Myths about Rhinoplasty in Las Vegas NV - Troell Cosmetic Surgery & Facial Plastic Clinic

Myths About Rhinoplasty (ICD-9-CM: 21.87) in Las Vegas, NV

Clinic Focus: Troell Cosmetic Surgery & Facial Plastic Clinic

Why do myths about rhinoplasty persist?

Myths persist due to outdated beliefs, misinformation, and online speculation. In Las Vegas, cosmetic trends, media portrayal, and a mix of cultural influences amplify misunderstandings. Accurate knowledge helps patients make safe, informed decisions about nose surgery.

What is rhinoplasty and who performs it in Las Vegas?

Rhinoplasty is a surgical procedure that reshapes the nose for cosmetic or functional reasons.
 
Dr. Robert J. Troell at Troell Cosmetic Surgery & Facial Plastic Clinic is a board-certified facial plastic surgeon known for advanced rhinoplasty techniques, combining aesthetics with breathing improvement.

Myth 1: Rhinoplasty is only for cosmetic reasons

False.
Functional rhinoplasty treats medical issues such as:

• Deviated septum
• Nasal valve collapse
• Chronic breathing problems

Dr. Troell integrates functional improvements into aesthetic procedures to support both form and function.

Myth 2: All rhinoplasty results look fake

Incorrect.
 
Natural-looking results depend on:

• The surgeon’s skill in facial harmony
• Use of patient-specific planning
• Conservative tissue modification

Troell Clinic prioritizes anatomical balance. Patient photos show proportional changes with no overdone appearance.

Myth 3: Only women get nose jobs in Las Vegas

Not true.
According to ASPS (American Society of Plastic Surgeons), 18% of rhinoplasty patients are men.
Male rhinoplasty at Troell Clinic includes:

• Stronger dorsal lines
• Preserved masculinity
• Minimal scarring via closed approaches

Myth 4: Rhinoplasty is extremely painful

Pain is minimal and manageable.
Most patients describe post-op discomfort as mild pressure.
Pain control protocols at Troell Clinic include:

• Local nerve blocks
• NSAIDs
• Cold compress therapy

Recovery time is usually 7-10 days, with most patients returning to work within a week.

Myth 5: Rhinoplasty leaves permanent visible scars

Mostly false.

• Closed rhinoplasty leaves no external scar.
• Open rhinoplasty has a small columellar scar that fades over time.

Dr. Troell uses micro-sutures and advanced closure techniques to minimize scarring. Post-op scar treatments are offered in-clinic.

Myth 6: All rhinoplasty procedures are the same

Incorrect.
Each rhinoplasty is unique due to:

• Nasal anatomy
• Ethnic features
• Skin thickness
• Breathing needs

Troell Clinic customizes surgical plans using 3D imaging and rhinoplasty morphing software, offering patients a preview of potential outcomes.

Myth 7: You can choose any nose shape you want

Not accurate.
Rhinoplasty must respect structural limits and facial proportion.
Example: A small nose on a wide face may disrupt harmony.

Dr. Troell performs facial proportion analysis to ensure natural integration of the new nose shape into e

Episode Transcript

Dr. Robert J Troell M.D (00:00):
There are several myths with
rhinoplasty. The first one is,is the anesthesia dangerous?
Well, ninety five percent of mypatients we do it under oral and
intravenous sedation, and it'svery, very safe. People get
minimal nausea and vomiting. Youcan also do it under general
anesthesia.
The anesthesia today withcardiac monitoring is very very
safe. Number two, can anysurgeon do rhinoplasty? Well as

(00:24):
I mentioned I have a thirty yearhistory of doing rhinoplasties
trained at the American Academyof Facial Plastics,
Otolaryngology, and the AmericanBoard of Cosmetic Surgery so I
have a lot of experience. In myhistory we've invented with my
partners, two different surgicalprocedures for the nose to
improve both function andaesthetic results. So it's good

(00:45):
to have experience.
Most people that are cosmetic orplastic surgeons will agree that
the most complex cosmeticsurgery is a rhinoplasty
especially a revisionrhinoplasty. So yes, it's
important to have someone withgood experience and training to
be the best rhinoplasty surgeonfor you. Another myth,
rhinoplasty is very painful.It's actually minimally

(01:07):
uncomfortable. Uncomfortable.
So during the procedure we donerve blocks, local anesthesia.
So if you had it done under IVsedation, it's minimally
uncomfortable during theprocedure. Afterwards, people
only take pain medication eitherTylenol or an oral narcotic
analgesic for one or two daysand that's all. Okay? Another
myth, all rhinoplasties give youa fake appearance.

(01:29):
Well that's very rare. The onlypatients I have noted either
that I performed or otherpatients is other doctors on
patients is that they have avery ski slope look. A Goldman
tip and a more of a ski slopelook in my opinion is a fake
nose. So we luckily during mythirty year career have not

(01:50):
produced that type of fakeappearance. You want it to be
congruent with the rest of yourface harmonious.
So that's why we look at theeyes, the nose, the mouth, and
the and the skin. They make thebiggest impact. So besides
blepharoplasty, the rhinoplastyor nose job makes a significant

(02:10):
impact on your appearance. Sinceyour nose is right next to your
mouth, doing lip filler or lipimplants to make your lips full,
Sometimes we do a lip lift atthe same time or doing something
to your chin. People who have aretruded or small chin, if we
put a extended anatomicalimplant, when we do the
rhinoplasty, they get a superiorresult.

(02:31):
So the results are natural.Okay? We design our surgical
technique to get your individualresult, what you're looking for,
to get your ideal outcome. So dowe use sometimes other
technologies? Yes.
Sometimes we use cartilagegrafting from your septum or
your ear. We can reduce the sizeof the turbinates using

(02:52):
radiofrequency ablation to makeyour nasal breathing better. We
can add a splint to your nosepost opalties for a short period
of time to prevent you havingany further bleeding or swelling
to the dorsum. So all thesethings are designed to get you
the best result. So the mythsthat people brought up, really
none of those that I'vementioned are, practical in

(03:15):
today's rhinoplasty surgeon.