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

Will a bulbous nose that developed during pregnancy return to normal?

It is unlikely that, especially after a year since the pregnancy was completed, bulbous noses which developed in those nine months will return to normal. At that point, any corrections will have to come from rhinoplasty.

Can a wide, flat nose be fixed via rhinoplasty?

A wide, flat nose is typically among certain ethnic communities, particularly those of East Asian or African-American ancestry. Cartilage grafts from the septum or the ear will often help adjusting the nose in order to give it more “height” and protrusion and this can be done during a rhinoplasty.

Can thin skin make a rhinoplasty more difficult to perform?

Generally speaking, I would prefer to do rhinoplasties on thin skin as opposed to thick skin. Thin skin does make the outline of the bone and the cartilage more apparent underneath, but it is much more manageable than thick skin which tends to hide results and make the change less dramatic (although some prefer that).

Will my nose continue to grow after a nose job?

For most patients, nose growth will stop when they reach their 20s. However, rhinoplasties can be performed at ages 15-17 for women and 16-18 for men because growth is a gradual process and the nasal area can adapt and age with the rest of the body.

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.

Is Arnica bad prior to rhinoplasty surgery?

On the contrary, we recommend Arnica in our office in the week prior to and after the rhinoplasty surgery as a way to reduce bruising and swelling post-op.

When will my ear recover if cartilage was harvested from it during the rhinoplasty?

Patients can sleep on the ear in question within a week or two after the cartilage is harvested, but it may continue to be mildly painful for around 3-4 months, after which it heals completely.

Did I make a mistake by waiting too long to fix a broken nose?

Not fixing a broken/deviated nose immediately does not necessarily make it impossible to correct the original defect, but it definitely makes it more difficult. Nasal fractures are best treated within 10-14 days of the original injury before the nasal bones begin to reset in the newly established manner.

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.

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.

Can I remove excessive cartilage without an osteotomy?

This can only be answered on a case-by-case basis. If the excess cartilage in question is around the tip, a tip-plasty can be performed without osteotomies. However, extra wideness on the bridge of the nose or any areas other than the tip will most likely require a careful breaking of the nose which only an osteotomy can provide.

Does rhinoplasty improve sinus reactions?

Normal airflow through the nose is essential for sinus function (sinuses are air chambers within the facial skeleton). Therefore, a deviated septum or any other obstruction to normal air flow can be corrected with rhinoplasty and this procedure can improve sinus function. However, patients must evaluate whether a blocked airway is actually the cause of their sinus issues, because any other cause will not be fixed via a rhinoplasty.

Do I need to remove my piercings pre-rhinoplasty?

Yes, it is necessary because cauterization during the procedure can cause severe burning of the nasal tissue AND because they present a risk for infection because they penetrate underlying soft tissue, not just the epidermis of the skin.

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.

Is rhinoplasty necessary to correct for a minor dorsal hump?

This is probably best evaluated by a surgeon’s examination. However, sometimes, rhinoplasty may not be necessary as injectable fillers can disguise the bump in question.

Are rhinoplasties necessarily obvious?

It is important for patients to recognize that, as surgeons, our goal is to modify an existing nose and correct defects during rhinoplasties, rather than substitute one nose for another. If the surgeon you chose was competent, the rhinoplasty should enhance your overall appearance and give your face a degree of greater harmony.

What can I do about an indentation on my nose post-Kenalog injection?

Unfortunately, this is not an issue that will resolve by itself. Steroid injections may have weakened the tissue and caused it to collapse, an issue which can only resolved by injecting fillers like Restylane into the area.

What is the cost of a deviated septum plus rhinoplasty surgery?

Again, the costs of a rhinoplasty surgery will vary depending on a number of factors including geographic area, qualifications of the surgeon, equipment used, etc. However, a general ballpark for this type of surgery may entail somewhere between $5000 and $10,000. I would advise patients to place less priority on cost and more on the qualifications of the surgeon, because corrective surgery is often much more expensive than first-time procedures.

How can I tell if I have thick nasal skin?

