Rhinoplasty

Rhinoplasty NJ or nose job NJ: Dr. Kassir is a rhinoplasty surgeon in NJ and a leading rhinoplasty expert. Find rhinoplasty answers and see results from one of the best reviewed rhinoplasty surgeons in NJ.

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About Rhinoplasty

by Ramtin Kassir, M.D., F.A.C.S. | Learn More About Dr. Kassir

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.

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, 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 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 thirteen.
  • You have good physical and emotional health.

How Much Does a Rhinoplasty Cost in NJ?

Rhinoplasty costs vary by surgeon experience and geography. It can range from $10,000 to $17,000, depending on what is being done. Revision rhinoplasties are on the higher end. Some insurances cover the functional parts of the surgeries (straightening a crooked septum, opening up sinus pathways, etc).

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 rhinoplastyAsian rhinoplastyHispanic rhinoplasty, and Middle Eastern rhinoplasty.

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

What to Bring to Your Rhinoplasty Consult:

  • Your desired surgery date
  • A list of the vitamins, medications, and ointments you use
  • Any medical history, your insurance card (to check for partial coverage), and any reported breathing issues
  • Your own edited photo (any angle you want changed)
  • A portfolio of reference photos and goals that Dr. Kassir can use to craft your digitally edited image
  • Knowledge of Your Financing Options (Private, Care Credit, Alphaeon, Credit Care, or a Combination)
  • Excitement! A new nose can change your life. You make look younger, cuter, happier, and even less tired with the nose that was meant for you. This is exciting and we want you to be just as excited as we are. 

Rhinoplasty: Questions & Answers

How is rhinoplasty different for Hispanic patients than other patients?

In general, Hispanic patients tend to have thicker (oilier) skin than Caucasian patients, broader faces and wider nostrils/nasal bridges, weaker cartilage, and a greater proportion of nasal humps. With all these considerations, it is important that surgeons understand the aesthetic goals of their Hispanic patients and tailor their surgical goals to their patient’s needs.

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.

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.

Will putting pressure on an area induce bone resorption there?

Unfortunately, it is not that easy. Single finger pressure cannot induce bone resorption.

Did tape on my nose post-rhinoplasty cause an overly raised tip?

Not likely. Taping of the nose post-rhinoplasty is more a measure of reducing swelling rather than maintaining the shape of the nose.

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 Nasofix help alter the hump on my nose?

Sounds like a marketing gimmick. I would avoid it if possible.

How can one reduce nose size without excess skin?

In reality, thick skin is more difficult to manage and drape over a newly created cartilage foundation than thin skin because it is more elastic and willing to stretch. Therefore, reduction rhinoplasty is considerably more difficult under these circumstances because, while skin does contract, thick skin does so far less.

Does the product “Nose Up” actually work?

This product may temporarily press up your nasal tissue, but it won’t lead to any permanent changes.

Why do I have a whistling nose post-rhinoplasty?

If work was performed on the septum (septoplasty, harvesting of cartilage from the septum), there is a chance that this may be the result of a septal perforation. However, it is best not to jump to conclusions as it may also just be a large mass of crusted blood and mucus in the nose (especially if it is early in the post-op period). This is best addressed by examination by the surgeon.

Can a 16-year old girl get a rhinoplasty?

The surgeon and the girl’s parents must consider this question and evaluate whether the patient is physically and emotionally ready for the procedure. However, at 16 years old, a female patient would be within the “safe zone” of having a rhinoplasty done.

Can I fix my crooked nose non-surgically?

Unfortunately, this is highly unlikely. Surgical fillers can be used in certain limited cases, like to augment the nasal dorsum or to add more mass to a tip, but this is exceedingly rare and most patients are probably better off with a rhinoplasty procedure.

I drove on a bumpy road for a long period of time six weeks after my rhinoplasty. Should I be concerned?

Other than a direct blow to the nose, there is little else that can really impact a rhinoplasty six weeks out. No concern is needed.

I have alar retraction after my rhinoplasty. What can be done?

