Rhinoplasty

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

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About Rhinoplasty

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

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

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


What is Rhinoplasty?

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

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

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

Good Candidates For Rhinoplasty

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

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

Does Insurance Cover Rhinoplasty?

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

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

Different Kinds of Rhinoplasty Procedures:

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

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

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

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

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


See Dr. Kassir's RealSelf reviews

Rhinoplasty: Questions & Answers

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

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

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

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

Can I use a Q-tip to clean the inside of my nose post-rhinoplasty?

After a period of a few weeks post-rhinoplasty, patients can begin to clean their nose gently with saline or a hydrogen peroxide/water mixture. However, it is crucial that they remain gentle while doing so, applying a slight rotational, rather than a pushing, motion.

Should I consider a chin implant in addition to a nose job?

While it is difficult to really answer this question on a case-by-case basis, it can be answered generally. The nose and the chin, being along the same midline of the body, are very intimately related and a change in one can impact how the other looks. For instance, patients with a larger nose may look bird-like if their chin is weaker, while patients with a smaller nose may look bottom-heavy if their chin is particularly strong. The overall goal of any facial plastic surgery procedure is to increase overall facial harmony, so ask your surgeon whether a chin implant/reduction would be advisable.

Can I have Jennifer Aniston’s nose?

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

My nose tip dropped too much post-rhinoplasty. What can I do?

Depending on the time frame, I would wait until a year post-op to begin considering revision surgery. However, further support in the tip may be necessary via a strut graft.

Is Swelling after Nasal Trauma an indication of permanent damage?

This is a problem that is better addressed on a case by case basis, but generally, I would say that patients who experience swelling after a nasal injury will find that most of their problems will be solved with some ice. However, it is best to go to a qualified surgeon for evaluation in order to check for nasal fractures.

Why do I need to tape my nose even after splint removal?

This step is taken to counter and minimize the inevitable swelling which occurs and to counteract the pressures caused by minimal forces to the nose (ex. Eyeglasses).

Can I change the angle of my nose tip without breaking bones?

Absolutely. This can be accomplished via a smaller-scale procedure than a typical rhinoplasty known as a tip-rhinoplasty. During this procedure, the tip is refined and elevated via the help of cartilage grafts that will lend more support to the tip.

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.

Does a crooked nose necessarily mean a deviated septum?

Not necessarily. While a deviated septum could create a crooked nose, problems in the alignment of the underlying cartilage (upper lateral, specifically) or bone may also play a part in creating a misshapen bridge. It is recommended that patients be professionally evaluated in a surgeon’s office.

What should I do if I get an infection post-rhinoplasty?

Serious infections following a rhinoplasty are exceedingly rare. However, when they occur, they are very easily treated like any other infection, with antibiotics and careful monitoring by the surgeon.

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

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

Can a nose be made longer?

The nose can be made to appear longer via downward rotation of the tip or the introduction of extension cartilage grafts. However, this is a much more complicated procedure than shortening of the nose and so must be done by an especially well-experienced surgeon.

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.

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

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

Can 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.

Can rhinoplasty be done under local anesthesia?

It depends on the procedure. In our offices, we generally like to use general anesthesia to protect the patient’s airways, but tip rhinoplasties (which only work on the very bottom of the nose and do not involve the breaking of nasal bones) can be done under local anesthesia.

Can I remove the scabs in my nose post-rhinoplasty?

I would not recommend removing the scabs directly as it could lead to infection. Patients who wish to breathe better can apply saline or a water/hydrogen peroxide mix in order to relieve the crusting, but gentleness is key.

How is the nose shortened during rhinoplasty?

This is up to the discretion of the surgeon. However, some methods can include reducing of the septum, upward rotation of the tip (in the case of longer noses with droopy tips), and modification/elevation of the tip cartilages.

Should I get a rhinoplasty during high school?

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

What are non-surgical options which mimic rhinoplasty procedures?

Unfortunately, there are not any non-surgical options which get as much mileage as an actual rhinoplasty. However, for certain cases, injectable fillers like Restylane can be used to smooth out rough edges (ex. Fill areas around the bump on a bridge to make the bump seem less conspicuous) for lesser cost. These might be helpful for people with overly scooped noses (ski slope noses), noses with small humps, etc (in other words, people who need areas filled, rather than reduced).

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.

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

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

Can I improve swelling several months post-rhinoplasty?