The best way to evaluate thickness is probably by pinching individual portions of the nose from top to bottom and examining how thickness increases going in this direction. Thick skin is generally relevant in the tip and tends to be rather oily. If the patient easily manipulate the skin over the tip, it is thinner.

Is one week off from work enough recovery time post-rhinoplasty?

Yes, this should be enough time (7-10 days) to return to work post-rhinoplasty. However, patients must realize that bruising and swelling will still be apparent in this period of time. Therefore, if appearance is important, taking a couple more days off may be advisable.

I have a crooked nose that is causing breathing difficulties. Is this covered from insurance?

This will most likely be covered by insurance and is usually resolved via turbinate surgery, septoplasty and/or spreader grafts (if the nose is collapsed inward and causes breathing issues).

Can I have Jennifer Aniston’s nose?

This depends on how her nose works with your existing facial features and how similar your noses are. It is always good to bring in pictures to your surgeon’s office to get him/her a sense of what you want your final result to be. However, patients must realize that celebrity noses do not necessarily look good on every face and that the surgeon can only modify existing noses, not create new ones.

Is it possible to change the tip or completely reshape the nose during a rhinoplasty?

Going into a rhinoplasty, a patient must be aware that there is only so much a surgeon can actually do. In other words, we cannot completely reshape a nose into a form which it is not, but we CAN modify its existing structure. A droopy tip, for example, can easily be fixed.

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).

Will my nose rotate upwards as the swelling heals post-rhinoplasty?

It depends where the swelling is. In some patients, there is swelling in the supratip region which weighs down the nose and causes it to droop. The subsiding of the swelling will thus cause the nose to correct itself and rotate upward.

Is columellar stiffness a problem post-rhinoplasty?

Due to the incisions made in the columella area during the surgery, it is normal to experience swelling and tightness in that particular region for up to a year post-rhinoplasty. I wouldn’t personally worry about it.

What is a “good” male nose?

Male noses generally have straight bridges without deviation/curvature, thicker skin at the tip, and are generally a bit larger than female noses.

How should I fix a newly broken nose?

If the nose was displaced during the trauma, a fracture-reduction rhinoplasty may be necessary. However, depending on how soon the corrections take place, the treatment may require re-breaking of the nose through an osteotomy and resetting of the nasal bones. Consult your surgeon about this before proceeding.

Why do I have a hard tip following rhinoplasty?

A hard tip following rhinoplasty is most likely caused by residual swelling or scar tissue which may have formed, as well as cartilage grafts which may have been used during a patient’s rhinoplasty procedure. As I mentioned in previous queries, the tip of the nose undergoes the greatest proportion of the swelling post-rhinoplasty, so healing takes a while in this area.

Are uneven nostrils normal post-rhinoplasty?

As I tell my patients, it is key that they remain patient in the post-rhinoplasty period. The first few weeks post-rhinoplasty will be accompanied by a great deal of swelling and bruising that will skew the appearance of the surgical results and make them look significantly worse than they actually are. It is best to wait at least 6-8 weeks to evaluate for asymmetry.

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.

Can I use a cleansing pore strip one week post-rhinoplasty?

I would advise against it. During this time, the skin has just been redraped over the newly aligned tissue and is not properly attached yet. Therefore, any action which may involve pulling or prodding the skin could cause issues. Skin care questions are best addressed by the surgeon who conducted the operation.

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.

What can be done to correct a crooked nose?

Most often, the optimal correction procedure for a crooked nose particularly after trauma is open rhinoplasty where the nasal fracture is reduced, potentially with cartilage graftings to even out the area surrounding the break.

Why is wearing glasses a problem post-rhinoplasty?

Especially during the first few weeks post-rhinoplasty, it is important that patients refrain from wearing glasses because of the pressures which they exert on the nose. At this stage, the nose is still very delicate and, if osteotomies were performed, is still recovering from being broken, so any external pressures may cause irreparable shifts in the bone.

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 much is a rhinoplasty in Dubai?

