Rhinoplasty (Nose Job)

Dermatology, Cosmetic and Plastic Surgery in New York City (NYC) and Manhattan

Rhinoplasty – more commonly referred to as a “nose job” – is a surgical procedure used to change the size and/or shape of your nose. Because of its central location, your nose significantly affects the overall balance and proportions of your face. Minor changes in the size and contours of the nose can improve the appearance of your other facial features as well.

Since every patient’s reasons for considering rhinoplasty are different, we take great care to listen to your personal goals and desires, tailoring your rhinoplasty procedure to meet your specific needs. With digital photography and computer imaging, we will plan the combination of techniques that will help you achieve the ideal result: a balanced facial profile that complements your overall appearance.

If you are frustrated with the look of your nose and want to see what rhinoplasty can accomplish for you, call us today at (888) 610-3133 to schedule an initial consultation with our experienced New York City plastic surgeon.

Problems Rhinoplasty Can Correct

Some of the most common aesthetic problems people have with their nose include:

  • Too large
  • Too wide
  • Crooked
  • Bump or hump in the bridge
  • Bulbous or “boxy” tip
  • Overly large nostrils
  • Drooping tip

Many people also have restricted nasal breathing because of a deviated septum or enlarged turbinates. These problems can be addressed with rhinoplasty as well.

During your personal consultation, we will examine your nose’s structure, review your medical history, and listen carefully to your cosmetic goals to determine whether or not you are a good candidate for rhinoplasty.

Are You a Candidate for Rhinoplasty?

The ideal rhinoplasty candidate should be in strong overall health, with one or more of the problems listed above. Rhinoplasty can be performed as young as age 15-16, since this is generally when the nose has finished development.

Your expectations are one of the most important factors to consider in rhinoplasty candidacy. Rhinoplasty cannot be an impulsive decision; it should only be undertaken when you are in a stable psychological state, with realistic expectations about what the procedure can accomplish. We can help you set these expectations and fully understand them, providing you with the details you need to make an informed decision about rhinoplasty.

The Rhinoplasty Procedure

Generally speaking, there are two main types of rhinoplasty:

  • Closed rhinoplasty – All incisions are made inside of the nose, with no visible scarring. This limited type of rhinoplasty is often performed when only a small modification of the bump on the bridge of the nose is required.
  • Open rhinoplasty – An incision is made in the skin between your nostrils (called the columella) to improve visibility during the procedure. This incision usually heals well, and the shadow of your nose hides the scar, making it barely noticeable. An open rhinoplasty may be recommended for more complex cases.

In both types of rhinoplasty, the goal is to access the structural framework of your nose in order to make the necessary changes to its appearance. Rhinoplasty is always performed with a combination of techniques customized to your unique anatomy and goals.

The profile of your nose can be elevated or lowered, while the structure of the nose can be sculpted and narrowed by performing an osteotomy (a controlled fracture). The nose tip is sometimes sculpted by removing existing cartilage, or supplementing cartilage through grafts. Cartilage grafts can be sourced from within the nose (e.g. the septum) or another area of your body, such as the ear. 

Packing the inside of the nose is only rarely used after rhinoplasty. However, if your procedure required significant work on the septum or internal valves within the nose, we may place packing that can be removed after 2 days (48 hours). We will advise you ahead of time if packing may be necessary in your case.

Recovery from Rhinoplasty

You will be able to return home on the same day as your rhinoplasty surgery with the help of a friend or family member. We suggest you take at least 7 days off work after rhinoplasty. However, many patients are able to return to work after just 5 days, especially if their rhinoplasty did not involve an osteotomy (fractures of the nasal bones).

Mild bruising is common after rhinoplasty, and usually resolves on its own after 7 to 10 days. (Note: If an osteotomy was performed during your procedure, bruising can take longer to fade.) After about a week, your nose splint and bandages will be removed, and you will already be able to see improvement in your nose’s shape. However, swelling will continue for several weeks after rhinoplasty. Although the majority of the most visible swelling will fade after this time period, it usually takes 6 months to a year before the final shape of your nose is apparent.

Most people do not experience major discomfort after surgery, but over-the-counter mediation can be used to control pain if necessary. Light exercise can be continued 4 to 6 weeks after rhinoplasty, but you should wait at least 6 months resuming activities involving contact. We will follow up with you throughout the recovery process to make sure you are healing properly, and to advise you when it is safe to return to certain activities.

If you have further questions about rhinoplasty, please contact JUVA Skin & Laser Center today or call (888) 610-3133 to schedule an initial consultation. We serve patients throughout New York City and Manhattan.  

 

Bruce E. Katz, M.D., Director
60 East 56th Street, Suite 2,
New York, NY 10022-3204
212.688.JUVA (5882)or MediSpa: 212.421.9501
Fax: 212.421.9502

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