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Dr. Krau: A Master Artist in Rhinoplasty (Nose Reshaping)

As one of the more demanding plastic surgery procedures, rhinoplasty is a favorite of Dr. Krau’s to perform. He enjoys the complexities and intricacies required to plan and execute his vision. “Most plastic surgeons consider rhinoplasty to be the most difficult type of surgery,” he says. “It’s an operation where you’re dealing with fractions of millimeters, but I love doing them. Every nose I do is uniquely created for each face.”

Thanks to Dr. Krau’s first-class reputation, patients from all over South Florida seek out his expertise.

What Can Rhinoplasty Correct?

image069Dr. Krau can improve a multitude of cosmetic and functional concerns within the nose, including:

  • Oversized, crooked or wide nose
  • Nasal profile with a visible bump or depression on the bridge
  • Nasal tip that is bulbous, droopy or upturned
  • Nostrils that are uneven or oversized
  • Anatomical abnormality (e.g., deviated septum) that obstructs normal breathing function

Am I a Candidate for Rhinoplasty?

You may be a good candidate for rhinoplasty if an element of your nose’s appearance bothers you, or you are having trouble breathing normally through your nose because of its irregular structure.

You should be in good physical and psychological health and not smoke (or quit prior to surgery). It is important that you have reasonable expectations of surgery and are seeking improvement, not perfection. Informed patients with reasonable expectations are usually the most satisfied with the results. Dr. Krau will explain what rhinoplasty can and cannot achieve, and help you establish realistic surgical goals, during your surgical consultation. He may also discuss chin augmentation as an option to help you achieve your aesthetic goals.

Your Rhinoplasty Consultation

There are several goals of the rhinoplasty consultation. First, Dr. Krau will perform a physical examination of your nose, looking at factors like the thickness and elasticity of your skin. He will ask you to identify what you do not like about your nose, and to describe your ideal outcome.

Based on this information, Dr. Krau will start to conceptualize your rhinoplasty and desired results. This is one of Dr. Krau’s favorite parts of rhinoplasty. “I like to design a nose that both the patient and I are striving for,” he says, when explaining his approach to rhinoplasty.

Using computer imaging, Dr. Krau can show you what your nose will look like after surgery. Not only is imaging valuable to you as the patient to preview your rhinoplasty, it’s also useful to Dr. Krau to project what he wants the nose to look like.

“The key to doing a good nose … is being able to project what you want that nose to look like, and then delivering what you’re projecting,” says Dr. Krau.

rhino case

How Dr. Krau Approaches Rhinoplasty

image071Rhinoplasty can be performed in one of two ways:

  1. Closed (endonasal) approach: the incisions are made inside of the nostrils, thereby eliminating the chance of visible scarring
  2. Open approach: requires an additional incision across the strip of skin separating the nostrils

The open approach allows the surgeon to “un-roof” the skin of the nose and see the underlying nasal anatomy. The surgeon then has the freedom to manipulate the cartilage — for example, remold it or add a graft — and then re-drape the skin over the modified cartilage. Many surgeons enjoy the freedom to mold the nasal structures.

However, Dr. Krau has unique point of view that doesn’t necessarily line up with surgeons’ traditional preferences. Open rhinoplasty can help the surgeon do a lot of things, but not necessarily to the benefit of the patient, he believes.

Patients don’t complain about how their cartilage or bone looks, Dr. Krau says. Rather, they complain about a bump on the nose.

“We’re not operating on the cartilage complaints of the patient; we’re operating on what {their} outside complaints are … What you do on the inside doesn’t necessarily translate to what you see on the outside, even though it gives the surgeon more freedom,” he says.

Dr. Krau ascribes to the motto “less is more” and believes that in many cases, it is not necessary to open up the nose and thereby expose patients to increased swelling, more scar tissue and other variables. Whenever medically possible, he prefers to use the closed approach.

