Rhinoplasty

Westlake Dermatology's West University Houston plastic surgery team performs primary and revision rhinoplasty using open or closed techniques to reshape the nasal bridge, tip, alar base, and nostrils. Procedures address dorsal humps, wide or bulbous tips, nasal asymmetry, alar flaring, and airway obstruction from a deviated septum or internal valve collapse. Ethnic-sensitive rhinoplasty is a clinical strength, with surgeons experienced in diverse nasal anatomies and committed to results that harmonise with each patient's natural facial features. Functional septoplasty may be combined with cosmetic changes in a single procedure.

Rhinoplasty at Westlake Dermatology West University Houston is performed by board-certified plastic surgeons with subspecialty experience in nasal anatomy and reshaping, using the open (external) or closed (endonasal) technique depending on the complexity of the planned changes and the surgeon's operative assessment. The open approach involves a small, carefully placed transcolumellar incision connecting bilateral marginal incisions, permitting the nasal skin envelope to be elevated and the full cartilaginous and bony framework to be visualised directly. This access is particularly valuable for complex tip work, significant asymmetry correction, and cases requiring cartilage grafting, as it allows the surgeon to precisely place sutures, grafts, and structural modifications under direct vision. The closed endonasal approach, using only internal marginal and intercartilaginous incisions, leaves no external scar and may be appropriate for patients requiring limited dorsal or tip modifications without the need for extensive cartilage framework work. Common surgical objectives at Westlake Dermatology's Houston rhinoplasty practice include: dorsal hump reduction, involving rasping of the nasal bones and excision of excess upper lateral cartilage to reduce or eliminate a profile bump; osteotomies — controlled in-fracture of the paired nasal bones using fine osteotomes — to close the open roof created by hump reduction and/or narrow a wide bony nasal pyramid; tip rhinoplasty using suture techniques (dome-binding, inter-crural, and lateral crural spanning sutures) and selective cartilage scoring or excision to refine tip projection, rotation, definition, and symmetry without sacrificing structural integrity; alar base modification via wedge excision to reduce wide or flared nostrils; and structural cartilage grafting using autologous septal, conchal (ear), or costal (rib) cartilage to augment a deficient bridge, support a weak or over-projected tip, correct a deviated nasal airway, or reconstruct a previously over-operated nose in revision cases. The clinic's surgeons place particular emphasis on ethnicity-sensitive rhinoplasty, recognising that nasal aesthetics vary significantly across ethnic backgrounds and that the appropriate surgical goal is always harmony with each patient's own facial features rather than conformity to a European aesthetic template. Functional rhinoplasty — septal deviation correction, internal nasal valve repair, and turbinate reduction — may be performed concomitantly with cosmetic nasal surgery and may qualify for partial insurance reimbursement where documented airway impairment is present.