From my sources, it seems that rhinoplasties in Dubai cost exorbitant amounts of money, far more than those in the USA. While rhinoplasties in the States may cost between 8-10k, I have heard cases of double or even triple the price in Dubai.

Will a nose job affect my smile?

The cutting and stretching of nerves around the tip and the upper lip/teeth during a rhinoplasty will definitely cause a general numbing of the area, particularly if the surgery in question was a revision rhinoplasty where extensive cutting of scar tissue occurred. However, these symptoms are very temporary and will probably dissipate within 2-3 weeks post-rhinoplasty.

When can you resume fish oil and multi-vitamins post-rhinoplasty?

The standard answer for this is generally about 2 weeks, but consult with your surgeon and ask his/her opinion since different surgeons will handle this issue differently.

What foods are ideal after a rhinoplasty?

Hot liquid and spicy foods dilate blood vessels and increase the risk of bleeding post-op, so it is best to avoid these types of food for about 24-48 hours post-op. After this, the swelling will begin to subside gradually and diet will become less of a concern.

Can I use silicone for nose bridge augmentation?

Most surgeons, including myself, would prefer to use the patient’s own cartilage either from the septum or the ear as this has the largest potential for long-lasting results.

How can I correct my male upturned nose?

Depending on the patient, this may be best addressed by trimming a portion of the columella to decrease the columellar show and adding cartilage in order to weight down the tip and rotate the tip downwards.

How long does swelling last post-rhinoplasty?

Most, if not all, of the swelling will disappear by the one-year post-rhinoplasty mark. However, the majority of the swelling should be gone within 3-4 months post-rhinoplasty.

Is there nerve damage during a rhinoplasty?

Generally, a typical rhinoplasty will involve cutting of sensory nerves within the skin, thus causing a decreased response to touch within the area for a period of several months. This is particularly apparent at the tip of the nose which undergoes the highest proportion of trauma during this procedure. Motor nerves, however, in particular the facial nerves which control the mouth and nose, should not be impacted during the surgery.

How can I fix my hanging columella and how much will it cost?

A hanging columella is treated very simply under local anesthesia in which the surgery basically consists of trimming the columellar cartilage to an appropriate length. It is a very easy procedure that should not cost more than $3000 or so to do.

My nose is upturned after surgery, almost unnaturally. Will it come down?

Patients who experience an upturn in the tip of their nose post-op most likely had a surgeon who overcorrected the original condition. However, this is not a concern as the tip should come down within 2-3 weeks after surgery. It is also possible that the upturn may be caused by swelling which is perfectly normal post-op and should come down within the same period of time.

During swelling, does the cartilage actually swell or is it the skin around it?

Good question. The cartilage itself does not swell, but the skin and soft tissue around it does.

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.

Can massaging improve nasal shape?

No, while massaging may temporarily cause minor changes in nasal structure via compression of nasal tissue, these changes are by no means permanent or effective.

How long is the time period from consultation to surgery?

This really depends on the surgeon’s schedule, the patient’s schedule, and the need to obtain medical clearances.

How long does tip hardness last?

Surgeons generally advise their patients to count on ¾ of the swelling post-op to dissipate within 3-4 weeks post-op and then for the rest of the swelling to disappear within the course of a year post-op.

What can I do to prevent columella scarring post-rhinoplasty?

Unfortunately, there is very little patients can do to actually prevent scarring. Still, the scars will tend to heal fine if given enough time.

Can Rhinoplasty be covered by insurance?

Generally speaking, rhinoplasty is considered a cosmetic procedure and will likely NOT be covered under insurance regulations.

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.

Why do I have blood in my eyes following my rhinoplasty?

It is a relatively common occurrence for patients to have broken capillaries in the sclera of the eye (the white of the eye) following a rhinoplasty, a condition known as a subconjunctival hemorrhage. Unfortunately, this bleeding tends to last for up to four weeks. However, if bleeding continues past that period or leaks into the iris (colored part of the eye) or affects vision, let the surgeon know immediately.

What is the cost for rhinoplasty in the LA area?

