Rhinoplasty in Boston – Nose Job Surgery - Samuel Lin, MD, FACS

                    

Nose reshaping (Rhinoplasty) and improvement of breathing (Functional Rhinoplasty)
 
Have you had a nasal trauma or nose job previously? Do you suffer from a deviated septum and need to improve the functionality & aesthetic appearanceof your nose?  By providing rhinoplasty in Boston, MA Samuel J. Lin, MD, FACS is able to positively impact the health and overall well-being of patient in the Boston area. If you have trouble breathing through your nose, functional rhinoplasty and nose reshaping performed by Dr. Lin can be safe and reliable as treatment options. In an effort to help illustrate Dr. Lin’s comprehensive training and experience, we have included more information for our current and potential patients.
 
The nose is perhaps the most noticeable part of the face, due to its central location.  Minor deformities and irregularities are very difficult to hide or camouflage and are more eye-catching than any other area of the face.  Nasal proportions should be in harmony with each other and with the rest of the face and body features.  A long thin nose that looks perfect in a tall, thin person with a long face will look out of place in a short stocky person with a wide face.  

Rhinoplasty is the art of enhancing the shape of the nose and may involve improvement of the breathing.  Rhinoplasty can be done by open or closed approach according to the degree of nasal deformity and the corrections needed to be done.  In the closed rhinoplasty all the incisions needed to reshape the nose are made from inside the nose, while in open rhinoplasty there is a small incision done at the base of the nose between the 2 nostrils at the columella (the portion of your nose between your nostrils).  This columellar incision is usually unnoticeable due to its hidden location and usually heals exceptionally well.

Functional Rhinoplasty involves improving breathing after one has had a prior nose surgery or nasal trauma/broken nose.  This procedure may be done to improve the nasal airway as well as the outward appearance of the nose.  Dr. Lin's specialty is functional and cosmetic rhinoplasty, as he is Board Certified in Plastic Surgery and Otolaryngology-Head and Neck Surgery (Ear, Nose, and Throat Surgery).  Insurance may cover portions of nose surgery relating to breathing issues.

Patients that Dr. Lin sees usually fall into several groups of people: Patients who

1. Have already had a rhinoplasty (nose job) who would like to make further changes to the visible part of their nose and/or have breathing difficulty through their nose.

2. Have not had a rhinoplasty or nose surgery previously who would like to improve the outside appearance of their nose and/or would like to breathe better through their nose.

Recently in October 2009, Dr. Lin taught an instructional course at the American Society of Plastic Surgeons (ASPS) annual meeting on "The Basics of Keeping Patients Breathing Following Rhinoplasty" to other fellow Plastic Surgeons.  Dr. Lin and his Fellow recently presented an anatomic study entitled "Use of Tragal Cartilage for Rhinoplasty: An Anatomic Study and Review of the Literature" at the annual Rhinoplasty Society meeting in Washington, D.C. in April 2010.   Along with another plastic surgeon Dr. Lin presented the "Basics" course again at the American Society of Plastic Surgeons Annual Meeting this Fall 2010 in Toronto, Canada.  Dr. Lin is on staff at the Beth Israel Deaconess Medical Center and Massachusetts Eye and Ear Infirmary.

                                                

                                            Before                       After

Click on this Link for the Photo Gallery for more Rhinoplasty Photographs

 

Selected Recent Presentations and Publications related to Aesthetic, Facial Surgery or Rhinoplasty  

Sinno H, Thibaudeau S, Tahiri Y, Mok E, Chistodoulou G, Lessard L, Williams B, Lin SJ.  Utility Assessment of Body Contouring After Weight Loss.  Aesthetic Plastic Surgery.   Aesthetic Plast Surg. 2011 Apr 13.

Chang J, Lin SJRhinoplasty.  In Plastic and Reconstructive Surgery Pearls of Wisdom, 2nd Edition.  In press, January 2011.

Hartzell TL, Taghinia AH, Chang J, Lin SJ, Slavin SA.  The Use of Acellular Dermal Matrix for the Correction of Secondary Deformities after Breast Augmentation.  Plastic and Reconstructive Surgery.  2010 November; 126(5):1711-20.

Rabie A, Chang J, Han C, Lee BT, Lin SJ.  "Use of Tragal Cartilage Grafts in Rhinoplasty: An Anatomic Study and Review of the Literature."
Presented at the Rhinoplasty Society, April 2010, Washington, D.C.

Helal MZ, El-Tarabishi ME, Sabry SM, Yassin A, Rabie A, Lin SJ.  Effects of Rhinoplasty on the Internal Nasal Valve: A Comparison Between Internal Continuous and External Perforating Osteotomy.  Annals of Plastic Surgery 2010;64:649-57.

Andrews BT, Lin SJ, Rubin PA.  Lateral Canthal Reconstruction after Head-neck or Periocular Cutaneous Malignancy: Oculoplastic and Facial Plastic Surgery Techniques.  International Opthalmology Clinics 2009 Fall; 49(4):195-206.

Fang RC, Lin SJ, Mustoe TA.  Abdominoplasty Flap Elevation in a More Superficial Plane: Decreasing the Need for Drains.  Plastic and Reconstructive Surgery. 2010 Feb;125(2):677-82.

McCafferty LR, Casas LA, Stinnett SS, Lin S, Rho J, Skiles M.  Multisite analysis of 177 consecutive primary breast augmentations: predictors for reoperation.  Aesthetic Surgery Journal.  2009 May-Jun;29(3):213-20.

Lin SJ, Patel N, O'Shaughnessy K, Fine N.  A New Three-Dimensional Imaging Device in Facial Aesthetic and Reconstructive Surgery.  Otolaryngology-Head and Neck Surgery. 2008 Aug;139(mailto:2):313-5.


Among other articles, Dr. Lin has written an online article related to nasal breathing and nose surgery; this article may be found at:
 

Functional Airway Surgery, or surgery to improve breathing, which is sometimes performed at the same time as Nose shaping, may involve various placement of a patient's cartilage to help provide support to the nostril or internal mechanics of the nose.  These cartilage support grafts may be placed at the nostril area or at the valve area of the inside of the nose as depicted below. 



These illustrations courtesy of C Han.