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

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.

I have purple spots on my nose post-rhinoplasty. What should I do?

Patients with this condition should contact their surgeon immediately. While it may just be localized bruising, this may also be a sign of unhealthy pressure from a cartilage graft in the skin or decreased blood flow to the area that could result in necrosis of the tissue.

Can my rhinoplasty be done with local anesthesia?

Technically, it can be. However, particularly if osteotomies are performed, the sound of breaking bones and the general discomfort of injecting local anesthesia may cause anxiety and discomfort for the patient, so general anesthesia is usually the best option.

Can a broken nose be fixed under local anesthesia?

This can be done, especially if the broken nose is corrected within a week of the original trauma. However, if the broken nose is on a child, sedation or general anesthesia may be more appropriate given the painfulness of the needles.

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.

When can I smoke marijuana post-rhinoplasty?

Smoking any substance like marijuana will cause pulmonary irritation that will cause a longer healing process. I would recommend waiting at least 3-4 weeks before doing anything of the sort.

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.

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.

Are African American rhinoplasties more difficult/impossible to perform?

Although it can be difficult to perform a rhinoplasty on African-American patients simply because of the tendency for surgeons to modify the nose to Caucasian standards (make it overly thin, etc). There are surgeons who have plenty of experience in ethnic rhinoplasties such as this, so African-American patients are better off consulting with these surgeons.

How much will a rhinoplasty for a broken nose cost?

In general, a rhinoplasty for a deviated septum will cost somewhere in the neighborhood of $8,000-$10,000. However, this can vary widely depending on factors like geographic area, anesthesia used, etc.

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.

Can I sleep on my side post-rhinoplasty?

Patients can sleep on their sides post-rhinoplasty. However, it is suggested that they maintain extra caution to not bump their nose on the bed frame or a pillow. It might be advisable to sleep with extra pillows under your head to help with this and to counter swelling which will occur in the few days post-rhinoplasty.

Why is my nose tip still swollen after surgery?

As stated in other queries, the true results of a rhinoplasty do not materialize fully until after a year post-op. Residual swelling particularly in the tip is extremely common among rhinoplasty patients, so no concern is necessary if this condition persists.

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.

How is the nose shortened during rhinoplasty?

This is up to the discretion of the surgeon. However, some methods can include reducing of the septum, upward rotation of the tip (in the case of longer noses with droopy tips), and modification/elevation of the tip cartilages.

Why did I have an infection one year post-rhinoplasty?

An infection post-rhinoplasty can have many causes, including an infected implant, introduction of a foreign body, etc. When an infection occurs, patients are advised to look for the cause by having any mucus or discharge cultured and to take the antibiotics which are recommended by their surgeons.

When can I swim post-rhinoplasty?

It is acceptable for patients to go back in the pool after a month or so post-rhinoplasty, but take care not to bump your nose on anything. I would, however, postpone swimming in the ocean to 8 weeks because of the risks of a bleeding nose and the subsequent problems which could occur with sharks and other wildlife.

I am developing a line in the middle of my nose post-rhinoplasty. What is it?

Though it is difficult to say for sure without an in-house consultation, this may be a sign of potential irregularities in the cartilage and bone where osteotomies were performed but the bones did not come together quite as nicely as your surgeon may have hoped. This problem can usually be fixed with fillers or cartilage grafts.

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.

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.

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).

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 bad if the surgeon left in a stitch?

Not necessarily. I would not recommend trying to remove it yourself, but would rather opt to go to the surgeon for professional removal in order to prevent infection.

There is hollowing under my eyes post-rhinoplasty. Did I do something wrong?

Likely not. This is probably just residual swelling. Give it time to heal.

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.

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.

Is twilight sedation preferable to general anesthesia for rhinoplasty?

Both methods can be used for rhinoplasty. However, twilight sedation has been shown to produce less post-rhinoplasty nausea. However, in this procedure, patients are not given a endotracheal breathing tube which is up to the patient’s discretion.

