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

I’m having breathing problems and uneven nostrils post-rhinoplasty. Should I have revision rhinoplasty?

Depending on the timing post-rhinoplasty, this may be a simple case of residual swelling within the nostrils which can push around structures and block the nasal canal, leading to the two issues which you described.

How can I fix a crooked nasal cartilaginous bridge?

This condition can be fixed by manipulating the upper lateral cartilages and performing a septoplasty which will inevitably require an osteotomy. However, upper lateral cartilages may need to be bolstered via a cartilage graft from the septum or the ear. It is best to consult your surgeon for the best course of action.

How does the nose change as you grow older in terms of height?

What people often see as the nose “growing” as they become older is a simple drooping of the tip which creates the illusion of elongation.

Can rhinoplasty be used to reduce nostril size?

Yes this can be done with an alarplasty in which a crescent-shaped wedge of skin is taken out from the nostril via an incision inside the nostril tissue and the resulting hole is closed up to reduce nostril size. However, this is a rather difficult procedure with great potential for asymmetrical results, so work with a surgeon who is very competent and has a history with these procedures.

Is my nose still supposed to be swollen months post-rhinoplasty?

It is completely normal for swelling, particularly in the tip of the nose, to still be present up to a year post-rhinoplasty.

What are the pros and cons of steroid injections post-rhinoplasty?

Steroid injections are introduced in patients to prevent the buildup of scar tissue that can actually deform the tip. However, while helpful, it can also cause atrophy of surrounding tissues and overthinning of the skin if not used judiciously.

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.

Why do steroid injections only work temporarily?

Steroid injections, though present for a little while after they are introduced to the body, only provide a temporary preview of the final result of the procedure before being absorbed by the body.

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

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

Can I use a tampon or pad during anesthesia for a rhinoplasty?

The only risk associated with tampon use during a rhinoplasty procedure is toxic shock syndrome, which is only an issue if you foresee not being able to change a tampon on a regular basis. Tampons themselves should not interfere with the anesthesia in any way.

How can I fix this dent in my nose?

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

Can my nose be made straight in spite of my asymmetrical facial features?

Rhinoplasties can indeed be performed even if the patient can has asymmetrical facial features. However, it is best for these patients to seek out experienced, board-certified surgeons who have a good sense of how to perform these types of procedures.

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).

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.

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).

Does rhinoplasty improve sinus reactions?

Normal airflow through the nose is essential for sinus function (sinuses are air chambers within the facial skeleton). Therefore, a deviated septum or any other obstruction to normal air flow can be corrected with rhinoplasty and this procedure can improve sinus function. However, patients must evaluate whether a blocked airway is actually the cause of their sinus issues, because any other cause will not be fixed via a rhinoplasty.

I have a crooked columella months post-op. What is wrong?

Unfortunately, this may require a revision rhinoplasty. It seems that there may have been deformities in the columellar cartilages (medial crura) that were not addressed in the rhinoplasty you underwent or a septal deviation. It is best to consult with your surgeon regarding your options at this point.

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.

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 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.

Why is my tip so stiff 6 months post-rhinoplasty?

Especially if cartilage grafts were introduced, it is normal for stiffness to remain post-rhinoplasty for up to a year due to the trauma which the tip of the nose in particular undergoes during the procedure.

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.

What are the preferential sites for cartilage harvesting in a rhinoplasty?

Generally, surgeons will prefer to use septal cartilage as a first resort, followed by ear cartilage from the cymba or cavum (top and bottom parts of the central depression within the ear). Rib cartilage is used as a last resort when these two sources are depleted, simply because of the invasiveness of cutting into rib tissue.

How can I correct my bulbous tip and upturned nose?

Correction of the bulbous tip would be the easier problem and can be solved by thinning the lower lateral cartilages in the tip and stitching them together to create a narrower defined tip. An upturned nose is more difficult and can be corrected in several ways, including the use of grafts or weakening the suspension elements of the nose and repositioning/securing the tip in a more preferable position by suturing the tip cartilages to the skin.