This probably can be best solved with the use of cartilage grafts or, as a second resort, injectable fillers.

Can the fatty tissue in my nose be thinned out?

Many ethnic patients, particularly African-Americans, have thickened nasal tips as a result of excess fibro-fatty tissue. During a rhinoplasty, this tissue is removed and cartilage is harvested from the ear, etc. to shape the tip.

Do celebrities get better nose jobs?

This is an excellent question because it addresses a great misconception in the plastic surgery world. Bad surgeons exist in any area, even in Hollywood, so do not use price alone to evaluate a surgeon’s competency prior to scheduling a surgery with them. Recommendations for ideal surgeons for rhinoplasties include board certification in plastic surgery/otolaryngology, specialization in nasal surgeries, and experience in doing your specific type of surgery. I would personally recommend looking at their before and after catalogue to see if their work is satisfactory for your needs.

How many follow-up appointments are there post-rhinoplasty?

In general, there can be up to 5 post-op visits, the first being at 7 days to remove the nasal splint, the next being at 30 days, then 3 months, then 6 months, then a year (when full results will be more or less apparent).

I am experiencing dry nostrils and burning post-rhinoplasty. What’s wrong?

This may be the result of a suture which has not been removed yet. I would consult with your surgeon to make sure everything is okay.

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 do silicon implants in the nose last?

Implants, unless they shift and create unpleasant nasal shapes or become infected, are built to last for the remainder of a person’s life

Can heavier glasses deform the nasal bones?

It is unlikely that heavier glasses will necessarily deform nasal bones, especially in a nose which has not undergone rhinoplasty. Patients can try going to lighter frames and see what occurs, however, if they are curious as to what could happen.

Do non-surgical fillers have long-term effects?

Surgical fillers have been FDA approved for use on the face for wrinkles, but surgeons have been using them for a long time for nasal injections (off-label use, of course). I am not aware of any particular diseases which result from the use of fillers, but there have been reports of patients who are unhappy in the long-term with the use of fillers and would rather have rhinoplasties done to correct the original problem.

I have a cartilage-like growth on my lower nose years after rhinoplasty. What is it?

This sounds like a shifted cartilage graft. It might be best for you to evaluate this with your surgeon.

What should I do about an infection post-rhinoplasty?

This is probably best addressed by having an evaluation with your surgeon. He/she will likely take a culture of any drainage which may occur and prescribe antibiotics to fight the infection. Do not try to treat it on your own.

What should I do about this bump on the top of my nose?

Dorsal humps are a primary motivation for many patients to get rhinoplasties. Depending on the size of the bump, it may be able to be shaved down without much hassle, but may require an osteotomy (controlled fracture of the nasal bone).

How much does the nose grow during the teenage years?

As you probably learned in your middle school health classes, puberty is a time of great changes for the body and, as such, it is also a time of great changes for your nose. Before nasal growth stops permanently in one’s 20s, it progresses extensively in the teenage years and features which stood out before on the nasal area will stand out further (bumps will grow, etc.).

How long does recovery typically take?

The final shape of the nose following a rhinoplasty does not truly finalize until after a year following the procedure. When the cast is removed after about a week, swelling will be readily apparent, but this will eventually subside enough within 10-14 days after the procedure for patients to be “restaurant-ready” (recovered enough to go out in public). 75-80% of your results will be mostly apparent after 3-4 weeks.

Can the nose be lengthened to reduce the distance between the upper lip and the columella?

Yes, this can certainly be done via the application of cartilage dorsal grafts to weigh the tip down and create the illusion of a longer nose and minor trimming of the columella.

What causes scar tissue buildup post-rhinoplasty?

Patients must realize that the rhinoplasty procedure, even if done by the most skilled surgeon, does cause a great deal of trauma to the nose. Scarring is simply one method the body uses to heal the wounds caused by this operation.

Can oily skin damage my rhinoplasty results?

