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

Does a pixie nose require a rhinoplasty?

It is difficult to say without seeing a patient whether they are in need of a rhinoplasty procedure or not. However, a small, up-turned nose is one which requires a great deal of precision and is best handled by an experienced surgeon. Be careful when choosing your surgeon to find one that is board-certified and has had experience with these types of procedures before.

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.

Is it possible to refine the sides of my nose with a rhinoplasty?

It really depends on the problem and this matter would be best addressed with an in-house consultation with the surgeon. However, this can be done via osteotomies.

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.

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 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.

Is a growing dorsal hump normal in the 20s?

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

Can I get a rhinoplasty surgery in Pakistan?

As I have said before, there are good surgeons and bad surgeons everywhere and people may benefit from saving costs via surgical tourism. However, if patients wish to go abroad to have surgery done, I would advise them to be wary only because any complications that may arise in the post-op period may be best addressed by the surgeon who did the procedure in the first place.

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.

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.

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.

I drove on a bumpy road for a long period of time six weeks after my rhinoplasty. Should I be concerned?

Other than a direct blow to the nose, there is little else that can really impact a rhinoplasty six weeks out. No concern is needed.

Is blood work necessary before a rhinoplasty?

It certainly does not hurt to get it done, especially because it may reveal aspects of a person’s health to a surgeon which may impact the surgery itself and the post-op process. Blood tests can help determine if a person has a clotting issue, for instance, or has other potential complication-causing problems. Personally, in my office, I will often have patients obtain blood work before rhinoplasties.

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

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

Can 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.

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.

How can I narrow a bulbous tip with thick skin?

It is generally difficult for thick skin patients to achieve tip definition that is satisfactory to them. However, cartilage grafts can help add more definition to the nose that can get them closer to where they want to be.

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

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

How should I sleep post-rhinoplasty?

It is recommended that patients sleep with head elevated post-op in order to reduce discomfort and swelling. It is also advised that patients avoid sleeping on their side because this may lead to movements that could potentially squeeze the nasal area, but this is generally not a concern because the cast will mostly hold everything in place.

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 is rhinoplasty different for Hispanic patients than other patients?

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

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.

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.

There is a lump on my nostril following rhinoplasty. What is it?

Patients who find a knot forming on the nostril, thus making one of the nostrils look more rounded than the other, may have a bossa of the nasal tip which is a collapse of the lower lateral cartilages upon themselves. This can easily be corrected via revision surgery.

What is alar flaring?

The ala refers to the lower sides of the nose where the nose joins the cheek and alar flaring refers to an ala that has more curvature than necessary and does not slope gently to meet the cheek. This makes the patient look more angry, as this is a typical evolutionary sign of anger.

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.

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

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

How can I fix my pointy nose?

A rhinoplasty is probably the best option for patients looking to decrease the projection of their nose and adjust their tip cartilages in an appropriate manner.

Can I get a Megan Fox nose?

It is important for patients to recognize that we as surgeons cannot substitute one nose for another, but can only modify an existing nose and correct it for defects. Therefore, not everything, even in the hands of the best surgeon, can end up with the exact look of a celebrity because the underlying basic structure is too different. Also, even if a perfect recreation of a particular celebrity’s nose is done, it may not work well in relation to a patient’s other facial features.

I have a very pointy tip due to alar cartilage sticking out. What can be done about this?

Patients with this condition may require fascia grafts from behind the hairline on the temple in order to soften the nasal shape. However, this may also be a cartilage issue that can be resolved with a tip rhinoplasty in which the lower cartilages are reshaped to the patient’s liking.

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.

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.

There is an odd cheesy smell in my nose post-rhinoplasty. Should I be concerned?

It is rare for patients to experience this sort of symptom post-rhinoplasty. This may be a sign of an infection and must be looked at immediately by your surgeon.

When should the cast be removed post-rhinoplasty?

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

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 fix a broken nose tip?

Generally, the tip is composed of a great deal of cartilage and thus may be prone to fracture. These types of injuries are generally only treatable with a rhinoplasty procedure.

Why do some surgeons have cookie-cutter nose jobs?

Just because a surgeon seems to apply the same type of nose job to his/her patients does not necessarily mean he/she is a bad surgeon. A rhinoplasty, being one of the most difficult procedures in plastic surgery in terms of importance and general skill required, is a highly individual operation that depends on the surgeon’s sense of aesthetics, the patient’s facial structure, etc. That being said, you should not be able to look at a nose and immediately tell who performed the rhinoplasty. The question to ask yourself when choosing a surgeon is whether you are satisfied with his/her before-and-after rhinoplasty gallery, whether they are qualified/board-certified, etc.