How many Kenalog injections are necessary post-rhinoplasty?

This cannot really be answered definitely. Kenalog injections, which are generally spaced out 4-6 weeks apart, are used in select post-rhinoplasty cases where the swelling has not gone down enough. However, these injections must be used judiciously as excessive steroid injections can cause unneeded thinning of the skin.

What are the things to look forward to during Rhinoplasty Recovery?

1. Pain: There is very little pain; most patients don’t take their pain medicines
2. Swelling: The worst of the bruising and swelling is seen in the first 48 hours. If warranted we give steroids to expedite this process.
3. Packing: More often than not we don’t pack the nose and patients like this.
4. Bruising: The use of endoscopes and tissue glues minimizes bruising. For prevention we have all patients take vitamin C, arnica, pineapple, and bromelane prior to surgery. NO alcohol – this creates swelling in the nose up to several months after surgery!
5. Splint: We take the splint of after 1 week.
6. Activity: You should not exercise for 2 weeks, and not participate in any contact sports for 6 weeks.

Is it possible to change the tip or completely reshape the nose during a rhinoplasty?

Going into a rhinoplasty, a patient must be aware that there is only so much a surgeon can actually do. In other words, we cannot completely reshape a nose into a form which it is not, but we CAN modify its existing structure. A droopy tip, for example, can easily be fixed.

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.

Can I achieve adequate tip definition even with thick skin?

Because thick skin is generally more elastic and less pliable, it tends not to drape as gracefully over the newly aligned cartilage and bone in a rhinoplasty. That being said, however, notable results still can be achieved with ethnic rhinoplasty via the use of cartilage grafts to give the underlying framework of the nose under the skin more definition that will be apparent even under thick skin.

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.

How long does a nose job last?

Ideally, patients will only require one rhinoplasty within their lifetime. Subtle changes will occur over time: the tip of the nose will begin to descend gradually, because the new nose ages with the rest of the body. However, such changes are subtle and will not require additional surgeries.

I’m having grayish discharges following an implantation in my nose. Is it infected?

If patients do not experience any unusual discharges or pain, it is doubtful that simple, grayish-clear discharge is the result of an infection. It is probably more likely that it is sinusitis. Consult with your physician to make sure, however.

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.

How long do Kenalog injections take to work?

Many patients feel the Kenalog working within the first two weeks of injection, but may even feel it as soon as 1-2 days post-injection. Often, surgeons will follow up the initial injection with another one 2-4 weeks after the first one.

I have a hole in my septum, but it does not go through all the way to the other side. Is it a septal perforation?

This may be a question best answered by your surgeon, but a hole which does not go all the way through the septum does not constitute a septal perforation.

What does a nasal valve collapse surgery entail?

Generally speaking, this procedure involves the use of cartilage grafts to strengthen the cartilage on the inner nasal wall and to widen the openings. Collapse of the internal nasal valve requires a spreader graft, which is more intensive. Collapse of the external nasal valve may be alleviated with a smaller graft.

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.

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.

What is this bump on my nose following rhinoplasty?

Bumps on the nose following rhinoplasty are generally the remnants of swelling and will usually resolve themselves after 3-4 weeks post-rhinoplasty. Harder bumps may also be evidence of calluses forming in the healing bone which will eventually dissipate as the healing process occurs. Either way, patients should not concern themselves when this occurs.

When can you resume fish oil and multi-vitamins post-rhinoplasty?

The standard answer for this is generally about 2 weeks, but consult with your surgeon and ask his/her opinion since different surgeons will handle this issue differently.

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.

Should I get a rhinoplasty during high school?

Generally, after ages 15-17 for women and 16-18 for men, rhinoplasty can be done. However, patients in high school should consider whether they are ready for any side-effects and complications from the surgery which could occur including swelling, bruising around the eyes, etc. If not, they could consider having it done before college.

How much will it cost to correct a bulbous tip and a profile?

