Rhinoplasty

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

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About Rhinoplasty

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

What is Rhinoplasty?

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

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

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

Good Candidates For Rhinoplasty

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

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

How Much Does a Rhinoplasty Cost in NJ?

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

Does Insurance Cover Rhinoplasty?

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

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

Different Kinds of Rhinoplasty Procedures:

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

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

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

Ethnic Rhinoplasty: Dr. Kassir commonly performs African American rhinoplastyAsian rhinoplastyHispanic rhinoplasty, and Middle Eastern rhinoplasty.

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

What to Bring to Your Rhinoplasty Consult:

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

Rhinoplasty: Questions & Answers

I popped a suture in my nose after my rhinoplasty. Is that bad?

Messing up one suture will probably not do a significant amount of damage. However, consult with your surgeon just in case.

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

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

Is there significant risk of smoking marijuana related to the anesthesia?

No, there has not been enough scientific studies to establish any sort of link between smoking marijuana and discomfort/pain following anesthesia. But, why risk it?

What is the cost of tip reshaping?

Depending on the certification of the surgeon, the area in which the surgery is conducted, etc., costs can vary in the neighborhood from $6,000 to $10,000.

Can I have an upper lip lift at the same time as my rhinoplasty?

Generally I would remain cautious about this, because traditional upper lip lifts can leave a scar that presents problems when combined with a rhinoplasty.

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.

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.

How is a male rhinoplasty different from a female rhinoplasty?

Generally, the same techniques are done regardless of the sex of the patient. However, the goals are different, as ideal male and female noses are obviously different. Males are usually better suited with a more defined bridge, a greater degree of tip projection, less tip rotation (90 to 95 degrees is suitable), and greater width in the middle of the nose. Females can tolerate more tip rotation, subtle dips in the supratip region, etc.

There is dead skin on my nose post-rhinoplasty. Can I scratch it off?

During the first couple of weeks post-rhinoplasty, it is probably best to advise against moving or disrupting the nasal structure in any way. It would be best for patients to ask surgeons for their recommendations in these cases.

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.

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

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

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

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

Can I smoke marijuana before/after my rhinoplasty?

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

What is an open roof deformity?

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

Why does the skin thicken after a rhinoplasty?

Unnatural thickening of the nose, other than from swelling, may be caused by the buildup of scar tissue underneath the skin, particularly if the patient has had multiple rhinoplasties. This can be solved by cortisone or Kenalog injections.

Are dark circles under the eyes post-rhinoplasty normal?

This is an indication of blood trapped in the lower rim of the eye, which will eventually dissipate after a period of 6 months or so.

How much does the nose grow during the teenage years?

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

Will removal of my grafts post-rhinoplasty restore my nose to its original shape?

This is unlikely. In general, grafts are used as a way of supporting changes which are made to the nose, meaning that those changes would still likely be present in some way after the graft is removed. Also, the formation of scar tissue and the thinning of the skin around the graft will also contribute to a difference in pre-graft and post-graft noses.

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.

Should my nose continue to grow in my 20s?

Nasal growth typically ends in a patient’s 20s, but other changes may be responsible for making the nose seem larger. Acne outbreaks and rubbing the nose due to allergies may thicken the nasal skin and changes in the underlying nasal bones and cartilage may cause drooping of the tip.

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.

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.

Why did my surgeon ask me to remove the splint myself post-rhinoplasty?

This is very unusual for surgeons to ask for patients to remove the splints themselves, simply because tugging on the splint and the still-delicate nasal tissue underneath can drastically alter the results of the procedure.

My baby’s nose is flat. Should I be concerned?

Especially during puberty, there will be a great deal of growth and changes in the nasal area. Parents should refrain about worrying about a child’s nose until well into their teenage years.

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 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.

My nose is growing downwards and affecting my smile. What can I do?

What may be interpreted as nasal growth past the age of 20 or so (when nasal growth actually stops) is rotation of the tip of the nose downwards due to gravity and aging. This can be corrected via a tip-plasty in which the depressor septi muscles which cause nasal drooping are partially released and the tip is lifted, sometimes via a cartilage strut.

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 much will rasping cost?

Rasping is considered a rhinoplasty procedure and thus may cost anywhere in the neighborhood of around $3,000-$6,000, depending on the anesthesia used.

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.

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).

