A lot happens under the surface of the nose. The bone and cartilage under the skin give the nose most of its size and shape. Other structures inside and behind the nose help you breathe. Whether you are looking for a cosmetic change to the nose or a medically necessary change, Dr. Malotky can help you.

A rhinoplasty is a nasal surgery that addresses the overlying cartilaginous framework and underlying bony scaffold to change the nasal shape and projection. There are many techniques and approaches to rhinoplasty, but your surgery will be tailored to specific concerns such as a large boxy tip, a dorsal hump, or any asymmetries. Often times people don’t know exactly how to quantify what it is they don’t like, but feel confident that your surgeon will help you better understand your own anatomy and what can be done to tweak it to achieve your surgical goals.

Sometimes a nasal deviation is caused by a bent or distorted nasal septum. This piece of cartilage that divides the nasal passageways can also restrict airflow through one side making it more difficult to breath or causing a congested hyper nasal voice when speaking. A septoplasty involves changing the shape of the cartilage through small scoring incisions and sometimes involves resection of a large portion of the distorted cartilage.

Sometimes in more severe instances, such as with post-traumatic or congenital defects, insurance may cover a portion of the procedure or adjuncts to help you breathe better. These may include submucous septal resection, spreader grafts to open the internal nasal vault, or inferior turbinate reduction. While these specific procedures do little to change the outward appearance of the nose, they can do quite a bit for a patient’s quality of life and can be combined with other nasal procedures to achieve the desired look. The functional aspect of your surgery may be covered by your insurance.