Treatment for Nasal Shape Concerns in Delafield

Frequently Asked Questions

• Who performs injectable and surgical treatment for nasal shape concerns?
  Dr. Boehm performs both the injectable and surgical options described here. The recommendation is not constrained by which option is offered.
• What are nasal shape concerns?
  Nasal shape concerns are aesthetic or structural irregularities that may affect appearance or breathing. Examples include a dorsal hump, a wide or bulbous tip, asymmetry, a crooked nose, or a deviated septum that changes the nose’s external appearance. They may be present from birth, develop during growth, follow an injury, or result from a previous operation.
• What are common types of nasal shape concerns?
  Common concerns include a bump along the bridge, a bulbous or wide tip, a crooked or asymmetric nose, flared nostrils, a drooping or upturned tip, and a nose that appears too large or small in relation to the face. Structural irregularities such as a deviated septum may also contribute to breathing difficulty.
• What causes nasal shape irregularities?
  Nasal shape is primarily determined by genetics and hereditary bone and cartilage structure. It may also be influenced by natural development during adolescence, a previous nasal injury or fracture, a deviated septum, or age-related changes. As cartilage weakens over time, the nasal tip can begin to droop.
• When should I see a doctor about my nasal shape?
  See a facial plastic surgeon or plastic surgeon if the appearance of your nose causes persistent self-consciousness, structural concerns affect your breathing, its shape changed after an injury, or a previous nasal operation produced an unsatisfactory aesthetic or functional result.
• How are nasal shape concerns treated?
  Options include surgical rhinoplasty to reshape the nose permanently, nonsurgical rhinoplasty with injectable filler for temporary correction, and septoplasty when a deviated septum contributes to the concern. The approach depends on the patient’s anatomy, goals, and whether functional improvement is also needed.
• What is recovery like after nasal surgery?
  Rhinoplasty recovery typically includes several weeks of activity restrictions while swelling and bruising gradually subside. Full results generally emerge over approximately one year as residual swelling resolves. An open surgical approach may involve slightly longer recovery than closed or endonasal techniques.
• Are there nonsurgical options for nasal shape concerns?
  For some concerns, yes. Injectable filler can camouflage a small dorsal irregularity or improve the appearance of tip projection, and injectables are offered at Consona. Filler adds volume and cannot remove any, so it will not reduce a hump, narrow a wide nose, or improve breathing. Filler placed in the nose is also harder to reverse in appearance than in chemistry, which belongs in the discussion before a syringe is opened.
• Is revision rhinoplasty an option after a previous nose surgery?
  Yes. A previously operated nose has scar tissue, an altered blood supply, and often less cartilage than was available for the first procedure. It is therefore assessed and planned differently from a primary rhinoplasty, and revision rhinoplasty is listed separately at Consona. The consultation begins with what the earlier operation changed before turning to what the patient would like changed now. If possible, bring the operative report from the original surgeon. It identifies what was removed or grafted and shortens the guesswork considerably.
• Is nasal surgery planned differently for different ethnic backgrounds?
  Yes. Ethnic rhinoplasty is listed separately at Consona because its goal is different. The purpose is not to move every nose toward one standard set of proportions, but to address the specific concern while preserving features that make the face look like the patient’s own family. This affects what is changed and what is deliberately left alone, and it belongs in the consultation by name rather than by implication.
• My nose affects my breathing. Is that treated differently?
  Breathing is a different question from cosmetic shape. A deviated septum or narrowed internal valve is a structural problem, and its correction is functional surgery, a category insurers sometimes cover. Consona provides aesthetic care and does not bill insurance, so a purely functional repair is not what this page addresses. When breathing and appearance are both involved, as is common after an injury or in revision cases, they are usually addressed in the same operation. A cosmetic plan does not necessarily correct breathing, and assuming that it will is where most patients go wrong. Raise the breathing concern explicitly during the consultation.