Primary & Revision Rhinoplasty Procedures Virginia
Rhinoplasty is the science & art of Aesthetic Nasal Surgery, which remains the most popular cosmetic surgery across all cultures, races, sexes and ages. The history of nasal surgery dates back thousands of years to ancient India where the skillful and compassionate surgeon, Sushruta, devised “cutting edge techniques” using forehead tissue as a “flap” to reconstruct noses that had been cut off as a sign and punishment for adultery! We have fortunately come a long way since those cruel and inhumane times. However some of the techniques used and described by those pioneering ancient reconstructive surgeons are still valid and used today for reconstruction of the nose after trauma, cancer or dog bite injuries. In fact slight modifications of these ancient techniques gave rise to the Paramedian Forehead Flap, which is the cornerstone of all significant nasal reconstruction.
The history of Plastic Surgery and its milestones are tightly interwoven with the history and progress in Rhinoplasty. In the 16th century, the Italian surgeon, Gasparo Tagliacozzi, who is considered by most as one of the forefathers of Plastic Surgery, devised a clever “flap” using skin from the arm of a patient to reconstruct the nose by attaching the arm to the nose for a period of time until the arm skin developed its own blood supply from the nose. Although by today’s standards, such a procedure seems gross and primitive, this concept of a “distal flap” is one of the cornerstones of modern reconstructive techniques for very large total nasal defects using methods such as a “Radial Forearm Flap.”
The father of modern Plastic Surgery, John Orlando Roe, who was an Otolaryngologist (ENT surgeon) from Rochester, New York, is accurately given credit for performing the first Endonasal or “closed” Rhinoplasty and for being the father of Aesthetic Rhinoplasty. Later on, the German Orthopedic Surgeon, Jacques Joseph, used a similar Rhinoplasty technique to help a young man who had avoided appearing in public his entire adult life due to embarrassment from his overly large nose.
Not too long ago, during the “taboo period” of plastic surgery, the field was seen as superfluous and not taken seriously by most surgeons. Cosmetic Surgery and Rhinoplasty where merely available to the select few of wealth and advantage. However, today more than ever before in history, Cosmetic Surgery is in the spotlight. It has gained wide acceptance as a valid field of medicine and the rewards of self-improvement, and increased self-confidence, and wellbeing are available for the first time to the general public.
This “re-birth” of Cosmetic Surgery has also resulted in a flooding of the market by devices, procedures, and promises that are not always grounded in science and medicine, but more so in “marketing” and “hype.” Plastic Surgery is being “sold” today in an alarming rate to the public, in the media, reality TV shows and in Cosmetic Surgeons’ offices, often by inadequately trained physicians, with the backing of “over-night propped up,” invalidated “Boards.”
Fortunately, the field of Rhinoplasty and Aesthetic Surgery of the nose has by enlarge been shielded from such hype and exposure; (with the exception of the doctors offering “no downtime Rhinoplasty” or “non surgical Rhinoplasty” to anyone walking in the door, by injecting fillers such as Radiesse, Silicone and Artefill into the nose). Overall, Rhinoplasty has evolved properly and stepwise over the last several hundred years into the safe, effective and impressive surgery that it is today, when performed by a true, dedicated, “Rhinoplasty Surgeon.” The field of Rhinoplasty today continues to improve and our current Rhinoplasty techniques are significant modifications and advancements of yesteryears’.
Rhinoplasty is widely considered by all kinds of surgeons to be the most complex of all surgeries. Unfortunately many patients and many Plastic Surgeons do not appreciate this fact and so the Revision Rate in Rhinoplasty across all nations remains unacceptably high.
The Rhinoplasty Surgeon is considered to be the most meticulous, skilled and exquisite of all Plastic Surgeons. Aesthetic Surgery of the nose is a three dimensional operation of millimeters and fractions thereof. The successful Rhinoplasty requires skill, artistry and a complete understanding of the nose, its architecture, as well as its functional physiology.
Facial Plastic Surgeons by training are “specialists of the face” and are well equipped to deal with these issues – inside and out. Facial Plastic Surgeons spend five years of rigorous specialized surgical training or “Residency” in Head & Neck Surgery, focusing exclusively on the face, neck and nose. These surgeons become Board Certified by the American Board of Medical Specialties, which is the main governing body in the United States overseeing the training of surgeons. Following this specialized training and Board Certification, true Facial Plastic Surgeons go above and beyond and spend an additional year of dedicated Facial Plastic Surgery Fellowship training mastering the cosmetic and reconstructive surgery of the face, neck and nose. A very small handful of Facial Plastic Surgeons go even a step beyond this and dedicate their training and practice to the intricate surgery of the nose, resulting in unparalleled skill and expertise when it comes to the nasal reshaping surgery – Rhinoplasty.
Dr. Naderi, belongs to an even more sought after and specialized group of Facial Plastic Surgeons with specific training and expertise in Revision Rhinoplasty or Secondary Rhinoplasty. Dr. Naderi spends a large portion of his busy surgical practice correcting previous Rhinoplasty work done by other Plastic Surgeons. Some of his patients may have had 2 to 6 unsatisfactory surgeries before being referred to him for help. He has authored chapters on this topic in major surgical text books used by other surgeons around the world. Dr. Naderi has held a faculty position at Indiana University School of Medicine as a Clinical Assistant Professor of Facial Plastic Surgery where he has taught surgical residents the proper techniques of Rhinoplasty for both aesthetic and functional purposes. Furthermore, Washington DC, Maryland and Virginia Plastic Surgeons quite often refer their “tough noses” to Dr. Naderi, deferring to his expertise and skills.
As the centerpiece of the face, the nose can draw significant attention to itself. Given all the intricacies of Rhinoplasty and Revision Rhinoplasty and the skill and experience required, you can rest assured with Dr. Naderi’s unique surgical expertise as well as his genuine compassion. Dr. Naderi takes the time to go over all of your options with the aid of the cutting edge “digital computer imaging” to show you what you may look like after surgery. He confidently encourages all his patients to seek several other Plastic Surgeons’ opinions so his patients can feel totally comfortable with their decision to undergo Rhinoplasty or Revision Rhinoplasty, as well as with their ultimate choice of a surgeon.