How much is a rhinoplasty in Dubai?

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

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

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

Can 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.

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

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

When can I wear sunglasses post-rhinoplasty?

Because of the trauma which your nose undergoes during a rhinoplasty procedure (the coagulation of blood, elevation of cartilage and other internal structures), the nose is much noticeably weaker post-rhinoplasty and is more prone to burns and discoloration from UV rays. It is recommended that patients wait at least 4 weeks, potentially even 6, before wearing sunglasses.

Can thick skin impact recovery post-rhinoplasty?

At times, it can. Other than the issue of not draping over the cartilage and bone post-rhinoplasty, thick skin also presents other complications including subdermal fibrosis, increased risk of scar tissue, and fluid retention. However, this question is difficult to provide a general answer to and is probably best answered via an in-house examination if a patient with thick skin wishes to have rhinoplasty surgery.

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

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

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.

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.

I am experiencing pain in my nose years post-rhinoplasty following a period of swelling and some fluid drainage. Is it infected?

Yes, this seems to indicate that the nose is infected, perhaps by the presence of a residual suture, but consultation with your surgeon will probably be necessary to know for sure. The nose should not be painful this far post-op.

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

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

Why do I have a hard tip following rhinoplasty?

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

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 has my post-rhinoplasty swelling moved to my cheeks?

This is an extremely common occurrence and it is advised that patients refrain from panicking. Instead, just maintain a low-sodium diet and keep the head elevated in order to reduce swelling, as always.

How long can I use saline rinse post-rhinoplasty?

Saline rinse is generally advisable for the first 2 weeks post-rhinoplasty simply to clear crusting blood and excess mucus deposits within the inner wall of the nostril. However, it is best to follow your surgeon’s recommendations regarding nasal cleaning post-rhinoplasty.

What is the best material for nasal implants?

Your own cartilage, particularly septal cartilage (or ear cartilage, if not enough of this is available), is the best choice for implant as it mitigates a lot of the risks of silicone, Gortex and other implants including movement, warping (twisting out of shape), infection, etc.

Can cartilage bumps/humps form post-dorsal hump surgery?

Yes this is possible as this is part of the body’s natural healing process. Trauma on the nasal bridge will activate chondrocytes (cartilage progenitor cells) to increase their production, but this is usually very minor.

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.

Can I take pills besides Arnica to help with swelling post-rhinoplasty?

Bromelain may help with bruising and swelling, but both of these medications should be taken one week prior to and following surgery. In addition, make sure when sleeping or lying down to keep your head elevated above the heart.

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.

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.

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.

Why is there tape on my nose post-rhinoplasty?

This is merely for the purpose of reducing swelling.

Why does my nose whistle when I breathe post-rhinoplasty?

Whistling in the nose post-rhinoplasty is generally caused by a small opening, usually a minor septal perforation (hole in the septum of the nose). This may have been caused by the harvesting of septal cartilage and should be evaluated by your doctor.

Are uneven nostrils normal post-rhinoplasty?

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

Would I know if I accidentally pulled out a stitch post-rhinoplasty?

While pulling out stitches by accident does not always cause pain, it is probably best for patients to speak with their surgeon if they suspect that a stitch was pulled out. Removing one stitch accidentally will not necessarily cause any damage, but evaluation will not hurt.

Can 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.

How long should I not drink alcohol prior to surgery?

As a benchmark, try to avoid anything that increases the risk of excessive bleeding during surgery starting 1-2 weeks prior to surgery. This includes alcohol, herbal supplements, fish oil, and non-steroidal anti-inflammatory medicines like ibuprofen

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.

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.

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 swelling post-rhinoplasty hard to the touch?

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

Can the nasal tip be reduced via rhinoplasty?

Patients with a bulbous nose (wide) can easily have this defect correct via rhinoplasty. However, they should also take care to consider additional revisions in the bridge of the nose to ensure that the corrections made at the tip will not look disproportionate.

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.

What are the things to look forward to during Rhinoplasty Recovery?

1. Pain: There is very little pain; most patients don’t take their pain medicines
2. Swelling: The worst of the bruising and swelling is seen in the first 48 hours. If warranted we give steroids to expedite this process.
3. Packing: More often than not we don’t pack the nose and patients like this.
4. Bruising: The use of endoscopes and tissue glues minimizes bruising. For prevention we have all patients take vitamin C, arnica, pineapple, and bromelane prior to surgery. NO alcohol – this creates swelling in the nose up to several months after surgery!
5. Splint: We take the splint of after 1 week.
6. Activity: You should not exercise for 2 weeks, and not participate in any contact sports for 6 weeks.