Absolutely not. Oily thick skin may be more difficult to conduct a rhinoplasty on simply because it is less elastic and tends to not drape as tightly around the newly positioned cartilage and bone, thus making the results look less apparent and dramatic. However, no damage can be incurred with this type of skin.

How much will a tip rhinoplasty cost?

Though the figure varies widely, a typical tip rhinoplasty will run in the range of $6,000-$8,000. However, do not let cost guide you and seek a board-certified surgeon who specializes in these procedures because having to spend for a revision surgery is more expensive than just doing it right the first time.

Is reduction of my bulbous tip going to a problem with my thick, oily skin?

For patients with rhinophyma (excessively large sebaceous glands which cause the nose to appear large), it is important to recognize that the results of a rhinoplasty will not be as dramatic as a rhinoplasty on a patient with thinner skin. However, sebaceous glands can be reduced with a CO2 laser procedure, which can help with the results of the rhinoplasty a little bit.

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.

There is a visible graft on my nose post-rhinoplasty. What can I do?

Sometimes, grafts can become apparent after a period of a few months post-op. Eventually, they tend to contour themselves out over time, though. However, bring it up to your surgeon to see what he/she has to say.

What type of anesthetic is used during a rhinoplasty?

During a surgery such as this, a top priority among surgeons is the patient’s comfort and safety. Thus, we suit the anesthesia to your needs and wants. Patients can choose from local anesthesia (patient is fully awake and the area is numbed), local sedation (patient is given local anesthetic plus a sedative so that he or she falls asleep during surgery), or general anesthesia (patient is fully sedated and given a breathing tube). Patients with health problems may be recommended for the first two options as general anesthesia puts more strain on the heart and the lungs.

Who are the best rhinoplasty surgeons in Chicago?

It is difficult for me to call this for myself. It is more of a decision for the patients, that is, “Who is the best surgeon for you?” When evaluating surgeons, patients need to make certain that their surgeon of choice is board-certified, specialized in their desired type of procedure and has experience doing these surgeries, has satisfactory before-and-after photos, etc.

Is swelling post-rhinoplasty hard to the touch?

Firm swelling is common in the weeks post-op mostly in the peritip region, especially if cartilage grafts were used.

Can I get a free surgery if I have been referred to a cosmetic surgeon by my doctor?

Unfortunately, this is highly unlikely. Insurance will likely pay for any functional defects like a deviated septum or enlarged turbinates which result in breathing difficulties, but any cosmetic changes will likely have to be paid out-of-pocket.

I have a weird smell in my nose post-rhinoplasty. Is it infected?

Although patients will experience mild crusting of blood and mucus post-rhinoplasty, it is rare for it to smell unusually bad unless it is infected. Please consult with your surgeon to evaluate your condition.

How long do Kenalog injections take to work?

Many patients feel the Kenalog working within the first two weeks of injection, but may even feel it as soon as 1-2 days post-injection. Often, surgeons will follow up the initial injection with another one 2-4 weeks after the first one.

Can the nose collapse during rhinoplasty surgery?

Generally speaking, in the case of a competent, experienced surgeon, middle vault collapse of the nose is exceedingly rare. This is usually caused by scar contracture and shrinking of the skin that could affect the middle of the nose and the tip. However, this can be avoided by strengthening the nasal structure with cartilage grafts.

Why is my nose itchy in the first week post-rhinoplasty?

Chances are this is the result of the splint which is admittedly somewhat irritating and does not allow much oxygen flow to the skin. Itching is good, however, and indicates the absence of infection.

What causes polly beak deformity?

Polly beak deformity, the common name given to supra-tip fullness, can be seen due to excision of dorsum just above the tip and also from poor nasal tip projection, both of which give the impression of an unnatural curve at the tip.

What is the purpose of rasping the nasal dorsum?

The reason surgeons will rasp a nasal dorsum is that they wish to correct small dorsal humps that do not require osteotomies to fix. It is analogous to sanding a surface or filing nails in order to create an even, smooth surface.

How much will it cost to correct a bulbous tip and a profile?