Can I clean my nose with a cotton stick post-rhinoplasty?

Sure. Gentle cleaning of the area with a Q-tip and a mixture of hydrogen peroxide and water OR saline solution can do wonders with loosening up the crusts that inevitably form post-rhinoplasty.

Will ear cartilage regrow after being harvested?

Unfortunately, not. However, ear cartilage is usually harvested from the cymba or the cavum (the two central depressions within the ear) where the scars are generally hidden and where removal of cartilage does not significantly affect ear shape.

Can I have my concha bullosa taken care of during my rhinoplasty?

Honestly, unless the concha bullosa (which is an air-filled space that may block sinus openings) present problems that could lead to diseases like sinusitis, it is often considered unnecessary to take care of concurrently with a rhinoplasty. However, if it IS symptomatic, then it can be taken care of at the same time as your rhinoplasty procedure.

How can I remove a post-rhinoplasty scar?

Unfortunately, scars cannot be permanently removed in the way that patients would like to see. However, they can be mitigated via cortisone injections and, long-term (after the healing process is complete), via laser resurfacing and dermabrasion treatments.

What are non-surgical options which mimic rhinoplasty procedures?

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

Can I do a nostril reduction post-rhinoplasty?

Yes, this simple procedure can be done after a rhinoplasty under local anesthesia. However, it is probably best for patients to wait at least 9-12 months before deciding to undergo any revision/additional procedures.

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.

My nose is upturned after surgery, almost unnaturally. Will it come down?

Patients who experience an upturn in the tip of their nose post-op most likely had a surgeon who overcorrected the original condition. However, this is not a concern as the tip should come down within 2-3 weeks after surgery. It is also possible that the upturn may be caused by swelling which is perfectly normal post-op and should come down within the same period of time.

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.

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.

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.

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.

What can be corrected via non-surgical rhinoplasty?

Non-surgical rhinoplasty which generally consists of the use of fillers to disguise minor defects can be used to correct issues like overly scooped noses (ski slope-style noses), saddle noses (boxer’s noses), pollybeak noses, slightly asymmetrical noses, and others.

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.

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 wearing glasses a problem post-rhinoplasty?

Especially during the first few weeks post-rhinoplasty, it is important that patients refrain from wearing glasses because of the pressures which they exert on the nose. At this stage, the nose is still very delicate and, if osteotomies were performed, is still recovering from being broken, so any external pressures may cause irreparable shifts in the bone.

Does weight gain impact rhinoplasty results?

No, not at all. Nasal tissue has very little fat, so weight gain or loss will not impact the results of a rhinoplasty.

Did I make a mistake by waiting too long to fix a broken nose?

Not fixing a broken/deviated nose immediately does not necessarily make it impossible to correct the original defect, but it definitely makes it more difficult. Nasal fractures are best treated within 10-14 days of the original injury before the nasal bones begin to reset in the newly established manner.

Can I use silicone for nose bridge augmentation?

Most surgeons, including myself, would prefer to use the patient’s own cartilage either from the septum or the ear as this has the largest potential for long-lasting results.

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.

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.

Is it normal to have post-rhinoplasty snot and boogers?

Yes, especially in the first few weeks post-op. Saline solution applied via Q-tip is probably the best way to combat this.

I am numb post-rhinoplasty and cannot move my upper lip to smile.

Though it is usually the tip which experiences numbness during rhinoplasty, the numbness can also extend to the upper lip due to the nerves which are cut and stretched during the procedure and need to grow back. This may take months to heal, maybe even a year or so, but do not worry: It will resolve itself eventually.

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.

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.

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.

Can I use Fraxel treatment on rhinoplasty scars?

It depends on the depth of the scars. Fraxel and other laser treatments can provide relief for patients with more shallow scars, but deeper scars may require re-excision of the scar and dermabrasion of the skin.

What can be done to resolve cartilage shifting post-rhinoplasty?

Cartilage shifting post-rhinoplasty can be disguised with the use of fillers, but a more permanent solution would be to introduce cartilage grafts.

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

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

Is there a higher risk of ear cartilage warping over time, as opposed to septal cartilage?

Surgeons conducting a rhinoplasty often like to use septal cartilage because it is thicker, straighter, and stronger than ear cartilage which is thinner and tends to be used more for revision rhinoplasties.

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.

There is a red spot on my nose post-rhinoplasty. Should I be worried?

I would demonstrate some concern and consult with my surgeon. This could be inflammation due to a suture or graft material.

Is my nose broken during a rhinoplasty?

