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.

Dr. Kassir is one of the international top rhinoplasty surgeons. He is a triple board-certified in facial plastic surgery, ent, and sleep medicine to ensure your new nose looks perfect and functions better than ever. Having performed over 8,000 rhinoplasties in his 22 years of practice, he has trained and developed many techniques known to date. Before reading further, make sure to know the total number of rhinoplasties your surgeon of choice has performed to understand the likely outcomes from their experience. Because Dr. Kassir performs over 650 rhinoplasties a year; he stays up to date on the most recent technology, surgical tools, techniques, and recovery approach. This is one of the reasons why his revision rate is less than 1% (the average revision rhinoplasty rate is 20%). As many of the staff and patients here know, choosing a super-specialized surgeon for rhinoplasty is key. In 2015 and 2016, Dr. Kassir was voted to have performed the most number of rhinoplasties in the U.S. His dedication to provide every patient with the nose that fits their ace and their “goal” images has led him to being the top performer of rhinoplasty in the U.S. Every month, dozens of patients fly in from around the U.S. and world because they have realized the difference his technique can make to their face. When deciding on the surgeon for the center of your face, you want to be as informed as possible. That is why we’ve written this all-inclusive guide to Rhinoplasty & Dr. Kassir’s technique, patient experiences, and recovery process. 

Specifically, his Designer Rhinoplasty is the procedure that brings patients over 122 countries to his New Jersey Rhinoplasty Clinic. Dr. Kassir performs closed (scarless) and open (hidden scar) rhinoplasties with one of the quickest recovery rates in the world (6 days to splint removal, minimal bruising, no prescription pain medications requested by patients!). For patients weighing whether or not they should have a rhinoplasty, Dr. Kassir is also known as the original nonsurgical nosejob injector. Coining this procedure in 2006 in an effort the correct other surgeon’s botched rhinoplasties; Dr. Kassir began using this alternative as a surgery-free way to have a new nose in less than 3 minutes (23 if you include numbing).

So Let’s Begin. This page has it all; from surgical techniques to how your exact nose shape can be fixed by Dr. Kassir. Remember while reading this. Dr. Kassir performs the highest number of rhinoplasties in the U.S. (and most of the world); therefor he has seen and successfully corrected a nose similar to yours. In fact, he has done up the 6th revision rhinoplasties on patients who were “botched”. The last thing we are looking for here is a nose that looks awkward on your face.

By now we assume you’ve scrolled through all the RealSelf journeys or your friend’s speil on how it changed her life. If not; see hundreds of 5-star reviews on Dr. Kassir’s rhinoplasties here: See Dr. Kassir's RealSelf reviews

Ok. You saw the reviews. You saw his transformations. And maybe compared him to other doctors you’ve considered. But in reality; any doctor can “collect” reviews and you should base a doctor on more than just his reviews. The next thing you want to see are his before and afters (and how MANY he has). While no doctor can get consent to show 100% of his before/afters; the more they have usually correlates to the more overall patients (think 100-fold more).. What about with your eyes/hairline blurred? Or maybe record the entire journey anonymously on RealSelf? Would you be willing to share your before and afters? Many happy patients want to share their before and afters online! But it truly depends on the person and we will never pressure you or share your photos without an opt-in consent form Many patients also opt to simply get the procedure and not share it with the world (and we make sure it looks natural enough for you to be able to say that). Okay, so let’s see his transformations.

