Rhinoplasty

Rhinoplasty NJ or nose job NJ. Dr. Kassir is the best rhinoplasty surgeon in NJ. Find rhinoplasty NJ answers and see results from one of the best New Jersey rhinoplasty surgeons.

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About Rhinoplasty

by Ramtin Kassir, M.D., F.A.C.S.

Do you have any problems breathing through your nose or do you have chronic nose or sinus complaints? Has a prior injury made your nose out of proportion to your other facial features?

Rhinoplasty or nose job surgery, is the surgical procedure that involves changing the shape and size of the nose. Dr. Ramtin Kassir MD performs this procedure for his New Jersey patients that involves reshaping the nasal bones and cartilages to produce a balanced and harmonious nose that blends with the person's facial features.


What is Rhinoplasty?

Rhinoplasty, or cosmetic nasal surgery, improves the shape and size of the nose. The procedure can remove a hump, change the shape of the nasal tip, and straighten the nose. The size and shape of the nostrils can be changed. The goal of rhinoplasty is often to achieve better harmony between the nose and the other facial features. Dr. Kassir is a triple board certified surgeon who has performed thousands of rhinoplasty surgeries for his patients and is considered to be one of the best Rhinoplasty surgeons in New Jersey and NYC.

Rhinoplasty has become one of the most popular facial plastic surgical procedures in recent years as more and more people seek to change the appearance of their noses. Many are unhappy with the nose they were born with while others have had the shape of the nose distorted from an injury. Disorders of nasal breathing and sinusitis often complicate the situation. A range of techniques are used to fully address the desired change in appearance as well as to improve nasal breathing and correct chronic sinus infections. Sinus surgery, if indicated, is done with endoscopes to avoid any visible incisions.

Rhinoplasty may be performed under general or sedation anesthesia on an outpatient basis. Most health insurance plans still provide some coverage for functional nasal surgery and sinus surgery.

Good Candidates For Rhinoplasty

Are you thinking about having a rhinoplasty surgery? Healthy teenagers and adults who wish to have an improvement in their nasal appearance are good candidates for the rhinoplasty procedure. The decision about having the rhinoplasty operation is a very important and personal one. You should first consult with Dr. Kassir at his surgical clinic in the Wayne, NJ, 799 Park Avenue, NYC, or Ridgewood NJ office before deciding on the operation. For most patients that undergo this nose job procedure, the results are life changing. Patients describe an increase in confidence and boost in self-esteem. The ideal NJ and NYC candidates for rhinoplasty are:

  • You are unhappy with the size and/or shape of your nose.
  • You have breathing problems limited to your nose.
  • You suffered an injury that has altered the look of your nose.
  • You have breathing problems.
  • You are over the age of fifteen.
  • You have good physical and emotional health.

Does Insurance Cover Rhinoplasty?

Insurance may cover some of the functional aspects of rhinoplasty. In other words, those procedures that improve breathing:

  • opening sinus drainage pathways (endoscopic sinus surgery),
  • shrinking large turbinates (turbinate reduction),
  • straightening a crooked septum (septoplasty),
  • valve surgery (placing cartilage grafts to stabilize the breathing passage).

Different Kinds of Rhinoplasty Procedures:

Dr. Kassir performs many different kinds of rhinoplasty procedures in NJ, including:

Revision Rhinoplasty: Revision Rhinoplasty is performed when the initial rhinoplasty procedure is unsatisfactory.

Teen Rhinoplasty: Dr. Kassir is an expert in Teen Rhinoplasty in New Jersey.

Ethnic Rhinoplasty: Dr. Kassir commonly performs African American rhinoplasty, Asian rhinoplasty, Hispanic rhinoplasty, and Middle Eastern rhinoplasty.

Celebrity Rhinoplasty: Dr. Kassir is a leading expert in celebrity rhinoplasty.


See Dr. Kassir's RealSelf reviews

Rhinoplasty: Questions & Answers

When can I wear sunglasses post-rhinoplasty?

