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

When will I see the final results of a rhinoplasty?

The full results of a rhinoplasty will manifest themselves generally after about 1 year post-rhinoplasty, but patients should generally have an idea about how they should generally look at 6 months (anything afterward is simply refinement of the existing product).

Can massaging improve nasal shape?

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

I have an asymmetrical nose from squeezing blackheads. What can be done?

It is unlikely that simply squeezing a nose caused any major form of nasal deformity. However, if the nose is indeed asymmetrical, the patient have a consultation with a board-certified, plastic surgeon to determine what can be done.

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

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

How soon after giving birth can I have a rhinoplasty?

Theoretically, a patient can have a rhinoplasty as soon as 3 months afterwards. However, they must consider whether they will have the time or energy for a cosmetic procedure at this time. In addition, as the narcotics used during the rhinoplasty procedure may pass into breast milk, it is important for mothers to pump and store breast milk in anticipation for the procedure.

Can I pursue boxing as a profession after a rhinoplasty?

Unfortunately, no. A rhinoplasty procedure makes the nose weaker in the days post-rhinoplasty and the repeated blows to the facial area and the nose from boxing risks destroying or even making worse the results of each rhinoplasty.

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.

How can I minimize skin care complications post-rhinoplasty?

Because the surgical tape and cast applied to the skin in the week after rhinoplasty traps sebaceous fluid within the pores of the skin, it is common for patients to experience acne breakouts in this time period. Having a facial prior to the surgery may be the best way to combat this as it cleans out the pores beforehand.

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 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.

I had grafting done on my nasal bridge and tip, and it warped. What should I do?

One of the problems with grafting, although it is relatively rare, is warping, or twisting out of shape. Unfortunately, there is little you can do now other than consult with your surgeon about your best possible options.

What should I do about a short nose post-rhinoplasty?

This may simply be a symptom of the swelling which could cause your nose to look bunched up and shorter. However, if this appearance issue does not resolve itself after about a year, it may be the result of an over-shortening of the septum in which case revision rhinoplasty is needed.

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 a minor nose bump be fixed via filing?

Yes. However, patients must evaluate whether the nose bump is as minor as they believe. Larger nose bumps cannot be simply filed away because it leaves a hole in the nose called an open roof deformity which can lead to a disastrous appearance that can only be resolved with a purposeful breaking of the bone (osteotomy) to push the bones inward and fill that gap.

How does the nose hold up as one ages?

Generally, the nose will tend to age with the rest of the body following rhinoplasty. Open rhinoplasties which support the nasal tissues with cartilage grafts will tend to hold up better, but they too will not stop the aging process completely.

Can I have breast augmentation and rhinoplasty at the same time?

As long as the patient is healthy enough to have both procedures at the same time and the surgeon of choice is qualified to do both procedures, there does not seem to be a problem with doing them together. However, care must be taken to avoid infection and this is done by choosing a well-qualified surgeon.

Should I get an inferior turbinate reduction in addition to my rhinoplasty to help with breathing?

This procedure can certainly be beneficial for those undergoing rhinoplasty because it helps clear the airways, not to mention that due to its functionality (necessity), it is generally covered by insurance.

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

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

When can I play soccer post-rhinoplasty?

Patients can conceivably begin playing contact sports at a period of 6-8 weeks, with most surgeons suggesting waiting until the first 8 weeks simply because of the risk of bumping/breaking the nose in contact sports like football or soccer.

I have VERY WIDE swelling on my nasal bridge post-rhinoplasty. Is this actually swelling or something more serious like bone growth?

This is best evaluated, after approval by your surgeon, by applying pressure on one side of the swelling for about 1 minute or 2 and examining how deep of an indentation this created. If the indentation was deep, then it is most likely swelling. If this is the case, then lymphatic drainage may be the issue in which case massage of the area may help. If the indentation created was shallow, then it may be bone tissue in which a revision rhinoplasty is needed at least 6 months after the original procedure.

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 do I have a dented nose post-rhinoplasty?

