On this page you will find videos of Dr. Walden performing a rhinoplasty procedure. Most nasal surgery is done from inside the nose. Several cuts are made in the nostrils depending on what needs to be done. In open rhinoplasty, the cuts start just inside the nostril and extend over the columella (the post between the nostrils). Dr. Walden usually makes a gull-wing incision over the columella. This external scar visible from below is usually not significant. When the two nostril incisions are connected, the nasal skin can be elevated exposing the anatomy of the nose. Particularly effective for nasal tip and complex septal problems, the deformity can be addressed with the structures in their natural anatomic position. The cartilage and bone are sculpted under the skin.
Closed rhinoplasty depends on incisions inside the nose only. There is no incision made across the skin of the columella. When the tip needs to be modified, it must be delivered through the nostrils and worked on in the delivered deformed position. Dr. Walden also performs closed rhinoplasty on select individuals who meet the criteria.
Dr. Walden removes the hump using a chisel or a rasp, then brings the nasal bones together to form a narrower bridge. Cartilage is trimmed to reshape the tip of the nose. Rasping the nasal dorsum is done by making controlled fractures (or osteotomies) along the paired nasal bones. Moving the nasal bones is then carried out with gentle manual pressure. Addressing the septum, or the midline cartilage of the nose, is done by a closed or open approach, and can be performed to straighten the nose or correct nasal breathing problems in what is called a septoplasty.
Please see Dr. Jennifer Walden’s rhinoplasty videos here and on YouTube at http://www.youtube.com/user/drjwald.
Dr. Jennifer Walden is a board-certified Plastic Surgeon in New York who performs rhinoplasty surgery. Visit her practice website at www.drjenniferwalden.com or call 212-288-9009 for a consultation.