This can be done via a rhinoplasty which will generally hover in the cost neighborhood of about $8,000-$10,000.

Is the bulbous nose which I have post-rhinoplasty a sign that I need to do a revision rhinoplasty?

Even months post-rhinoplasty, the nose can still have a good deal of swelling which skews the appearance of the final results of the surgery. My best advice to patients post-rhinoplasty is not to worry too much about the appearance of the nose until at least 8 months post-rhinoplasty.

Will insurance cover fixing my broken nose?

Generally, surgeries which work to improve the quality of life (in this case, the goal is improving breathing) tend to be accepted readily by insurance. However, if the septum is not deviated and breathing is not an issue, the surgery will only be counted as an aesthetic/cosmetic one and will NOT be covered by insurance.

Can my wide nose be made to look more feminine?

Certainly. Ethnic noses (in which this is often the case) can be made more feminine via reduction of the nostrils and the bridge of the nose as well as alar reduction surgery (to reduce nasal flare).

Can nasal bones shift back after an osteotomy?

Sometimes, it is possible for a couple nasal bones to shift here and there which is why patients, especially within the first month post-op, should be extra careful not to disturb any areas on the surgical site.

Why are osteotomies done instead of rasping in some cases?

Both of these techniques are used in cases where there are dorsal humps. Rasping is used when there is a small dorsal hump and is what patients often refer to as a “shaving” of the dorsal hump. However, in cases where there are large dorsal humps, shaving away the dorsal hump will result in a very flat nose with a larger hole (called an open roof deformity). The solution to this are medial and lateral osteotomies which realign the nasal pyramid and close up the hole in order to produce a more aesthetically pleasing appearance.

I just got a cold a week or so after my rhinoplasty. Anything I should do?

Other than causing congestion and subsequent increases in swelling and post-nasal drip, this should not have a major impact on the final shape of the nose post-rhinoplasty. Patients should just take care not to rub their nose or put any other pressure on it inadvertently.

What is an open roof deformity?

An open roof deformity occurs when surgeons attempt to rasp (file) away a larger dorsal hump. Think about this situation as taking away the top 1/3 of the roof of a house, where you leave a rectangular hole in the middle. This is essentially what an open roof deformity looks like, and it can be resolved by osteotomies which are controlled fractures of the nasal bones that allow them to be angled inward to cover up the hole.

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.

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.

Why do I have pain in my palate post-rhinoplasty?

This pain is likely a result of the endotracheal tube which was placed in your windpipe during the rhinoplasty, a measure of precaution against breathing difficulties under general anesthesia.

Can I die from a rhinoplasty?

It is rare for patients to die of complications directly associated with rhinoplasty, simply because the nose is not exactly crucial for survival. If deaths do occur, and this is EXTREMELY rare, it will occur due to complications with anesthesia or because of prior health concerns which are not disclosed to the surgeon. Make sure, during your consultation, to tell your surgeon everything and also look into general anesthesia in which a breathing tube is inserted to ensure proper ventilation.

Can I travel to Mexico to have a rhinoplasty done?

It is my recommendation to have a rhinoplasty done as close to home as possible. While there may be perfectly competent surgeons in Mexico, there is a chance for potential complications and issues in the post-rhinoplasty period which are best addressed by going to the surgeon who performed the procedure in the first place. This may prove difficult if the surgeon is in another country.

Is it normal to have post-rhinoplasty snot and boogers?

Yes, especially in the first few weeks post-op. Saline solution applied via Q-tip is probably the best way to combat this.

How much will hanging columella reduction cost?

This will vary within the $3,000-$5,000 range.

How long will a fractured nasal bone take to heal?

Because there isn’t a great deal of muscle pulling on the nasal bone, unlike other bones in the body where fractures might occur, nasal bones can be left alone to heal perfectly fine and surgery is not necessary unless it results in some sort of functional or cosmetic deformity (deviated septum, etc.). The cast is removed after 7 days and patients are told to avoid strenuous exercise for about 6-8 weeks because blood pressure increases can make nosebleeds more likely.

