Modern Rhinoplasty
Aesthetic Specialty Centre
Dr. Marc Yune Dr. Marc Yune

Q & A with a Specialist in Facial Plastic Surgery: Dr. Marc Yune

What are the current trends in rhinoplasty?
Techniques with very predictable changes.  The cartilages need to be preserved and reshaped by minimal removal and maximal predictability using suturing techniques.  This allows the surgeon control within millimeters.

In what setting are these procedures performed?
Typically in a hospital or outpatient surgery setting.  Most surgeons use general or sedation anesthesia.  Occasionally local anesthesia may be used for minor treatments. 

What should I expect for my immediate post 
operative experience?
Healthy patients go home the day of surgery.  There is usually an external splint that is very visible but equally important.  Packing the inside of the nose is rarely needed in an educated patient avoiding blood thinners and straining as in exercise initially and in managing any problems with easy bruising and bleeding.  Pain is well controlled with oral analgesics.  The splint is then removed in a week and the patient’s appearance is normal by then with minimal swelling and usually no bruising.

What are my long term expectations?
Although normal appearances occur immediately after splint removal, patients will notice subtle changes for several months or more.  The airway also improves over the course of several weeks to months.

How does a surgeon create a natural appearance?
A well trained surgeon will discuss this with the patient thoroughly.  Most use numerous pictures of previous patients to demonstrate their results.  Most also offer digital imaging of the patients to show predictable results that match their techniques with the patient’s desires.  It is a great communication tool that allows the patient and the surgeon to plan a procedure visually.  This is an aesthetic procedure so visualizing truly matters.

So how does one choose a surgeon for modern 
predictable rhinoplasty?
There are many surgeons who offer rhinoplasty but few who specialize in this area.  This is primarily due to their training experience.  Rhinoplasty is rarely offered in substantial numbers in most residencies.  This is usually obtained in post residency training.  This is received through fellowship programs.  The highest level of training that was available to me was a fellowship through the American Academy of Facial Plastic and Reconstructive Surgery, the society related to The American Board of Facial Plastic and Reconstructive Surgery, The most specialized board and society as it relates to rhinoplasty.

Dr. Marc Yune is a double board certified facial plastic surgeon. After completing his residency at Indiana University, he was selected for a fellowship in facial plastic surgery with the American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) at Emory University. Dr. Yune is also a fellow of the American Academy of Head and Neck Surgery, the American Academy of Cosmetic Surgery, and the Alpha Omega Alpha medical honor society.


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