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What is a Rhinoplasty?

A rhinoplasty is a cosmetic surgery procedure performed on the nose to change its structure, shape and form, as well as on occasion, simultaneously improve the airway flow and function, in order to improve nasofacial balance, function and overall aesthetic appearance.

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Why you should choose Dr. Mulholland and SpaMedica in Toronto for your rhinoplasty

Quality and Experience

Dr. Mulholland has over 20 years of rhinoplasty experience. Cosmetic rhinoplasty is one of the most common procedures he performs

His extensive training in both plastic surgery and ear, nose, throat, otolaryngology and head and neck surgery allows him to achieve consistent rhinoplasty results

Rhinoplasty has a reputation for being very difficult to perform and it also has a high revision rate; Dr. Mulholland’s enhancement revision rate is one of the lowest in the industry at under 5%

Computer Imaging

For the past 10 years, Dr. Mulholland has offered all his patients complimentary pre-operative computer imaging to show patients the possible outcomes of their rhinoplasty

With his experience and skill, he is able to deliver on those outcomes accurately

Training

Dr. Mulholland is a board certified plastic surgeon, certified by the Royal College of Physicians and Surgeons of Canada

He has certified fellowship in ear, nose, throat, otolaryngology and head and neck oncology

This dual training in ENT, otolaryngology and cosmetic rhinoplasty experience make Dr. Mulholland one of the busiest rhinoplasty surgeons in Canada

Quality Outcomes

Dr. Mulholland is often sought out by the media for his expertise on rhinoplasty and plastic surgery

Dr. Mulholland’s work on past rhinoplasty patients can be seen in multiple TV shows and before and after photos

Affordability and Payment Plan

Patients can have Medicard payment plans arranged for their procedure

Payment periods can be spread over 36, 60 and 72 months

Patients can have low interest rate payment plans and be approved in under 30 minutes

How is a Rhinoplasty performed?

There are two broad categories of rhinoplasty procedures performed by Dr. Mulholland. SpaMedica’s rhinoplasty Toronto patients will benefit from Dr. Mulholland’s extensive experience of nearly 20 years, performing nose jobs in Toronto.

The first broad category of rhinoplasty is an external rhinoplasty, where a small incision is made in the base of the nose and the nasal skin is lifted up over the cartilages and bone structure to optimally visualize and reveal the nasal anatomy so it can be structurally changed and stabilized for an excellent long-term result.

The second broad category of type of rhinoplasty procedure is a closed rhinoplasty, internal rhinoplasty or endonasal rhinoplasty. In a closed rhinoplasty, there is no small incision at the base of the nose, in what’s called the columella, but rather the incisions are placed entirely inside the nose and inside the nostrils. An internal, or endonasal rhinoplasty, as it is called, saves the cosmetic rhinoplasty patient the small incision in the skin of the partition of the nose (columella), and is excellent for dorsal bridge reductions and some modest tip and airway breathing concerns, but is usually a suboptimal approach for more complex cosmetic rhinoplasty procedures involving extensive or combined changes to the tip of the nose, balancing bridge and tip work or supporting the external valves of the nose and stabilizing all these structures so there is a predictable long-term result following your rhinoplasty. For the majority of rhinoplasty the external rhinoplasty approach, combined with the internal incisions will give you the best possible cosmetic and functional outcome.

Toronto Rhinoplasty Skin Incisions Figure 1. There are several incision options in performing a nose job. The majority of incisions for rhinoplasty Toronto patients are inside the nostrils and inside the nose, where they not visible and these are used in the Endonasal or Internal Rhinoplasty. The External rhinoplasty, which is a common rhinoplasty approach for complex aesthetic nose changes of the nasal tip , use a small incision in the middle of the external partition of the nose called the columella. This small scar is only several mm’s in length and usually heals beautifully and imperceptible and allows Dr. Mulholland to accurately visualize the nose cartilages and bones and to correct more accurately and for greater durability.

What are the different nose types and variations that can be improved with rhinoplasty?

