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.

As seen on

Book your consultation today &
get $100 towards your first treatment!

best plastic surgeon NJ

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

Can I reduce my large nose to a much smaller nose?

It is important for patients to recognize that surgeons have a responsibility to modify the nose in a way that makes it look natural in relation to the rest of the surrounding facial features. Thus, while surgeons can reduce a nose via manipulation of the underlying cartilage and shortening of the septum, it must look aesthetically pleasing.

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.

How much will a rhinoplasty for a broken nose cost?

In general, a rhinoplasty for a deviated septum will cost somewhere in the neighborhood of $8,000-$10,000. However, this can vary widely depending on factors like geographic area, anesthesia used, 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.

Is it possible to augment the bridge of the nose without an implant?

Yes, this can certainly be done via the extraction of cartilage from the tip of the nose and placement of this cartilage onto the bridge.

Will I experience empty nose syndrome after a rhinoplasty and turbinectomy?

Both of these procedures were likely performed to correct a breathing defect. If by empty nose syndrome (which is not a real condition) you mean that the turbinates have been fully removed, this is not likely unless your surgeon went hyper-aggressive on the turbinate removal —- which is not medically advised at all. I would not worry about this.

Why do I have a bulbous, upturned tip post-rhinoplasty?

If this question is posed within a year post-rhinoplasty, both the bulbousness of the nose and the upturned appearance of the tip are probably both due to post-rhinoplasty swelling. These will all be resolved gradually within a year post-rhinoplasty.

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.

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.

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.

When can I play contact sports post-rhinoplasty?

I would recommend waiting 6-8 weeks simply because of the risk which a bump to the nose can have on the results of a rhinoplasty.

Why was an external splint not put on my nose after it was broken?

Although most surgeons will use an external splint in order to protect the results of their work, some (although rare) may opt to just use internal packing in order to realign the nasal bones. However, this method does not work as well as an external splint.

Why do I have upper eyelid swelling post-rhinoplasty?

Especially if an osteotomy was performed, this is a perfectly normal symptom of a rhinoplasty. Patients are advised not to concern themselves if something like this were to happen.

How can I narrow a bulbous tip with thick skin?

It is generally difficult for thick skin patients to achieve tip definition that is satisfactory to them. However, cartilage grafts can help add more definition to the nose that can get them closer to where they want to be.

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.

What is the proper icing technique following a rhinoplasty?

Patients are advised to speak with their own surgeons regarding this matter. However, one method which I have seen is to use a disposable glove and fill it with ice at the fingertips, letting the finger parts of the glove rest on either side of the nose and the palm part rest on the forehead.

Can rhinoplasty correct asymmetrical nostrils?

Asymmetrical nostrils may be the result of an uneven septum which can easily be corrected with a rhinoplasty procedure. However, in the case that they are not, rhinoplasties can correct them still, but the procedure is much more difficult and involves the cutting away of skin from the nostril area.

Can rhinoplasty be used to widen nostrils?

This procedure is generally less common than using rhinoplasty to narrow the nostrils and typically uses cartilage grafts from the tip of the nose or the ear. Consultation with a surgeon is best, however, to determine a patient’s particular course of action.

How long is the healing period post-rhinoplasty?

The full healing period post-rhinoplasty takes up to a full year, when all the swelling will eventually dissipate. However, patients will generally recover from surgery within the first few days post-rhinoplasty and will be ready for work within a week. After three weeks, you can even return to light exercise.

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.

Why is my nose still bulbous 2 years post-rhinoplasty?

Especially in thicker-skinned individuals, this could very easily be caused by the maturation of scar tissue which can contract and thus pulls the nostril sides downward, giving the appearance of a bulbous nose. Unfortunately, the only alleviation for this condition comes in the form of a revision rhinoplasty. Steroid injections would help initially when the scar was beginning to form.

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.

My external splint fell off post-rhinoplasty. What should I do?