There is a bad smell in my nose post-op. What is wrong?

A nasty smell inside the nose following surgery may just be the result of dried, crusted blood development or extraneous mucous which infiltrated the area, both of which are perfectly normal post-op conditions that can be corrected with saline spray. However, a consultation with a surgeon may be advised in order to evaluate for a possible infection.

Can I laugh or smile following a septorhinoplasty?

Of course! Patients are told to avoid strenuous activity like exercise for 6 weeks or so post-rhinoplasty, but smiling and laughing does not go under this category.

When will I be work-ready following a rhinoplasty?

I would say that patients will generally be presentable a week to ten days following a rhinoplasty.

When can I return to yoga post-rhinoplasty?

At around 4 weeks out or so, patients can resume light to moderate activity like yoga as long as it is not strenuous and they pay attention to any swelling which may occur (and stop activity immediately once this is noticed).

How do I know when my nose is done developing?

Generally, when it comes to noses, there is no “magic number”. However, it is generally safe to consider rhinoplasty at ages 15-17 for girls and 16-18 for boys.

Can steroid injections help if I have a hard tip following surgery?

Steroid injections about a year or so post-op can definitely help with any residual swelling and can soften up the tissue in problem areas, but have your surgeon complete these procedures.

How can I fix a crooked nasal cartilaginous bridge?

This condition can be fixed by manipulating the upper lateral cartilages and performing a septoplasty which will inevitably require an osteotomy. However, upper lateral cartilages may need to be bolstered via a cartilage graft from the septum or the ear. It is best to consult your surgeon for the best course of action.

Can I clean out dried blood one day post-op?

Most surgeons will recommend that patients utilize saline solution and apply it to problem areas via Q-tip, and then use another Q-tip to then absorb the remaining crusted blood loosened by the first Q-tip.

Can I use Fraxel treatment on rhinoplasty scars?

It depends on the depth of the scars. Fraxel and other laser treatments can provide relief for patients with more shallow scars, but deeper scars may require re-excision of the scar and dermabrasion of the skin.

Are the scars from rhinoplasties too much to handle?

Rhinoplasties come in two main forms: open and closed, with the only difference being that closed rhinoplasties are done via incisions on the inside of the nose (that is, not visible) and open rhinoplasties having more apparent incisions especially on the columella area (the skin between your two nostrils). The incision on the columella in the open rhinoplasty is the only one that has the potential to be apparent, but even these should heal beautifully over time.

What types of pre-op testing is necessary for a rhinoplasty?

There is no real universal answer for this as it varies from surgeon to surgeon. Often, surgeons will like having blood work because it may reveal potentially complication-causing conditions that patients will either not disclose or forget to reveal prior to the procedure. Again, this is a question best answered by your surgeon.

Do all surgeons use splints and packing post-rhinoplasty?

Generally, surgeons will use splints in the first week post-op not only to protect the delicate nasal tissues immediately after the surgery, but also as a reminder for patients to be extra careful in the first few days post-op. Packing has generally gone by the wayside due to discomfort/breathing issues felt by the patient and has given way to internal splints.

How should exercise habits work post-rhinoplasty?

It is generally a good habit to wait at least 6 weeks prior to beginning vigorous exercise.

What does cutting the depressor septi muscles do for my smile long-term?

Over the long-term, these muscles will heal and your smile should come back just fine. However, because cutting the depressor septi prevents the tip from drooping, there will be some loss of sensation in the upper lip area which will cause movement issues in the upper lip (and resulting problems when smiling) for a period of a few weeks.

Why did I have an infection one year post-rhinoplasty?

An infection post-rhinoplasty can have many causes, including an infected implant, introduction of a foreign body, etc. When an infection occurs, patients are advised to look for the cause by having any mucus or discharge cultured and to take the antibiotics which are recommended by their surgeons.

When will I see the final results of a rhinoplasty?