Because of the trauma which your nose undergoes during a rhinoplasty procedure (the coagulation of blood, elevation of cartilage and other internal structures), the nose is much noticeably weaker post-rhinoplasty and is more prone to burns and discoloration from UV rays. It is recommended that patients wait at least 4 weeks, potentially even 6, before wearing sunglasses.

I do not have a good credit score and so, cannot use CareCredit to fund my rhinoplasty. Anything I can do?

Unfortunately, while surgeons would be open to helping you, it is important that you find a way to pay them for their service. I would recommend that patients achieve a degree of financial stability prior to scheduling surgery, especially since revision procedures may be needed.

My nose is sensitive and clicks following a hit to the face. Is it broken?

These symptoms seem to point towards a broken nose. A CT scan may be necessary and a plastic surgeon should be seen immediately so that the nose can be corrected before it begins to grow in a dysfunctional manner.

What can be done about the callus which developed after my rhinoplasty?

Generally, calluses which develop after a rhinoplasty will heal naturally and resolve themselves gradually within 1 year post-rhinoplasty as the body reabsorbs the bone and cartilage in the callus. If this does not occur, however, the bump can be rasped (filed) away.

Should I get a rhinoplasty during high school?

Generally, after ages 15-17 for women and 16-18 for men, rhinoplasty can be done. However, patients in high school should consider whether they are ready for any side-effects and complications from the surgery which could occur including swelling, bruising around the eyes, etc. If not, they could consider having it done before college.

When does the splint come off?

Uusally, splints are removed 1 week after surgery.

Did I accidentally crack my cartilage by squeezing a blackhead?

It is doubtful, as it takes a substantial amount of force to actually fracture cartilage or bone tissue. Get it checked out by a plastic surgeon to make sure though.

What can I do for a drooping columella post-rhinoplasty?

A drooping columella can be addressed by removing a small section of skin and cartilage from the area and then simply patching up the area.

Why is there discoloration on my nose post-rhinoplasty?

This discoloration may be the result of several factors including unintended UV ray exposure from the sun, broken capillaries (which can be treated with a laser), or poor blood supply to the nasal area (common in patients who have had multiple rhinoplasties).

I had septal cartilage harvested to build my tip, but now it’s too long. What can I do?

Chances are the surgeon who built your tip add a cartilage graft. To return to the preoperative stage, the graft can be easily removed.

Can I get a cheaper rhinoplasty by residents at a university?

It is certainly possible for these arrangements to be made. However, one must remember that rhinoplasty is one of the most difficult procedures in the plastic surgery world and is ideally conducted by a doctor with a great deal of experience and the proper credentials in order to ensure a good result.

Can a Headbutt cause a permanent bump on the bridge of the nose?

Generally, patients will be aware if a nasal fracture has occurred immediately after a trauma. In most cases, bumps on the nose following trauma are a result of soft tissue damage particularly in the periosteum (where the nasal blood supply is housed) and will degrade eventually.

I have a crooked columella months post-op. What is wrong?

Unfortunately, this may require a revision rhinoplasty. It seems that there may have been deformities in the columellar cartilages (medial crura) that were not addressed in the rhinoplasty you underwent or a septal deviation. It is best to consult with your surgeon regarding your options at this point.

What is alar flaring?

The ala refers to the lower sides of the nose where the nose joins the cheek and alar flaring refers to an ala that has more curvature than necessary and does not slope gently to meet the cheek. This makes the patient look more angry, as this is a typical evolutionary sign of anger.

Does weight gain impact rhinoplasty results?

No, not at all. Nasal tissue has very little fat, so weight gain or loss will not impact the results of a rhinoplasty.

I had grafting done on my nasal bridge and tip, and it warped. What should I do?

One of the problems with grafting, although it is relatively rare, is warping, or twisting out of shape. Unfortunately, there is little you can do now other than consult with your surgeon about your best possible options.

Is there a problem if my splint is crooked?

The purpose of the splint post-rhinoplasty is to protect the nose and also ensure a decrease in post-procedure swelling. However, even if the splint is crooked, the surgical tape underneath it is probably applied correctly. Consult with your surgeon about this, though.

