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Functional Rhinoplasty in Syracuse, Rochester, and Ithaca, NY

Double board-certified Facial Plastic Surgeon Dr. Sang W. Kim of the Natural Face™ Clinics, provide functional rhinoplasty, cosmetic rhinoplasty, or nose surgery, for patients residing in the Syracuse metropolitan area and Central New York area including, Ithaca and Rochester.

 Functional Rhinoplasty in Syracuse and Ithaca, NY

                                                                       Functional Rhinoplasty in Syracuse and Ithaca, NY

What is a Functional Rhinoplasty?

Rhinoplasty, or “nose surgery” has often been considered simply as a cosmetic elective procedure.  However, the audience should be aware that there is an entire category of nasal surgery, called “the functional rhinoplasty” in which the goal is to improve the breathing through the nose.

Select below to learn more about specific problems that can be corrected with functional rhinoplasty:

How do I know if I am a patient who will benefit from functional rhinoplasty?

Many people deal with nasal airway obstruction.  The most common causes include environmental allergies or common cold which will resolve either with time or with medical treatments.  However, for a subset of patients, the structural or the anatomic aspect of the nose is the cause of nasal airway obstruction.  These people will benefit from functional rhinoplasty based on medical necessity.

Generally, patients have already undergone medical treatments from their primary care providers, for example, allergy test and/or allergy medications.  However, if patients continue to have problems despite medical treatments, or if a physical exam or imaging study reveal obvious structural problem with the nose, they will benefit from functional rhinoplasty.

Some patients have collapsing of the nose when they are inhaling deep or rapidly.  These are called dynamic nasal valve collapse.  Others may notice pitched appearance or crooked appearance of their noses at rest, with constant blockage at all time.

One quick test to know whether patients have nasal valve problem is if they have noticed improvement with “Breathe-right” strip (nasal splint).  Or some patients will lift up their cheeks to flare open their nostril to help them breathe.

Another tool that our office use is a questionnaire called, the “NOSE Survey”.  This is a validated instrument and used by academic researchers and surgeons to score the severity of nasal airway obstruction.

Over the past ONE MONTH, how much of a problem were the following conditions for you?
Score 0 (not a problem) – 4 (most severe problem)

  1. Nasal congestion or stuffiness
  2. Nasal blockage or obstruction
  3. Trouble breathing through the nose
  4. Trouble sleeping
  5. Unable to get enough air through the nose during exercise or exertion

Stewart MG, Smith TL, Weaver EM, et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg. 2004; 130(3): 283-290

What is involved in functional rhinoplasty?

Most commonly, we will start by addressing the septum, the wall that separates the left and right nose.  If there is deviation or irregularity of the septum that is causing blockage of the nasal airway, we will correct that often by removing the involved segment of the cartilage.

Next, we will address the nasal valve.  This may be as simple as improving the strength of the nose, by using the septal cartilage to create a graft – which is like an internal “breathe-right” strip.  Other times, we may need to widen the internal nasal valve – again most often using the patient’s own septal cartilage as a graft.

What is the difference between Cosmetic Rhinoplasty and Functional “Medical Necessity” Rhinoplasty?

A cosmetic rhinoplasty is performed for the purpose of improving the appearance of the nose, whereas functional rhinoplasty is performed to improve the function (breathing) of the nose.

The most common indication for functional rhinoplasty is for patients who have chronic obstruction of the nasal airway.  Nasal airway obstruction can be due to many reasons, including seasonal allergy and/or structural deformity of the nose.  If the cause of nasal airway obstruction is due to structural problem of the nose, then surgical treatment will offer the best chance of improvement for the problem.

There are numerous causes for structural issues of the nose that can lead to nasal airway obstruction.  These include, a history of trauma to the nose, hereditary or congenital (some are just born with it), chronic inflammation, or as part of the aging process.

Prospective patients who are inquiring about functional rhinoplasty will undergo medical evaluation including endoscopic examination, and sometimes CT imaging.  Dr. Kim belongs to a unique group of plastic surgeons with training and expertise to simultaneously address the problems inside your nose and the outside appearance of the nose.

Functional Rhinoplasty in Syracuse and Ithaca, NY

Rhinoplasty (Nose Surgery) Before and After Pictures Syracuse and Ithaca, NY

This is a 13 year old patient who came to see Dr. Kim for a problem related to her nose.  She was born with deformity of the nose and the septum which had completely sealed shut the left nasal airway and started growing into the cheek bone causing facial pain.  This patient underwent functional rhinoplasty including extracorporeal septoplasty. Left pictures are pre-operative, and right pictures are 1 month after the surgery.  Immediately after the surgery, she was able to breathe through her nose – first time ever – and facial pain had improved also.