There are several common aesthetic variations of nose and face imbalance that can be improved with nose jobs, commonly presented to rhinoplasty surgeons for cosmetic nose job surgery. Broadly classified these Nasal – Facial imbalances can be classified into aesthetic concerns with the bridge, aesthetic concerns with the tip and base, issues with breathing, noses that are too long or too short and crooked noses. The most common reduction rhinoplasty is a reduction of a bridge bump, while building up a bridge that is weak, that needs to be built up, is also common in cosmetic rhinoplasty of the bridge.

A tip of the nose may be too wide or bulbous, or, over-projected or under-projected (also called a tension tip, if combined with a strong bridge). The nose may be too long or too short and can be straight or crooked. We will review the operative treatments for each of these Toronto cosmetic rhinoplasty variants below.

Rhinoplasty Toronto Common Nasal Conditions That Can Be Improved

Figure 2.  Common cosmetic nasal concerns that can be improved with cosmetic rhinoplasty. Nasal-Facial issues can affect the Bridge, Tip, length, projection, width and height of the nose and breathing passages. Some of the common rhinoplasty concerns are shown in this figure.

What if I have a nose bridge bump? How is that reduced or improved?

It is very common for rhinoplasty Toronto patients to seek a nose bridge bump reduction or improvement. A bridge bump or bridge hump is usually a result of a hereditary overgrowth of the bones and cartilages on the bridge of the nose. Occasionally, a bridge bump can result from over growth of tissue following an injury or fracture to the nose. Generally, patients with bridge bump concerns dislike their three-quarter and profile views, as the nose appears very dominant or excessive in size compared to other, more delicate features of the face. Individuals with bridge bumps may also have an excessively long nose or a plunging tip.

Toronto Rhinoplasty Nose Bridge Bump Hump Illustration

Figure 3. Bridge bumps (humps) from over growth of cartilage and nasal bones. The large bridge bump is reduced by filing down the nasal bones and over growth of the prominent septal cartilage. Rhinoplasty Toronto patients seeking a bridge bump reduction also commonly have noses that are too long, that need shortening and over or under projected tip that need to be balance.

For bridge bump patients, the bridge of the nose is surgically accessed through either an internal rhinoplasty or external rhinoplasty incision approach. If the nose tip needs to be adjusted and balanced once the bridge is reduced, Dr. Mulholland’s preferred approach would be an external rhinoplasty incision, as the scar heals extremely well and affords the greatest degree of exposure, analysis, bridge bump and tip correction and contour, leading ultimately to the best long-term stability.

Once the excessively high bridge is identified visually, the nasal bones can be reduced with a nasal rasp and the excessive cartilage resected with scissors. Small amounts are removed until Dr. Mulholland is happy with the shape and improvement in your profile, with a beautiful and aesthetically appealing reduction of the bridge in relation to the nose and the rest of the face.

What if my upper nose is too wide? How can that be fixed?

For excessively wide nasal bones, the approach is generally to perform a nose-breaking procedure, also called nose osteotomy. In performing a nose osteotomy, very tiny chisels are used with a small nasal hammer, to actually break the nasal bones and move them towards the mid-line, decreasing the excessive width of the upper portion of the nose, also called the bone nose or rhinion. Once the nasal bones are reduced, this narrows the wide-looking upper nose and any irregularities in the bridge of the nose can be filed down with a nasal file. Sometimes the middle portion of the nose can be too thin, necessitating cartilage grafts from the partition of the nose, or the middle third of the nose can be too wide, requiring a reduction.

Rhinplasty Toronto Wide Nose Bridge Illustration

Figure 4. Wide nasal bones leads to an excessive width of the upper portion of the nose.  When the nasal bones are too wide and aesthetically displeasing, then a controlled, surgical in-fracturing or “breaking” of the nasal bones and bringing them closer together will improve the aesthetic appearance of a wide, dominant upper nasal side wall.

What if the middle width of my nose looks too narrow and it collapses when I breathe in?

Sometimes the middle portion of the nose can be too thin and unsupported, resulting in an overly narrowed appearance and collapse of the middle portion of the nose on inspiration. This kind of nasal sidewall, or nasal valve collapse can result in a functional breathing obstruction, as well as a front view of the nose that looks too thin in the middle third of the nose.  In order to improve the aesthetic appearance of being overly narrow, bits of cartilage harvested from the nasal septum or ear cartilages are sutured in place to “splint” the internal nasal valve and help prevent collapse. These bits of cartilage that are sutured in place are called “spreader rafts” and can widen the narrow middle third improving the aesthetic appearance and, in splinting the nasal valve collapse can often help improve breathing obstruction.