See Hundreds of Rhinoplasty Before & Afters



So the before and afters look good. You found 1-2 that look like your “before” nose; but maybe some of the changes are almost exactly what you want. Unlike many rhinoplasty surgeons, Dr. Kassir designs the surgical plan to precisely develop the nose you ask for (and one that fits your face perfectly). He uses a preservation-focused technique that allows him to make large changes without risking the collapse of the nose (one of the reasons why the revision rate for the average plastic surgeon is 20% and ours is less than 1%). Did you know that our video consult allows us to edit the nose to look like your expected after. Dr. Kassir takes into account your current face shape, female and male rhinoplasty metrics (angles, length, shape), nose concerns (hump, droopy tip, wide nostrils, low bridge, large nose), breathing issues, reference photos (be it @wolfiecindy, Lele Pons (our patient by the way), Halle Berry, Natalie Portman, Kate Middleton, Adriana Lima, Angelina jolie, Jessica Alba, Scarlett Johansson, your family member, or an edited version of yourself, and ethnicity into account. After all, we want to prevent you from having a nose that does not fit your face such as Janet Jackson or Michael Jackson had. These references are the exact reason why our “after” photos look that way they do. It may not be exactly what you want, but trust us when we say that we can provide the specific shape for your requests as well. Why? Because Dr. Kassir has performed over 8,000 rhinoplasties and seen almost every problematic feature a nose has.

Email us at info@drkassir.com with your digitally edited images (or before + reference goal photos) by using this software:


Maybe it’s your first time learning about Dr. Kassir and you want to get to know hm and his clinic more. Luckily we are extremely active on Instagram and even show “Live” videos all day long that showcase splint removal, before & after videos, and the typical day in the office.

Visit Our Instagram Instagram.com/drkassir To Stay Updates with Us.

Did you know Dr. Kassir did rhinoplasty on Instagram Comedy Star and Forbes 30 under 30; Lele Pons?


Okay, enough with the talk. Let’s discuss the actual feasibility. Patients from all backgrounds and ages have had a rhinoplasty from Dr. Kassir. Whether you are a teacher, student, teen, or working your first job; the procedure can be done. 

The cost of a rhinoplasty is $10.5k-$16.5k + OR/Anesthesia. We have 8 different levels of rhinoplasty and based on this (breathing correction, primary vs revision rhinoplasty, broken nose, drastic changes, need of graft) we determine the exact cost of the procedure.

Steps to Paying for the Cost of Rhinoplasty

1. Decide your priorities. Our patients do not pay for a rhinoplasty because they have millions to spare like the Kardashians. They realize the large difference a new nose can make. If you are younger, it can save you from bullying and help you gain the confidence needed for big changes in your future. If older, it can enhance your career, help you feel confident for the next career move, and get you a better career in many cases. Hundreds of our own patients report doors opening for them with a new nose. People on the street are nicer. Your boss pays attention to what you say. The jury at court likes your side profile when your present the case (i.e. rhinoplasty for lawyers). The truth is that beauty and feeling beauty is power. Maybe your nose needs a small change, or a drastic one. Regardless, finally getting the procedure done rather than waiting for years will be way more worth it. Rhinoplasties are forever (not like breast augmentations) so you can have a few more years of happiness if you choose to get on earlier. Maybe a rhinoplasty means downsizing for a few months, going partying less, one less vacation, or having to take a job while in college. The reality is that if thousands of our diverse patients have been able to successfully pay for their surgery, you should be able to as well. And we are here to help.

2. Get A Part-time, Remote, Evening, or Contractor Job to Save Money. In the days of "side-gigs" saving up for a rhinoplasty could be as easy as getting a second part time job. The reality is that once you have even less than $1000 of extra income, you can have the total cost saved up or be able to finance a majority of it for 6-24 months. You can also suggest an agreement with your partner or parents to pay them back as an investment to your future. There are many ways to help afford one of the biggest life-changing procedures in plastic surgery. But most importantly, having the best rhinoplasty surgeon is worth it. 

3. Apply for Financing

A small percentage of our patients also apply for financing. To see how much you are covered for check here (it does not affect your credit score):




You can also use your own credit care from your bank! We offer 6-24 month financing.

4. Consider Building Your Credit Score

If needed, you should consider building your credit score. Paying off your plastic surgery financing is actually a method to building your credit score. But if you need financing before hand, you can cosign with your loved one or take steps towards building a score.

5. Book A Flight & Hotel Package In Advance

If the flight is the issue; try to book a flight + hotel package. If you are worried that you won't have someone to be there to pick you up after, don't worry. We have a concierge service that can sign you out and bring you to your hotel (emmyco.com).