The full results of a rhinoplasty will manifest themselves generally after about 1 year post-rhinoplasty, but patients should generally have an idea about how they should generally look at 6 months (anything afterward is simply refinement of the existing product).

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.

There is significant swelling in my tip post-rhinoplasty. Should I be worried?

Due to the repositioning of cartilage which occurs extensively in the tip of the nose during rhinoplasty, the tip is one of the most prone areas to swelling post-rhinoplasty. Patients should not be concerned if the tip appears swollen for a longer period of time than other areas of the nose post-rhinoplasty.

How can I augment the philtrum and the radix?

I would generally recommend filling out these areas via the transfer of septal or ear cartilage.

How does the nose hold up as one ages?

Generally, the nose will tend to age with the rest of the body following rhinoplasty. Open rhinoplasties which support the nasal tissues with cartilage grafts will tend to hold up better, but they too will not stop the aging process completely.

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.

Are there any side effects of a rhinoplasty?

The most common side effects of a rhinoplasty are relatively mild and include bruising and swelling which dissipates within weeks to months following the procedure. Some much rarer risks include bleeding (which is more of an issue for patients with a history of using blood thinners and NSAIDS), scarring which can be corrected with steroid injections, and potential infections which can be mitigated in the hands of an experienced surgeon.

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.

Can I get a Megan Fox nose?

It is important for patients to recognize that we as surgeons cannot substitute one nose for another, but can only modify an existing nose and correct it for defects. Therefore, not everything, even in the hands of the best surgeon, can end up with the exact look of a celebrity because the underlying basic structure is too different. Also, even if a perfect recreation of a particular celebrity’s nose is done, it may not work well in relation to a patient’s other facial features.

Should I tell my friends and family about my rhinoplasty?

This is generally a matter probably best decided by the patient. However, it is my opinion that true friends and family will support you, regardless of the decisions you make and how they feel about it. I have found that many family members tend to be supportive of the patient’s decision and even those that aren’t will generally not be so outspoken as to openly challenge the decision and try to cancel the surgery.

How can I get rid of bruising under my eyes post-rhinoplasty?

Unfortunately, other than the tips which your surgeon probably gave you (avoiding blood thinners like aspirin, not smoking, etc.), there is little else that you can really do to reduce bruising as it is part of the body’s natural healing process.

When can I go out in the sun post-rhinoplasty?

It is recommended that patients wait at least 4-6 weeks before going out into environments with high sun exposure. However, even then, it is advised that patients avoid direct sunlight contact with their surgery site and wear plenty of sunscreen, as the trauma undergone by the nose during rhinoplasty causes it to be much weaker and number and thus prone to burns and discolorations from UV rays.

How long will my nose feel stuffed up post-op?

Easier breathing will generally come 10-14 days post-op and will continue to improve for 6-8 weeks afterwards.

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.

Can I do a nostril reduction post-rhinoplasty?

Yes, this simple procedure can be done after a rhinoplasty under local anesthesia. However, it is probably best for patients to wait at least 9-12 months before deciding to undergo any revision/additional procedures.

Do I need to pack the nose following rhinoplasty?

Generally, the nasal packing (gauze which would line the inner nostrils) which doctors would often use post-rhinoplasty has been replaced with internal splints that prevent the formation of scars and septal hematoma. This is also supplemented by an external splint which puts more pressure on the skin and guides it into place on top of the underlying cartilage and muscle tissue.

Do bones swell post-rhinoplasty?

No, the bones do not swell. The tissues around them, like the skin and other softer tissues, do though.

I found a stitch years post-rhinoplasty. What should I do?

It is rare for stitches to find their way into the inner nose, but it sometimes happens. In cases like these, patients should NOT pull out the stitch by themselves, but rather have it removed by their surgeon.

Do silicone implants look less real than cartilage?

Although the results generally will not differ between silicone and cartilage, I prefer to use cartilage simply because there is less risk of inappropriate movement of the tissue and infection.

What is a revision rhinoplasty?

