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Female face, before Total Nose Approach treatment, r-side view Female face, after Total Nose Approach treatment, r-side view

What is the Total Nose Approach™

The Total Nose Approach™ is a procedure that our physicians developed over three decades ago. It addresses functional sinonasal complaints and cosmetic concerns during a single surgery, anesthetic, and recovery period.

What is the Total Nose Approach™ Surgery Technique?

Understanding the complexities of both the inside and the outside of the nose is imperative to providing real, long-lasting relief of your sinonasal symptoms. Our physicians are amongst the few surgeons uniquely able to provide customized, comprehensive treatment in which sinus, functional breathing issues, and cosmetic concerns can be corrected without the need for multiple surgeries.

Dr. Melyssa Hancock - at patient treatment

The following techniques may be used in order to provide you with the best possible outcome:

All of these procedures are used to improve the function of the nose and best suited to facial plastic surgeons with a background in Otolaryngology.

Our physicians are Board-Certified in both Facial Plastic Surgery and Otolaryngology (Head and Neck Surgery – Ear, Nose, and Throat). This has provided them with the rigorous training, expertise, and skills so integral to successful results.

Patients seeking comprehensive nose and sinus treatment in South Florida will find that our physicians can easily accommodate any combination of these procedures in a single setting, facilitating faster recovery times and fewer incisions.

Who is a Candidate for a Total Nose Approach™

You may be an ideal candidate for A Total Nose Approach™ procedure if you are in good health, have realistic expectations, and struggle with any of the following symptoms or concerns:

  • Crooked nose
  • Nasal hump/bump
  • Blocked nose
  • Difficulty breathing
  • Headaches
  • Sinus congestion or pressure
  • Loss of the sense of smell
  • Fatigue
Dr. Melyssa Hancock - at female patient treatment

Recovery

The specific recovery period depends on what techniques were used during the Total Nose Approach™ procedure. Please refer to each of the specific procedures to learn more about them.

You should expect some downtime and not do any strenuous activity for up to 6 weeks. Swelling, bruising, and congestion are also common during recovery.

Benefits

At the Nose and Sinus Institute of Boca Raton, the Total Nose Approach™ offers patients the following benefits:

  • Improved function
  • Enhanced aesthetic appearance
  • One surgical procedure
  • Reduced recovery process
  • Boost in confidence

Risks

All surgical procedures have risks and side effects associated with them. It is important to work with board-certified surgeons who are specialists in the Total Nose Approach™ to ensure that these are reduced.

The risks and side effects involved include:

Why Choose the Nose and Sinus Institute For the Total Nose Approach™?

  • The Total Nose Approach™ was developed by Dr. Nathan E. Nachlas over three decades ago.
  • He was the Chief Resident in the Otolaryngology-Head and Neck Surgery Department at Johns Hopkins Hospital when and where minimally invasive sinus surgery began in this country.
  • Afterwards, Dr. Nachlas completed his Facial Plastic and Reconstructive Surgery Fellowship in Beverly Hills, California.
  • He subsequently combined these two fields into The Total Nose Approach(™) to enable the optimization of form and function of the nose and sinuses in one surgical procedure.
  • Dr. Nachlas and Dr. Hancock are double board-certified (otolaryngolgy and facial plastic surgery) surgical experts in restructuring the nose and sinuses.

Since its conception, Dr. Nachlas has treated thousands of satisfied patients with his Total Nose Approach™. Dr. Melyssa Hancock joined the Nose and Sinus Institute with extensive training in both the functional and cosmetic treatment of the nose and sinuses and uses it to build on Dr. Nachlas’ decades of experience.

Call or email to schedule your consultation today.

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Devoted To Serving All Our Local Communities

Conveniently located in Boca Raton, our ENT doctors serve Boca Raton and all surrounding communities in Palm Beach and Broward Counties

  • West Palm Beach 28 mi

  • Boynton Beach 14 mi

  • Delray Beach 9 mi

  • Boca Raton 0 mi

  • Pompano Beach 12 mi

  • Fort Lauderdale 21 mi

  • Hollywood 28 mi

FAQ’s

The nose is a complex organ. Many people assume that the nose is simply an external feature of the face that has a variable size and contains two nostrils, a tip, and a bridge. The nose is so much more than that! It actually extends from that visible tip, all the way back toward the center of the head.