6. Realize The Importance of Experience

Despite some septoplasty surgeons offering insurance-covered adjustments, realize that the average revision rate for rhinoplasty is 20% while ours is under 1%. Revision rhinoplasties actually cost more than primary (up to 20k) and therefor paying a few thousand more for the best rhinoplasty adjustment is much more cost effective. 

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.

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.

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.

See Dr. Kassir's RealSelf reviews

For example, The Doctors TV selected Dr. Kassir to perform one of the most complicated cased in rhinoplasty history (a multi-revision) and brought him back for more opinions on rhinoplasty. He has been featured for being one of the first rhinoplasty surgeons to use Google Glasses, to perform on teens as young as 13, to discuss the precise differences of ethnic rhinoplasty, male rhinoplasty, and performing several revisions. He is the top rhinoplasty doctor in the U.S. and selected by NJMonthly, Art Bodega, New Beauty, and many more sources based on dozens of criteria.


He’s actually the real deal. See his Wikipedia page here to learn more about his prior academic positions as a facial plastic surgery and rhinoplasty professor.


In fact, he is known to have the first ever fashion week show for rhinoplasty (beyond authoring many academic publications in rhinoplasty). Having spoken at dozens of conferences on rhinoplasty, Dr. Kassir is responsible for training many of the rhinoplasty surgeons you have heard about in your area. Plastic surgeons looking to specialize in rhinoplasty fly to shadow Dr. Kassir from around the world. Some have even done rotations and written publications at his clinic.

You need to trust your plastic surgeon to make the results YOU want. You can do this by seeing the variation of changes he can perform and by being informed of the changes you need.

By now you’ve learned about Dr. Kassir’s experience, training, results, reviews, before & afters, and even edited your photo to see what results could be made. Maybe you’ve even followed us on Instagram! But there is a lot more to rhinoplasty that you want to know before you pick the top surgeon. Let’s start by talking about why Dr. Kassir is one of the most famous plastic surgeons in the world.You need to trust your plastic surgeon to make the results YOU want. You can do this by seeing the variation of changes he can perform and by being informed of the changes you need.

What to Bring to Your Rhinoplasty Consult:

  1. Your desired surgery date
  2. A list of the vitamins, medications, and ointments you use
  3. Any medical history, your insurance card (to check for partial coverage), and any reported breathing issues
  4. Your own edited photo (any angle you want changed)
  5. A portfolio of reference photos and goals that Dr. Kassir can use to craft your digitally edited image
  6. Knowledge of Your Financing Options (Private, Care Credit, Alphaeon, Credit Care, or a Combination)
  7. 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. 

Now let’s go through the real checklist you need to find your rhinoplasty surgeon. You should rank your rhinoplasty surgeon by the following 15 criteria.

1. Fellowships and special training (Many fellowships and training; and now Dr. Kassir is involved in new surgeon’s fellowship education and training)

 2. Review of board certification (3X Board Certified in Facial Plastic Surgeon, ENT, and Sleep Medicine; a perfect combo for the nose)

3. State board license and disciplinary action (New York, New Jersey, Texas, and Florida)

4. American Society of Plastic Surgery status (We have this!)

5. Years in practice (22 Years after being 3x Board Certified)

 6. Malpractice actions (Make sure your plastic surgeon does not have frequent suits for rhinoplasty)

7. Number of procedures performed (Us: 8,000+ in Rhinoplasty)

8. Academic positions held (Many!)

 9. Procedure specific positions held (Many!)

10. History of Top Doctor awards (NJ Monthly, RealSelf, AestheticShow,NewBeauty, and dozens more you can see in our office!)