How long does a nose job last?

Ideally, patients will only require one rhinoplasty within their lifetime. Subtle changes will occur over time: the tip of the nose will begin to descend gradually, because the new nose ages with the rest of the body. However, such changes are subtle and will not require additional surgeries.

Why is my nose still growing at age 30?

Generally, nasal growth should cease when a patient is in his/her mid-20s. Continuous growth afterwards may be attributed to rhinophyma which is excessive growth of sebaceous glands around the lower third of the nose, but may also be just the general loss of elasticity in the skin that causes the nose to droop.

Can a broken nose be fixed under local anesthesia?

This can be done, especially if the broken nose is corrected within a week of the original trauma. However, if the broken nose is on a child, sedation or general anesthesia may be more appropriate given the painfulness of the needles.

Why does my nose whistle when I breathe post-rhinoplasty?

Whistling in the nose post-rhinoplasty is generally caused by a small opening, usually a minor septal perforation (hole in the septum of the nose). This may have been caused by the harvesting of septal cartilage and should be evaluated by your doctor.

Can rhinoplasty correct flaring nostrils?

Nostril flares can be corrected with procedures like the alarplasty/alar base reduction in which the nostrils are narrowed and an alar base resection is performed with the help of a crescent-shaped wedge removal in the nostril wall. However, this procedure is rather difficult as it entails extreme precision in order to reduce the likelihood of asymmetrical nostril development.

Can rhinoplasty make my upper lip bigger?

Because of the close relationship between the nose and the upper lip, changes in the nose caused by a rhinoplasty CAN influence how the lip looks. For instance, heightening of a drooping nasal tip and removal of a hanging columella can make the upper lip longer. However, there is no direct change in the structure of the lip during this procedure.

How does an injection rhinoplasty work?

Injection, or non-surgical, rhinoplasty is not a true rhinoplasty in the sense that the underlying cartilage and nasal bones under the skin are not manipulated in any way and the changes are thus more subtle. Instead, during these procedures (which generally last around 10-20 minutes), temporary injectable fillers like Restylane or Juvaderm are placed in the skin to add fullness into areas and influence nasal contouring.

Would I be turned down for rhinoplasty if I have a bifid tip?

Absolutely not, unless it presents a significant medical issue during the surgery (which is unlikely). In fact, the bifid tip can even be fixed during the procedure by suturing the lower tip cartilages closer together and then filling in the resulting dip in the nose with filler or cartilage.

How can I fix a broken nose tip?

Generally, the tip is composed of a great deal of cartilage and thus may be prone to fracture. These types of injuries are generally only treatable with a rhinoplasty procedure.

Why is my tip drooping post-rhinoplasty?

This may simply be the result of swelling post-rhinoplasty. However, this is best evaluated within 6-12 months post-rhinoplasty.

I have an asymmetrical nose from squeezing blackheads. What can be done?

It is unlikely that simply squeezing a nose caused any major form of nasal deformity. However, if the nose is indeed asymmetrical, the patient have a consultation with a board-certified, plastic surgeon to determine what can be done.

Why is my healing process so slow after my alarplasty?

Like most rhinoplasty procedures, it will take a full year before all the results of an alarplasty show. In the meantime, it is best for patients to stay out of the sun, avoid smoking and just generally follow the doctor’s instructions.

How long post-rhinoplasty should I wait to have sex?

It is best for patients to avoid any form of strenuous activity, including sex, for at least 3 weeks post-rhinoplasty in order to reduce the risks of cut down on swelling and mitigate the risks of hematoma and post-operative bleeding.

Why is my nose still the same size post-rhinoplasty?

As I tell many of my patients, the key to success in the post-rhinoplasty period following the rhinoplasty can be encompassed in one word: Relax. Very often, the residual swelling from the surgery, which tends to mostly resolve itself within 3-4 months with some swelling remaining up to 1 year post-rhinoplasty, can make the results of the surgery look much worse than they actually are. Patients are advised to keep this in mind and remain calm.