If it has not been a week post-rhinoplasty, I would recommend contacting your surgeon immediately. Splints are generally made to stay on for at least a week post-rhinoplasty.

I have redness on my nose post-rhinoplasty. Is it infected?

Redness on the nose surface post-rhinoplasty, especially in the first weeks post-op, are generally the result of irritation of the skin by the nasal tape. However, consultation with the surgery may be necessary if patients feel that irritation of the skin is not the issue.

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.

Do bones swell post-rhinoplasty?

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

Can I clean my nose with a cotton stick post-rhinoplasty?

Sure. Gentle cleaning of the area with a Q-tip and a mixture of hydrogen peroxide and water OR saline solution can do wonders with loosening up the crusts that inevitably form post-rhinoplasty.

What can I do about blackheads developing on my skin post-rhinoplasty?

Many times, the surgical tape applied post-rhinoplasty will trap sebaceous fluid underneath the skin, prompting acne breakouts. In this case, it is necessary for patients to be gentle in their cleaning, using mild exfoliators and asking their surgeon for advice.

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.

Are there any recommended vitamins to take pre- and post- surgery?

Often, the question which patients must come to terms with during these times is actually which vitamins to AVOID. Vitamin E is known to cause unnecessary post-rhinoplasty bleeding and should be avoided in the week after surgery. Certain vitamins can help, including Vitamin A and Vitamin C, as well as certain herbs like Bromelin and Arnica which can reduce swelling.

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 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.

Do you recommend Afrin nasal spray post-rhinoplasty?

Afrin should generally only be used when patients are flying, that is, when the changing pressures of take-off and landing increase the risk for nasal issues. Afrin simply decompresses the nasal passages, so patients post-rhinoplasty are better advised to use saline spray to clean their nose, etc.

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.

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.

Can I cause an infection by picking my nose post-rhinoplasty?

Generally speaking, patients should take care not to exert any pressure on surgical areas post-rhinoplasty. If the crusting bothers patients that much, they may be better served with saline spray.

How long do sutures take to dissolve post-rhinoplasty?

Typically, external rhinoplasty sutures can be removed after 7 days by the surgeon or will dissolve in that period. However, internal rhinoplasty sutures may take several weeks to dissolve.

What is a graft and why is it used in rhinoplasty?

A graft is tissue (bone, cartilage, fat, other soft tissue) taken from a region of the body and transplanted to another region of the patient’s body or another person’s body for functional purposes. In the case of rhinoplasties, these grafts can either be contour grafts or structural grafts. Contour grafts are used for aesthetic purposes, that is, to smooth and even out structures in the face, correct asymmetry, etc. Structural grafts are used for support purposes, that is, to provide strength to areas like the tip of the nose, etc. In rhinoplasties, cartilage grafts are the main types of grafts used and are taken, in order of preference, from the septum, the bowls of the ear (cymba or the cavum), or the ribs.

Can I reduce the size of my nose non-surgically?

Unfortunately, this is highly unlikely. Non-surgical nasal modifications, by their nature, use fillers to make certain areas bigger in relation to others, so surgery is the only option to reduce nose size.

When can I get a nose piercing post-rhinoplasty?

Because of the risks of infection and complications associated with getting a nose piercing early in the post-rhinoplasty healing process, I would wait at least 6-8 weeks post-rhinoplasty to have this done.

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.

How can I fix my wide nasal bones?

By wide nasal bones, I will assume that you are referring to the bridge of the nose which can be fixed by a controlled osteotomy in which the nose is broken purposefully by surgical instruments and then angled inward to narrow it.

Do I have scar tissue or swelling after removing my nasal implant?

This may be fibrous tissue that can take up to a year to fully heal. Consult your plastic surgeon to ask his opinion.

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.

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).

How can I remove a post-rhinoplasty scar?

Unfortunately, scars cannot be permanently removed in the way that patients would like to see. However, they can be mitigated via cortisone injections and, long-term (after the healing process is complete), via laser resurfacing and dermabrasion treatments.

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.

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.