Certain patients may be predisposed to having this deformity post-rhinoplasty because of the way in which the tip cartilages are aligned prior to surgery. Patients may have them angled upward so that, even the removal of some cartilage can cause dents. However, this problem can be fixed with cartilage grafts or even fillers like Restylane or Radiesse.

How long should I wait post-rhinoplasty to get steroid injections?

Kenalog injections can be safely administered 4-6 weeks apart as early as one month following the rhinoplasty procedure.

Should I bring pictures of my ideal nose to my surgery consultation?

I don’t see how this could hurt you. However, it is important for patients to recognize that the goal of surgeons is to match the nose we create to the face and create overall harmony, meaning that a certain celebrity’s nose may not match up with a patient’s face and may not be advisable. However, it does give the surgeons a good idea of what the patient wants and expects.

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 cartilage be added to my nose to give it shape?

Absolutely, this can be done with a graft. In rhinoplasties, cartilage grafts are the main types of grafts used and are taken, in order of preference, from the septum, the bowls of the ear (cymba or the cavum), or the ribs.

Can 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.

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.

What does ibuprofen do for swelling?

It is advised that patients avoid taking NSAIDs like ibuprofen simply because of the risks of bleeding which occur as a result of using them.

Why do surgeons use columellar struts in a rhinoplasty?

Columellar struts are generally sutured in between the tip cartilages in an effort to maintain tip shape and support the tip area in order to prevent excessive drooping post-rhinoplasty.

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 a bump on my bridge. Will it need surgery to be corrected?

This is probably left best to the discretion of your surgeon, as it depends on the bump’s size. Smaller bumps may not require surgery and may be easily camouflaged with the use of fillers like Restylane. However, larger humps will require a full rhinoplasty with osteotomies (breaking of the bone in a purposeful way).

Can rhinoplasty make my upper lip bigger?

Because of the close relationship between the nose and the upper lip, changes in the nose caused by a rhinoplasty CAN influence how the lip looks. For instance, heightening of a drooping nasal tip and removal of a hanging columella can make the upper lip longer. However, there is no direct change in the structure of the lip during this procedure.

How can I tell if I have thick nasal skin?

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

When does my smile return to normal post-rhinoplasty?

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

Can I take Zyrtec-D prior to my rhinoplasty?

I would advise against it because of one of the ingredients in Zyrtec-D known as pseudoephedrine which is a stimulant that can increase blood pressure and heart rate, thus creating a slightly increased risk of bleeding during and post-surgery. Contacting your surgeon and the anesthesia department of the hospital where you will be having this procedure done is the best option here.

I had bumps to my nose several days after rhinoplasty. Should I be concerned?

Unfortunately, given the early nature of these traumas post-rhinoplasty, it may be necessary to visit your surgeon for an evaluation.

Can I get a free surgery if I have been referred to a cosmetic surgeon by my doctor?

Unfortunately, this is highly unlikely. Insurance will likely pay for any functional defects like a deviated septum or enlarged turbinates which result in breathing difficulties, but any cosmetic changes will likely have to be paid out-of-pocket.

Can a nose bump be fixed under local anesthesia?

It truly depends on the size of the bump. While small bumps can be removed by rasping under local anesthesia, larger bumps, which carry the risk of open-roof deformity if removed by rasping, require osteotomies which are difficult to really perform under local anesthesia. General anesthesia might be more suitable for this reason, and because of the protection offered by the endotracheal tube (can block blood and other fluids from getting into the lungs during surgery).

Is Arnica bad prior to rhinoplasty surgery?

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

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.

What are the pros and cons of grafting during a rhinoplasty?

The pros of using grafts are mainly that it acts as additional support for maintaining the results of a rhinoplasty, particularly procedures which elevate the tip, and should not be avoided when they are warranted. By the same time, cartilage grafts should be used judiciously as they might NOT be needed and may actually lead to unevenness in the nose (which is why patients requiring cartilage grafts should go to an experienced surgeon).

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.

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.

Should I have external scars from a nose job?