Will taping my nose down after a rhinoplasty help bring it down?

Swelling at the tip can derotate the nose (rotate it upwards). I would not touch the results and wait for the swelling to subside.

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.

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.

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 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.

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.

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.

Can I die from a rhinoplasty?

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

Can I make the bridge of my nose lower and flatter (Asian nose)?

A typical “Asian” nose can indeed be crafted via a shaving down of the bridge, especially the radix (the top part of the bridge), and conducting osteotomies to realign the nasal bones in an appropriate manner.

Can I perform a rhinoplasty on just one side of my nose?

Unfortunately, given the nature of how a rhinoplasty works, it is impossible to simply just fix “one side of the nose” during the procedure because a rhinoplasty is about balancing the nose and maintain harmonious symmetry.

When is my nose strong enough to not break after a rhinoplasty?

Generally, nasal bones will be stable enough not to move easily following a month post-rhinoplasty.

How safe is rhinoplasty?

In the hands of a well-experienced, competent surgeon, rhinoplasty carries with it only the typical risks of any major surgery. With that said, in these circumstances, you are more likely to have an accident on your way TO the surgery than to have complications during the surgery itself. However, it is the patient’s responsibility to find a surgeon who is board-certified in plastic surgery and has experience with these procedures.

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.

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.

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

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

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

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

Do rhinoplasty results really take a year to show?

In general, full healing (that is, full dissipation of the swelling from the procedure) will take up to a year to heal properly. However, the bruising and swelling which results varies widely depending on if osteotomies were performed, the type of rhinoplasty performed, etc. The majority of the swelling, however, in most cases will resolve itself within 4 months and the nose will generally be presentable to the public without significant issues within 1-2 months.

How delicate is my nose in the first days post-rhinoplasty?

The reason why surgeons will almost always apply a splint in the first week post-rhinoplasty is because of the delicacy of the nose in this period. Small forces, even a slight hit with a towel, can have large impacts simply because the cartilage underneath the skin has been shifted, so patients are advised to be careful.

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 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 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.

Is it a problem if I have been sneezing a lot post-rhinoplasty?

Try to sneeze through your mouth as much as you can post-op simply because trying to suppress a sneeze through the nose can lead to pressure issues that can alter the results of the rhinoplasty and lead to nosebleeds.

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.

How much does a hump filing cost?

It is difficult to determine the cost of reducing a hump because patients will have different requirements. Small humps will require smaller procedures, but typically, the cost to reduce a hump is synonymous with the cost of a rhinoplasty which will cost in the neighborhood of $8000-$10,000.

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.

Is light sniffling and nose breathing 1 day post-op fine?

As long as you don’t force either, both of these minor exercises of the nose should not do any permanent damage to the results.

Will the cartilage graft used in my rhinoplasty soften up eventually?

The reason why patients are often told that rhinoplasties take up to a year or so to fully heal is due to the healing of scar tissue and cartilage grafts which are often used during the procedure to give more support to the tip of the nose. However, if rib cartilage was used, then this may remain noticeably more firm than the rest of the cartilage in the nose (which is why rib cartilage is used as a last resort).

I have breathing problems and a cracking noise in my nose. What’s wrong?

This problem is probably best addressed by an examination in a qualified surgeon’s office. However, pure speculation indicates that this may be an issue of the nasal conchae or caused by septal deviation, both of which require surgical solutions.

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.

Can a Headbutt cause a permanent bump on the bridge of the nose?

Generally, patients will be aware if a nasal fracture has occurred immediately after a trauma. In most cases, bumps on the nose following trauma are a result of soft tissue damage particularly in the periosteum (where the nasal blood supply is housed) and will degrade eventually.

Can I smoke post-op?

Nicotine in cigarettes is a powerful vasoconstrictor (causes narrowing of the blood vessels) and must thus be avoided in order to speed up the healing process post-op. It is recommended that patients wait at least 4 weeks or so post-op to resume smoking again, but not doing so is even better.

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.

When can I start smoking following surgery?