11. Articles, chapters, books written related to a procedure (Involved in writing many fundamental rhinoplasty books and articles with a focus on safety, quality results, and complicated rhinoplasties)

12. Lectures given related to a procedure (Every month Dr. Kassir is requested to lecture on rhinoplasty in conferences around the world)

13. Online patient reviews (Over 300 5 Star Reviews on Google & RealSelf)

14. Review of before and after photos for each procedure (Hundreds of B/A rhinoplasty photos to review)

15. Website review (All the before/after, info, and background you need!)

Dr. Kassir was actually selected among 500+ plastic surgeons for these 15 criteria to be the best in rhinoplasty.


Rhinoplasty Journey

  •   Do your skype or in-office consult. P.S. You can book a surgical date from your skype/facetime consult!
  •  Get your digitally edited after images
  • Apply for financing if needed (We can apply care credit and alphaeon to the procedure with options up to 24 months)
  • Schedule Surgery Date! (We can often fit in patients for surgery as soon as a few weeks after the consult if you can get your medical clearance and financing/payment in time)
  • Get medical clearance
  • Request leave from work or school (or work remote). Make an agenda for all the fun at-home or indoor things your want to do for the 6 days until your splint is removed. We suggest: Write a book, blog about your experience (anonymous on RealSelf!), watch Netflix (maybe not the show Botched unless you want to see Dr. Kassir work his magic!), and catch up on studying or remote work.
  • Request a note if needed for your 6 day leave from work/school (Dr. Kassir can provide these)
  • Come for our pre-op visit! Our coordinator will take more before photos for you. We would love for you to go live on our Instagram for this!
  • Follow the pre-op checklist carefully No water or food after midnight before the next-day procedure!
  • Schedule a pick-up via emmyco.com; our concierge partners can sign you out and bring you home (via uber, taxi, car) after the surgery. This way mom isn’t waiting in the lobby for too long!
  • Wash your hair! You won’t be able to wash your hair a few days after surgery so do it well now. Start your Kassir Plastic Surgery Skincare Routine to reduce changes of scarring and acne after the splint is removed. Buy some Batiste Dry Shampoo, a surgical mask (cute cover for the splint if you want to go out!), arnica, and other items mentioned on your checklist that are needed after surgery.
  • Arrive on surgery day with no makeup and a washed face. Bring a hairtie or headband to push your hair back.
  • Calm those nerves. Dr. Kassir has done over 8,000 rhinoplasties. Everyone walks out like they just woke up from a nap. Our patients have minimal pain unlike many of the “blogs” and “journeys” you read on the web. You won’t find yourself having “puffy eyes” or even looking like you had a nosejob except for the splint itself. And to be honest, the splint is pretty cool. The most dangerous part of the process is actually driving to the clinic (seat belts first!). So if you’ve made it to the clinic, you’re safe.
  • You’ll check in with us. Our awesome nurse will call you back to a room while they prep the OR. You’ll be escorted into the OR.
  • Our physician anesthesiologist will prep you to sleep. Now you’ll feel super relaxed like you’re ready for the best nap of your life. It really will be the best nap of your life because you’ll wake up with the nose you always wanted.
  • Ask Dr. Kassir to take before and after surgery photos so you can see what your new nose will look like after the swelling does down.
  •  Dr. Kassir does rhinoplasties at a more efficient speed that most surgeons, because of this, you’ll have les anesthesia in your system and feel great when you wake up. The 45min-1.5hour nap will restore you with energy like nothing ever happened. Sometimes you make have stuffing in your nose (removed the next day). Think of that like having a cold. No big deal, just wait until tomorrow to breath better. If you have no stuffing, you’ll breath right away after surgery.
  • Make sure to take any prescriptions we have to reduce swelling and prevent infection. Do not touch the area! The nose needs to heal well and you don’t want the scarring to change the original nose Dr. Kassir crafted in the OR. We do not prescribe pain medication because we rarely have patients ask for them. If you remotely feel like you need one, we will make sure you have it! Our technique is soft and focused on preservation so your nose won’t hurt as much as you “hear about” in many stories.
  • Come in for our 1-day post op if requested! You’ll feel amazing (and if you feel a bit stuffy or swollen we will take care of that). Do not remove your splint! It holds down the swelling and helps the changes Dr. Kassir make heal in place.
  • Sneeze with your mouth open! Use any cleansing treatments as needed. Wait patiently for the splint removal by doing something exciting during your 6 day vacation. Did you know you can fly home and have your splint/stitches removed there if needed? We can help you find a doctor for this! Use dry shampoo for your hair until then.
  • 6 days later your vacation is over. It’s time for the splint removal. We would love to post your before and afters or even a video if you let us! If you want to remain anonymous; please leave us a RealSelf & Google review about your experience so other patients can learn (be informative! We request these reviews for patient education purposes!).
  • Your after nose will be swollen. The tip may look lifted. The nose may look wide. We will remove the stitches now or later depending on the case. It may hurt to touch it! Just be careful. Do NOT rest glasses on your bridge.
  • Take progress pics! You can anonymously track these on RealSelf (just zoom into the nose) and others can also share their experience. You can go back to work or school. No one will notice unless they’ve known you for a long time. Again, we never go for a “fake nose” look; it is you nose and strangers will only know if you tell them.
  • When you feel no more pain it means your new nose is starting to show up. Use Dr. Kassir’s Medicated Cleanser to ensure appropriate healing and prevent any acne from forming on your nose (you won’t be able to pop it!).
  • Send us your selfies! We can share them and even tag you (if you want). Come in for your check up or just do it via video call. We are so excited for you. Congrats! (Still have swelling, call us and Dr. Kassir will give you something to relieve this)