My swelling has gone down but there is still a bump post-rhinoplasty. What do I do?

For patients without a great deal of swelling, a bump on the nose may unfortunately be permanent and may need to be fixed via fillers.

Does the nose become smaller following rhinoplasty surgery?

Due to the contraction of scar tissue as well as the reduction of residual swelling, the nose does indeed decrease in size over the course of the post-rhinoplasty period to match the expectations (hopefully) of the surgeon and the patient.

Is an 8mm to 1cm reduction on the bridge possible in a rhinoplasty?

This is doubtful. The typical removal for a rhinoplasty ranges anywhere from 4-6 mm. Some patients may warrant more, but the surgeon should make sure that he/she has a definitive plan of what to do with loose skin and whether the nose still remains proportional to the face.

What is alar base reduction healing time?

Because alar base reduction scars are hidden within the nostril, the recovery time is relatively short compared to other nasal correction procedures. Initial redness may last as long as two weeks, but sutures will be taken out 5 days post-rhinoplasty and the scar will be virtually imperceptible.

Is a growing dorsal hump normal in the 20s?

Probably not, as nasal growth tends to stop soon after puberty (15-17 for girls, 16-18 for boys). This may be the sign of a callus formation, or the buildup of cartilage and bone.

How visible are the scars from a nose job?

In closed rhinoplasties, all incisions are made within the nostrils and thus the scars that form are generally imperceptible unless Weir reductions are also done to reduce nostril size. Open rhinoplasties, however, will also make use of an incision at the columella (the thin strip of skin between the nostrils) which risks more apparent scarring. However, in the hands of an experienced surgeon, even this scar will heal nicely.

Why is the nose broken during rhinoplasties and is it done all the time?

An osteotomy (controlled breaking of the nasal bone) is not performed in all rhinoplasties, but rather is only performed in cases where the upper portion of the nose needs narrowing. This occurs when a dorsal hump is shaved down, when there is septum deviation correction, and when a wide nose needs to be generally narrowed.

Would I know if I accidentally pulled out a stitch post-rhinoplasty?

While pulling out stitches by accident does not always cause pain, it is probably best for patients to speak with their surgeon if they suspect that a stitch was pulled out. Removing one stitch accidentally will not necessarily cause any damage, but evaluation will not hurt.

Why is my nose tip still swollen after surgery?

As stated in other queries, the true results of a rhinoplasty do not materialize fully until after a year post-op. Residual swelling particularly in the tip is extremely common among rhinoplasty patients, so no concern is necessary if this condition persists.

How harmful is cocaine post-rhinoplasty?

Because cocaine acts as a powerful vasoconstrictor, it decreases blood supply to nasal tissues and thus inhibits the healing process and even causes these tissues to be necrotic and die. I would highly advise AGAINST using it simply because of hearing cases where patients run into an array of issues post-rhinoplasty, including septal perforations.

Can I have rhinoplasty while pregnant?

Absolutely not. There is no telling what the anesthesia or the medications needed prior to and post-rhinoplasty will do for the baby.

Is raising the nasal bridge a risky procedure during a rhinoplasty?

It is not a risky procedure and can be done via the use of the patient’s own cartilage and/or fillers/implants. However, it is important for patients to make sure that their entire nose remains in balance and is also proportionate to the rest of the face.

I have a lump on my nose tip post-rhinoplasty. What can I do?

Unfortunately, depending on how the bump is situated, this may be a possible reason to have a revision rhinoplasty. This may be a bend in the domal cartilages in the tip that can only be fixed via a revision procedure.

Why does some packing come with nasal tubes?

A major complaint which patients have with nasal packing (gauze which pushes the skin against the septum for better healing) is that they feel congested and are forced to breathe through their mouths. For this reason, nasal packing with tubes are introduced to help the patient breathe through the nose and feel less congested.

There is some nostril asymmetry following my rhinoplasty. Should I be concerned?