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.

When can I get a nose piercing post-rhinoplasty?

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

Why is my nose so oily post-rhinoplasty?

This is very normal as the surgical taping blocks sebaceous glands at the surface, causing oily fluid to build up on the skin. This is perfectly normal and will heal over time.

I found a stitch years post-rhinoplasty. What should I do?

It is rare for stitches to find their way into the inner nose, but it sometimes happens. In cases like these, patients should NOT pull out the stitch by themselves, but rather have it removed by their surgeon.

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 can I reduce my droopy tip?

The tip can often be corrected via repositioning of the depressor septi muscles as well as repositioning of the cartilage at the tip already and cartilage grafts.

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.

Will my smile be normal after rhinoplasty?

In most cases, patients are expected to make a full recovery following a rhinoplasty, so it is probable that patients experiencing smiling difficulties will find their concerns alleviated. Patients may find that the separation of the muscle fibers between the base of the nose and the upper lip during certain procedures like septorhinoplasties may reduce smiling capabilities, but these issues will eventually resolve themselves.

What are the financing options for an ethnic rhinoplasty?

This is generally up to the discretion of your surgeon of choice. Patients must be advised that rhinoplasties (a cosmetic procedure) are often not covered by insurance, so it is important to discuss financing plans with your surgeon prior to having the procedure done.

Can pregnancy make my nose swell more after rhinoplasty?

It is common for nasal swelling to occur in women during pregnancy, regardless of whether or not they had a rhinoplasty procedure done. This is due to fluid retention.

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.

Can nasal tubes help you breathe post-rhinoplasty?

This refers to the breathing tubes used in conjunction with nasal packing (which, used alone, tends to be very stuffy). Nasal packing following a rhinoplasty is a procedure that has very much gone by the wayside. Regardless, breathing in the first few weeks or so post-rhinoplasty will be a pain because of mucous buildup.

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.

How can an ethnic nose be made thinner at the tip?

Quite often, this is done by suturing the nasal cartilages in a more narrow fashion and bringing it cartilage grafts from the septum or the ear for additional support. However, the problem which surgeons often have with ethnic noses is that ethnic noses tend to have thicker skin which does not drape nearly as nicely over skin as thinner skin does. Thus, the results may not look quite as apparent.

I removed a dissolvable stitch after a rhinoplasty by accident. Should I be concerned?

Given that stitches will generally dissolve within 5-7 days post-op, there shouldn’t be any problem with accidentally pulling out a stitch. No concern is necessary, but be careful not to remove more.

Why is my nose still growing at age 30?

Generally, nasal growth should cease when a patient is in his/her mid-20s. Continuous growth afterwards may be attributed to rhinophyma which is excessive growth of sebaceous glands around the lower third of the nose, but may also be just the general loss of elasticity in the skin that causes the nose to droop.

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

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

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.

When can I go diving after a rhinoplasty?

It is advised that light exercise be postponed until 3 weeks post-rhinoplasty and more heavy contact sports be postponed until 6-8 weeks post-rhinoplasty. For diving specifically, due to the risk of potential nose bleeding (and the problems with wildlife that might ensue), I would recommend waiting at least 8 weeks for the nose to fully heal.

Does using a nasal splint longer than a week help?

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

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.

How can I clean the outside of my nose post-rhinoplasty?

It is important that, when a patient’s surgeon gives him/her the OK to begin cleaning the outside of the nose, they remain gentle. Generally, patients will use sterile solution like alcohol on gauze/cotton.

Can a nasal rinse be used post-rhinoplasty?

Nasal rinses can start to be used one week post-rhinoplasty, but patients must remain gentle with them.

How can I get rid of bruising under my eyes post-rhinoplasty?

Unfortunately, other than the tips which your surgeon probably gave you (avoiding blood thinners like aspirin, not smoking, etc.), there is little else that you can really do to reduce bruising as it is part of the body’s natural healing process.