Rhinoplasty Toronto Narrow Nose Bridge Illustration

Figure 5.  Spreader grafts are sutured in place on either side of the midline cartilage, called the septum. These spreader grafts can be bits of excess cartilage taken from the septum or from ear cartilage.  The spreader grafts widen the aesthetically narrow middle third, help to splint the internal nasal valve collapse, thus improving breathing and can help keep a crooked nose straight.

How is my bulbous tip improved during rhinoplasty?

A bulbous tip is usually due to excessive overgrowth of the lower lateral cartilages, also known as the lateral crus of the lateral cartilages. This is usually a hereditary phenomenon, although it could occur following trauma.

Using an external rhinoplasty, Dr. Mulholland will expose your excessively large lateral crura of the lower lateral cartilages that contribute to your bulbous tip. The upper portion of the cartilage is removed, narrowing your nose. Dr. Mulholland then uses fine nasal sutures to bring the tip together, to refine it and give it more definition and support.

Rhinoplasty Toronto Bulbous Nose Tip IllustrationRhinoplasty Toronto Bolbous Wide Nose Tip

Figure 6.  Toronto nose job patients that have a nose with a bulbous tip, they most often have an overgrowth of the lower lateral cartilages of the lower third of the nose. To improve the appearance of the bulbous tip the lower lateral cartilages usually need to be reduced and contoured. By removing a portion of the lower lateral cartilages and suturing the remaining cartilage together the appearance of a wide, bulbous tip can be greatly improved. A bulbous tip correction can leave the tip looking thinner and more feminine.

If the actual tip of the nose is overly projected, at this point the lateral crus of the lower lateral cartilages may be resected near the dome and re-sutured for stability and support. By resecting a portion of the dome, the nasal tip is dropped to better match the now straight bone bridge bump.

Rhinoplasty Toronto Bolbous Nose Tip or Plunging Tip Illustration

Figure 7. An over-projected tip, or one that sticks out too far from the face, will require the tip to be dropped, or de-projected back towards the face to improve nasal facial aesthetics. Toronto nose job patients with an over-projected tip often require the complete division and resection of the dome of the lower lateral cartilages dropping a tip that is too strong and projected more in balance with the face.

What if my nose is crooked? How is that fixed?

If your nose happens to be crooked, a crooked nose is usually a result of deviation of the internal partition of the nose, also called the septum. When the septum is irregular or deviated, it can pull the appearance of the nose off to the side of the deviation. The crooked nose can often be improved with a partial removal of the septum, called a septoplasty, and restructuring the bridge to ensure that it is straighter, with various graft material, often taken from the portion removed from the septum in order to support the septum in the mid-line and avoid a subsequent return of the appearance of a crooked nose.

Rhinoplasty Toronto Narrow Nose Bridge Illustration

Figure 8. Correction of a crooked nose. Rhinoplasty Toronto patients who have a crooked nose, often need to have structures released and moved to the midline. The midline support structures are then stabilized with cartilage grafts taken from the septum.

What if my nose is too long? How can my long nose be fixed during rhinoplasty?

Usually an excessively long nose bothers patients both from the front view and the side view, as the nose dominates the vertical height of the face and can often plunge, or droop on smile. In diagnosing a long nose, one needs to ensure if the nose bridge is deficient or if the bridge is too strong and if that should be improved and operated on at the same time. The approach to the surgical correction of a long nose is an external rhinoplasty, lifting the skin bridge to expose the structures that lead to the excessive length. The lower portion of the septum is removed to decrease the length and shorten the appearance of the nose. Often this shortening of the actual septum is combined with removing part of the septum to improve the airway, a procedure called a septoplasty.