How soon can I use nasal irrigation or sprays post-rhinoplasty?

This is probably best addressed by your surgeon. However, I would advise against nasal irrigation because it creates too much pressure in the nasal region that can lead to disrupted healing of nasal incisions.

Can removal of a hanging columella cause the nostrils to appear wider?

Although it may seem like the weight of the cartilage in the columella may help “pull the nostrils back” in terms of flaring, this is not true. In the hands of a good surgeon, a hanging columella can be easily corrected without changing the other aspects of the nose, including width of the nasal bridge/tip.

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.

How can a patient limit bruising post-op?

Although bruising post-op is generally a consequence of the surgeon’s actions, patients can help reduce bruising by avoiding anti-inflammatory medications like ibuprofen at least 1-2 weeks prior to surgery, applying ice to the surgery site for the first two days after surgery, and keeping their head elevated.

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 can I fix a natural ski-slope nose?

A natural ski-slope nose may be best addressed by inducing less projection of the tip (deprojection) and perhaps placing some septal or ear cartilage along the patient’s supratip area to introduce fullness into the area.

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.

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.

When can I get my septum pierced post-rhinoplasty?

I would suggest not getting it pierced. Because of its importance in breathing and the possibility of cartilage reabsorption after surgery (which can potentially undo the results of the procedure), the septum is best not touched post-op.

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.

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.

Are there cheaper ways to disguise/remove a bump on the nose?

Some cheaper options to dealing with a dorsal hump could be to wear larger-frame glasses which take attention away from the bridge, use non-surgical fillers like Restylane to heighten areas around the bump and make it less noticeable, etc.

Can I correct my deviated septum and do a rhinoplasty together?

Absolutely. Septoplasty and rhinoplasty procedures are often performed hand-in-hand because they work in essentially the same neighborhood. If the surgeon you are planning on working with is qualified and experienced, I would definitely check in to investing in one complete procedure because it carries less recovery and surgical time.

Can rhinoplasty correct a wide nose without touching the nostrils?

The ala base (the middle part of the nose) can definitely be corrected in a rhinoplasty without any impact on the nostrils.

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.

When can I drink after a rhinoplasty?

It is advised that patients refrain from alcohol for at least one week post-rhinoplasty. However, this drinking is to be in moderation, with heavier drinking reserved for at least one month post-rhinoplasty.

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.

Did a nasal fracture cause my headaches?

It is definitely not uncommon for patients who experience nasal fractures to experience headaches. It is best for these patients to go to a well-qualified surgeon to plan their best course of action.

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.

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.

What are some alternatives to surgery?

Although strategies for nasal beautification are not as effective or long-term as a full rhinoplasty, they can be good short-term fixes. The main alternative to surgery is the use of fillers like Restylane or Radiesse which camouflage defects by filling in areas around the site of defect. But, these must be used judiciously because, otherwise, the patient risks having too much filling in areas where it is not necessary.

How many Kenalog injections are necessary post-rhinoplasty?

This cannot really be answered definitely. Kenalog injections, which are generally spaced out 4-6 weeks apart, are used in select post-rhinoplasty cases where the swelling has not gone down enough. However, these injections must be used judiciously as excessive steroid injections can cause unneeded thinning of the skin.

Will putting pressure on an area induce bone resorption there?

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

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.

What is the structure that separates the nostrils on the underside of the nose?

This flap of skin between the nostrils is called the columella.

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.

Does the nasal tip drop after rhinoplasty?

Of course, after the surgery, the nose ages just like the rest of the body and drooping does occur. However, this only occurs at a gradual rate and is unlikely to look unnatural. For patients concerned with the possibility of an upturned nose following surgery, it is important to recognize that there will be significant swelling in the columella region (the bottom part of the nose where the incision was made) that will cause upward rotation of the nose, but this will dissipate over time.

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.

Is it possible for rhinoplasties to cost less than $1000?