This can be done via a rhinoplasty which will generally hover in the cost neighborhood of about $8,000-$10,000.

Will taping my nose down after a rhinoplasty help bring it down?

Swelling at the tip can derotate the nose (rotate it upwards). I would not touch the results and wait for the swelling to subside.

My nasal passage is very narrow. Can it be improved via a rhinoplasty?

Breathing issues can be the result of several factors including a deviated septum, valve collapse or augmented turbinates, which can be corrected via a septoplasty, spreader grafts, and turbinate reduction surgery respectively. Generally, these procedures are considered functional (necessary to correct a defect) and can be billed to the patient’s insurance company.

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 a wide, flat nose be fixed via rhinoplasty?

A wide, flat nose is typically among certain ethnic communities, particularly those of East Asian or African-American ancestry. Cartilage grafts from the septum or the ear will often help adjusting the nose in order to give it more “height” and protrusion and this can be done during a 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 should I ask my doctor during my rhinoplasty consultation?

Excellent question. Some things to ask your surgeon before you allow him to operate in order to determine whether he/she is worth your time could include:
What board certifications do you have?
How many rhinoplasty surgeries have you performed, especially within the last year?
May I see before and after pictures of your work, particularly with my type of surgery?
How much will this surgery cost? And how many revisions have you had to do on your work and what does that cost?
What sort of anesthesia do you use for my type of procedure?
Which hospital are you affiliated with?

What can I do to prevent columella scarring post-rhinoplasty?

Unfortunately, there is very little patients can do to actually prevent scarring. Still, the scars will tend to heal fine if given enough time.

How long should I not drink alcohol prior to surgery?

As a benchmark, try to avoid anything that increases the risk of excessive bleeding during surgery starting 1-2 weeks prior to surgery. This includes alcohol, herbal supplements, fish oil, and non-steroidal anti-inflammatory medicines like ibuprofen

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.

What I can do post-rhinoplasty to reduce scar tissue formation?

Other than staying protected from sun exposure for at least 4-6 weeks post-rhinoplasty, there is little that a patient can do to prevent scar buildup as it is a product of the body’s natural healing process and varies widely from patient to patient. Fortunately, heavy scarring is rare following a rhinoplasty and, in the extreme cases where they do occur, steroid injections have been shown to reduce or even completely mitigate their appearance.

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 can I have a facial after a rhinoplasty?

Due to the trapping of sebaceous fluids in the pores due to the surgical tape, it is common for patients to experience acne breakouts post-op. You should be ready for gentle cleaning at around 1 month post-op, but, if the nose is still sore, wait a couple more weeks beyond that.

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.

There is significant swelling in my tip post-rhinoplasty. Should I be worried?

Due to the repositioning of cartilage which occurs extensively in the tip of the nose during rhinoplasty, the tip is one of the most prone areas to swelling post-rhinoplasty. Patients should not be concerned if the tip appears swollen for a longer period of time than other areas of the nose post-rhinoplasty.

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.

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.

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.

My nose is runny after rhinoplasty. What should I do?

This is a condition called vasomotor rhinitis which can be resolved with sprays like ipatroprium bromide or atropine. Consultation might be necessary, however, to make sure it is not part of a more serious issue.

My nose should be healed years post-rhinoplasty, so why do I still experience some swelling when I consume alcohol and/or cigarettes?

This is nothing to worry about. After a year post-op, the nose is more or less fully healed. Therefore, the swelling which occurs when cigarette smoke is in the air is probably more of a sign of inflammation or slight allergy due to the irritation of cigarette smoke. Minute swelling can also be caused by alcohol which is a vasodilator that causes the nose to become thicker (“drinker’s nose”).

I’m having dorsal hump removal via rasping. Should I be ready for public presentation in 8 weeks?

Probably. The majority of the swelling will probably have subsided by then.

Why can’t I smile properly post-rhinoplasty?