Unfortunately, the only real proven method to reducing swelling months post-rhinoplasty is simply being patient and allowing the body to heal itself naturally. Patients especially if they have thicker skin (which is known to make the nose seem more swollen) must remain calm and have faith that the surgeon did his/her job correctly.

How can I correct a pollybeak deformity?

A pollybeak deformity generally requires a revision rhinoplasty in which there is a reduction of cartilage in the supratip region and potential cartilage grafts to support the tip.

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.

How much bleeding is there post-rhinoplasty?

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

Can implants be infected years post-rhinoplasty?

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

Can the bridge of the nose be narrowed without touching the tip?

Yes this can definitely be done. However, patients must consider whether tip work may be necessary to make all details of the nose proportional to each other.

Why are osteotomies done instead of rasping in some cases?

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

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.

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

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

Did hitting my nose 6 weeks post-rhinoplasty cause problems?

It is unlikely that after 6 weeks post-rhinoplasty, any minor hit to the nose caused irreparable problems in the nose’s structure.

What can be done about supratip fullness post-rhinoplasty?

Especially in patients with thicker skin, supratip fullness may be an indication of impending scar tissue which can be resolved with Kenalog injections. However, have this evaluated by your plastic surgeon as it also could be cartilage or bone buildup that leads to a pollybeak deformity (which can only be corrected with revision rhinoplasty).

When can I return to yoga post-rhinoplasty?

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

Can an alarplasty be done alone?

Certainly, as long as the rest of the nose looks proportional. However, this is usually not the case as patients usually need other procedures to make everything look harmonious on the face. The cost for one alone will generally range from $2,000-$4,000.

Can I remove a dorsal hump/bump via non-surgical methods?

Sometimes, dorsal humps can be disguised via the use of fillers around the hump so that it does not stand out as much as it did. However, this method generally increases the overall size of the nose and thus only works well for those with smaller noses. Those with larger noses will unfortunately require a much larger operation like a rhinoplasty where osteotomies are performed.

I have a sore red bump inside my nostril. What is that?

This is most likely your inferior turbinate, a shelf of tissue and bone, which is often cauterized during a rhinoplasty and can swell up post-op.

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.

Can a 16-year old girl get a rhinoplasty?

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

Can a spreader graft fix nasal valve collapse?

Generally, most surgeons will use a spreader graft or even an onlay graft (which strengthens the cartilage more than a spreader graft, but does not really lift or support it) for open rhinoplasties, rather than closed ones. Collapsing nasal valve may be better served with an onlay graft in order to bolster the cartilage wall.

Can I reduce the roundness of my nose via rhinoplasty?

Absolutely. A bulbous tip, as this is called, can easily be reduced by a tip rhinoplasty (tip-plasty) which focuses specifically on the bottom point of your nasal structure and gives it a more natural contour.

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 this funny smell in my nose post-rhinoplasty?

It may be best for patients to evaluate with their surgeon if they detect unusual smells. This may be the sign of a residual suture which needs to be removed, but could also be indicative of an infection.

Why does my upper lip look longer after my rhinoplasty?

Without an in-house examination, this is difficult to assess. Removal of fullness at the base of the nose may cause the illusion of a longer lip, as can the unhinging of some muscles at the upper lip which control movement.

How long does swelling take to subside post-rhinoplasty?

Swelling is variable from patient to patient depending on factors like age, smoking habits, etc. However, as a general rule, 2-3 weeks is the benchmark for when most of the swelling subsides, at which point the remaining swelling will only be visible to the patient and his/her surgeon. The remaining swelling will gradually dissipate in the next 6-12 months.

Is congestion 1 month after my rhinoplasty normal?

Yes, congestion can last as long as two months post-op and can be combated via the use of saline spray, at the discretion of your surgeon.

Can the cartilage be fractured without breaking the bone in the case of nasal trauma?

It is certainly possible for nasal trauma to fracture cartilage and cause deviation of nasal tissues without actually breaking the bone. In this case, separation of the cartilages in the nose may be necessary for evaluation and cartilage grafts will be introduced to supplement weaken structures.

Is there any fat in the nose, or is it bone and cartilage?

There is a small proportion of fat in the nose within the lateral alar sections, but this is nowhere near where surgeons typically operate. The nostrils, the bridge, and other typical surgical sites for rhinoplasty are generally bone and cartilage, meaning that weight gain or loss does not have a major impact on the results of a rhinoplasty.

