At DallasFaceDoc, Dr. Saman understands that rhinoplasty, or nose surgery, is one of the most common and challenging of all facial plastic surgery procedures. Rhinoplasty reshapes the nose by reducing or augmenting it to help patients achieve facial harmony and boost self-confidence. Rhinoplasty may be performed as a reconstructive procedure to correct a birth defect or an injury, such as a broken nose. This surgery may be performed for functional rather than cosmetic reasons as well. Combining nose reshaping with septoplasty or endoscopic sinus surgery can effectively treat certain breathing problems, such as those caused by a deviated septum or chronic sinus problems. As a board-certified surgeon, Dr. Saman also serves part of teaching faculty for the American Academy of Facial Plastic and Reconstructive Surgery fellowship training in DFW.
Dr. Masoud Saman’s impeccable reputation for performing rhinoplasty stems from his training in both ENT surgery and facial plastic surgery. The perfect blend of an artful eye, meticulous surgical technique, and precise preoperative planning make him uniquely qualified to perform some of the most challenging rhinoplasty or revision cases in Dallas, TX and the surrounding DFW neighborhoods.
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Your Virtual Consult
You may be concerned about your potential results and have questions that need answering. Will it be obvious I had surgery? Will I look natural? Will I like how I look? Our goal is to ease your fears and educate you about the process, the surgery, and the possible outcomes. Dr. Saman is notably one of the most experienced rhinoplasty surgeons in the region and is known for beautiful, natural results. He also uses innovative, modern, cutting-edge approaches during both the consultation and the surgical procedure.
Types of Nasal Plastic Surgery
Some individuals simply do not like the shape, size, or look of their nose and desire cosmetic nose reshaping to create a more appealing look. Cosmetic rhinoplasty is used to address noses that are considered too large (or too small), have a prominent, unwanted bump, are too wide, or have an abnormal tip. Dr. Saman uses a conservative approach to refine the shape and size of the nose so that the result is natural, yet very becoming. His focus is to ensure the outcome is symmetrical with the rest of the face and accentuates the face from all angles.
While a large number of men and women visit our Dallas, TX plastic surgery office for cosmetic nose surgery, many come to Dr. Saman for more serious issues that require nasal reconstruction. Over the last many decades, reconstruction techniques have evolved tremendously. Given the prominence of the nose and its central location on the face, nasal reconstructive surgery requires a thorough understanding of the nasal anatomy and function. The nose can be affected by many conditions that may leave it disfigured. It is paramount to find a skilled and experienced facial plastic surgeon when considering and planning for rhinoplasty. Dr. Saman specializes in all aspects of facial reconstructive surgery and with his ENT credentials, he is able to perform nose reconstructive surgeries successfully and effectively.
Patients who have had a previous rhinoplasty by another doctor and are unsatisfied with the cosmetic outcome and/or functionality of the nose make up a large portion of Dr. Saman’s rhinoplasty clientele. As he is trained both as an ENT surgeon and a facial plastic surgeon, Dr. Saman is uniquely qualified to address both the shape and the function of the nose.
The soft tissue of the nose undergoes several changes after a primary rhinoplasty, which includes scarring and thinning of the cartilage that creates areas of airway collapse and unnatural narrowing. Sometimes there are persistent bony irregularities and deviations that need to be addressed as well. Most revision rhinoplasties will need an external approach to address deformities caused by previous surgeries. Occasionally, there will be a need for cartilage (grafted from the ear or the rib) to be added with a small, well-hidden incision. This will build a strong foundation to mold a new nose that best fits the patient’s face.
When it comes to ethnic rhinoplasty, Dr. Saman has extensively studied the features of various ethnic nasal shapes. Classic teaching in cosmetic rhinoplasty training pertains to the surgery of the Caucasian female nose, virtually ignoring the gender and ethnic considerations of other patients. However, most patients desiring cosmetic reshaping of their noses prefer to maintain the characteristics of their ethnic and gender identity.
In the case of gender, when performing male rhinoplasty, Dr. Saman maintains strong masculine lines and features while addressing areas of concern. An overly feminized look is avoided through the meticulous analysis of the nose and consideration of the patient’s specific desires.
The African-American nose is characteristically very different from the Caucasian or the Latino nose, as it is marked by less rigid lower-lateral cartilages, wider alar bases, and shorter nasal bones.