The nose tip may or may not have to be reduced, depending on its projection, but the shortened tip needs to be supported in the mid line with a cartilage graft and secure fixation sutures. Following the bone fractures of the upper part of the nose to make the nose narrower and shorter, with or without a bridge bump reduction. Rhinoplasty Toronto patients with excessively large, dominant noses are often faced with this triad of a bridge bump, an excessively long nose, an overly projected nose and usually some degree of minor or moderate nose and septum deviation. All of elements need to be improved at the time of the rhinoplasty procedure.

Rhinoplasty Toronto Under Projected Nose Tip Illustartion

Figure 9.  Toronto nose job patients who have had their lower nasal cartilage operated upon, once the nasal tip has been modified and its ideal height finalized, a support graft (or tent pole) is needed. To accomplish this, a cartilage graft placed in the columella to support the nasal tip and to retain nose projection over the long term.

Following the bone fractures of the upper part of the nose, performed to make the nose narrower, and shortening the nose with or without a bridge bump reduction, patients with excessively large, dominant noses exhibit this triad of: (i) a bridge bump; (ii) an excessively long nose, an overly projected nose and  (iii) usually some degree of minor or moderate nose and septum deviation and all elements need to be improved at the time of the rhinoplasty procedure.

What if my nose bridge is weak how can I fix that?

A weak nose bridge can result from a hereditary lack of bone and cartilage tissue, or from trauma, including an over resected bridge during a past rhinoplasty procedure. The primary goal of a deficient bridge is to “build it up”. To increase the strength of a nasal bridge we can use the following options: an artificial bridge can be constructed with a simple injection of long lasting gel, or an injection rhinoplasty, or the 5 minute nose job. This injection rhinoplasty can last up to two years. Some permanent solutions will be inserting an artificial silastic bridge or using tissue from your own body, such as rib cartilage, bone or ear cartilage to build a nose bridge.

Toronto Rhinoplasty Deficient Weak Nose Bridge Illustration from SpaMedica

Figure 10.  A weak bridge, or under-projected bridge can be corrected by the insertion of a graft. This graft can be cartilage or bone, harvested from the ribs, skull or pelvis. The Bridge augmentation can also be an artificial insert, such as silastic or medpore.  The augmented bridge with create more vertical bridge height and narrow the appearance of a wide nose.

What if my nostrils are too wide?

Rhinoplasty patients who have wide nostrils can have the nostrils reduced by removing a portion of the wide nostril, hiding the incision under the base of the nostril.  A small wedge of nostril soft tissue is removed, narrowing the nostrils.

Toronto Rhinoplasty Wide Nostrils Illustration from SpaMedica

Figure 11. Rhinoplasty Toronto patients with wide nostrils can have a small wedge of nasal tissue removed from the nasal base making the width of the nasal bones narrower. The nostrils and alae with then appear more narrow and refined at rest and on smiling.

Who is a candidate for rhinoplasty?

An excellent candidate for a nose job is a patient with realistic expectations who understands the risks and benefits of cosmetic rhinoplasty surgery. Individuals with excessively large noses, dominant bridge bumps, bridge scoops, long noses or short noses, overly-resected bridges or “bridge scoops”, as well as people with wide nostrils and bulbous nose tips. All these nasal variants and individuals must have some desire to improve their nasofacial contour, balance or proportion. A thorough physical examination, both internally and in the endonasal region to diagnose any clinical or subclinical obstruction, deviation of the septum, with or without increased size of the turbinate bones. If there is evidence of an airway obstruction, a septoplasty, or partial or near-total removal of the obstruction septum may be required at the time of cosmetic rhinoplasty surgery. Dr. Mulholland will take the time to review your cosmetic rhinoplasty procedure in front of computer simulator, so you can assess the range of nose improvement before you decide to have a nose job.

What are the contraindications to rhinoplasty surgery?

The contraindication(s) to rhinoplasty surgery are usually those individuals with unrealistic expectations about rhinoplasty. In addition, individuals who have had multiple previous nose jobs may have soft tissue that does not lend itself to repeated surgery.

What kind of anesthesia is used during a rhinoplasty procedure?