Not at all. Again, swelling is a perfectly normal part of the post-rhinoplasty healing process and will take up to a year to fully dissipate (especially in the tip and nostril area). Therefore, most imperfections seen post-rhinoplasty are merely the result of swelling and will also disappear.

Can wearing glasses cause alterations in your nose shape growing up?

This is unlikely as the glasses only exert very slight pressure.

Can I simply use a corticosteroid on my nose to make it smaller rather than going through a rhinoplasty?

Unfortunately, this is not a realistic procedure for the results you want. Steroid injections are used strictly in post-op conditions to reduce swelling, not as a method of primary treatment as they do not reduce cartilage in the nose.

How long will it do to see the results of alar base reduction?

Unlike traditional rhinoplasties, the results of an alar base reduction should be almost immediate. There may be redness for the first week or so, but swelling and other issues should not be apparent to the extent of a rhinoplasty.

How much does alar base reduction cost?

If done under local anesthesia, this procedure will typically run within the $2000-$3000 dollar range. However, this cost can vary depending on geographic area, the patient’s choice of anesthesia, etc.

I am very anxious ahead of my rhinoplasty procedure. Any advice or comforting words?

I would say that, as long as you chose a competent surgeon that is board-certified and has before-and-after galleries to your liking, you should be in good hands. Complications during rhinoplasties are rare and are typically just related to anesthesia, which in most cases just include slight vomiting and/or nausea post-op. If it helps, you are more likely to have a life-threatening issue driving to the hospital for the surgery than the surgery itself.

Can I swim or use the sauna post-rhinoplasty?

I would wait at least 6 weeks or so before swimming again simply because of the risk of contact to the nose. As for the sauna, it will tend to be very dry which could bring about a nosebleed, so I would also wait for about 6 weeks here too.

Can I achieve adequate tip definition even with thick skin?

Because thick skin is generally more elastic and less pliable, it tends not to drape as gracefully over the newly aligned cartilage and bone in a rhinoplasty. That being said, however, notable results still can be achieved with ethnic rhinoplasty via the use of cartilage grafts to give the underlying framework of the nose under the skin more definition that will be apparent even under thick skin.

Can I correct asymmetrical cartilage deposits?

It is difficult to answer this question, primarily because it is unclear where the cartilage deposits are. In the simplest case, a tip rhinoplasty can be performed via small incisions through which the excess cartilage will be shaved. However, there may be more complicated procedures which need to be performed.

Can the nasal tip be reduced via rhinoplasty?

Patients with a bulbous nose (wide) can easily have this defect correct via rhinoplasty. However, they should also take care to consider additional revisions in the bridge of the nose to ensure that the corrections made at the tip will not look disproportionate.

Can a nose be upturned further?

Absolutely. This can be achieved with the use of cartilage grafts that will support the tip of the nose.

How much will rasping cost?

Rasping is considered a rhinoplasty procedure and thus may cost anywhere in the neighborhood of around $3,000-$6,000, depending on the anesthesia used.

Will rhinoplasty affect my voice?

Generally no, other than during the initial period when there will probably be some nasal congestion that occurs (but this should clear up). The biggest concern in terms of vocal sound will be from the intubation needed to keep breathing up during general anesthesia application.

Should I fix my nasal asymmetry with cartilage grafts or silicone injections?

In general, surgeons are wary of using silicone in the nose because of the issues it can cause in terms of scarring and thinning of the skin. Other fillers can be used like Restylane and Juvaderm which have better track records, but nasal asymmetry may be better addressed with a rhinoplasty surgery.

How can I correct an over-upturned nose?

This can be corrected via an incision within the nose that will free up the tip and allow it to drop down naturally. Additional reinforcements may be needed in the form of cartilage grafts at the base of the septum. Trimming the cartilage near the tip of the nose may also provide the loss of support and thus the derotation which is desired.

Why do I have cartilage lumps post-rhinoplasty?

In most cases, small lumps and bumps post-rhinoplasty are simply the result of residual swelling from surgeries which tends to dissipate over the course of a year. Sometimes, they could be from residual shavings of cartilage which will also be reabsorbed by the body.