 

Rhinoplasty (Nose Surgery) Before and After Pictures Syracuse and Ithaca, NY

Rhinoplasty (Nose Surgery) Before and After Pictures Syracuse and Ithaca, NY

This is a 25 year old patient who came to see Dr. Kim for a problem related to his nose.   The patient had a history of numerous sport-related traumas to his nose, and now was dealing with chronic obstruction of his nasal airway.  One can also appreciate the external crooked appearance of the nose.  The patient underwent functional septorhinoplasty.   Immediately following his surgery the patient began to breathe through the obstructed nasal passage (his right).  Subtle improvement in external appearance is also appreciated.  Pictures on the right are about 1 month after the procedure.

 

Rhinoplasty (Nose Surgery) Before and After Pictures Syracuse and Ithaca, NY

This 71 year old patient was dealing with chronic nasal obstruction on her right side.  Upon careful examination, it was determined that her outer nasal valve on her right side was collapsing in when she breathed in air.  Patients with this type of problem will often notice marked improvement when using Breathe Right® strips which serves as a splint to keep their nasal valves open.  This patient underwent a procedure where her septal cartilage was borrowed (cartilage can come from either the nasal septum or the ear), and inserted into the right supra-alar area of the nose to strengthen and prevent the valve from collapsing during breathing.

What does the surgery entail?

Depending on the nature of the repair, it can take as quick as under an hour, to sometimes two hours or more.  Sometimes, the surgery can be done with no visible incisions outside, other times there will be a small incision under the nose which will heal to a point where it’s almost invisible.

Will the surgery change the appearance of my nose?

If the patient already presents with a crooked nose, improving the function of the nose will often improve the crooked appearance of the nose as well.  This is because, even though the goal of functional rhinoplasty is to improve the function of the nose and not the appearance, often times deformity and dysfunction are directly related.

Now some patients may inquire about combining this with a cosmetic procedure to alter the shape of the nose at the same time – most common requests includes refining the tip, or removing the hump.  This is often times performed during functional rhinoplasty, but the cosmetic part of the procedure will be considered elective and will not be covered by the insurance.  The total cost of the cosmetic component of surgery will be clearly disclosed to the patient during the consultation visit.

Double board-certified Facial Plastic Surgeon Dr. Sang W. Kim at Natural Face Clinics specialize in aesthetic enhancement of the face, head, and neck, exclusively. Patients come to see us from the Syracuse metropolitan area and Central New York area including Ithaca, and Rochester. At Natural Face Clinics, we specialize in restoring the youthful neck contour, tired appearance of the brows and eyes, and skin laxity. We offer customized treatment, both surgical and non-surgical, including facelift, eyelid surgery (blepharoplasty), nose surgery (rhinoplasty), brow lift, neck lift, and skin resurfacing. Find out more by scheduling your personal consultation today.

MEET THE DOCTOR

Dr. Sang W. Kim

Harvard Trained, Double Board Certified Facial Plastic Surgeon

Sang W Kim, MD is a double board-certified facial plastic surgeon who specializes in cosmetic and reconstructive facial plastic surgery and hair restoration surgery. He graduated from the University of California – Berkeley with summa cum laude. He received his medical doctorate degree from Harvard Medical School, and completed his residency training through the Harvard Combined Program in Otolaryngology – Head and Neck Surgery. Dr. Kim completed the prestigious dual fellowship accredited by the American Academy of Facial Plastic and Reconstructive Surgery and the International Society of Hair Restoration Surgery.

TESTIMONIALS
We invite you to share your experience online at RealSelf.com. Click on the button below to leave a review!  -

I found everyone at Natural Face Clinics to be very friendly and accommodating. During the procedure I became ill and both Dr. Kim and Susan were very compassionate and I did not feel rushed. As of this date, the results are great and I am happy with the end result. Dr. Kim has been very kind and professional. He is a great doctor. The staff is very kind and caring. They are always friendly and accommodating on the phone and in the office. I would definitely recommend Dr. Kim to my family and friends. Thank you for everything!

- Joanne – East Syracuse, NY

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Everything about the procedure was well explained and it was a breeze! The chin surgery came out well and as expected. The doctor was very professional and put me at ease. He explained everything that he was doing. The staff is top notch and Karen was outstanding.

- Carl – East Syracuse, NY

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The initial visit was informative and reassuring. I was given options and a clear understanding as to what to expect. It was very comforting. I received excellent care and I am thrilled with my results! I’ve already booked my next procedure. I was pleasantly surprised with how little pain there was and how quickly I recovered.
Dr. Halliday is wonderful! He is knowledgeable and professional. I wouldn’t trust my face to just anyone. He is an excellent plastic surgeon. The staff is professional, caring and attentive. Appointment times are honored and the visits are never rushed. I am so grateful for the outstanding care I received.