A revision rhinoplasty refers to a rhinoplasty procedure which is used to correct the results of a previous rhinoplasty which had a negative impact on the patient, functionally and cosmetically. Unfortunately, given the high degree of difficulty inherent in a rhinoplasty procedure, it tends to have a relatively high rate of revision (8-10% of cases require revision). As a result, patients should be careful in choosing their surgeon and make sure they have all the proper qualifications and experience to do the surgery.

How should I sleep post-rhinoplasty?

It is recommended that patients sleep with head elevated post-op in order to reduce discomfort and swelling. It is also advised that patients avoid sleeping on their side because this may lead to movements that could potentially squeeze the nasal area, but this is generally not a concern because the cast will mostly hold everything in place.

Can I smoke marijuana before/after my rhinoplasty?

My best advice would be to avoid doing this at least 2 weeks before and 2 weeks after surgery.

How can I treat a ski-slope nose and upturned tip post-rhinoplasty?

Patients who have these conditions after a rhinoplasty will most likely be in need of a revision rhinoplasty where cartilage grafts are reintroduced to give more support to the tip and fillers are introduced to augment the bridge.

What kind of stitches are used in rhinoplasty?

There are two main types of stitches that are used in rhinoplasties: dissolving and non-dissolving. Stitches which are placed inside the nose will dissolve over the course of a couple months, while external stitches are non-dissolving and will typically be removed within a week post-rhinoplasty.

Can I preview results of my rhinoplasty prior to surgery?

Most surgeons will have some of imaging software that allows patients, during consultations, to see EXACTLY what the doctor plans on doing and also lets them do a before-and-after side-by-side comparison of the results. I have found that this very comforting for patients and highly advise patients to see a surgeon who has this software.

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.

Can a nose bump be fixed under local anesthesia?

It truly depends on the size of the bump. While small bumps can be removed by rasping under local anesthesia, larger bumps, which carry the risk of open-roof deformity if removed by rasping, require osteotomies which are difficult to really perform under local anesthesia. General anesthesia might be more suitable for this reason, and because of the protection offered by the endotracheal tube (can block blood and other fluids from getting into the lungs during surgery).

When can I start sleeping normally, not elevated, post-rhinoplasty?

Simply for the purpose of reducing swelling, one week of sleeping in an elevated position is probably adequate enough.

Are there less complication risks with a tip-plasty as opposed to a full rhinoplasty?

Frankly, there is not a great deal to differentiate between the tip-plasty and the full rhinoplasty in terms of invasiveness, recovery and complication risks. Both carry very minimal risk, most of which is in the anesthesia component of the surgery.

What are the pros and cons of steroid injections post-rhinoplasty?

Steroid injections are introduced in patients to prevent the buildup of scar tissue that can actually deform the tip. However, while helpful, it can also cause atrophy of surrounding tissues and overthinning of the skin if not used judiciously.

Can implants be infected years post-rhinoplasty?

While it is rare for these cases to occur, they do occur once in about a thousand times. Generally though, if the patient bolsters their immune system with antibiotics, it will go a lot way to preventing infections.

Why is there a transverse crease in my upper lip?

Often, creases in these areas are caused by repeated motions of the muscles, much in the same way that laugh lines or crow’s feet developed. Mild solutions like Botox or Dysport may provide relief.

Can a rib graft make a nose bridge larger?

The rigidness of rib cartilage definitely makes it useful for procedures like dorsal augmentation (which is what I image you are looking for) and reshaping, especially in the case of revision rhinoplasties. However, there is a greater degree of discomfort associated here than taking cartilage from the septum or the ear because of the numerous muscle attachment points on rib tissue.

Can a minor nose bump be fixed via filing?

Yes. However, patients must evaluate whether the nose bump is as minor as they believe. Larger nose bumps cannot be simply filed away because it leaves a hole in the nose called an open roof deformity which can lead to a disastrous appearance that can only be resolved with a purposeful breaking of the bone (osteotomy) to push the bones inward and fill that gap.

What is the best way to fix Pollybeak deformity?