How can I reduce swelling post-rhinoplasty?

Patients can reduce swelling by asking surgeons to apply surgical tape to the area and also practicing good habits such as reducing alcohol/smoking habits, reducing sodium in the diet, and (if swelling is persistent after several months) engaging in light exercise.

Can steroid injections help if I have a hard tip following surgery?

Steroid injections about a year or so post-op can definitely help with any residual swelling and can soften up the tissue in problem areas, but have your surgeon complete these procedures.

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.

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.

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.

Did I accidentally crack my cartilage by squeezing a blackhead?

It is doubtful, as it takes a substantial amount of force to actually fracture cartilage or bone tissue. Get it checked out by a plastic surgeon to make sure though.

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

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

How long does cartilage grafting from the rib take to heal?

Though general work-ready recovery time from a rhinoplasty takes about a week or so, grafting from the rib can cause soreness for at least a couple of weeks and it is best to avoid even light exercise for at least 6 weeks or so.

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.

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).

How can I fix a hereditary crooked nose?

Any crooked nose (that is, where there is septum deviation), regardless of whether it was caused by injury or by genetics, can be fixed with a traditional rhinoplasty procedure. However, patients should consult with a surgeon and see whether fillers or other non-surgical options could also work for them.

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.

Is a crooked nose more costly or painful to fix?

Not at all. The procedure of a rhinoplasty often entails osteotomies if necessary, that is, the purposeful breaking of the nasal bones to ensure their correct repositioning. Therefore, there is no additional cost and the “pain” is no more than a traditional rhinoplasty, which is basically none at all.

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.

What is the cost of a deviated septum plus rhinoplasty surgery?

Again, the costs of a rhinoplasty surgery will vary depending on a number of factors including geographic area, qualifications of the surgeon, equipment used, etc. However, a general ballpark for this type of surgery may entail somewhere between $5000 and $10,000. I would advise patients to place less priority on cost and more on the qualifications of the surgeon, because corrective surgery is often much more expensive than first-time procedures.

Is mucus buildup one month post-rhinoplasty normal?

Yes, absolutely. It is safe for patients to begin blowing their nose after about a month post-rhinoplasty, but saline spray can be used prior to this (as long as the splint has been removed).

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.

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.

Rhinoplasty Recovery Time and Downtime?

“At 2 weeks 80% of your swelling will be gone, at 2 months 90%.”

Social life Recovery

1. You will wear an external nose splint and tape for 1 week to protect and set the nose during this initial stage of healing. Removing it too early may cause damage and can ruin the surgical work.
2. Your nose will be “noticeably” swollen for 1-2 weeks. By the end of the 2nd week a casual observer won’t be able to notice without careful inspection or knowledge that you had surgery.
3. Bruising resolves in 1-2 weeks, and varies by the patients tendency to bruise. Over the counter Arnica may help reduce bruising.

Physical Recovery
Swelling in some areas may take several months to a year to “completely” resolve (the majority will be gone 2 months). You will be following up with Dr. Kassir until you have your final nose.

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

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

Does the nose get thinner with age?

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

How 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 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.

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.

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.

There is some nostril asymmetry following my rhinoplasty. Should I be concerned?

Not at all. Again, swelling is a perfectly normal part of the post-rhinoplasty healing process and will take up to a year to fully dissipate (especially in the tip and nostril area). Therefore, most imperfections seen post-rhinoplasty are merely the result of swelling and will also disappear.

Are breathing problems common after rhinoplasty?

The short-term swelling post-rhinoplasty which is almost universal for rhinoplasty patients often lead to a restriction of the airflow in the nose, thus leading to breathing problems. These problems are often exacerbated by the development of mucous and crusted, dried blood deposits during the recovery. Unless these problems persist long-term, that is, several months after the surgery occurs, the patient should not be concerned.

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Disclaimer: This site only provides information about cosmetic surgery and this information is not meant to be taken as medical advice. For more information about plastic surgery, contact Dr. Kassir.