Rhinoplasty (Nose Surgery)

Dr. Olivier Deigni performs rhinoplasty (nose reshaping surgery) at his Houston practice, addressing cosmetic concerns including dorsal hump reduction, tip refinement, bridge narrowing, and correction of nasal asymmetry, as well as functional concerns such as septal deviation that affects breathing. Both open and closed rhinoplasty techniques are employed depending on the degree of change required and the patient's nasal anatomy. Dr. Deigni's training in both aesthetic and reconstructive surgery is particularly relevant for revision rhinoplasty cases where previous surgical scarring or structural compromise must be addressed.

Rhinoplasty at Deigni Plastic Surgery in Houston is a procedure that requires an unusually precise integration of aesthetic judgement and technical execution — the nose sits at the centre of the face and its appearance interacts with every other facial feature, making millimetre-level precision in surgical planning critical to achieving results that are both beautiful in isolation and harmonious with the wider face. Dr. Olivier Deigni's background — which includes an aerospace engineering degree from Georgia Institute of Technology, medical training at Emory University, and fellowships in both microvascular reconstruction and aesthetic surgery — reflects the precision-oriented, multi-disciplinary approach he brings to rhinoplasty. Rhinoplasty at the practice is performed using either the open (external) approach — in which a small incision across the columella (the tissue between the nostrils) provides direct visualisation of the nasal framework — or the closed (endonasal) approach, where all incisions are placed inside the nostril. The choice between approaches is determined by the degree and nature of changes required: open rhinoplasty is preferred when significant tip refinement, cartilage grafting, or correction of structural asymmetry is planned; closed rhinoplasty is sufficient for isolated dorsal reduction or minor tip work where direct visualisation is not needed. Procedures addressed at the practice include reduction of a dorsal hump (the bump visible in profile along the nasal bridge), tip refinement to address bulbosity, drooping, or over-projection of the nasal tip, bridge narrowing (osteotomies) to reduce a wide bony base, alar base reduction to decrease nostril width, and correction of nasal asymmetry of both cosmetic and post-traumatic origin. Functional rhinoplasty — addressing a deviated septum, hypertrophied turbinates, or internal valve collapse that obstructs nasal airflow — can be performed concurrently with cosmetic rhinoplasty. Cartilage grafts required for structural support (spreader grafts, columellar struts, shield grafts, alar rim grafts) are harvested primarily from the septum; rib or ear cartilage is available as a secondary graft source when septal cartilage is insufficient. Revision rhinoplasty (correction of a prior procedure by another surgeon) is accepted at the practice; these cases are approached with a full assessment of prior operative records, current nasal anatomy, and any areas of cartilage depletion or contracture scar that affect the surgical plan. All rhinoplasty procedures are performed under general anaesthesia at an affiliated hospital-grade facility in Houston.