Rhinoplasty – Medical

Nasal congestion and breathing difficulties are common complaints. While initial treatment may involve nasal sprays, allergy medications, or antihistamines, reconstructive nose surgery or rhinoplasty may be required to help people from Arlington and Ashburn, VA; Bethesda and Chevy Chase, MD; and surrounding cities treat chronic nasal obstruction and breathe more freely. A rhinoplasty specialist in Washington, DC, Dr. Houtan Chaboki is dual board-certified in both facial plastic surgery and otolaryngology, which makes him highly qualified in both cosmetic and reconstructive surgery of the nose. He works with top DC allergists, providing a surgical solution for nasal allergy patients. Evaluation by Dr. Chaboki can help determine what specific procedures would be required to adequately treat your nasal obstruction.

Reconstructive nose surgery or sinus surgery may not alter the shape of your nose or appearance, but may be performed with or without cosmetic rhinoplasty. Many rhinoplasty patients who visit Dr. Chaboki may consider ancillary procedures to enhance their appearance, such as chin augmentation or a neck lift, along with corrective nose surgery to make the most of their recovery time.

Rhinoplasty - Medical
 Before & After Photos

Case: 1 of 9
Case: 1 of 9
Before & After Rhinoplasty - Cosmetic Case 303 Front View in Washington, DC
Before & After
Case: 1 of 8

Closed rhinoplasty in young man to reduce bump

Many men have a bump or chronic breathing issues and come to our office seeking rhinoplasty.This Washington DC rhinoplasty was referred to Potomac Plastic Surgery to review potential rhinoplasty options. He had chronic nasal congestion despite prior medical therapy. Examination revealed a dorsal hump and deviated nasal septum. Read More
Before & After Rhinoplasty - Cosmetic Case 59 Front View in Washington, DC
Before & After
Case: 2 of 8

Septoplasty and cosmetic rhinoplasty to improve the breathing ability and appearance of the nose of a younger woman

Washington DC and Virginia area cosmetic rhinoplasty patients often request reduction of the nasal bump. The bump or hump of the nose is primarily made of skin, cartilage, and bone. The nasal septum contributes to the bump, and some patients have an overgrowth or deviation of the septum that makes the nose appear relatively larger.This... Read More
Before & After Rhinoplasty - Cosmetic Case 36 Front View in Washington, DC
Before & After
Case: 3 of 8

Septorhinoplasty and turbinate reduction to balance the nasal profile of a younger woman

Washington DC and Maryland rhinoplasty patients frequently request reducing a nasal hump and lifting a droopy nasal tip. This patient wanted relatively minor changes to help take attention away from the nose, while still maintaining her ethnicity. After consultation with rhinoplasty specialist Dr. Chaboki, the patient decided to proceed with... Read More
Before & After Rhinoplasty - Medical Case 116 Front View in Washington, DC
Before & After
Case: 4 of 8

Septorhinoplasty to improve the function and form of the nose of a younger man

Rhinoplasty, plastic surgery of the nose, is a common cosmetic procedure performed by Dr. Chaboki, a Washington DC facial plastic surgeon. He performs all types of rhinoplasty procedures, but most commonly utilizes a closed approach to surgery. Closed rhinoplasty allows plastic surgeons to reshape the nose without external incisions, as... Read More
Before & After Rhinoplasty - Cosmetic Case 203 Right Side View in Washington, DC
Before & After
Case: 5 of 8

Revision Rhinoplasty to improve appearance of previous nasal implant in a middle aged woman

Washington DC cosmetic rhinoplasty patients often ask to change the nose by lifting or narrowing the tip. The tip of the nose is made of skin, fat, and cartilage. Some patients may have too much cartilage contributing to a wide tip, others may have excess skin or fat, while other have a drooping tip that makes the nasal tip app... Read More
Before & After Rhinoplasty - Cosmetic Case 64 Front View in Washington, DC
Before & After
Case: 6 of 8

Closed Rhinoplasty to improve the functionality and to balance the nasal profile of a younger woman

A nasal hump or bump develops gradually with normal facial growth to varying degrees. The bump is generally centered at the bone-cartilage junction near the bridge. Most patients request to reduce the bump with rhinoplasty to create a straight profile. Some patients prefer to maintain their bump while even fewer request a more "scooped" appea... Read More
Before & After Rhinoplasty - Medical Case 202 Right Oblique View in Washington, DC
Before & After
Case: 7 of 8

Rhinoplasty to improve the symmetry and functionality of the nose in an older female

Among many its benefits, rhinoplasty surgery can reduce a bump, lift a droopy nasal tip, and improve symmetry. Each nose is unique and the decision on the specific rhinoplasty surgery will vary among patients. Regardless, top plastic surgeons want to improve the nose so that it blends with the face and draws less attention... Read More
Before & After Rhinoplasty - Cosmetic Case 86 Front View in Washington, DC
Before & After
Case: 8 of 8

Rhinoplasty to narrow the nasal bridge and lift the nasal tip of a younger woman

The nose should be proportionate with the eyes, cheeks, lips, and face. While many Washington rhinoplasty patients have a nasal bump or droopy tip, some have a wide nose relative to other facial features. Narrowing the nose and reducing its size can improve facial balance. This Washington area patient was considering rhinop... Read More

Keep in mind that each patient is unique and your results may vary.

What Is Septoplasty?

Septoplasty is a minor surgery to treat a deviated septum. It is an outpatient procedure and does not use an external cast. Dr. Chaboki uses a closed approach to the nose to avoid external incisions. Blocked cartilage and bone are reduced to open the nasal airway and help straighten the septum. Septoplasty is often combined with turbinate reduction to maximize the breathing passages.

What Is a Deviated Septum?