There are three sites, depending on the type of nose job, which are the most common sites for scar formation. One is the columella, the flap of skin between the nostrils on the underside of the nose, which occurs in the open rhinoplasty procedure. Another is the alar where, if patients chose to have alar reduction surgery to reduce nostril flaring, scars will be present, but relatively undetectable. Finally, the last potential incision site is the dorsum where surgeons MAY place small stab-like incisiosn, although it is more common for these incisions to be on the inner wall of the nose and thus undetectable.

Should I have an open or closed rhinoplasty?

Patients should generally not concern themselves with the technique of open or closed rhinoplasty as much as the skill of the surgeon, as the results of both are very much comparable in many cases.

Can a deviated tip be corrected without rhinoplasty (ex. Grafts, etc.)?

Yes, this can be done. It is rare, but grafts can be applied to the tip area to help with deviation, especially one that is caused by nasal trauma (punch to the face, etc.). Fillers may also help if you are for non-surgical solutions.

When is it safe to blow my nose post-op?

Generally, as long as the nose blowing is not too strenuous, patients can generally blow their nose one week post-rhinoplasty. Until then, it is recommended that patients use saline to break up any chunks which may accumulate in the nose and then use a Q-tip to extract them.

Could pulling on the tape in an effort to remove it have disrupted my results?

This is probably best answered by the surgeon who performed the surgeon, but as long as there was no ripping of the tape off, there should not be a problem.

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.

My upper lip and tip of my nose are not moving after my rhinoplasty. Why?

Numbness following a rhinoplasty is not uncommon, but a consultation with the surgeon is probably necessary just in case. Speculation would seem to indicate that the numbness in the tip of the nose is caused by the resection of the depressor septi muscle, the symptoms of which will probably dissipate after three months. The numbness in the upper lip is most likely the symptoms of nerve aggravation which will also resolve itself as time goes on.

How long after a rhinoplasty can I resume kissing?

To be frank, this really depends on how much contact with the nose will ensue during the kissing. Gentle kissing can be done probably around 3 weeks post-rhinoplasty, but more aggressive kissing where contact to the nose is a concern should probably wait until around 6-8 weeks.

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

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

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 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.

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 taping my nose help maintain the results of my rhinoplasty?

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

Can I preview results of my rhinoplasty prior to surgery?

Most surgeons will have some of imaging software that allows patients, during consultations, to see EXACTLY what the doctor plans on doing and also lets them do a before-and-after side-by-side comparison of the results. I have found that this very comforting for patients and highly advise patients to see a surgeon who has this software.

Can 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.

Can pushing the nose in certain directions over time change nose shape?

Highly unlikely. Cartilage is very elastic and bounces back to its original shape, even after repeated 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.

What is the recovery time for a closed rhinoplasty?

This is where patients should learn the distinction between healing time and recovery time. The healing time, that is, the full realization of the results of the procedure and the full reduction of swelling and bruising, of a rhinoplasty is about a year. However, patients are generally work-ready within 7-10 days which I would consider the primary concern regarding “recovery time”.

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).

Do celebrities get better nose jobs?

This is an excellent question because it addresses a great misconception in the plastic surgery world. Bad surgeons exist in any area, even in Hollywood, so do not use price alone to evaluate a surgeon’s competency prior to scheduling a surgery with them. Recommendations for ideal surgeons for rhinoplasties include board certification in plastic surgery/otolaryngology, specialization in nasal surgeries, and experience in doing your specific type of surgery. I would personally recommend looking at their before and after catalogue to see if their work is satisfactory for your needs.

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.

Can a typical African-American nose be modified to a Middle Eastern nose (pointy but with a drooping tip)?

Unfortunately, due to the thick nasal skin associated with an average African-American nose, it is very unlikely that even the most skilled surgeons can complete this transformation without risking the nose being unnatural looking. The nostrils and the tip can be narrowed and the nasal bridge can be augmented, but not to the extent that many will desire.

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

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

Can the cost for a septoplasty and a rhinoplasty be lowered if they are done concurrently?

In some cases, surgeons will offer discount rates to do both at the same time, but patients should be wary of surgeons who are offering TOO much of a discount. As the old saying goes, “If it’s too good to be true, it probably is”. This surgeon may not be properly certified. In any case, though, septoplasties are generally covered by insurance so costs can be lowered in this manner.