Rhinoplasty: Questions & Answers

My nose should be healed years post-rhinoplasty, so why do I still experience some swelling when I consume alcohol and/or cigarettes?

This is nothing to worry about. After a year post-op, the nose is more or less fully healed. Therefore, the swelling which occurs when cigarette smoke is in the air is probably more of a sign of inflammation or slight allergy due to the irritation of cigarette smoke. Minute swelling can also be caused by alcohol which is a vasodilator that causes the nose to become thicker (“drinker’s nose”).

When should the cast be removed post-rhinoplasty?

The cast, which is kept on to reduce swelling and post-rhinoplasty bleeding, should ideally be removed 6-7 days post-rhinoplasty by an experienced surgeon.

Does septoplasty and rhinoplasty get covered by insurance?

As stated in another query, rhinoplasties are strictly cosmetic procedures and are usually not covered by insurance. However, septoplasties (often performed concurrently with rhinoplasties) are functional surgeries which can be used to correct breathing defects and are thus usually covered by insurance providers.

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.

Can Rhinoplasty be covered by insurance?

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

What can be done to reduce a wide nose?

Depending on what patients define as a wide nose, there are several procedures which can be done to alleviate this problem. Osteotomies can be done to narrow the upper nose, cartilage can be removed from the middle, alar base reductions can be done to reduce nostril width (which is usually the common problem), etc. A more thorough examination is necessary to determine exactly what should be done though.

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

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

I’m coughing up bloody phlegm after my rhinoplasty. Am I dying?

Especially in the case of a combined rhinoplasty and septoplasty/turbinate reduction, patients can expect to cough up bloody phlegm in the weeks post-rhinoplasty. However, this should not be an ongoing problem and should correct itself soon afterward.

I have clear fluid drainage post-rhinoplasty. Is this normal?

This is perfectly normal as it is could be the mucous from the nasal mucosa which is simply runny due to the nasal trauma of the rhinoplasty. However, I would check with your surgeon as clear drainage could be a potential leak in cerebrospinal fluid which could lead to bacterial infections. Check to see if you have headaches while ONLY standing up, as this could be a symptom.

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.

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.

Can I have rhinoplasty in India and achieve good results?

It is highly recommended that patients looking to go abroad to have surgeries done take a second look at this idea and perhaps err on the side of caution and choose a surgeon closer to home. While there may be wonderful doctors abroad, it is important that, should something go wrong in the post-rhinoplasty phase, the surgeon who treated you also be able to evaluate you.