Many rhinoplasty patients have concerns that they will be aware of the surgery and want to be reassured they will have a “full anesthetic”. Because of the nature of the surgery and the need for weakening the bones of the nose, there may be some nasal fluids that flow back into the throat and these must be prevented from entering into the lung. Therefore, general anesthesia with throat protection is used during rhinoplasty procedures, unless the work is only on the soft tissue of the tip, which can be performed under local anesthesia. An anesthesiologist, fully-trained and certified with an excellent reputation and work history, will meet you on the day of surgery and provide the level of anesthesia that is appropriate to your case and you will not be aware of anything during your rhinoplasty surgery.

There is also local anesthesia instilled and injected into the nose once the general anesthesia has fully taken effect, so there will be additional protection against feeling any pain. The local anesthesia helps to minimize bruising and swelling and also minimizes inter-operative and post-operative pain for the patient.

What happens during the rhinoplasty procedure?

In general, the first step during the rhinoplasty procedure is to gain exposure, either through an internal endonasal rhinoplasty approach, or an external rhinoplasty approach. Once Dr. Mulholland has adequately identified the anatomical structures, the nose bridge augmentation is performed, followed by fractures of the nasal bones to narrow the bone and make the nose appear more elegant. The lower part of the nose may then require tip reduction or tip support augmentation or de-bulking the tip. Finally, after the bridge and tip have been shaped, the nostrils may need to be reduced and often, the partition of the nose, or septum needs to be adjusted or partially removed to optimize the probability that there will be no airway obstruction following the nose job procedure. All these procedures and maneuvers are decided upon in the pre-operative phase, during the computer simulated surgery consultation and can be adapted at the time of the procedure.

How long is the recovery after rhinoplasty and is it painful?

There is very little pain associated with post-operative rhinoplasty recovery. There is usually some sterile packing inside the nose to minimize risk of bleeding. This packing is uncomfortable, though not painful. The packing is usually removed on, or about the 3rd post operative day. There is a cast placed on the nose to support the broken nose bones and delicate structures until they are reasonably stable, usually at about 7 days, where upon the cast is removed. However, patients should wait 6 weeks before contact sports can be resumed. Most rhinoplasty patients describe the post-rhinoplasty phase as uncomfortable, but not often associated with significant pain. Toradol and a minor Tylenol 3 equivalent should be all that is required for the first few days after your nose job procedure.

How long does the rhinoplasty procedure take?

A rhinoplasty procedure, whether it’s augmenting the bridge, reducing the tip, reducing the bridge or improving function generally takes Dr. Mulholland approximately 90 minutes to perform. Patients need some post-operative care for the first few hours, until they can be picked up and given a ride home under the buddy system.

Where will the rhinoplasty surgery take place?

Dr. Mulholland has owned and operated a fully certified overnight stay surgery center since 1997. SpaMedica Cosmetic Plastic Surgery Center is certified by the government and the College of Physicians and Surgeons of Ontario as a level one, General Anesthesia, overnight care surgery center. Most rhinplasty patients do not need to stay overnight but can often go home two hours after their surgery.

How long is the recovery following a rhinoplasty procedure?

Most patients require a full week off from social activities and work. This is because at the time of the osteotomies, or breaking the upper nasal bones, there can be extensive bruising, swelling and “raccoon eyes”. This extensive bruising or “raccoon eyes” may also result in the blood deep in the tissues leading to a delayed bruise that can be bluish, yellowish or green and may last a week or more. Immediately following the procedure, the packing inside the nose feels quite distended and the external cast prevents or minimizes any movement of the bones. The packing comes out on, or around, the 3rd post operative day and the cast comes off at one week. In general, individuals who take a week to ten days off are generally happy going back to work at that time and they look their best socially in approximately six weeks.

How long is the recovery following my rhinoplasty and how will I look?

After getting a nose job, there is a significant amount of early bruising and swelling, but only moderate pain and discomfort, although the nasal tip can remain swollen for five months or more. At the completion of the procedure and once all the incisions are closed, some special skin tapes and a cast are placed on your nose and this is supported by tapes.

How much does rhinoplasty cost?

The price of a rhinoplasty procedure depends upon the severity of the aesthetic involvement, but, in general, most Canadian prices for well-trained plastic surgeons performing reduction rhinoplasty can vary between $5,000 – $9,000. For secondary, or “corrective rhinoplasty” (nose job that has been done before) it costs $15,000, depending on the physician you’re seeing, their level of experience, speed and accuracy.

