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Nasal Reconstruction

Nasal reconstruction surgery focuses on restoring the external structure of the nose after significant trauma. Other causes can include burns, infections, or even previous surgeries that led to tissue loss or disfigurement. Dr. Azouz, is a board-certified plastic surgeon and has a deep knowledge of facial anatomy and reconstructive surgery. Dr. Azouz also accept workers’ compensation for work-related nose injuries.

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When is nasal reconstruction needed?

Nasal reconstruction is often necessary when the external structure of the nose is damaged or compromised due to injury, disease, or prior surgical procedures. Note that this is not the same as a rhinoplasty, which is often cosmetic, or septoplasty, which corrects internal deviations. This type of surgery is commonly recommended when a patient experiences:

  • Facial trauma such as lacerations, blunt force injuries, dog bites, or car accidents that result in tissue loss, cartilage damage, or visible deformity
  • Skin cancer excision, particularly following Mohs surgery, where cancerous tissue is removed from the nose, leaving defects that may require complex reconstruction
  • Burn injuries or frostbite, can damage both the skin and deeper nasal structures, leading to scarring or loss of contour
  • Infections or necrosis, where tissue death from infection or vascular issues results in partial or complete loss of nasal skin or cartilage
  • Congenital deformities that have worsened over time or been made more prominent by injury or illness

Because the nose is composed of thin skin overlying a delicate cartilage framework, and sits prominently at the center of the face, even small injuries can lead to visible asymmetry, nostril distortion, collapsed nasal tips, or difficulty breathing. Reconstruction isn’t just about improving appearance; it’s often necessary to restore function and ensure long-term skin and tissue stability. Board-certified plastic surgeon Dr. Azouz carefully assesses each patient’s injury to determine the best approach for restoring both the form and integrity of the nose.

nose injury

How is Nasal Reconstruction Performed?

Reconstructive nasal surgery varies greatly depending on the size, depth, and location of the defect. Dr. Azouz carefully evaluates each case to determine the best technique for optimal healing and symmetry. Common methods include:

  • Local flap reconstruction: Skin and tissue from near the nose (such as the cheek or forehead) are repositioned to cover the wound. This technique helps maintain natural skin tone and texture.
  • Skin grafting: Thin layers of skin are taken from another part of the body and placed over the wound. This is often used for more superficial defects.
  • Cartilage grafting: For deeper injuries involving the nasal framework, cartilage from the ear or rib may be used to rebuild and support the nasal bridge or tip.
  • Staged procedures: In complex cases, reconstruction may be performed in multiple stages. This allows the tissue to heal gradually and improves the long-term appearance and stability of the nose.

nose injury on child

Anesthesia for Nose Reconstruction Surgery

Nasal reconstruction can be performed under local anesthesia with sedation or general anesthesia, depending on the extent of the repair and patient preference. Most procedures can be with local anesthesia and sedation to minimize the risks of general anesthesia and ensure patient comfort and safety.

Risks of Surgery?

As with any surgical procedure, nasal reconstruction carries some risks. While complications are rare when performed by an experienced surgeon like Dr. Azouz, patients should be aware of the following potential risks, including bleeding, infection, or poor wound healing. Dr. Azouz takes extensive precautions to minimize these risks and provides thorough pre-and post-operative care instructions to support proper healing.

Nose Reconstruction Surgery Results

Results from nasal reconstruction vary based on the extent of the injury and the surgical technique used. Most patients notice a significant improvement in the shape, contour, and symmetry of the nose. In many cases, functional issues like airflow obstruction or nostril collapse are also corrected. While healing continues over several months, scars typically fade and refine over time, especially with proper aftercare. Dr. Azouz prioritizes natural-looking outcomes that restore both appearance and confidence.

Combining Procedures with Nasal Reconstruction Surgery

In some cases, Dr. Azouz may recommend combining nasal reconstruction with additional procedures to optimize both form and function. These may include laser treatments to improve skin texture or discoloration or steroid injections to reduce raised scarring. Combination approaches are tailored to each patient’s unique needs and may be staged over time for optimal results.

Dr. Solomon Azouz is such an amazing person i can’t even find the words to begin to describe him. i had a difficult situation gone to a prev plastic surgeon who wanted to do the surgery the way he sought out, i didn’t feel as comfortable with him. That’s when i found Dr. Azouz after consulting with him he was very thorough and considerate about me and not just the surgery. The outcome of my surgery was far better than anything i would’ve expected i’m beyond thankful for him and his AMAZING STAFF who also deserve the 5 stars.

~ Ashley

Cost of Nose Reconstruction Surgery in Dallas

The cost of nasal reconstruction depends on the complexity of the procedure, the number of stages involved, and any additional treatments required (such as grafting or laser therapy). During your consultation, Dr. Azouz will provide a detailed breakdown of expected fees.

If the injury occurred at work, workers’ compensation may fully cover the surgery. Dr. Azouz accepts workers’ comp cases and works closely with insurers to handle documentation and approvals on your behalf.

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Schedule a Consultation with Dr. Azouz

If you have suffered from a nose injury, contact us to schedule your consultation today. Board-certified plastic surgeon Dr. Azouz has extensive training and experience in reconstructive surgery. Contact us online, or call us directly at (972) 702-8888 to schedule a consultation with Dr. Azouz. Virtual consultations are also available for patients who are traveling to Dallas for surgery.

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Frequently Asked Questions

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