Rhinoplasty

Rhinoplasty NJ or nose job NJ. Dr. Kassir is the best rhinoplasty surgeon in NJ. Find rhinoplasty NJ answers and see results from one of the best New Jersey rhinoplasty surgeons.

As seen on

plastic surgery nj

Book your consultation today &
get $100 towards your first treatment!

best plastic surgeon NJ

About Rhinoplasty

by Ramtin Kassir, M.D., F.A.C.S.

Do you have any problems breathing through your nose or do you have chronic nose or sinus complaints? Has a prior injury made your nose out of proportion to your other facial features?

Rhinoplasty or nose job surgery, is the surgical procedure that involves changing the shape and size of the nose. Dr. Ramtin Kassir MD performs this procedure for his New Jersey patients that involves reshaping the nasal bones and cartilages to produce a balanced and harmonious nose that blends with the person's facial features.


What is Rhinoplasty?

Rhinoplasty, or cosmetic nasal surgery, improves the shape and size of the nose. The procedure can remove a hump, change the shape of the nasal tip, and straighten the nose. The size and shape of the nostrils can be changed. The goal of rhinoplasty is often to achieve better harmony between the nose and the other facial features. Dr. Kassir is a triple board certified surgeon who has performed thousands of rhinoplasty surgeries for his patients and is considered to be one of the best Rhinoplasty surgeons in New Jersey and NYC.

Rhinoplasty has become one of the most popular facial plastic surgical procedures in recent years as more and more people seek to change the appearance of their noses. Many are unhappy with the nose they were born with while others have had the shape of the nose distorted from an injury. Disorders of nasal breathing and sinusitis often complicate the situation. A range of techniques are used to fully address the desired change in appearance as well as to improve nasal breathing and correct chronic sinus infections. Sinus surgery, if indicated, is done with endoscopes to avoid any visible incisions.

Rhinoplasty may be performed under general or sedation anesthesia on an outpatient basis. Most health insurance plans still provide some coverage for functional nasal surgery and sinus surgery.

Good Candidates For Rhinoplasty

Are you thinking about having a rhinoplasty surgery? Healthy teenagers and adults who wish to have an improvement in their nasal appearance are good candidates for the rhinoplasty procedure. The decision about having the rhinoplasty operation is a very important and personal one. You should first consult with Dr. Kassir at his surgical clinic in the Wayne, NJ, 799 Park Avenue, NYC, or Ridgewood NJ office before deciding on the operation. For most patients that undergo this nose job procedure, the results are life changing. Patients describe an increase in confidence and boost in self-esteem. The ideal NJ and NYC candidates for rhinoplasty are:

  • You are unhappy with the size and/or shape of your nose.
  • You have breathing problems limited to your nose.
  • You suffered an injury that has altered the look of your nose.
  • You have breathing problems.
  • You are over the age of fifteen.
  • You have good physical and emotional health.

Does Insurance Cover Rhinoplasty?

Insurance may cover some of the functional aspects of rhinoplasty. In other words, those procedures that improve breathing:

  • opening sinus drainage pathways (endoscopic sinus surgery),
  • shrinking large turbinates (turbinate reduction),
  • straightening a crooked septum (septoplasty),
  • valve surgery (placing cartilage grafts to stabilize the breathing passage).

Different Kinds of Rhinoplasty Procedures:

Dr. Kassir performs many different kinds of rhinoplasty procedures in NJ, including:

Revision Rhinoplasty: Revision Rhinoplasty is performed when the initial rhinoplasty procedure is unsatisfactory.

Teen Rhinoplasty: Dr. Kassir is an expert in Teen Rhinoplasty in New Jersey.

Ethnic Rhinoplasty: Dr. Kassir commonly performs African American rhinoplasty, Asian rhinoplasty, Hispanic rhinoplasty, and Middle Eastern rhinoplasty.

Celebrity Rhinoplasty: Dr. Kassir is a leading expert in celebrity rhinoplasty.


See Dr. Kassir's RealSelf reviews

Rhinoplasty: Questions & Answers

How does the nose change from ages 10-21 (male)?

Generally, during puberty, there is an explosion of growth in the nasal and jaw areas (disproportionately so compared to the rest of the body). When this happens, slight imperfections may be accentuated —- similar to how enlarging a photo can reveal hidden flaws. As such, it is normal for slight bumps to turn into larger dorsal humps, etc.

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.

Can I reduce my large nose to a much smaller nose?

It is important for patients to recognize that surgeons have a responsibility to modify the nose in a way that makes it look natural in relation to the rest of the surrounding facial features. Thus, while surgeons can reduce a nose via manipulation of the underlying cartilage and shortening of the septum, it must look aesthetically pleasing.

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.

When can I do intensive cardio post-rhinoplasty?

It is probably best to wait 4-5 weeks or so before beginning “Insanity-type” cardio workouts simply because of the risk of increasing blood pressure and inducing nosebleeds.

What is tip refinement?

Tip refinement is, to put it in general terms, the re-contouring and re-shaping of the nose tip for better appearance. This usually involves the addition/removal of cartilage from the tip and the suturing of the results, in addition to the use of cartilage grafts for people with thick skin to heighten the nasal tip.

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.

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.

Is columellar stiffness a problem post-rhinoplasty?

Due to the incisions made in the columella area during the surgery, it is normal to experience swelling and tightness in that particular region for up to a year post-rhinoplasty. I wouldn’t personally worry about it.

