Dr. Stephen Perkins is known internationally for performing and teaching rhinoplasty. The term Rhinoplasty means to mold or shape the rhinion, which is the Latin word for the nose. In rhinoplasty, the shape or deformities of the nose are corrected in a constructive fashion. The operation itself consists of rearranging, repositioning, shaping or removing any excess bone or cartilage to give the nose a more pleasing appearance. It is truly the art of “sculpting” the nose.
Many nasal and septal reconstructions, or septorhinoplasties, are performed to improve nasal function, or to improve the movement of air through the breathing passages. In addition, and intimately related, is the patient’s desire for improvement in appearance. These two parts of the operation are very naturally done at the same time. Most rhinoplasties are performed because a patient wants to improve their facial appearance. A patient may simply want a nose that fits better with their face, has a natural look and is in harmony with the rest of the face. As is often the case, the nose can become progressively crooked and larger as we grow and get older. This is a natural part of the aging process. The nose often droops and becomes wider and seems to “grow” with aging. Heredity often plays a part in the appearance of the nose. Early childhood trauma, sports injuries or a nose fracture can also cause the nose to become misshapen, which can lead to difficulty breathing.
Rhinoplasty can remove a bump, narrow and refine a bulbous tip and enlarge a nose that is too small, too short or collapsed.
Today’s sculpted nose is much more unique than it was in previous years. It should always be individualized, and a person’s ethnic background should not be lost. Traditionally, we used to do more rhinoplasty on Caucasians and those with Northern European backgrounds. But, because our society has become so multi-cultural, we are performing a lot of procedures on patients with ethnic backgrounds. In addition to the actual look of the nose, rhinoplasty techniques have also changed over the years and have dramatically improved patients’ results. These newer techniques allow for “reorientation”, which maintains the normal existing structure of the nose and involves more sculpting and reshaping rather than cartilage removal. Patients also experience little to no pain or pressure, minimal bruising – and nasal packing has become a thing of the past. Results are immediately noticeable. However, it will take at least a full year to see the final result.
Dr. Perkins utilizes computer-assisted video imaging which allows him to show a potential rhinoplasty patient what their “new” nose will look like – even before deciding to have surgery. This video imaging allows each patient an opportunity to view Dr. Perkins’s surgical recommendations and to give him direct feedback prior to surgery about the likes, dislikes and desires for the appearance of their new nose.