HomeRhinoplasty
If the nasal bones are fractured during a nose job, does the recovery and healing take longer?
If the nasal bones need to be re-positioned during rhinoplasty, you may experience more swelling and bruising after surgery. However, the overall healing process of the nose does not change dramatically. We inform rhinoplasty patients that a significant amount of swelling resolves in the first month after surgery; however, it does take 6-12 months for final refinement of the nasal tip.
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HomeRhinoplasty How often are chin implants combined with rhinoplasty when you want to improve an overprojected nose?
During the initial consultation, I examine the nose and how the nose relates to the other facial features. It is important to assess facial harmony and balance. I have patients who come to me for a rhinoplasty to address an over-projected nose (Pinocchio is a classic example of an over-projected nose). However, during the initial consultation and my evaluation, I may notice the patient has a very small chin. On profile, a small chin will make a nose appear bigger. Sometimes, this is difficult […]
HomeRhinoplasty I’m African American, 33, female. My last nose job was two years ago and involved a Goretex implant to fix a low nasal bridge. I know have a pollybeak deformity which I think is due to improper placement of the implant. Can this be fixed?
Yes, the implant can either be modified or removed and replaced. If removed and replaced, the question is what should we replace the implant with? Options include a similar implants as you previously had. Another option is using your own cartilage, from the rib, with a covering of temporalis fascia, to achieve the desired result. […]
HomeRhinoplasty
I’m Asian with a very low nasal bridge. What material do you use to raise the bridge, Gore-Tex, cartilage, silicone?
In Asian rhinoplasty cases where augmentation is needed to raise the bridge, I prefer to use your own cartilage. That cartilage is obtained from either the nasal septum, the ear, or the rib.
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HomeRhinoplasty I’m a Hispanic male with a wide nasal base. I’ve been doing some research and came across the terms alar wedge and base reduction. Can you explain what these are if they’re the correct techniques?
Alar wedge and base reduction refer to techniques to narrow the nasal base. If you have a wide nasal base, these techniques may address the wide nasal base by narrowing it. The issue is to identify why the nasal base is wide…is it due to excess nostril flare and/or excess nasal sill. Once this is determined, a narrowing technique can be designed to address the […]
HomeRhinoplasty I’ve heard that ethnic rhinoplasty is typically more difficult than Caucasian rhinoplasty. Does this mean that general anesthesia is usually needed? Is the surgery usually performed with the open technique?
I use general anesthesia for nearly all my rhinoplasty procedures. The reasons I favor general anesthesia include the protection of the airway. During rhinoplasty, blood may drip down the back of the nose and into the throat. If the airway is not properly protected, that blood may go into the lungs. With general anesthesia, the airway is properly protected. As well, general anesthesia provides a controlled, comfortable environment for the […]
HomeRhinoplasty I’m African American and I’m about to get a nose job. I’ve heard African American have thick nasal skin. Does this affect the recovery at all and is there anything special that I will need to do to take care of my nose?
Thick nasal skin may result in swelling of the nasal tip after surgery. This swelling will resolve over time. The majority of the swelling will resolve within the first 2 months of the surgery. However, subtle resolution of the nasal tip swelling will continue to occur over 6-12 months after surgery. Another issue to consider is nasal […]
HomeRhinoplasty I’m African American and looking to get a nose job. I love Rihanna’s nose! Could I have mine made to look the same? Is it possible her nose wouldn’t look good on me even though we’re both African American?
While it is fine to identify the type of nose you desire and use a celebrity or model as a potential example, I then take your desires and integrate those desires with our face to maintain facial harmony and assess what is potentially achievable, given the anatomy of your nose. While Rihanna’s nose may look great on her because of her […]
HomeRhinoplasty
I’m Middle Eastern and I’m looking to get a rhinoplasty to have a softer looking profile. I also have a deviated septum that I would like to have fixed. Can both be done at the same time?
Yes, both procedures can be performed at the same time. This is a common request for patients seeking functional and aesthetic improvement of the nose. Depending upon your insurance policy, you may be able to obtain coverage for the functional components of the surgery; however, health insurance would not cover the cosmetic aspects of the procedure.
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HomeRhinoplasty I’m African American and my nose is very flat but also very wide. To narrow it, would you remove excess tissue? And could this tissue then be used to build up my nose to make it less flat?
The African American nose tends to have a wide nasal base. One method to narrow the wide nasal base is with nasal base reduction. This helps address nostril flare. In an effort to make the nose less flat, I use several techniques, including suturing techniques and grafting techniques. The grafts I use are cartilage and the source is from the nasal septum. […]