I have a hole in my septum, but it does not go through all the way to the other side. Is it a septal perforation?

This may be a question best answered by your surgeon, but a hole which does not go all the way through the septum does not constitute a septal perforation.

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.

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.

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.

Is “Nose Secret” an effective rhinoplasty replacement?

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.

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.

A flesh covered ball came out post-rhinoplasty. Is that normal?

Completely. It is normal for residual blood and tissue to remain within the nose, especially if the patient does not blow their nose post-rhinoplasty (which they shouldn’t), and mix with the mucous produced there.

Can I use septal cartilage to lengthen the tip?

Yes this can certainly be done. Cartilage is often harvested from the septum, the ear, or the rib (in order of preference) in order to lengthen the nose and to give the tip more definition.

Will rhinoplasty affect my voice?

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

Can rhinoplasty fix a short upper lip?

Often, a short upper lip is related to a droopy tip as the depressor septi muscles impact both. Cutting these muscles and releasing the upper lip can help the tip lift up and thus allows the upper lip to show slightly more.

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.

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.

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’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.

Is a growing dorsal hump normal in the 20s?

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

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

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

How Much Does Rhinoplasty Cost?

Rhinoplasty costs vary by surgeon experience and geography. It can range from $9500 to $15000, 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).

Important considerations:
1. Can you breathe through your nose? Do you have sinus problems? If so, then these should be addressed at the same time as the rhinoplasty. You want a great looking nose that functions well, otherwise it is a waste.
2. How many rhinoplasties does your doctor perform, and how many revision surgeries?
3. It is your face, don’t compromise on quality!

The columella is hanging post-rhinoplasty. Is this bad?

As stated in other questions, the columella area is a primary incision site during the surgery and undergoes more trauma than other portions of the nose in the procedure. Lymph flow may be disrupted in this area causing fluid buildup (edema), but this will resolve itself over time.

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 have a red, inflamed throat days post-rhinoplasty. Why?

This could have a range of causes, from the endotracheal tube used during surgery, post-nasal drip, or even strep throat. Check with your surgeon about this.

When can I tan post-rhinoplasty?

Because of the general numbness and delicateness of the nose post-rhinoplasty, the nasal area is particularly prone to sun damage after the procedure and patients are generally not aware of the problem until it is too late to correct it. It is advised, therefore, that patients stay out of the sun as much as possible in the first 6 weeks post-rhinoplasty.

How long does bruising persist after a rhinoplasty?

Bruising from rhinoplasty as a general rule will mostly fade away within 2-3 weeks post-rhinoplasty. In the majority of cases, however, it will disappear even sooner (within 1-2 weeks).

When is alcohol consumption post-rhinoplasty fine?

Alcohol in moderation should not a problem at around 3 weeks post-op.

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.

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.

Is it normal to have headaches and pressure pains three weeks post-rhinoplasty?

Although people usually do experience some degree of discomfort and mild head/nose pain within the first few days, experiencing these same pains weeks into the post-rhinoplasty period is rather abnormal. This may be an indication of some other pathology.

How do I ask my doctor about getting a rhinoplasty in addition to my septoplasty?

This is very simple as both procedures are often performed concurrently, although the septoplasty will be covered by insurance and the rhinoplasty will most likely not be. However, check if the surgeon has experience with both surgeries and is board-certified.

Can I correct allergies with rhinoplasty?

It is true that the lining of the nose swell and thicken in response to allergies and this can block the nasal passages, leading to congestion and other allergy symptoms. A rhinoplasty can help make the air space bigger so that the tissues have to swell more to cause symptoms, BUT this will not help the condition of the allergies.

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.

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.

What should I do about scabs inside my nostrils post-op?

Nasal vestibulitis (the development of scar/scab tissue in the nostrils) is a common occurrence post-op, especially for patients with a history of seasonal allergies. It is suggested that patients with this condition see their doctors, who may suggest applying OTC hydrocortisone with a Q-tip to site of scar development (this will generally fix the problem within a week).

