
Individuals who have been affected by skin cancer, traumatic defects, or congenital deformities of the nose may want to consider nasal reconstruction.
Nasal reconstruction is conducted using a variety of surgical techniques bone grafts, skin grafts, tissue expansion, microsurgery, and flaps. Local or general anesthesia will be used, depending on the level of surgery.
The nose can be accessed for reconstruction through an incision at the bottom of the nasal columella (skin separating the nostrils), or from an incision(s) placed inside the nose. The surgeon will decide which approach to use depending on the location of the site to be reconstructed, as well as other factors such as specifications related to the individual’s nose.
During nasal surgery, the surgeon works to separate the skin from the bone and cartilage at the site requiring reconstruction. The framework of the nose, that is, the bone and cartilage, are the first to be treated. Bone grafts may be used to increase the bone structure, or removed depending on the patient’s surgery plan. Similarly, cartilage and skin will be either removed or added.
Tissue that is added to the site during reconstruction surgery may be donated tissue, a synthetic material, or tissue coming from a different location on the patient’s own body. Finally, the surgeon redrapes the skin over the site and closes the wound.
Individuals receiving nasal reconstruction can expect bruising, swelling, and slight bleeding for the first 3 days after surgery. They should closely follow Dr. Goldberg's instructions on how to care for the wound site, applying ointment and changing dressings as needed. Most patients can return to their normal schedules within a week after surgery, and can resume with vigorous exercise after 3 weeks following surgery. A follow-up consultation is typically scheduled within the first 6-8 weeks.
For questions and concerns regarding nasal reconstruction, or to set up an appointment with Dr. Goldberg, please give us a call at 914-722-1600. Our offices are located in Dobbs Ferry and Scarsdale in Westchester County, NY.