Patients after a rhinoplasty will generally experience a tightness in the nose tip and upper lip area due to post-rhinoplasty swelling and trauma to the nerves in the area, both of which can alter their smile. However, these issues will generally resolve themselves around the 1-2 month benchmark.

Does any real healing take place after a year post-op?

At one year post-op, patients should generally be close to their final results or should be there already. Patients with thick skin may take a little longer to fully heal and reveal their final shape, however.

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.

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.

Are there cheaper ways to disguise/remove a bump on the nose?

Some cheaper options to dealing with a dorsal hump could be to wear larger-frame glasses which take attention away from the bridge, use non-surgical fillers like Restylane to heighten areas around the bump and make it less noticeable, etc.

I have redness on my nose post-rhinoplasty. Is it infected?

Redness on the nose surface post-rhinoplasty, especially in the first weeks post-op, are generally the result of irritation of the skin by the nasal tape. However, consultation with the surgery may be necessary if patients feel that irritation of the skin is not the issue.

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.

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.

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.

I have alar retraction after my rhinoplasty. What can be done?

This probably can be best solved with the use of cartilage grafts or, as a second resort, injectable fillers.

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.

Why is my nose tip still crooked post-rhinoplasty?

Swelling in the tip, the hardest-hit area in terms of trauma, tends to persist for about a year and can distort the appearance of results. Please be patient in evaluating your results.

How long should I take Arnica and Bromelain for rhinoplasty swelling?

These medications are typically used for anti-swelling purposes and are best used in the week prior to and after the rhinoplasty. If patients do not see any results after this period, the swelling which they believe they might see may be the result of thicker skin (genetic).

Why do I have cartilage lumps post-rhinoplasty?

In most cases, small lumps and bumps post-rhinoplasty are simply the result of residual swelling from surgeries which tends to dissipate over the course of a year. Sometimes, they could be from residual shavings of cartilage which will also be reabsorbed by the body.

I have overprojection and a hard tip following placement of a cartilage graft and a columellar strut. Is that normal?

If the cartilage graft was taken from the rib, this is a perfectly normal symptom as rib cartilage tends to be sturdier compared to septal or ear cartilage. Also, depending on the timeline post-op, this may be a normal part of the healing process and may resolve itself over time.

To narrow the nose, can I have the fat in my nose taken out?

Unfortunately, the amount of fat in the nose is not substantial enough nor is it confined to the right areas (it is mostly in the tip of the nose) to have it drawn out in the effort to correct a wide nose. Narrowing the nose often consists of narrowing the nasal bones themselves via osteotomies.

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.

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.

What causes scar tissue buildup post-rhinoplasty?

Patients must realize that the rhinoplasty procedure, even if done by the most skilled surgeon, does cause a great deal of trauma to the nose. Scarring is simply one method the body uses to heal the wounds caused by this operation.

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.

Can rhinoplasties affect my singing voice?

Correction of a nasal septum deviation during rhinoplasties will definitely cause a change in the voice, the extent of which can vary, due to change in airflow and the subsequent effects it has. However, unless the septum is being manipulated, it is unlikely that other types of rhinoplasty would affect the voice in a noticeable manner.

Why is there tape on my nose post-rhinoplasty?

This is merely for the purpose of reducing swelling.

Is there a risk in flying post-rhinoplasty?

Generally, a week is enough time to fly again post-rhinoplasty (2 weeks for turbinate or septal surgery). Spraying the nose with Afrin ½ hour before take-off and landing will likely help.

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 oily skin damage my rhinoplasty results?

Absolutely not. Oily thick skin may be more difficult to conduct a rhinoplasty on simply because it is less elastic and tends to not drape as tightly around the newly positioned cartilage and bone, thus making the results look less apparent and dramatic. However, no damage can be incurred with this type of skin.

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.

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.

Can I use any herbs or creams to cause cartilage regrowth? My surgeon may have removed too much cartilage.

Unfortunately, a cartilage graft is just about the only thing that can add cartilage to a depleted area.

Can Flonase cause MORE swelling post-rhinoplasty?