What can I expect cosmetically following my external reduction rhinoplasty?

Most Toronto nose job patients will be quite self-conscious about the appearance of their nose for the first couple of weeks. What most nose job patients find out is that most individuals they know, or mere acquaintances, rarely look at their faces closely and therefore, it is entirely possible and likely that very few people will know that you underwent a cosmetic rhinoplasty procedure, if it is done very naturally, with a view of aesthetic outcomes in play. Often simply changing the color of your hair dramatically just before your rhinoplasty surgery will distract people you meet from any minor swelling in the nose and they will “comment on your hair”.

Toronto Rhinoplasty Patient Before and After Photo Toronto Rhinoplasty Patient Before and After Photo 2

Figure 12.  A rhinoplasty Toronto patient who underwent a reduction rhinoplasty with the reduction of a strong bridge, shortening of a nose, septoplasty and de-projecting the over projected nasal tip.

Is there any way of estimating the type of cosmetic rhinoplasty that will work best for me?

Yes. In order to better understand what kind of nose improvement the patient hopes to achieve, a special, high-tech, three-dimensional camera-computer system called the VECTRA 3D will be used to walk you through your computer simulated rhinoplasty surgery at the time of your consultation, before you actually decide to proceed.

Dr. Mulholland is a very experienced cosmetic rhinoplasty surgeon and he will use the VECTRA 3D computer simulated surgery. This will be able to very accurately simulate and predict the shape of your nose with different maneuvers and help you understand better the effect of a reduction rhinoplasty on your overall facial appearance, both the front view, a close-up front view, the side view, the profile view and the back view.

Are there any potential complications that can happen following rhinoplasty surgery?

There are multiple complications that can occur following a nose job procedure. Fortunately, in Dr. Mulholland’s experienced hands they are rare and often fixable. Small irregularities may occur from shifting bones following surgery and this can generally be adjusted with simple molding. The external scar on the columella generally heals imperceptibly, but can occasionally be visible. There is a risk of compromised breathing after making the nose smaller and more attractive, so a complimentary septoplasty, or reduction of the partition is often performed to increase the airflow to compensate for the reduction in the actual size of the nose.

There are many other potential complications, most of which are very rare, following any cosmetic plastic surgery, including rhinoplasty. Dr. Mulholland and his operative team will review thoroughly the risks and benefits and recovery of your rhinoplasty surgery at the time of your consultation.

In general, what will my post-operative care be like following my rhinoplasty surgery?

Most patients will go home following their rhinoplasty with internal packing in the nose to minimize the risk of bruising in the first few days and a cast on the external portion of their nose. Patients return on day three to have the small sutures under their nose, which are used for the external rhinoplasty approach, removed. On this day, the nasal packing is also removed.

The first three days are impossible to breathe through the nose with the nasal packing and you will be a “mouth breather”, but, once the packing is removed, free air exchange can occur easily through the nose again

The cast is usually removed on day seven and all sutures are out by day seven. Most patients can look quite presentable on day seven, with some minor to moderate or significant bruising under the eyes.

The nasal bridge aesthetic improvements following the surgery start to look very good by week two or three and the nasal tip looks presentable by week six. Overall, the aesthetic improvements for the rhinoplasty occur gradually and over time. The final nasal tip result is not achieved till one year after the procedure, but approximately 70% to 80% of the improvement is visible at seven months.

Is there any maintenance required following my rhinoplasty procedure?

There is no maintenance required following a rhinoplasty procedure. Simple care and attention not to traumatize the nose is all that is required. Mother nature and time, with reduction in swelling, will lead to the final results without any further therapeutic intervention.

What kind of results can I expect following my rhinoplasty procedure?

Dr. Mulholland has been performing rhinoplasty for 20 years and has had training in both ENT head/neck oncology and plastic surgery and has an excellent aesthetic eye for nasofacial balance proportion. You will undergo three-dimensional computer imaging and simulation of your nose surgery prior to your actual nose job to give you a better sense of what kind of nose job and nose appearance can be achieved. This computer-simulated procedure will be done at the time of consultation, so that Dr. Mulholland can assess your level of expectations and ensure that the proposed surgery that he outlines on the computer screen will meet or exceed your expectations. Over the many years Dr. Mulholland has been performing cosmetic rhinoplasty, if individuals like their computer-simulated image, they are generally very happy their cosmetic rhinoplasty result.