If performed by residents at a university hospital, rhinoplasties can be done with minimal cost to the patient. However, given the difficult nature of the procedure and the inherent risks in appearance if the rhinoplasty turns out badly, it may benefit the patient to find a more experienced surgeon in spite of the extra cost. After all, fixing a bad job often incurs more costs than doing it right the first time.

Can a nasal hump be removed via non-surgical methods?

Unfortunately, non-surgical methods do not take away anything from a nasal hump but rather camouflage it. Fillers are applied to the area around the hump to make it less conspicuous, but because humps are mostly cartilage, they can only be reduced via rhinoplasty procedures.

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.

Will my tip drop years post-rhinoplasty?

After a rhinoplasty, the nose behaves just like any part of the body in that it follows a natural aging process. Tip drooping is a significant part of the aging of the nose and even applies to noses that have undergone rhinoplasties. Consider this: Rhinoplasties turn back time in terms of nasal aging, but they do not freeze it.

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.

My nose is runny after rhinoplasty. What should I do?

This is a condition called vasomotor rhinitis which can be resolved with sprays like ipatroprium bromide or atropine. Consultation might be necessary, however, to make sure it is not part of a more serious issue.

Why should I stop taking Vitamin E prior to rhinoplasty surgery?

Because vitamin E can be a mild blood thinner, it is advised that patients avoid it for two weeks before and after surgery as it exacerbates swelling and increases the risk for hematoma and other post-rhinoplasty complications.

Can rhinoplasty scar tissue be corrected/fixed?

While slight scarring is common for rhinoplasty procedures, unsightly scarring in the sites of external incisions, etc. is relatively rare and may warrant aggressive treatments like kenalog (steroid) injections. However, a consultation may be needed for this.

Does the nose get thinner with age?

Over time, the tissue of the nose (skin, etc.) will begin to thin gradually. However, this does not alter the general width of the nose, that is, the features molded by the cartilaginous and bony framework, so the nose does not get thinner in this respect.

How long should I take Arnica and Bromelain for rhinoplasty swelling?

These medications are typically used for anti-swelling purposes and are best used in the week prior to and after the rhinoplasty. If patients do not see any results after this period, the swelling which they believe they might see may be the result of thicker skin (genetic).

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 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.

Why has my swelling not gone down months post-rhinoplasty?

Again, as I answered with many of my patients, swelling especially in the tip and nostril area following a rhinoplasty will resolve itself almost completely after a year post-rhinoplasty, with most of the swelling being gone around 3-4 months post-rhinoplasty. It is key that patients remain calm and wait out the results.

My stitches aren’t dissolving one month post-rhinoplasty. Why?

Generally, these stitches should not last longer than a week or two (absorbable). Evaluate with your surgeon to have them removed.

I’m having dorsal hump removal via rasping. Should I be ready for public presentation in 8 weeks?

Probably. The majority of the swelling will probably have subsided by then.

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.

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.

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.

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.

How long does it take for dissolvable stitches to dissolve?

Generally, dissolvable stitches will dissolve at an average of around 3 weeks post-rhinoplasty.

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).

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.

After taking off the cast, my nose ballooned up. Is that normal?

This is absolutely normal. Patients will often find that the swelling which was kept down by the cast returns with a vengeance when the cast is removed. However, they should not be concerned as the healing process over the next three weeks post-rhinoplasty will cause this swelling to die down.

Can blowing the nose or touching the nose area affect nostril width?

Unless you are a member of certain African tribes who dilate his/her nostrils with nose rings that apply CONSTANT, heavy pressure, it is unlikely that touching the nose and blowing it every now and then will permanently affect nostril width to an appreciable degree.

Does “Beauty Lift High Nose” work?

Many gimmicks like these work to simply temporarily compress nasal tissues, but do not lead to any substantial changes. There is no substitution for professional work when it comes to optimizing nasal structure.

How can I correct a wide nasal bridge without bringing my eyes closer together?

The close-set eyes should not be an issue and the correction of the nasal bridge can be accomplished via an osteotomy that will angle the nasal bones closer together.