Am I developing a Polly-beak deformity? I see swelling right above my tip.

This is best evaluated by a surgeon. However, if temporary pressure via the hand can help in reducing it for a short period of time, it is probably swelling which will subside.

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.

Is it weird to have mucous/nasal drip post-rhinoplasty?

The inflammation caused by rhinoplasty tends to cause excess mucous production that will last for a month or so post-rhinoplasty. Patients need not worry if this occurs.

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.

Can crying after surgery affect nasal development post-rhinoplasty?

As long as the nose was not vigorously poked or prodded during the crying, there is no reason for it to impact your final result.

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.

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.

Is it bad if the surgeon left in a stitch?

Not necessarily. I would not recommend trying to remove it yourself, but would rather opt to go to the surgeon for professional removal in order to prevent infection.

Can cartilage shift even after a patient is recovered from a rhinoplasty and healed?

Unfortunately, yes. Cartilage makes up the framework of the nose in addition to the nasal bones, so with time, slight shifting does occur here and there. Patients with crooked noses will often find that cartilage and nasal bones have a “memory” and tend to grow in ways that were similar to the original deviation, so touch-ups may be necessary.

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.

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).

Can I use fillers to restore volume to my face after a rhinoplasty?

Certainly, fillers like Juvaderm and Restylane can definitely help with this. However, if you are looking for a more permanent solution, I would also suggest fat fillers harvested from your own fat deposits.

Is twilight sedation safe for rhinoplasty?

I generally prefer using general anesthesia during the operation simply because it allows for protection of the breathing airway via endotracheal tubing, minimizes the danger of the patient moving around surgery, etc. However, some surgeons will opt for twilight sedation if they trust their anesthesiologist enough.

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 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.

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.

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 rhinoplasty correct a narrow nose?

Yes, this can be done. Bilateral spreader grafts can help to widen the upper nose and shaping sutures can be used to help rotate the tip cartilages away from the midline of the nose, thus creating the illusion of a wider nose.

Does using a nasal splint longer than a week help?

Not usually. One must remember that the nasal splint goes OVER the surgical tape underneath, and both of these measures are used to reduce swelling post-rhinoplasty. At 7 days post-rhinoplasty, the nasal bones and cartilage are usually stable enough to not require the splint anymore.

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.

Can a recently moderately fractured nose be corrected?

Actually, it is best for patients to correct the original deviation within a week or so following the trauma because the nose (which tends to have a sort of “memory”) will want to naturally realign itself via the growth of cartilage and bone. Surgeons can easily help this process along its way by performing a septoplasty and correcting the deviation, and then letting the body heal itself.

Should a rhinoplasty surgeon be an ENT doctor?

The surgeon doesn’t necessarily need to be an ENT doctor. Both otolaryngologists and plastic surgeons are perfectly capable of doing rhinoplasties, but patients should take care to check their credentials. If the doctor is board-certified with plenty of experience doing your specific types of surgery and satisfactory before-and-after galleries, you should be in good hands.

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.

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.

How can I fix this dent in my nose?

Generally, dents from damage to cartilage can be fixed via the introduction of fillers into the region.

Can nasal allergies impact the outcome of a rhinoplasty?

This should generally not be a major concern. However, patients should evaluate whether enlarged turbinates or deviated septa may cause breathing issues or whether existing sinus issues can be exacerbated by the swelling and other issues following surgery.

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 you change the shape of your nose non-surgically?

Unfortunately, changing the shape of your nose requires movement and repositioning of the underlying skeleton and cartilaginous structure. Fillers and other non-surgical tools will typically only camouflage defects like a dorsal hump, etc by filling it areas around the defects.

My nose looks bigger post-op. Why?

It is perfectly normal for swelling to be apparent for up to a year post-op, so residual swelling particularly on the tip area several months post-op is perfectly normal and should not be a concern. Your surgeon did not do “anything wrong”.

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.

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 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.

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