Rhinoplasty in Denver, CO

Simply put, rhinoplasty is Dr. Shah's favorite procedure and Dr. Shah is considered to be a top rhinoplasty surgeon in Denver, Colorado. A cosmetic rhinoplasty is a nose surgery procedure which is usually performed purely for cosmetic reasons. In essence, it is a procedure that reshapes the nose to enhance its appearance. Functional rhinoplasty is nasal surgery performed to improve the breathing function of the nose. Reconstructive rhinoplasty is performed to correct nasal deformity secondary to nasal trauma or cancer removal procedures. As such there are many reasons a person may choose to undergo a rhinoplasty in South Denver. Some of the issues that people use cosmetic rhinoplasty surgery to resolve are to change the shape of the tip of the nose, to improve the nasal profile by removing bumps or indentations, to change the angle of the nose as it relates to the mouth, to change the shape or size of the nostrils, reduce and reshape a large nasal tip, and to create a nose that visually harmonizes with the face. A rhinoplasty procedure is most ideal for patients who’ve completed their mid facial growth period, generally considered to be after 14 years of age in girls and 17 years of age in boys. Patients should be in good health and should only be considering rhinoplasty for their own personal benefit and not to please anyone else. Patients should also have realistic goals and expectations because rhinoplasty surgery creates permanent change. Rhinoplasty procedures can affect a great deal of improvement in a nose, but it is generally not recommended to try to change the nose drastically. Consulting with a skilled board-certified plastic surgeon who specializes in rhinoplasty surgery procedures, such as Dr. Manish H. Shah, is the best way to determine if your goals are achievable. South Denver rhinoplasty Specialist Dr. Shah is considered one of the best rhinoplasty surgeons in the country. Patients from South Denver, Denver, the surrounding region, nationally and internationally consult with him because of his skill and his demeanor. He is the only member of the Rhinoplasty Society in Colorado and is a member of their Board of Directors for 2023-2024. He specializes in Ultrasonic Rhinoplasty and Preservation Rhinoplasty, and is the only surgeon in Colorado to provide these advanced forms of rhinoplasty surgery.

Rhinoplasty surgery is a renowned and reliable choice for men and women in the Denver, CO area who want aesthetic improvements to their nose and/or need functional improvements for breathing and better comfort. Advantages of a rhinoplasty carried out by Dr. Shah at Shah Aesthetic Surgery include:

• Surgical plan is personalized for your unique needs
• Reduces or increases nose size
• Reshapes the nostrils
• Fixes bumps, humps, crookedness, and more
• Addresses "too much" of the nostrils showing
• Reduces the size of the nose tip
• Balances facial harmony and balance
• Improves breathing
• Repairs a deviated septum
• Boosts your confidence and self-image

Women and men both are candidates for rhinoplasty surgery. If you are unhappy with the overall look of your nose and have specific concerns you would like to improve, enhance, or correct, this treatment may be the right answer. It's very important that expectations are understood, as your nose and facial profile will be changed. Furthermore, facial growth and maturity should also be complete. This aspect of the rhinoplasty process will be addressed during your consultation, especially for teens.

Open Rhinoplasty

With an open rhinoplasty, the incisions are made on the tissue between the nostrils or on the natural crease of the nose just above the lips. This allows for greater access and view of the confines of the nose. As rhinoplasty is a complicated procedure, many surgeons prefer this approach as it is easier to manipulate the bones and cartilage. The skin of the nasal tip and bridge are gently lifted up to reveal the internal structures of the nose and redraped once reshaping is completed. The scars associated with this approach are tiny - less than 5mm - so they are not easily noticeable once fully healed.

Closed Rhinoplasty

During a closed rhinoplasty surgery, incisions are made to the inside of the nose through the nostrils. This is a common technique for patients who desire mild reshaping. This approach does not cause visible scarring. For severe reshaping cases, the open rhinoplasty technique will be implemented. Dr. Shah has significant experience using both open and closed rhinoplasty techniques so he will be able to determine the approach for your individual case.

Nonsurgical Rhinoplasty

A nonsurgical rhinoplasty is often used to hide mild irregularities on the nose, elevate the bridge, revise a previous rhinoplasty, and camouflage a nasal hump. For minor reshaping, some patients can opt to try an injectable filler to achieve results. These come in a variety of liquid substances, and sometimes a fat transfer can also be utilized. A filler can help add volume to hide small deformities, such as a bump or a bony appearance. It is important to note that fillers can only do so much in the reshaping process. For most patients, surgery is a better option and will offer a permanent solution. Dr. Shah loves to use Restylane and Radiesse as his most common fillers for nonsurgical rhinoplasty.