A pollybeak deformity (the name given to supra-tip fullness in a patient) can be corrected often by removing some septal cartilage and reinforcing the tip of the nose —- which tends to drop —- via the placement of a cartilage graft. Steroid injections may also help as the deformity may be the result of excess scar tissue.

Why is my nose so oily post-rhinoplasty?

This is very normal as the surgical taping blocks sebaceous glands at the surface, causing oily fluid to build up on the skin. This is perfectly normal and will heal over time.

What should I do about a short nose post-rhinoplasty?

This may simply be a symptom of the swelling which could cause your nose to look bunched up and shorter. However, if this appearance issue does not resolve itself after about a year, it may be the result of an over-shortening of the septum in which case revision rhinoplasty is needed.

Should I bring pictures of my ideal nose to my surgery consultation?

I don’t see how this could hurt you. However, it is important for patients to recognize that the goal of surgeons is to match the nose we create to the face and create overall harmony, meaning that a certain celebrity’s nose may not match up with a patient’s face and may not be advisable. However, it does give the surgeons a good idea of what the patient wants and expects.

When can I drive after a rhinoplasty?

It is recommended that patients, who are subjected to general anesthesia during a rhinoplasty (at least in my office), have someone drive them home post-op and care for them for the first 24 hours post-op. Patients should try not to drive for at least 3-5 days post-op.

I was hit in the nose months ago and now I have a dorsal hump. Is it permanent?

Unfortunately, trauma to the nose activates osteocytes (bone-producing cells) and chondrocytes (cartilage-producing cells) to add their respective materials to the injury site, thus resulting in a dorsal bump. Sometimes, these areas are subsequently reabsorbed by the body. However, sometimes, they are not and, if this absorption is not apparent even months after the trauma, it is likely to only be solvable via surgical methods.

What’s the ideal age for a rhinoplasty?

This is a variable benchmark that depends on the physical maturity of the patient’s nose (operating on a still-developing nose can impede nasal growth), the emotional maturity of the patient, etc. But, generally speaking, after 15-17 for women and 16-18 for men is the ideal.

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 removed blackheads from my nose by squeezing it post-rhinoplasty. Did I damage anything?

Unless the manipulation occurred within the first few days post-rhinoplasty, there is little to worry about for patients who did this. Temporary swelling may occur, but this is nothing to worry about. However, I would recommend against squeezing them in the future because it could cause bacterial infection.

Can rhinoplasty make the nose oily?

Normal oil secretion by the skin can be altered because of the trauma to the nose and the cutoff of blood circulation in the area. Post-op, this could result in acne breakouts as oil and other sebaceous fluid becomes trapped in the pores due to the post-op surgical tape.

When do Kenalog injections begin working?

Surgeons will typically space out Kenalog injections between 4-6 weeks apart. Swelling subsides gradually up the 6-8 week post-op mark.

How much bleeding is there post-rhinoplasty?

Because during the surgery lidocaine mixed with epinephrine is injected into the surgical sites to constrict the blood vessels, there should be relatively little bleeding post-op. Oozing is typical on the first day if osteotomies are performed, but this is usually absorbed by nasal packing/drip pads.

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.

When can I drink coffee and wine post-rhinoplasty?

The recommendation is that patients wait at least 10-14 days post-rhinoplasty to resume drinking coffee and wine, as the former can raise blood pressure (presents risk of increases in swelling) and the latter may also present problems with swelling.

I have minor bleeding in my nose post-rhinoplasty. Why?

Though this is probably best addressed by your surgeon, bleeding within the nasal wall post-op may just be the result of aggravation of a suture. This is best addressed by consulting what to do with the surgeon and NOT touching the aggravated site anymore.

What is the difference between a Weir reduction and an alar base reduction?

Surgeons will generally use these terms interchangeably as they both basically consist of taking out crescent-shaped wedges from the nostrils and stitching the resulting holes (thus creating smaller nostrils). However, the alar base reduction technique is a bit more comprehensive which removes the alar lobule.

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