Of course, given the increased overhead costs in big cities like Los Angeles and New York, costs for procedures in these areas will cost more than they will in other parts of the country. As such, a rhinoplasty in these areas will generally hover in the $8000-$10,000 area.

I have a crooked nose after rhinoplasty. Should I be concerned?

It is recommended that patients not worry about the results of a rhinoplasty until about 3-4 weeks post-op, at which point the majority of the swelling which may skew the appearance of the results will subside. Check again at this point and consult with your surgeon if you are still unhappy.

How soon does skin start thinning after a silicone implant post-rhinoplasty?

Thinning of the skin is one common problem with silicone implants, which is why I am often hesitant to use them. It is best to have the implant removed before it begins to extrude.

My nose tip looks too round post-op. Should I be concerned?

As surgeons will tell you, the REAL post-op look after a rhinoplasty does not actually form until about a year after the surgery is completed. Minor swelling, particularly in the tip, may exist until then, but it should not be a concern to the patient.

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.

When does my smile return to normal post-rhinoplasty?

Particularly during septo-rhinoplasties, muscle fibers in the base of the nose and in the upper lip are slightly separated to allow for proper healing of the tip of the nose. Thus, the smile will be a little skewed as the upper lip may not properly elevate. However, this should return to normal within the first few weeks post-rhinoplasty.

There is still swelling years post-rhinoplasty. Is something wrong?

This may be something that is best evaluated by your surgeon, but the likely cause of this is poor lymphatic drainage and scar tissue which may have accumulated.

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.

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.

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.

What are the chances of nasal infection with Gore-Tex implants?

Gore-Tex has a good track record and, for that reason, is still highly used in nasal as well as cardiovascular surgery. However, I generally prefer using my patient’s own tissue for nasal augmentation.

What is an alar base reduction?

The alar base reduction is a surgical procedure performed on patients with an excessive wide nasal base and/or excessive nostril flares. In this procedure, thin crescent-shaped wedges are taken out from the nostril and the resulting hole is stitched up, thus reducing the nostril size.

Can taping my nose help maintain the results of my rhinoplasty?

Taping the nose is simply a measure to reduce swelling in the nose post-rhinoplasty and, unfortunately, is not a powerful enough force to help maintain the cartilage and other moved structures in place post-rhinoplasty.

Can I make my nostrils smaller without surgery, especially after a recent rhinoplasty?

Without surgery, there is no option of reducing nostril size. This procedure consists of taking skin from the inside of the nostril via removal of a crescent-shaped wedge. However, it is recommended that patients wait at least a year post-rhinoplasty to have other changes made on the nose.

When should I blow my nose post-rhinoplasty, and why shouldn’t I do it before then?

Blowing the nose prematurely can result in bacteria getting into the internal incision sites. In addition, pushing on the nose during the blowing process may cause shifts in the cartilage and bone which the surgeon worked so hard to avoid. Patients can safely blow their nose 1 week or so post-op.

Can facial exercises post-rhinoplasty hurt the nose after rhinoplasty (e.g. Smiling, lifting the cheeks, etc.)?

This should not have a major effect on the rhinoplasty procedure. However, patients are advised that in the period of a couple weeks post-op, the nasal bones still aren’t fully solidified and should be treated carefully.

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.

Is it normal for my nose to twitch post-rhinoplasty?

Patients may experience paresthesias post-rhinoplasty, which is a zapping sensation that occurs when sensory nerves begin to regrow in a trauma-affected area. However, twitching is unusual and should be addressed via consultation with the surgeon.

Is there a risk in flying post-rhinoplasty?

Generally, a week is enough time to fly again post-rhinoplasty (2 weeks for turbinate or septal surgery). Spraying the nose with Afrin ½ hour before take-off and landing will likely help.

What are these white bumps inside my nose post-rhinoplasty?

Patients days into the post-op process may see white bumps that are representative of sutures that have not fully dissolved/healed yet.

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Disclaimer: This site only provides information about cosmetic surgery and this information is not meant to be taken as medical advice. For more information about plastic surgery, contact Dr. Kassir.