Though I would rather patients quit smoking entirely after surgery, I would wait at least 4 weeks post-rhinoplasty to begin again. Cigarettes contain nicotine and carbon monoxide, the first of which is a vasoconstrictor and causes tissue death in the surgical area by limiting blood flow and the second of which decreases the blood’s oxygen capacity and also causes tissue death.

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.

My nostrils flare too much when I smile. What can I do?

Patients with this condition may benefit from a Weir excision in which skin from the inside of the nostril is removed and the hole is tightened to prevent excess spreading during smiling. However, even non-surgical options like Botox could help with this problem by relaxing the muscles that spread the nostrils.

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

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

Can a broken nose be fixed under local anesthesia?

This can be done, especially if the broken nose is corrected within a week of the original trauma. However, if the broken nose is on a child, sedation or general anesthesia may be more appropriate given the painfulness of the needles.

I have a clogged ear sensation post-rhinoplasty. Why?

This is mostly likely to temporary swelling in the back of the nose which is connected to the throat and the ear via the Eustachian tube in the pharynx. This will resolve itself within a week.

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).

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.

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.

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.

Why do I have asymmetrical swelling post-rhinoplasty?

Generally, it is normal for patients to experience asymmetrical swelling, that is, one side of the nose healing faster than the other. I would not worry too much, but take care to see your surgeon as this may be the result of simple fluid accumulation (edema) which will heal itself over time.

Can rhinoplasty alter my singing voice?

Generally, rhinoplasties do little for the nasal airways and instead focus on the cartilage and tissue underneath the skin of the nose, meaning that they should have very little impact on the quality and sound of a patient’s voice. Septoplasties, however, normalize the nasal airways and may change the voice slightly, but this is probably best answered by your surgeon via an in-house examination.

When can I lay on my side post-rhinoplasty?

Around two weeks in is a good benchmark for when you can begin sleeping on your side post-op. However, some surgeons may even recommend as soon as 7-10 days.

Is nose cracking normal post-rhinoplasty?

This is a very unusual symptom, not at all common. I would recommend seeing a board-certified surgeon immediately to check what the issue might be. It may be the sign of a re-broken nose.

Why do some many people regret rhinoplasties?

The main reason why people regret their rhinoplasties is generally because they are dissatisfied with their surgeon’s performance. In order to prevent this from happening, it is suggested that patients thoroughly research their surgeon prior to going ahead with surgery and make sure that their expectations are realistic and align with the plans of their surgeon. Communication is key to this step.

Is the “work-ready” benchmark of 1 week post-rhinoplasty apply to more physically active jobs?

Depending on the degree of modification to the nose and the procedures performed, patients will generally be work-ready within 6 days to 2 weeks post-op. However, 2 weeks is usually the max, unless patients will be doing a heavy amount of exercise in which case, they are recommended to wait 4-6 weeks.

What is the difference between twilight sedation and the sedation caused by general anesthesia?

Generally speaking, the major difference between these two procedures is the presence of a endotracheal breathing tube in the general anesthesia route which helps secure the patient’s airway. In twilight sedation, the patient breathes on his/her own. Either practice is generally safe.

Should I go to an ENT doctor or a plastic surgeon for a rhinoplasty?

In general, both types of surgeons should theoretically be qualified to conduct this procedure. Therefore, the choice really comes down to who the surgeon will be, rather than their practice. Make sure to obtain a surgeon who is board-certified, specializes in your procedure, has good before-and-after results, etc.

I have a noticeable dorsal hump following surgery. Is this bad?

Often, post-rhinoplasty patients will notice small bumps here and there which they will interpret as a surgery gone bad. Most likely, however, especially several months after, it is residual swelling which will eventually dissipate over the course of a year after the surgery is done. Harder bumps may be signs of a possible callus, which is less common, but also disappears over time.

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

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

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.

How long does swelling last post-rhinoplasty?

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

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.

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.

Does a tip rhinoplasty carry a shorter recovery time?

In terms of swelling, a majority of the recovery time in a full rhinoplasty is restricted to the tip anyway, so the dissipation of swelling in both cases will eventually go for about a year. However, the bruising caused by the tip procedure is definitely much less extensive and will subside within 2-4 weeks.

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”).

How long is a rhinoplasty procedure?

A typical rhinoplasty will take around 2 hours to perform.

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