- Susan – East Syracuse, NY

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My experience was very professional and helpful. My questions were answered that I did not think to ask. They were very friendly and accommodating. The procedure went smoothly. Post-op care was especially spoiling, considering it was during the holidays. Everything was done to ensure I had an optimal outcome.
My results are splendid! I am receiving compliments that I look 15-20 years younger than prior to my procedure. My doctor was outstanding and genuinely concerned. He wanted me to understand what was being done and why. I had clear and concise answers to questions and received excellent bedside manner. The staff is friendly, efficient, on time and on task. They are eager to assist! I would recommend and would use again when needing cosmetic enhancements. I am very, very pleased with my experience and results.

- D.L. – East Syracuse, NY

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When I look in the mirror, I know I made a great choice. Dr. Halliday and his exceptional staff were thoughtful, knowledgeable, and caring. My results were very good and not over-done like some actress on TV. I have referred friends and they also had great results.

- Mary - New York Mills, NY

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I cannot begin to tell you how happy I was and continue to be with Dr. Halliday and his staff. I felt very comfortable the first time I met him and talked with his staff. I was treated professionally and with dignity. I originally met Dr. Halliday to discuss fillers. After talking to him and discussing all my options, I decided to have a face lift and surgery on my upper and lower eye lids. He never pushed me into making a decision, in fact, he told me to think about it. I left and headed to work and I called the same day and booked my surgery. He is an artist and a master at what he does. I am extremely happy with my results. I have and will continue to recommend Dr. Halliday and his staff to anyone interested in improving their appearance.

- Debbie - Syracuse, NY

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This whole process has been an amazing experience. The staff and Dr. Halliday treat you with respect and also assure your privacy. The staff is efficient and communicates well; you have complete knowledge of the process and the outcome is absolutely awesome. Thank you!

- Dale - Ilion, NY

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At my initial visit I was met with a short wait time and a friendly staff. Throughout the whole procedure I was comfortable and I healed well and had no problems; I am happy with my results. Dr. Kim is so nice and friendly. He answered all my questions and made me feel safe and comfortable. The office staff has been very friendly and helpful as well. Everyone is so nice here.

- Karen – Syracuse, NY

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When I met Dr. Kim and the staff, everyone was friendly. Dr. Kim did a good job with my procedure and made me feel comfortable. My hair has started to grow and I feel like the procedure has worked. Everyone here is nice and I liked Dr. Kim’s honesty with me. My doctor wanted me to go to a different doctor for my nose but I told him “no I want to go to Dr. Kim”.

- Ljupco – Syracuse, NY

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At my initial visit Dr. Kim and the staff were very informative on what was going to happen with the surgery. He removed Melanoma from the left side of my nose and it very good. All of the Melanoma has been removed and is healing well. Dr. Kim has been very informative on all that has taken place and what is in the future after surgery. The staff has also been very helpful throughout the whole process. I would see Dr. Kim again if I had any more cancer to be removed.

- Eugene – Syracuse, NY

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My initial consultation was very informative. The doctor was honest about the procedure, as well as, the cost and I felt no pressure to make a commitment. The office itself is very comfortable and the staff is friendly and welcoming. My procedure went smooth and the doctor was very cautious to not release me until he was sure I was ready to leave. I am very happy with my results and the healing time was even better than expected. Dr. Kim has an excellent bed side manner and his staff made the whole process enjoyable. He is easy to talk to and very informative about the procedure, as well as, advice on the healing process. I would definitely refer my family and friends to this practice.

- Linda – East Syracuse, NY

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Dr. Kim and the entire staff are nice. Dr. Kim did a good job and everything is 100%.

- Nevzad – East Syracuse, NY

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My husband and I met with Dr. Halliday and Terri. We arrived to a very clean and inviting office and did not have to wait long. Dr. Halliday and Terri did not tell me what should be done but were interested in what my goals were for a cosmetic procedure. They answered all my questions and explained their recommendations clearly. On the day of my procedure everyone went out of their way to make sure I was as comfortable as possible. I liked the “privacy” of the operating and recovery area. I feel like l look years younger while still looking “age appropriate”. Friends and family have commented I look good and the natural lift is exactly that; very natural. The only way people know I had a procedure is because I told them. Dr. Halliday was very professional and friendly the entire time. I completely trusted all the decisions he made during the procedure. He took his time and even took time to put my husband at ease about having the procedure done. Everyone at the office is extremely friendly and I have never had to wait long for my appointment. I feel like I have made an investment in my face and while I am happy to be my age I am even happier to have a face that matches the body I have. I will continue to make enhancements along the way with Dr. Halliday, Terri, and everyone in his office who made me feel and look special.

- Nicki – East Syracuse, NY

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The staff is very pleasant and helpful. I am very pleased with Dr. Hallidays expertise.

- Debra Victor - East Syracuse, NY

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This is a wonderful place to come, everyone is great and happy. I had the best care and will recommend this surgery center to my friends.

- Linda - Syracuse, NY

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I was very worried about my surgery. However, the doctor and staff were wonderful and my surgery and recovery were well worth it.

- Shirley – Syracuse, NY

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