The inside of the nose is intricately designed with multiple different structures and spaces that are responsible for nasal breathing (nasal septum, nasal valves, and sinuses), air filtration and humidification (turbinates), and transportation of air through its many complexities to the lower airway (lungs).

The internal nose also has protective functions, which can sometimes go awry, leading to sinus infections, headaches, congestion, excessive drainage, problems with smell and taste, and allergies, among many other issues.

The Total Nose Approach™ procedure can effectively address all these concerns.

At the Nose and Sinus Institute of Boca Raton,our double board certified physicians (Drs Nachlas, Hancock, and Klimczak) perform Rhinoplasty for patients who would like to reshape, reduce, or augment their noses for cosmetic reasons. Patients of all ages and ethnicities seek out highly specialized training to improve both the form and function of their noses.

Our physicians are amongst the few surgeons to offer the Total Nose Approach™ where both sinus and breathing issues can be corrected at the same time as aesthetic concerns without the need for multiple surgeries.

Typical cosmetic procedures related to the nose and sinuses that can be done during the same time as a Total Nose Approach™ procedure include the following:

  • Facelift: Reverses the visible signs of aging in the face such as jowls and sagging or loose skin
  • Neck Lift: Reduces or removes loose or sagging neck skin, excess fat in the lower face or chin, and other visible signs of aging in the neck
  • Brow Lift: Treats drooping brows and deep wrinkles of the forehead, restoring a smoother, more youthful contour to the upper portion of the face
  • Eyelid Surgery (Blepharoplasty): Eliminates excess skin from the upper eyelids and removes under-eye bags and redundant skin from the lower eyelids
  • Submental Liposuction: Eliminates excess fat causing the appearance of a double chin and improves the contours of the chin and jawline
  • Botox: Smooths fine lines, wrinkles, and furrows caused by excessive muscle movements
  • Dermal Fillers: Enhances the facial appearance without surgery by restoring volume to create a more youthful facial contour
  • Platelet Rich Plasma (PRP) Hair Loss Treatment: Stimulates new hair growth and improves the health and strength of existing hair

What our patient says

5 STAR RATINGS

Google Reviews
  • I drove three hours to meet Dr Hancock and have her operate on my nose. Her expert care and staff helped my through a difficult experience I’m having. The entire staff and office staff are nice caring and really professional. I’m so blessed to be in their care.

    Robert Edlow starstarstarstarstar

  • Very knowledgeable doctors that helped me with all my sinus and nasal issues. Dr. Nachlas and Hancock are really the best at what they do and happy I found this place. Also Sandy was so nice and walked through everything in detail each step of the way. Will certainly recommend to others!

    Koral Duygulu starstarstarstarstar

  • My experience was great from start to finish. The entire staff was very professional and helpful. Dr. Nachlas is best at what he does. I can actually breath better and feel more energetic through out the day. My sleeping has improved as well.

    Dee starstarstarstarstar

  • I drove three hours to meet Dr Hancock and have her operate on my nose. Her expert care and staff helped my through a difficult experience I’m having. The entire staff and office staff are nice caring and really professional. I’m so blessed to be in their care.

    Robert Edlow starstarstarstarstar

  • Very knowledgeable doctors that helped me with all my sinus and nasal issues. Dr. Nachlas and Hancock are really the best at what they do and happy I found this place. Also Sandy was so nice and walked through everything in detail each step of the way. Will certainly recommend to others!

    Koral Duygulu starstarstarstarstar

  • My experience was great from start to finish. The entire staff was very professional and helpful. Dr. Nachlas is best at what he does. I can actually breath better and feel more energetic through out the day. My sleeping has improved as well.

    Dee starstarstarstarstar

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