Is there a risk in flying post-rhinoplasty?

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

Can touching the nose affect its shape over time?

Constantly touching the nose may lead to minimal changes in nose thickness, stretching of the nostrils, etc, but not to any noticeable extent.

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

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

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.

I have an inverted-V deformity post-rhinoplasty. What can I do?

Often, surgeons will attempt to avoid these type of deformities post-op by placing spreader grafts in the nostril. In cases where this occurs, revision rhinoplasty may be required with cartilage grafts taken from the septum or ear as support.

Are grafts safe for adding definition to the tip of my nose?

Yes, natural grafts from the patient’s own cartilage represent the least risk for infection, as opposed to silica, Gor-Tex and other materials.

How is rhinoplasty different for Hispanic patients than other patients?

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

I have septum pain and deviation as well as enlarged turbinates. What should I do?

Generally, deviation of the septum and enlarged turbinates are not associated with pain unless combined with a sinus infection. Consulting with your surgeon is probably the best course of action, but the solution may simply be dryness of the nasal canal.

What is a bilateral turbinectomy?

A turbinectomy is a procedure which reduces the size of the nasal turbinates which are curved bony structures on the nose which contain mucous membranes. Enlarged turbinates may block nasal airways and so can be removed (bilateral means removal on both sides of the nose).

Is it bad to bump the nose following rhinoplasty?

It is important that patients keep in mind the fragility of the nose following the rhinoplasty, especially considering the osteotomies (purposeful breaks in the nose) which were likely created during the procedure. Thus, keeping the nose protected is a top priority. By bumping their nose, patients risk septal hematoma (accumulation of blood in the nasal septa) which must be treated in the ER.

What is laser rhinoplasty and is it better than traditional rhinoplasties?

Generally, the only time where lasers are necessary in a rhinoplasty is for patients with excessively large sebaceous glands that cause the creation of a bulbous tip. Otherwise, lasers are not used in rhinoplasties and may be just another tool for a surgeon to charge exorbitant rates for a rhinoplasty procedure.

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

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

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

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

It has been almost a year since my rhinoplasty. Why is my tip still hard?

At this point, it is still normal to have some swelling from the rhinoplasty still present in the tip. However, unless a graft was placed in that area, it should have at least a small degree of give. If not, evaluate with your surgeon your best course of action.

I have a bump in my nose several months post-rhinoplasty. Why?

Although this may still be residual swelling, it is most likely hard bone tissue which unfortunately must be fixed via a revision rhinoplasty. Talk to your surgeon about your best options at this point.

How does the nose change from ages 10-21 (male)?

Generally, during puberty, there is an explosion of growth in the nasal and jaw areas (disproportionately so compared to the rest of the body). When this happens, slight imperfections may be accentuated —- similar to how enlarging a photo can reveal hidden flaws. As such, it is normal for slight bumps to turn into larger dorsal humps, etc.

When will cartilage reabsorb after a rhinoplasty?

Cartilage reabsorption in a graft is not ideal as this cartilage was placed in an effort to support the area in which it was placed. Some reabsorption does take place following a year post-op, but not significantly enough where it would cause issues.

How much of a difference can rhinoplasty make for a bulbous nose?

A tip rhinoplasty is, in most cases, the best course of action for a bulbous nose because it can reduce the tip area without changing the nasal bones. However, it is important for the patient to realize that true results will not materialize until about a year or two after the procedure is completed, so patience is a major key here.

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.

Can I workout the day BEFORE surgery?

Yes this should be fine. As long as no workouts are done after surgery and the blood pressure is kept normal, do whatever you want prior to the surgery.

Can I simply just have a nasal hump removed rather than having a full-on rhinoplasty done?

Unless the nasal hump is small, it is probably best to having a full-on rhinoplasty simply because of the risk of open roof deformity (shaving off a larger bump leaves a hole that can only be filled with osteotomies that force the nasal bones inward). In addition, removing the nasal bump without having tip work done also makes the nose look unintentionally longer as well.

Why is my skin peeling post-rhinoplasty?

This is common as surgeons will often, as part of the post-surgery routine, shock the nasal tissues, causing dead skin to develop that will peel.

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

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

How much does alar base reduction cost?

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

How soon can I exercise post-op?

It is advised that patients avoid heavy exercise for at least a month post-op and particularly avoid contact sports for 6 weeks post-op, mostly to avoid the risks of bleeding and the complications which follow from that.

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