Nose reconstruction surgery can be performed to restore both form and function after an injury, trauma, or illness. The procedure can correct cosmetic concerns such as asymmetry and depressions while simultaneously improving breathing and sinus issues.
As a sought-after double board-certified surgeon, Dr. Fechner has the skill, artistry, and expertise to deliver a balanced, personalized outcome that fulfills your goals and elevates your overall quality of life. He goes above and beyond to provide his nose reconstruction patients with increased self-confidence and a positive self-image that is aligned with their inner vision for their appearance.
Dr. Fechner has multiple state-of-the-art techniques to choose from, and he will select the best approach for your individual anatomy, goals, and aesthetic sensibilities. Most reconstruction surgeries are performed under general anesthesia, but in certain cases, IV sedation may be an option.
Dr. Fechner may use skin taken from another area to conceal nasal defects (skin grafting.) He may also create tissue flaps that can help achieve a more natural nasal appearance. Bone and cartilage grafting are often performed to bolster structural support and create a secure scaffolding for the nose. Dr. Fechner performs all of these techniques with ease and acumen, providing a superior outcome along with a seamless, stress-free patient experience.
Reconstructive surgery can be performed for healthy, non-smoking patients who are free from any uncontrolled medical concerns and who are realistic in their expectations. Nose reconstruction can be performed to address any of the following:
Skin cancer — Basal cell carcinoma and squamous cell carcinoma can form on the nose requiring excision, after which nose reconstruction can help correct remaining defects
Trauma — Injuries related to sports or accidents can compromise the look and function of the nose. Nose reconstruction helps irrigate the wounds and seal lacerations. The nasal bridge, tip, and nostrils are sculpted and refined.
Congenital defects — Patients born with nasal deformities can benefit from nose reconstruction, as can those suffering from nasal dermoid cysts.
The type of techniques used and the extent of the work performed will determine the length of your recovery. For the first few weeks, patients can expect mild swelling, bruising, tenderness, and bleeding to occur. Dr. Fechner will provide prescription pain medications along with antibiotics. Sutures, if not dissolvable, are removed after one week, along with any splints that were placed.
For some patients, reconstruction will be staged and may require multiple appointments, with breathing difficulties occurring between treatments. For all patients, scarring will slowly heal over time and should not be judged as final until one year post-op. Around 3 months after their procedure, patients can begin considering scar revision.
Dr. Fechner’s impeccable techniques and conservative approach help to greatly minimize the risk of complications. However, some degree of risk is always present. These risks may include bleeding, infection, poor scarring, poor cosmetic outcome, breathing problems, asymmetry, nasal valve collapse, and others. Dr. Fechner will go over the risks and benefits of nose reconstruction in more detail during your private consultation.
It is common for insurance companies to cover reconstructive procedures that help the patient to breathe better and that relieve discomfort and pain. We will provide you with a personalized quote for services at the time of your initial consultation.
Dr. Fechner is a double board-certified Facial Plastic Surgeon who is committed to the highest standards of safety, integrity, and excellence. His artistic vision guides his reconstructive endeavors, allowing him to deliver elegant, natural, and personalized results that elevate his patients’ quality of life and well-being.
Dr. Fechner studied at the University of Freiburg Medical School before receiving a prestigious scholarship from the University of Massachusetts Medical School in Worcester. Dr. Fechner then completed a demanding surgical internship at Massachusetts General Hospital (MGH) in Boston and a four-year Harvard residency training program at the Massachusetts Eye & Ear Infirmary.