It often scares patients to think that their nasal bones will be broken during rhinoplasty procedures. However, they should be aware that the breaking is not at all similar to a typical nose break caused by a punch to the nose, but is rather more precise and done with instruments. Also, rhinoplasty procedures take place under anesthesia, so the only pain which will be felt is afterwards (and it is a mild pain, similar to a headache following a broken nose).

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 crying after surgery affect nasal development post-rhinoplasty?

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

My nostrils close when I breathe through my nose. What’s wrong?

These symptoms may be attributed to nasal valve collapse which can be corrected via spreader grafts that are harvested from septal cartilage or, in rare cases, ear cartilage.

What is your opinion of Gore-Tex and silicone in a rhinoplasty?

Personally, I am more partial to avoiding man-made materials during rhinoplasty which can often pop out post-op and, in the case of Gore-Tex, have a high probability of infection. I prefer to use septal cartilage from the patient’s nose or, if that is not available, from the patient’s ear because the body is accustomed to it.

Why was I not taped after my splint was removed?

Taping is simply a measure to safeguard against excessive swelling, and is thus up to the discretion of the surgeon. Patients who do not seem to demonstrate a great deal of swelling may not require surgical tape.

Can a rhinoplasty correct a deviated bridge?

Deviated septa are a primary motivation for patients getting rhinoplasties. Such procedures often involved the creation of osteotomies (purposeful breaking of the nose in order to align the septa properly) and subsequent adjusting of the surrounding cartilage and nasal tissue. Sometimes, cartilage grafts may be required from the patient’s ear, but this is up to the surgeon’s discretion.

Can I reduce my nasal bridge height while still looking natural?

Decreasing bridge prominence can be accomplished via rasping and potential osteotomies (if the dorsal hump happens to be large). Tip rotation may also help in this case, which can be done via the manipulation of the lower cartilages.

Will my nose continue to grow after a nose job?

For most patients, nose growth will stop when they reach their 20s. However, rhinoplasties can be performed at ages 15-17 for women and 16-18 for men because growth is a gradual process and the nasal area can adapt and age with the rest of the body.

I have small, hard bumps on my nose post-op.

Generally, hard bumps on the nose post-op are the results of swelling due to the instruments used in osteotomies (controlled breaks in the nose made to correct the nasal deformities). Patients should consult with their surgeons upon seeing these bumps, just in case they are the results of other issues, but should generally not be concerned.

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.

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 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.

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.

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 get a small button-nose from rhinoplasty?

It is certainly possible for patients to achieve a button-nose from a rhinoplasty procedure. However, surgeons also have a responsibility to maintain overall facial aesthetics during a rhinoplasty procedure and may not wish to create a nose which does not belong on a particular face. Our goal during a rhinoplasty is to modify the nose and correct for defects, meaning that the nose you will have at the end will still maintain a semblance of the nose that you had.

Why can’t I have the smaller nose which I want?

It is important for patients to recognize that, sometimes, a nose can be reduced to the point where it is simply not natural-looking in relation to the rest of a patient’s facial features. We as surgeons have a responsibility to not only fulfill a patient’s needs, but to stay realistic. Think of this way. We do not substitute one nose for another, but rather modify existing noses and correct defects. We maintain your original nose but tweak it, rather than giving you a new one.

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

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

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

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

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

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

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 can I fix a hanging columella?

This can easily be done by trimming the membranous and cartilaginous parts of the columella and suturing the resulting structure in place.

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.

How much will hanging columella reduction cost?

This will vary within the $3,000-$5,000 range.

How sick do people typically feel after general anesthesia, and how much blood loss is typical?

Because surgeons often use lidocaine mixed with epinephrine in surgical areas to constrict blood vessels, blood loss is typically minimal during these types of procedures. Some blood may escape into the throat and into the stomach, which can cause vomiting and nausea. However, a gauze pack is usually placed in the back of the throat to catch the majority of the blood.

Can I go to an ENT doctor for revision rhinoplasty advice?

It seems like a logical place to start. ENT doctors are generally familiar with the anatomy/issues of the nose, but facial plastic surgeons are probably the best bet for people looking for a specialist in these fields. Even better would be a surgeon specializing specifically in revision rhinoplasties.

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 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.

Why is my nose itchy in the first week post-rhinoplasty?

Chances are this is the result of the splint which is admittedly somewhat irritating and does not allow much oxygen flow to the skin. Itching is good, however, and indicates the absence of infection.

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.

Why has my swelling not gone down months post-rhinoplasty?

Again, as I answered with many of my patients, swelling especially in the tip and nostril area following a rhinoplasty will resolve itself almost completely after a year post-rhinoplasty, with most of the swelling being gone around 3-4 months post-rhinoplasty. It is key that patients remain calm and wait out the results.

Can Rhinoplasty be covered by insurance?