Tip Rhinoplasty

Tip rhinoplasty is a very common procedure in Dr. Shah's rhinoplasty practice. The tip of the nose can vary greatly from one person to the next. A nasal tip that doesn’t blend into the rest of the nose or the rest of the face can cause visual disharmony. In this day and age of the “selfie,” this disharmony can make your photos unappealing. Nasal tips can be rather bulbous, squarish, round, downward pointing, upturned, pointy, indistinct, shifted to one side and/or elongated. A tip rhinoplasty changes the appearance of the tip of the nose by either adding, reshaping, or removing some of the cartilage of the lower lateral cartilages. Tip rhinoplasty can be performed as part of primary rhinoplasty, but it is often performed just by itself when a patient is comfortable with the upper half of the nose. It is primarily considered a cosmetic operation, but when a previous rhinoplasty turns out subpar, tip rhinoplasty is often necessary to rebuild a poorly supported and functioning tip structure. The physical makeup of the tip itself varies by gender and ethnicity. With ever blending populations, people often come into my office with exotic looking noses that are a blend of their varying ethnicities. Cultural leanings also affect what people might want their nasal tip to look like. Tip rhinoplasty is performed by manipulating the existing cartilage structures. Cartilage grafting from other sources like the septum, ear (concha), or rib may also be necessary to support and define the tip and the nasal valves (internal and external). Tip rhinoplasty may be performed through either the open approach or the closed approach. The open approach, which uses an incision on the skin of the columella (fleshy divider of the nostrils), is typically considered the most accurate method for working difficult tip issues.

Functional Rhinoplasty

A functional rhinoplasty is a nose surgery designed to improve the function of the nose (i.e. the ability to breathe easily) without significant changes to the appearance of the nose. In most cases, however, many patients need a combination of both functional and rrimary rhinoplasty. After all, often times the issues are related. Some signs that you may be suffering from an inadequate, obstructed nasal airway include: breathing with your mouth open, having a difficult time smelling scents, and nasal congestion. If left untreated these symptoms could develop into more serious issue such as: nosebleeds, obstructive sleep apnea, hypertension, sinus pressure headaches, reoccurring sinus infections, and even heart disease.

There are internal and external functional rhinoplasty procedures. External rhinoplasty procedures would be used to improve a nose that is collapsed, pinched, deviated or twisted. In these situations, the general framework of the nose is unsupported or distorted.

Internal functional rhinoplasty procedures, where there are no outer nasal alterations, would include:

• Septoplasty – This is a procedure to correct a deviated septum. A deviated septum is defined by the bending, twisting, or deviation of the cartilage wall which divides the left and right nasal passages so that one or both are blocked. Septoplasty surgically straightens this wall creating much easier air flow.
• Turbinate Reduction – The turbinates are mucous membrane-covered sections of bone which line the entire length of the nasal cavity. There are three sections: superior turbinate, middle turbinate and the last, and most likely to develop enlargement issues which contribute to airway blockage, is the inferior turbinate. A partial reduction of some to the turbinate tissue is all that is required to unlock the air flow.
• Nasal Polyp Removal- Nasal polyps are small, round growths that are benign and can block the nasal passage. These can be entirely removed surgically. They do need to be evaluated by a pathologist as they could contain a malignancy.
• Nasal Valve Collapse- The nasal valve is the narrowest part of the nose’s airway and it’s lined with membrane that are designed to shrink and swell as they regulate air flow. In very thin noses or in noses which have experienced trauma or disease, the nasal valve may actually collapse. Patients with short nasal bones will need middle vault support procedures to correct nasal valve collapse during rhinoplasty surgery.

Preservation Rhinoplasty

A preservation rhinoplasty works by respecting the SMAS, complex ligaments, and skin envelope within the nose in order to preserve the natural dorsum. Dr. Manish Shah utilizes advanced techniques as a way to retain as much of the patient’s bone and cartilage as possible while also reshaping the nose for the desired effect. This approach can provide a more natural-looking outcome for patients. Dr. Shah has been trained by the world's masters of Preservation Rhinoplasty and is the only surgeon in Denver and the surrounding region who can provide this specialized type of rhinoplasty operation to patients.