Do alarplasty scars take a long time to heal?

Generally, alarplasty scars though pretty much permanent are extremely well hidden along the alar/nasal intersection and will generally fade over time.

Should I rasp the nasal bone by the eye area where my surgeon claims that there is a bone bruise?

This is probably best answered by an examination with your surgeon. Nasal bones could easily be rasped via a limited incision, but ask what your surgeon thinks about this operation and whether it is feasible.

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.

Is touching my nose after cast removal safe?

Gently touching the nose will not affect the results. Just make sure not to bump it hard or push very hard as the nasal tissues are still delicate and malleable.

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

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

Would I be turned down for rhinoplasty if I have a bifid tip?

Absolutely not, unless it presents a significant medical issue during the surgery (which is unlikely). In fact, the bifid tip can even be fixed during the procedure by suturing the lower tip cartilages closer together and then filling in the resulting dip in the nose with filler or cartilage.

Are rhinoplasties necessarily obvious?

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

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.

Can a deviated septum and post-trauma deformation of the nose be corrected and covered by insurance?

Generally speaking, the deviation of a septum is usually a functional problem and is often covered under insurance because it can improve the patient’s breathing. However, any changes to the nose would most likely be seen as “cosmetic” rather than functional changes and will most likely not be covered under this plan. These procedures are often performed hand-in-hand, though, so it is best to evaluate any financing plans with your surgeon of choice

Can scar tissue be removed post-rhinoplasty?

Technically it can be. However, patients must realize that scar tissue tends to thin over time and surgery with the intention of removing it may cause the formation of new scar tissue and steroid injections may also present complications.

How can I prevent swelling post-rhinoplasty?

To prevent swelling post-rhinoplasty, patients are advised not to drink alcohol or smoke or engage in behaviors which will result in altered blood flow to the surgical area. They are also advised to sleep with their head elevated and keep ice on the surgical area for the first 2 days post-rhinoplasty.

I have a lump on my nose tip post-rhinoplasty. What can I do?

Unfortunately, depending on how the bump is situated, this may be a possible reason to have a revision rhinoplasty. This may be a bend in the domal cartilages in the tip that can only be fixed via a revision procedure.

Is open or closed rhinoplasty better for tip work?

Generally, I would advise patients to pick the surgeon, not the procedure, as the surgeon’s individual skill is probably the biggest factor as to whether a patient achieves the results he/she wants. However, if you insist on a straightforward answer to the question, I would probably recommend open rhinoplasty for tip work only because it allows for the surgeons to have a greater view of the work they are doing in that area.

What should I do about an infection post-rhinoplasty?

This is probably best addressed by having an evaluation with your surgeon. He/she will likely take a culture of any drainage which may occur and prescribe antibiotics to fight the infection. Do not try to treat it on your own.

Does my nose spreading (when I smile) get better as the post-rhinoplasty period goes on?

Unfortunately, nostril over-spreading during smiling or even while resting is not something which is fixed by a typical rhinoplasty. Although post-op swelling may contribute to this, patients who are dissatisfied with their nostrils post-rhinoplasty may want to consider alar base reduction.

How long does numbness after rhinoplasty last?

Typically, numbness following rhinoplasty is a common symptom and resolves itself within 8-12 weeks following surgery. However, it may take as long as a year or two before symptoms resolve themselves completely. Patients will know when the nerves regenerate because they are usually accompanied by itching and brief, shock-like sensations

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.

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

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

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

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

Can 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.

When does the splint come off?

Uusally, splints are removed 1 week after surgery.

If I already have a broken nose, do I need to wait longer before getting a rhinoplasty?

Absolutely not. Because rhinoplasties often require osteotomies anyway, I would recommend that patients, if they do have a broken nose that they wish to have repaired, come after 5-7 days but no later than 2 weeks post-injury. At the 2 week mark, the bones will have already begun to heal and it may be more difficult for surgeons to correct the original defect.

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.

