel that we are his top priority.

"My sister and I scheduled our surgeries on the same day. Dr. Rahban spent an incredible amount of time on each of us before, during, and after surgery to make sure that the results were perfect. It was also very kind and considerate of him to check up on us that evening after surgery to make sure that we were well.

"I have to say that my sister and I have not only fallen in love with our results, but with Dr. Rahban as well. He is an all around great guy and physician with a fantastic sense of humor. Both my sister and I would recommend him to anyone looking for the best results possible. Thank you Dr. Rahban for all your care!" - DeeAnn

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