In reality, Flonase via its active ingredient fluticasone is expected to reduce swelling, but can cause the opposite reaction in 1/100 or so of its patients. However, I would advise against using any unnecessary sprays and perhaps just sticking with saline. Consult with your surgeon about this, though.

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.

What’s the ideal age for a rhinoplasty?

This is a variable benchmark that depends on the physical maturity of the patient’s nose (operating on a still-developing nose can impede nasal growth), the emotional maturity of the patient, etc. But, generally speaking, after 15-17 for women and 16-18 for men is the ideal.

How bad is smoking marijuana within the first week post-rhinoplasty?

Unlike cigarette smoke, marijuana smoke presents no dangers of nicotine, a potent vasoconstrictor which has the ability to cause necrosis of nasal tissue. However, it does have carbon monoxide which limits oxygen to the surgical site and may lead to tissue death there. In addition, the coughing induced by marijuana can lead to internal bleeding post-rhinoplasty.

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.

Can I cause an infection by picking my nose post-rhinoplasty?

Generally speaking, patients should take care not to exert any pressure on surgical areas post-rhinoplasty. If the crusting bothers patients that much, they may be better served with saline spray.

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.

Should cartilage in my nose “pop”?

If this question is for someone who has not had rhinoplasty surgery, this is typical, as cartilage sections in the nose can slide past one another.

Is it bad to have a nosebleed post-rhinoplasty?

Generally, it is advised that patients avoid any strenuous exercise for at least 6-8 weeks post-rhinoplasty simply because of the risk of bleeding caused by increased blood pressure. One episode of nosebleeds is not particularly serious, however, if the patient remains careful.

What is a septoplasty?

A septoplasty is a procedure which modifies the nasal septum (the wall in the center of the nose) and usually helps with deviation of the septum in order to correct breathing.

Why are osteotomies done instead of rasping in some cases?

Both of these techniques are used in cases where there are dorsal humps. Rasping is used when there is a small dorsal hump and is what patients often refer to as a “shaving” of the dorsal hump. However, in cases where there are large dorsal humps, shaving away the dorsal hump will result in a very flat nose with a larger hole (called an open roof deformity). The solution to this are medial and lateral osteotomies which realign the nasal pyramid and close up the hole in order to produce a more aesthetically pleasing appearance.

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 do I remove this dried blood from my nose post-rhinoplasty?

Post-op cleaning procedures are best addressed by the surgeon who performed the procedure. However, patients who have significant amounts of dried blood on the inside of the nose should have most of this debris removed by the surgeon, and then use saline nasal spray at home to maintain a clean nose.

Are the scars from rhinoplasties too much to handle?

Rhinoplasties come in two main forms: open and closed, with the only difference being that closed rhinoplasties are done via incisions on the inside of the nose (that is, not visible) and open rhinoplasties having more apparent incisions especially on the columella area (the skin between your two nostrils). The incision on the columella in the open rhinoplasty is the only one that has the potential to be apparent, but even these should heal beautifully over time.

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.

When can I lay on my side post-rhinoplasty?

Around two weeks in is a good benchmark for when you can begin sleeping on your side post-op. However, some surgeons may even recommend as soon as 7-10 days.

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.

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.

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.

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.

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 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.

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.

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.

When can I drive after a rhinoplasty?

It is recommended that patients, who are subjected to general anesthesia during a rhinoplasty (at least in my office), have someone drive them home post-op and care for them for the first 24 hours post-op. Patients should try not to drive for at least 3-5 days post-op.

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.

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.

When does swelling subside after the nostrils are narrowed?

With most alar base reductions, the swelling usually resolves completely within about a month post-op.

Can I make my nostrils smaller without surgery, especially after a recent rhinoplasty?

Without surgery, there is no option of reducing nostril size. This procedure consists of taking skin from the inside of the nostril via removal of a crescent-shaped wedge. However, it is recommended that patients wait at least a year post-rhinoplasty to have other changes made on the nose.

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

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