Can a bulbous nose be made smaller?

Absolutely, and this is usually done with an open rhinoplasty. The base of the nose is narrowed and support is brought in via septal or ear cartilage to make the tip sturdier.

I want a smaller nose. Do I need a rhinoplasty?

In the case of reduction rhinoplasty, it is important for patients to keep their expectations realistic. The nose must be modified in a way that maintain the patient’s natural look and keeps it proportional to the surrounding facial structures. In addition, thick skin may also be more difficult to handle as it is more elastic. Consulting a surgeon is necessary to answer further questions.

Why can’t I have the smaller nose which I want?

It is important for patients to recognize that, sometimes, a nose can be reduced to the point where it is simply not natural-looking in relation to the rest of a patient’s facial features. We as surgeons have a responsibility to not only fulfill a patient’s needs, but to stay realistic. Think of this way. We do not substitute one nose for another, but rather modify existing noses and correct defects. We maintain your original nose but tweak it, rather than giving you a new one.

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.

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).

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 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.

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.

My nasal implant is showing and stretching my skin. Should I keep it in?

This is a common complication with nasal implants, and the best course of action would probably be to have the nasal implant removed before it impedes blood flow, extrudes through the skin, etc.

Why do I have nasal bumps which I didn’t have before? I am a teenager.

During puberty, certain areas of the body tend to expand more than others, these areas including the nose. Bumps may form at this time, but cannot be removed except via rhinoplasty at the appropriate age (15-17 for women and 16-18 for men).

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 my rhinoplasty be done with local anesthesia?

Technically, it can be. However, particularly if osteotomies are performed, the sound of breaking bones and the general discomfort of injecting local anesthesia may cause anxiety and discomfort for the patient, so general anesthesia is usually the best option.

Is it possible to remove the bump on my nose without manipulating the tip?

This depends on the patient’s circumstances, that is, what size the bump is. Smaller bumps can usually be shaved off with a rasp tool, but shaving off larger bumps in this manner can lead to an open roof deformity on the nose which can only be corrected during the procedure via an osteotomy in a rhinoplasty. Here, the nasal bones are carefully fractured and pushed inward to close up the hole created by the hump reduction.

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.

How can my post-rhinoplasty callus be reduced?

Generally, it is normal for these types of humps to be present over the first several months post-op. However, if the bump is still present after several months post-op, it may be reduced via a rasping procedure that will only require local anesthesia and a few minutes in your surgeon’s office.

Are African American rhinoplasties more difficult/impossible to perform?

Although it can be difficult to perform a rhinoplasty on African-American patients simply because of the tendency for surgeons to modify the nose to Caucasian standards (make it overly thin, etc). There are surgeons who have plenty of experience in ethnic rhinoplasties such as this, so African-American patients are better off consulting with these surgeons.

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.

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.

I have a wide nasal bridge. What can I do?

This is generally best taken care of with a rhinoplasty in which medial and lateral osteotomies are performed to lessen the lateral width of the nose and the nasal bones are turned more inward. In cases where patients have a sunken upper-third of the nose, cartilage grafts may also be required.

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.

How long after my jaw surgery can I undergo cosmetic rhinoplasty?

I would wait at least several months before undergoing another major procedure like rhinoplasty. The rhinoplasty operation itself will operate under general anesthesia and takes about an hour and a half.

What is an I-implant versus an L-implant?

An L-implant shapes the columella area (bottom of the nose) and the dorsum area, while the I-implant only shapes the dorsum area. Patients may want to reconsider getting these silicone implants, however, and may want to instead opt for natural cartilage from the septum or the ear.

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.

Contact Jaime to find out more. Click here or call 973.692.9300

Dr. Ramtin Kassir © 2019

Top Plastic Surgeon in NJ | Plastic Surgery NJ

Click to contact us

Dr. Kassir Plastic and Cosmetic Surgeon: Google Rating 4.6 / 5

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.