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

I have bone-like bumps on my bridge after rhinoplasty. What’s wrong?

During a rhinoplasty, the trimming of cartilage in the nose often entails the subsequent trimming of bone tissue in the nose with the use of osteotomies (purposeful breaking of the nasal bones). Unevenness during this process, which will eventually work itself out in the post-rhinoplasty period, can cause suspicious bumps in the nasal area, but patients are advised not to panic when this occurs.

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).

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.

If my septal cartilage is harvested, how is it replaced?

Generally, in the hands of a good surgeon, cartilage which is harvested from the septum will NOT require replacement as the surgeon will leave a large piece of cartilage there to maintain support of the nasal tip. If more cartilage needs to be harvested for grafting, it will be taken from the ear and the rib.

What is alar base reduction healing time?

Because alar base reduction scars are hidden within the nostril, the recovery time is relatively short compared to other nasal correction procedures. Initial redness may last as long as two weeks, but sutures will be taken out 5 days post-rhinoplasty and the scar will be virtually imperceptible.

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.

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.

Why should I stop taking Vitamin E prior to rhinoplasty surgery?

Because vitamin E can be a mild blood thinner, it is advised that patients avoid it for two weeks before and after surgery as it exacerbates swelling and increases the risk for hematoma and other post-rhinoplasty complications.

Is a long nose only shortened by rotating the tip?

It depends on the nose which the surgeon is starting with. This type of technique is ideal for patients who have the combination of a droopy tip and a long nose. However, if the tip is normally rotated, there is no need to mess with it and the issue would be better resolved by shortening the septum and bringing the inferior tissues upward. Consultation with a surgeon is probably the best way to determine a patient’s course of action here.

Is the late 40s too late to have a rhinoplasty?

No, not at all. Anytime after ages 15-17 for women and 16-18 for men is perfectly reasonable to have a rhinoplasty. However, the key is finding a board-certified surgeon specializing in nasal procedures that has before-and-after work to your liking. Please do your homework in figuring out who is best for you and do not let pride guide you.

When can I tan post-rhinoplasty?

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

When can I masturbate post-rhinoplasty?

I would wait at least 3-4 weeks before performing any activity which increases heart rate simply because of the risks of hematoma and bleeding due to increased blood pressure.

Why does my upper lip look longer after my rhinoplasty?

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

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).

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.

What are some alternatives to surgery?

Although strategies for nasal beautification are not as effective or long-term as a full rhinoplasty, they can be good short-term fixes. The main alternative to surgery is the use of fillers like Restylane or Radiesse which camouflage defects by filling in areas around the site of defect. But, these must be used judiciously because, otherwise, the patient risks having too much filling in areas where it is not necessary.

Can rhinoplasty be done without anesthesia?

Unfortunately, not simply due to the painfulness of the procedure without anesthesia and the risks associated with it.

How to choose your Rhinoplasty surgeon

You should inquire about the following when choosing a surgeon:

1. Credentials: Is he a Board Certified Facial & Plastic surgeon? Is he aslo an ENT? How long has he been in practice? First and foremost you need someone who is well trained.
2. Gallery of Work: When you see their before and after gallery does it impress you? There are no guarantees, but the past is a great predictor of the future. You should consider whether the surgeon has experience with your ethnic type.

3. Simulated results: Computer technology allows the surgeon to virtually adjust your nose. This will show you the philosophy that shapes the surgeons style. Pay attention to how your surgeon describes what he would like to do.

3. Reputation: What does their previous/current patients say? Read some reviews and testimonials about the surgeon and their work.
4. Talents: Is your surgeon artistically inclined ? You want a surgeon who can not only manage the technical aspect, but that they will give you the best looking nose possible.

How can evaluate if my septum is swollen?

This can usually be done with a nasal speculum in a surgeon’s office which can distinguishes healthy septum tissue (pink color) from inflamed septum tissue (red color).

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.

How many follow-up appointments are there post-rhinoplasty?

In general, there can be up to 5 post-op visits, the first being at 7 days to remove the nasal splint, the next being at 30 days, then 3 months, then 6 months, then a year (when full results will be more or less apparent).

How should I fix a newly broken nose?

If the nose was displaced during the trauma, a fracture-reduction rhinoplasty may be necessary. However, depending on how soon the corrections take place, the treatment may require re-breaking of the nose through an osteotomy and resetting of the nasal bones. Consult your surgeon about this before proceeding.

How can I treat a ski-slope nose and upturned tip post-rhinoplasty?

Patients who have these conditions after a rhinoplasty will most likely be in need of a revision rhinoplasty where cartilage grafts are reintroduced to give more support to the tip and fillers are introduced to augment the bridge.

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.

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