Washington, DC
Rhinoplasty

Rhinoplasty, also known as aesthetic nasal surgery, is both a science and an art. It remains one of the most popular cosmetic surgery procedures performed today regardless of culture, race, age, or sex. Nasal surgery dates back thousands of years to ancient India where a very compassionate and skillful surgeon named Sushruta developed rather innovative techniques. Sushruta created a “flap” out of forehead tissue in order to reconstruct women’s noses which had been cut off as a punishment for and sign of adultery. While rhinoplasty has come a long way since those times, some techniques described by ancient reconstructive surgeons are still valid and used today when reconstructing the nose after trauma, cancer, or dog bite injuries. These ancient techniques gave rise to the Para-median Forehead Flap which remains the cornerstone of all significant nasal reconstruction.

The histories of plastic surgery and rhinoplasty are tightly interwoven. Gasparo Tagliacozzi, a 16th century Italian surgeon and one of the forefathers of plastic surgery, developed an innovative “flap” technique which utilized skin from the patient’s arm to reconstruct the nose. The patient’s arm was attached to the nose for a period of time until the arm skin developed its own blood supply from the nose. While this procedure may seem primitive by today’s standards, the “distal flap” concept is one of the cornerstones of modern reconstructive techniques for treating very large total nasal defects with methods like a “Radial Forearm Flap”.

John Orlando Roe, an Otolaryngologist (ENT) from Rochester, New York, is considered to be the father of modern plastic surgery and of aesthetic rhinoplasty. He performed the first endonasal or “closed” rhinoplasty procedure. Berlin surgeon Jacques Joseph later used this technique to treat a young male patient who had been so humiliated by his overly large nose that he rarely appeared in public.

There was a “taboo period” of plastic surgery when the field was considered superfluous and, as such, was not taken seriously by most surgeons. During this time, cosmetic surgery and rhinoplasty were largely reserved for a select few of wealth and advantage. Today, cosmetic surgery has taken a turn, proving more popular than ever before. Now known as an acceptable and valid field of medicine, the many benefits of cosmetic surgery are available to the general public for the first time. Along with the rewards of self-improvement, patients can benefit from increased self-confidence and wellbeing.

This “re-birth” of cosmetic surgery has led to an abundance of new devices, procedures, and promises that aren’t always reflective of the realities of science and medicine. Instead, they are often the result of marketing and hype. Today, plastic surgery is being “sold” to the public at an astonishing rate, by both the media and cosmetic surgeons.

The field of rhinoplasty and aesthetic surgery of the nose has fortunately managed to escape this hype and over-exposure. Of course, there are exceptions, such as doctors who offer injectable fillers like Radiesse as a “no-downtime-rhinoplasty” solution. By and large, however, rhinoplasty has naturally and correctly evolved over the last several hundred years into what it is today. When performed by a true rhinoplasty surgeon, it is a safe, effective, and impressive surgery.

Many surgeons view rhinoplasty as the most difficult of all surgeries. As such, the rhinoplastic surgeon must be one of the most meticulous and skilled of all plastic surgeons. A three-dimensional operation of millimeters, successful aesthetic surgery of the nose requires skill and artistry, as well as a comprehensive knowledge of the nose, its architecture, and its functional physiology.

Facial plastic surgeons who are trained as specialists of the nose are better equipped to handle these issues, having undergone five to six years of surgical training specifically focused on the face and nose. As a result, the skill and expertise they offer is unparalleled.

Dr. Naderi is among an even more specialized group of facial plastic surgeons who have specific training and expertise in revision, or secondary, rhinoplasty. A large portion of his time is spent correcting work performed by other plastic surgeons, with some of his patients having undergone two to six unsatisfactory surgeries before being referred to him. Dr. Naderi has written medical textbook chapters on this topic which are used worldwide by many other surgeons. He has also served as a Clinical Assistant Professor of Facial Plastic Surgery at Indiana University School of Medicine, instructing surgical residents on the proper techniques of aesthetic and functional rhinoplasty. Dr. Naderi is often referred the “tough noses” of other Virginia plastic surgeons who favor his expertise and skills.

The nose attracts significant attention because it is the centerpiece of the face. Given the complexities of rhinoplasty and revision rhinoplasty, as well as the high level of skill and experience required, you can feel confident with Dr. Naderi’s incomparable expertise in the greater Washington, D.C. and Northern Virginia area.

Dr. Naderi takes the time to discuss all of your options. He uses cutting-edge digital computer imaging to give you an idea of how you may look after surgery. He also encourages his patients to seek the opinions of several other surgeons, allowing them to feel completely at ease with their decision to undergo surgery and their choice of a surgeon.

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Q - What is rhinoplasty?
Rhinoplasty, also referred to as nose surgery or aesthetic nasal surgery, is a plastic surgery procedure which can improve the appearance of the nose and correct some underlying medical problems. Aesthetic problems which may be corrected include an increase or decrease in the overall size, the removal of a hump, a decrease in the width of the nostrils, reshaping of the tip or bridge, and a change in the angle between the nose and upper lip. Problems which may affect breathing can also be corrected.

Q - What is functional rhinoplasty?
Functional rhinoplasty is aesthetic nasal surgery with the main goal of improving breathing. There are a variety of techniques for improving nasal airway obstruction including septoplasty, valvuloplasty, vestibuloplasty, turbinate reduction, and osteotomies.

Q - Is rhinoplasty right for me?
If you are healthy, over the age of sixteen, and have realistic goals for the improvement of your nose, you may be a good candidate for rhinoplasty.

Q - Are there any age restrictions for undergoing rhinoplasty?
Dr. Naderi performs rhinoplasty on patients who are over the age of sixteen.

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