This isn’t to say that the open approach is verboten — Dr. Krau may choose to employ that approach for bigger noses or difficult cases, where he needs greater access to the nasal structures.

Procedural Details

Rhinoplasty is performed on an outpatient basis at a state-of-the-art, fully accredited surgical facility. You will receive sedation and anesthesia medications to remain comfortable throughout the duration of the procedure.

Dr. Krau will make the surgical incisions inside the nostrils (he may add the additional incision across the columella). Through the incisions, he will make the necessary surgical modifications. Depending on the case, this could include smoothing a bump on the bridge of the nose, refining the nasal tip, reducing the size of the nostrils or otherwise altering the cartilage and bone of the nose to improve its appearance.

When Dr. Krau has finished, he will close the incisions with sutures and place a surgical bandage.

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Recovering from Rhinoplasty

After surgery, you will rest in the recovery suite while the effects of the anesthesia wear off. When you’re ready, we will release you from the facility. A companion should drive you home and help you get into a comfortable position on the couch or in bed, with plenty of liquids, soft foods and medication nearby.

Initially, the nose will be swollen and bruised. You may have some bruising around your eye area, too. The majority of the swelling and bruising will subside within a few weeks. If you experience any pain, you can take prescription pain medication as directed by Dr. Krau.

Avoid any strenuous activity that could increase the risk of bleeding or another post-operative complication. Short walks are good for circulation, but vigorous activities should be avoided.

Dr. Krau will be very involved in your follow-up care. He will see you shortly after your surgery to check your healing progress, remove any sutures and advise when it is safe for you to return to work, exercise and other normal activities.

rhino case 2

What Are the Risks of Rhinoplasty?

All surgical procedures carry some degree of risk. However, an experienced surgeon significantly decreases the chances that a complication will arise. With Dr. Krau, you can rest assured that you are receiving exceptional care, and that abnormalities are rare and will be addressed immediately.

Potential risks include:

  • Bleeding
  • Infection
  • Changes in skin sensation
  • Breathing obstruction
  • Poor wound healing
  • Skin discoloration

Rhinoplasty Costs and Financing

The cost of rhinoplasty varies from $5,000 to $15,000. Your specific rhinoplasty pricing will depend on the details of your treatment plan.

Dr. Krau is careful to keep rhinoplasty costs affordable and competitive. It’s important that his patients understand they are receiving an incredible value: a board certified surgeon’s services at a fair price.

Rhinoplasty financing is available through companies like CareCredit and MyMedicalLoan.com. We would be happy to provide more details if you’re interested.

Rhinoplasty FAQs

When are the results of rhinoplasty visible?

Some of the aesthetic benefits of rhinoplasty become apparent after the initial phase of the recovery period is complete (about two weeks following surgery). However, the final results of rhinoplasty may take up to one year or more to become fully actualized, as this is how long it takes the nose to heal completely and for any slight residual swelling to resolve.

Are results permanent?

The results of rhinoplasty can be considered permanent. However, the nose will continue to age after surgery, just like any other part of the body.

When will I feel comfortable going out in public after rhinoplasty?

Bruising and initial swelling will improve about two weeks after surgery. In the meantime, you can apply makeup to the bruised area, if necessary, starting about three to five days after surgery.

Will insurance cover the cost of rhinoplasty?

Depending on your insurance plan, the cost of reconstructive rhinoplasty may be partially or fully covered by insurance. Typically, insurance companies will cover the cost of rhinoplasty when it is performed to correct a structural deformity that is causing chronic breathing or sinus problems, or to correct nasal irregularities caused by injury or trauma to the nose.

Schedule a Rhinoplasty Consultation

If you’d like to learn more about rhinoplasty, please call our office at (305) 861-6881 and schedule an informative consultation with Dr. Krau.

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Ary Krau MD

Ary Krau, M.D.

Address:
1143 Kane Concourse
Bay Harbor Islands, FL 33154

Phone:
(305) 861-6881

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