The Middle Eastern and Greek nasal features are unique and cannot be adequately addressed using the basic Caucasian rhinoplasty techniques. Many of our Middle Eastern patients who have had the previous rhinoplasty elsewhere return to our practice in Dallas for revision work. We revise previous nasal surgeries that have post-surgical complications, such as a pinched nasal tip, a nasal bone collapse, or have caused the patient to have difficulty breathing. These nasal issues can be avoided if the original rhinoplasty analysis is customized for the patient’s ethnic features, and performed by a surgeon with experience with ethnic rhinoplasty, like Dr. Saman.
Rhinoplasty Our Surgical Approach
Rhinoplasty is an outpatient ambulatory procedure and may take anywhere from 2 – 4 hours, depending on the complexity and the need for obtaining grafts. Every patient will have a treatment plan and surgery detail tailored to his or her needs and aesthetic goals. You will be given detailed surgery instructions at the time of scheduling.
Once the procedure is completed, a nasal cast and splints are placed. The cast and splints will be removed at your post-operative visit. If your surgery was performed via the external approach, your sutures will be removed on your post-operative visit. Generally, patients are seen at 1 and 3 weeks post-operatively. The most common complaint the first week after surgery is the nose feeling stuffy. This is due to intranasal swelling and will subside. Your face may feel puffy, but this swelling will abate as your healing progresses.
What to Expect with Rhinoplasty
When you come to DallasFaceDoc for your cosmetic rhinoplasty consultation, Dr. Saman will first listen to your wishes and desires to have a clear understanding of your goals. He will then perform a complete examination of the nose, including assessing facial angles, nasal skin and cartilage assessment, septum analysis, evaluation of the strength of the nasal valves, and much more. In certain cases, endoscopic evaluation of the internal nose will be performed for a more detailed analysis of the entire nose.
By the end of your consultation, you will have a clear idea of what we can offer you to achieve your cosmetic and functional goals.
Is This Surgery Common?
Rhinoplasty is one of the most common facial plastic surgeries in the world. With more than 350,000 rhinoplasty patients in the United States alone, this surgery (in any of its forms) is a well-received and tolerated procedure worldwide. If you are experiencing fear or elevated anxiety about having facial plastic surgery, we will do our best to answer your questions and calm your fears. Dr. Saman is a reputable and skilled surgeon with extensive experience in surgeries of the nose.
Will Dr. Saman Break My Nose?
Manual nasal fracture during surgery is not always necessary during a rhinoplasty. During your treatment planning session, Dr. Saman will describe your procedure, step by step, and if this planned manual break is needed to achieve your surgery goals, he will explain why. One of the unique aspects of Dr. Saman's practice is the use of an ultrasonic bone knife as opposed to the traditional chisel and mallet technique. This allows for precise bone reshaping with much less bruising, swelling, and discomfort.
Can You Explain A Nasal Pack?
The nose is rarely packed after rhinoplasty surgery. Silicone splints may be used internally in certain cases however. These splints allow for breathing through nose and are soft and removal is easy and quick. With modern rhinoplasty techniques, heavy nose packing is a thing of the past.
Is Surgery Necessary?
Certain aesthetic outcomes are best amenable to surgery. However there are many non-invasive treatments available for improving nasal shape as well. Some include liquid rhinoplasty with use of dermal fillers or PDO threads to lift nasal tip.
"I had rhinoplasty with Dr. Saman. his staff was very professional and answered all my concerns. Dr. Saman was very professional and has a wonderful bedside manner, I'm extremely happy with my results."- L. / Healthgrades / Dec 18, 2019
"I never write reviews, but I could not pass on an opportunity to express how amazing Dr. Saman and his team is. I've hated the shape of my nose since I was about 12 or 13. After doing lots of research on rhinoplasty, I felt that Dr. Saman was the perfect man for the job. I went to the consultation, and him and his team were so sweet and supportive. You can tell that they really care about your concerns and I immediately knew I was in good hands. The surgery is over now, and I am 100% satisfied with the results. I think Dr. Saman and his team were just as excited as me during the reveal. These people live to see their clients smile! I can't say enough good things. Amazing experience."- K.A. / Yelp / Jan 07, 2020