The nasal septum is the sheet of cartilage and bone that divides the nose into right and left chambers. A deviated septum is a condition where the septum is shifted away from the midline, crooked, bent, or twisted. Septal deviation is very common, with approximately 80% of people have a deviated septum to some degree. Dr. Chaboki, a deviated septum specialist, can determine if you are suffering from a deviated septum during your office consultation.

Nasal obstruction, nasal congestion, difficulty breathing through the nose, and snoring are the most common symptoms of a deviated septum. Nasal obstruction may be worse on one side, or alternate sides. Symptoms may occur all day or primarily at night. Some patients may also have repeated sinus infections or post-nasal drip due to blocked sinus drainage from a deviated septum. A deviated septum may be present at birth, caused by an injury, or can result from damage from previous treatments or surgery.

What Is Septorhinoplasty?

Septorhinoplasty involves nasal bone reshaping, in addition to cartilage and bone removal, to adequately treat the deviated septum. Septorhinoplasty is an outpatient procedure and involves an external cast for about one week. Dr. Chaboki performs septorhinoplasty via the preservation approach, an advanced method of surgery to treat the nose.

The nasal septum is the foundation of the nose, and major deviations of the septum result in a deviated nose and nasal asymmetry. Patients with a significantly deviated septum or crooked nose often require a septorhinoplasty to improve the nasal airway obstruction.

What Is Nasal Valve Repair?

Nasal valve repair is surgery to improve the nose structurally via cartilage grafts to help open the nasal passages and/or to help prevent the collapse of the nose. Procedures on the nasal valve are often combined with septoplasty, functional rhinoplasty, or septorhinoplasty.

The collapse of the nasal valve or nostrils is is an important cause of nasal airway obstruction. The nasal valve is the narrowest portion of the nasal passages where most blockages occur. The nasal valve is made of the nasal septum, inferior turbinate, and lower two-thirds of the nose. Weakening of the valve will make the nose be pinched or collapse on inspiration, both of which contribute to nasal congestion.

What Is Turbinate Reduction?

Turbinates are normal structures in the nasal passages that may swell due to their highly vascular tissue and mucous membrane outer lining. Dr. Chaboki may recommend shrinking the nasal turbinates via a minimally invasive technique, as an outpatient procedure with or without septoplasty. After turbinate reduction surgery, patients may have improved nasal breathing and reduced postnasal drip.

The largest turbinate, the inferior turbinate, is the primary contributor to nasal and allergy symptoms. In patients with hay fever (allergic rhinitis), the nasal turbinate remains persistently enlarged and obstructs the airway, causing a congested feeling. However, in some people, the inferior turbinate will remain enlarged despite medical therapy, even if the underlying problem is corrected. The most common symptoms from large turbinates are nasal congestion, nasal obstruction, difficulty breathing through the nose, postnasal drip, and snoring.

Houtan Chaboki, MD

Double Board-Certified
Facial Plastic Surgeon

Houtan Chaboki, MD

Certified by both the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery, Dr. Chaboki has extensive knowledge of the intricacies of the face and neck. When you choose him for your procedure, you’re choosing one of the most reputable facial plastic surgeons in DC, as well as a nationwide leader in preservation rhinoplasty.

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Can a Broken Nose Be Repaired With Rhinoplasty Surgery?

It is important to be evaluated by a facial plastic surgeon soon after injury because there is a window of opportunity when a broken nose can be ideally treated with surgery. In Washington, DC, Dr. Chaboki performs reconstructive rhinoplasty to treat both acute nasal fractures and old nasal injuries to restore nasal form and function.

The nose projects from the face, making it vulnerable to injury. As a result, it’s not surprising that the nose is frequently broken. Once the immediate bruising and swelling subside, a broken nose or nasal fracture may significantly change your facial appearance. Nasal injuries can also increase nasal obstruction, nasal congestion, and snoring and may cause or worsen a deviated septum.

How Is Endoscopic Sinus Surgery Performed?

Dr. Chaboki specializes in minimally invasive, functional endoscopic sinus surgery (FESS) to open the sinuses and to improve the drainage. Balloon sinus surgery is the newest technique.

Chronic sinusitis, nasal polyps, and allergies affect many patients. Typical nasal sinus symptoms may include congestion, nasal obstruction, post-nasal drip, facial pain and pressure, decreased taste and smell, tooth pain, or fatigue due to chronic inflammation. Some patients suffer from recurrent infections and require frequent antibiotics. After sinus surgery in Washington, DC, patients may breathe better and experience fewer and less severe sinus problems.

Is There a Nonsurgical Alternative to Medical Rhinoplasty?

Radiofrequency (RF) is a relatively new office treatment that creates controlled heat to target tissue inside the nose to treat nasal obstruction. The tissue is not removed or cut with RF, rather tissue volume at the target site shrinks. RF has been used on the inferior turbinate for years and now available to treat other areas inside the nose, such as the nasal valve. A small difference in space inside the nose can dramatically improve nasal airflow.

Dr. Chaboki uses RF technology in patients with nasal obstruction who are not surgical candidates. RF may still be appropriate for those referred to Dr. Chaboki who had prior nasal and sinus surgery, or rhinoplasty, and still have symptomatic nasal obstruction.

The office RF procedure takes a few minutes and is performed while the patient is awake using local anesthesia. Packing and sutures are not used. There aren’t external casts or splints either. The patient can return to work the same day as desired. Most patients require just one treatment for long-lasting results.

To discuss your goals for facial plastic surgery and the areas that you would like to improve, request a consultation with Dr. Chaboki online or call his office at (202) 800-2085. Women and men visit him for complex rhinoplasty procedures from Arlington, VA; Silver Spring, MD; and throughout the Washington, DC, metro area.

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