Do silicone implants look less real than cartilage?

Although the results generally will not differ between silicone and cartilage, I prefer to use cartilage simply because there is less risk of inappropriate movement of the tissue and infection.

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

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

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.

Is vomiting after a rhinoplasty common?

The most common causes of post-rhinoplasty vomiting are blood dripping into the stomach and complications with general anesthesia. This occurs probably in around 1/10 of most rhinoplasty procedures, but it is important to recognize that these symptoms will only last for about a day or two.

Does the product “Nose Up” actually work?

This product may temporarily press up your nasal tissue, but it won’t lead to any permanent changes.

What kind of stitches are used in rhinoplasty?

There are two main types of stitches that are used in rhinoplasties: dissolving and non-dissolving. Stitches which are placed inside the nose will dissolve over the course of a couple months, while external stitches are non-dissolving and will typically be removed within a week post-rhinoplasty.

Why 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.

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.

Does picking your nose cause changes in nasal structure?

It does indeed. Patients, especially those considering having surgery, must work to stop themselves from obsessive nose-picking which can lead to problems post-rhinoplasty. Obviously, poking yourself in the nose so many times especially post-rhinoplasty will lead to changes in nasal structure.

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.

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.

There is a red scab-like dot on my face post-rhinoplasty. What is it?

Though this is difficult to evaluate without an in-house examination, this could be a spider angioma which can easily be treated with laser treatment.

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.).

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.

What are the chances of developing unsightly scar tissue and other complications post-rhinoplasty?

When done by an experienced surgeon, rhinoplasties do not develop scar tissue to the extent where revisions are necessary. Even when scarring does develop, though, cortisone injections can help. Again, the best way to prevent complications is to seek out an experienced surgeon.

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

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

Do you recommend Afrin nasal spray post-rhinoplasty?

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

What is this bump on the inside of my nose post-rhinoplasty?

At long periods of time post-rhinoplasty (a year or so), bumps on the inner wall of the nose will most likely be scar tissue which can alleviated with the help of steroid injections or a simple excision under local anesthesia. However, short-term bumps may be sutures that need to be taken out or swelling that will dissipate by themselves.

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.

Does the nose become smaller following rhinoplasty surgery?

Due to the contraction of scar tissue as well as the reduction of residual swelling, the nose does indeed decrease in size over the course of the post-rhinoplasty period to match the expectations (hopefully) of the surgeon and the patient.

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

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

Can alar batten grafts be used to widen my alar base?

Alar batten grafts are generally used for functional purposes, as a way of reinforcing the alae during breathing so that the walls of the nostrils do not collapse during inhalation. They are not used to widen the alar base or to increase nostril flare.

Is it normal to have headaches every day following rhinoplasty?

Because rhinoplasties often entail the narrowing of the bridge of the nose, it is normal for a minority of patients to experience sensitivity and discomfort for a period of weeks. No concern is needed.

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 fly with a broken nose?

Yes this is fine. I would recommend carrying Afrin spray and applying it 30 minutes prior to takeoff and landing to mitigate the risk of nosebleeds.

Can trauma to the nose cause a dorsal hump?

It is possible for a hit to the nose to cause the development of a small dorsal hump due to the slight separation of the upper lateral cartilages from the bone which can occur. This can be corrected via cartilage grafting. However, it is important to also recognize that trauma to the nose may just create swelling that may look like a dorsal hump, so it is important to ice the area in question and evaluate.

Can Alar Base Reduction be done simply on the nostril area?

Yes absolutely. It is possible for this procedure to be done without touching the tip or the bridge of the nose because the incision is made as a crescent shape on the inner wall of the nostril. However, it is rare for patients to expect a reduction in nostril area without reducing anything else, especially the tip.

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

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

Can I get my nose closer to my face?

There are several methods by which this can be done. One way is to decrease the height of the nasal bridge. The other is shortening the tip cartilages in order to rotate the tip of the nose upward and create the illusion of a shorter, less projected nose.

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.

Will a nose job affect my smile?

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

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

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

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.

Can a bulbous nose be made smaller?

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

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