What is a septoplasty or a breathing obstruction operation?

A septoplasty is a procedure performed on the internal catilaginous partition of the nose, particularly when that internal partition may be deviated or may compromise airflow on one side of the airway passage or the other. Often, when performing reduction rhinoplasty and making a large nose smaller, a septoplasty, or airway partition procedure, is performed to compensate for the smaller nose with increase air flow. The goal of the septoplasty is to remove any deviated parts of the septum and air passage, so that normal breathing can occur.

Toronto Rhinoplasty Deviated Septum Septoplasty Illustration from SpaMedica

Figure 13. A septoplasty is commonly performed when there is an obvious nasal septum deviation (partition reduction). The septoplasty, which involves removing deviated portions of septal cartilage to give rise to the obstruction and will increase the airflow though the nasal passages more efficiently .

Why choose Dr. Mulholland for my rhinoplasty procedure?

Dr. Mulholland has extensive experience in cosmetic rhinoplasty procedures and is certified by the Royal College of Physicians and Surgeons in both plastic surgery and has an advanced fellowship in ear/nose/throat head/neck oncology. This training has given Dr. Mulholland a unique opportunity to understand both the functional concerns of cosmetic nose surgery, specifically airflow and airway preservation, as well as the aesthetic concerns of rhinoplasty surgery, with beautiful and proportionate nasofacial balance.

Prior to opening SpaMedica and pursuing a career of exclusively cosmetic plastic surgery, Dr. Mulholland spent a number of years performing advanced head/neck oncology, removing extensive tumors and cancers of the face, nose and neck and performing complex reconstructions of these defects, as well as craniofacial trauma including nose fractures and injuries. His intimate knowledge of the anatomy of all aspects of the nose and face and ability to work with all tissues has made Dr. Mulholland one of Canada’s most-respected rhinoplasty and cosmetic facial plastic surgeons.

In addition to head/neck oncology, Dr. Mulholland has spent a number of years treating complex facial fractures, including nasal fractures and advanced facial trauma. His ability to manage the bone and soft tissue deficits of nasofacial fractures provided him with an excellent and unsurpassed foundation for subsequently performing cosmetic rhinoplasty surgeries.

How can I show Dr. Mulholland my concerns and see if I am a candidate?

Toronto rhinoplasty patients should simply fill out the appointment request form or “ask a question” form and upload up to 3 photos for Dr. Mulholland to review.

How do I schedule a consultation with Dr. Mulholland for an assessment for a cosmetic rhinoplasty procedure?

To schedule a consultation for your 3D imaging and rhinoplasty assessment by Dr. Mulholland, simply call 877-695-2835 and a SpaMedica client service representative will get back to you promptly. Alternatively, you may fill out the online appointment request form and a client service representative will get back to you within one business day. Make an appointment today and start the journey to a new and more attractive naso-facial balance and proportion.

The rhinoplasty procedures performed at SpaMedica are listed below

Cosmetic Rhinoplasty: This procedure is done under sedation and can incorporate incisions made inside and outside the nostrils. Depending on the problem and size of the nose, different surgical approaches may be taken. Cartilage, soft tissue and bones will be reshaped during this procedure to achieve an attractive and desired nasal shape. For a tailored procedure designed to meet your specific needs there are a variety of cosmetic rhinoplasty options offered by the SpaMedica team.

Injection Rhinoplasty (5 minute nose job): For a simple procedure that can be performed at the SpaMedica office and requires no down time, injection rhinoplasty is a good option for the person on the go, who requires immediate results. With little or no pain, swelling or bruising, a filler can be injected to give you a proportionate and smooth nose.

Septoplasty Surgery: Designed specifically to straighten the nasal septum, this procedure can help reduce nasal obstructions which often result in chronic sinus problems, and airflow impediments. For a significant reduction in surplus bone or tissue causing a deviation, septoplasty surgery can provide much needed relief.

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SpaMedica® YORKVILLE
Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-695-2835