I still bleed from nasal scabs years post-rhinoplasty. Is that a problem?

This could be attributed to nasal vestibulitis which can treated with hydrocortisone cream. However, it may also be necessary to cauterize the areas of bleeding as the nasal lining might be overly thinned.

Why has my post-rhinoplasty swelling moved to my cheeks?

This is an extremely common occurrence and it is advised that patients refrain from panicking. Instead, just maintain a low-sodium diet and keep the head elevated in order to reduce swelling, as always.

Does removal of the nasal splint cause increased swelling?

Yes definitely, because the nasal splint serves to compress the surgical area and reduce swelling. However, nasal taping can help ease the amount to which swelling occurs.

Is a long nose only shortened by rotating the tip?

It depends on the nose which the surgeon is starting with. This type of technique is ideal for patients who have the combination of a droopy tip and a long nose. However, if the tip is normally rotated, there is no need to mess with it and the issue would be better resolved by shortening the septum and bringing the inferior tissues upward. Consultation with a surgeon is probably the best way to determine a patient’s course of action here.

Can indentations at the tip of my nose be fixed non-surgically?

Although some surgeons will recommend using fillers for indentations in the nose, these fillers offer only a temporary fix to a more permanent problem and have been shown to cause other problems like redness of the skin. Often, what patients are dealing with in these types of indentations are separation of cartilages in the nose which can only be corrected with rhinoplasty procedures.

Is there a way to thin wide nostrils without surgery?

Generally, no. Depending on the width of the nostrils in relation to the rest of the nose, patients may either require a Weir/alar base reduction (if it is just the nostrils that are the issue) or may require a full-on rhinoplasty in which osteotomies are performed in addition to the reduction of the nostrils in order to thin the bridge of the nose as well.

Will my smile be normal after rhinoplasty?

In most cases, patients are expected to make a full recovery following a rhinoplasty, so it is probable that patients experiencing smiling difficulties will find their concerns alleviated. Patients may find that the separation of the muscle fibers between the base of the nose and the upper lip during certain procedures like septorhinoplasties may reduce smiling capabilities, but these issues will eventually resolve themselves.

I popped a suture in my nose after my rhinoplasty. Is that bad?

Messing up one suture will probably not do a significant amount of damage. However, consult with your surgeon just in case.

Should cartilage in my nose “pop”?

If this question is for someone who has not had rhinoplasty surgery, this is typical, as cartilage sections in the nose can slide past one another.

Can nasal tubes help you breathe post-rhinoplasty?

This refers to the breathing tubes used in conjunction with nasal packing (which, used alone, tends to be very stuffy). Nasal packing following a rhinoplasty is a procedure that has very much gone by the wayside. Regardless, breathing in the first few weeks or so post-rhinoplasty will be a pain because of mucous buildup.

How long should I wait post-rhinoplasty to get steroid injections?

Kenalog injections can be safely administered 4-6 weeks apart as early as one month following the rhinoplasty procedure.

How can I correct my bulbous tip and upturned nose?

Correction of the bulbous tip would be the easier problem and can be solved by thinning the lower lateral cartilages in the tip and stitching them together to create a narrower defined tip. An upturned nose is more difficult and can be corrected in several ways, including the use of grafts or weakening the suspension elements of the nose and repositioning/securing the tip in a more preferable position by suturing the tip cartilages to the skin.

Long-term cocaine use caused a hole to develop in my nasal membranes. What can I do?

First of all, it is important that patients who are serious about achieving a permanent solution to this type of problem lay off cocaine, which is a major vasoconstrictor (narrower of the blood vessels). Vasoconstriction of the nasal membrane blood vessels causes nasal membranes to die, thus leading to the development of holes, etc. Reconstructive nasal surgery may be done with the use of grafts but the chance of success is much lower than typical rhinoplasties.

What is your opinion on gortex nasal implants?

It is a general consensus among surgeons that they prefer cartilage over man-made implants simply because there is less risk of infections and other complications.

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