Nose Surgery (Rhinoplasty)
A precise well planned rhinoplasty (nose surgery) can bring about some of the most dramatic improvements that plastic surgery has to offer. It is especially rewarding to see these improvements and how patients at Dr. John M. Sarbak’s practice appreciates them.
Dr. Sarbak’s primary goal is create harmony not just with the nose, but also between your nose and the rest of your face. In order to accomplish this, systematic facial analysis is critical.
Dr. Sarbak first looks to see how your nose looks in relation to your forehead cheeks and chin. Is the overall appearance harmonious? Then, he determines where your nose starts (the take-off point), and decide how that fits in with your eyes and forehead. He checks the contour of the dorsum looking for contour irregularities (humps and bumps) and asymmetries from one side to the other. He assesses the length and width and angles of separation from the face and lower part of the nose. Then, he estimates how much the underlying bone and cartilage are each contributing to what we are seeing on the outside. Next, Dr. Sarbak evaluates the tip of the nose checking the shape, the nostril size, its width, its projection, and how well it aligns with the upper part of the nose and the lip below. Sometimes you can have a muscle at the base of the nose than causes your nasal tip to go down every time that you smile. An intranasal exam (looking inside the nose) allows Dr. Sarbak to assess the nasal septum (cartilage that divides the sides of the nose) and breathing passages.
Dr. Sarbak then uses this information in conjunction with photographic evaluation from six different angles to factor in your goals, take into account want can be realistically accomplished, and come up with an operative plan to discuss with you.
Dr. Sarbak’s residency involved extensive training in cranio-facial surgery (facial reconstructions following, trauma, tumor excisions or to address congenital deformities). He draws from this experience to help maintain or re-create harmony between the nose and other facial features such as the cheeks, jaw, and chin.