I am a teenager whose nose has been getting more crooked with time. Is this normal?

During puberty, there is an explosion of growth particularly in the nose and midface areas, meaning that any noticeable features which existed before generally become more noticeable. However, by ages 15-17 for women and 16-18 for men, the growth should stabilize, at which point septoplasties and rhinoplasties can be performed.

Will my nose rotate upwards as the swelling heals post-rhinoplasty?

It depends where the swelling is. In some patients, there is swelling in the supratip region which weighs down the nose and causes it to droop. The subsiding of the swelling will thus cause the nose to correct itself and rotate upward.

Why do I have a bulbous, upturned tip post-rhinoplasty?

If this question is posed within a year post-rhinoplasty, both the bulbousness of the nose and the upturned appearance of the tip are probably both due to post-rhinoplasty swelling. These will all be resolved gradually within a year post-rhinoplasty.

Is there significant risk of smoking marijuana related to the anesthesia?

No, there has not been enough scientific studies to establish any sort of link between smoking marijuana and discomfort/pain following anesthesia. But, why risk it?

Does septoplasty and rhinoplasty get covered by insurance?

As stated in another query, rhinoplasties are strictly cosmetic procedures and are usually not covered by insurance. However, septoplasties (often performed concurrently with rhinoplasties) are functional surgeries which can be used to correct breathing defects and are thus usually covered by insurance providers.

Why do I have a whistling nose post-rhinoplasty?

If work was performed on the septum (septoplasty, harvesting of cartilage from the septum), there is a chance that this may be the result of a septal perforation. However, it is best not to jump to conclusions as it may also just be a large mass of crusted blood and mucus in the nose (especially if it is early in the post-op period). This is best addressed by examination by the surgeon.

Who are the best rhinoplasty surgeons in Chicago?

It is difficult for me to call this for myself. It is more of a decision for the patients, that is, “Who is the best surgeon for you?” When evaluating surgeons, patients need to make certain that their surgeon of choice is board-certified, specialized in their desired type of procedure and has experience doing these surgeries, has satisfactory before-and-after photos, etc.

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.

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.

When do Kenalog injections begin working?

Surgeons will typically space out Kenalog injections between 4-6 weeks apart. Swelling subsides gradually up the 6-8 week post-op mark.

Why do I have a hard tip following rhinoplasty?

A hard tip following rhinoplasty is most likely caused by residual swelling or scar tissue which may have formed, as well as cartilage grafts which may have been used during a patient’s rhinoplasty procedure. As I mentioned in previous queries, the tip of the nose undergoes the greatest proportion of the swelling post-rhinoplasty, so healing takes a while in this area.

How can I correct my broken nose?

Correction of a broken nose involves a procedure known as open reduction which involves the creation of osteotomies (controlled fractures) to realign the septum of the nose. In some patients, spreader grafts might be necessary to ensure that the nose does not collapse during or after surgery.

When will cartilage reabsorb after a rhinoplasty?

Cartilage reabsorption in a graft is not ideal as this cartilage was placed in an effort to support the area in which it was placed. Some reabsorption does take place following a year post-op, but not significantly enough where it would cause issues.

Can I use septal cartilage to lengthen the tip?

Yes this can certainly be done. Cartilage is often harvested from the septum, the ear, or the rib (in order of preference) in order to lengthen the nose and to give the tip more definition.

What type of anesthetic is used during a rhinoplasty?

During a surgery such as this, a top priority among surgeons is the patient’s comfort and safety. Thus, we suit the anesthesia to your needs and wants. Patients can choose from local anesthesia (patient is fully awake and the area is numbed), local sedation (patient is given local anesthetic plus a sedative so that he or she falls asleep during surgery), or general anesthesia (patient is fully sedated and given a breathing tube). Patients with health problems may be recommended for the first two options as general anesthesia puts more strain on the heart and the lungs.

Should I be bleeding after a rhinoplasty?

Some bleeding is generally expected post-rhinoplasty within the first few days, but bleeding in which the dressing is soaked or blood is emerging from the pharynx (throat) is rare. For this, consultation with a qualified ENT surgeon might be necessary. If the bleeding in question is years post-rhinoplasty, it is more likely caused by dryness in the nose, as are most nosebleeds.

How can I tighten my nasal skin post-rhinoplasty?

Generally, skin will not need any help contracting and tightening appropriately following a rhinoplasty, so patients with abnormally looser skin are encouraged to wait it out and check for new development. However, steroid injections may help alleviate some of these problems.

Can I get a rhinoplasty at age 14?

As I addressed in another query, it is recommended that patients wait until their nose is fully developed before choosing to go ahead with rhinoplasty. Timing for a rhinoplasty after ages 15-17 for women and 16-18 for men is the ideal.

What can I do for a drooping columella post-rhinoplasty?

A drooping columella can be addressed by removing a small section of skin and cartilage from the area and then simply patching up the area.

My external splint fell off post-rhinoplasty. What should I do?

If it has not been a week post-rhinoplasty, I would recommend contacting your surgeon immediately. Splints are generally made to stay on for at least a week post-rhinoplasty.

What foods are ideal after a rhinoplasty?

Hot liquid and spicy foods dilate blood vessels and increase the risk of bleeding post-op, so it is best to avoid these types of food for about 24-48 hours post-op. After this, the swelling will begin to subside gradually and diet will become less of a concern.

Will the cartilage graft used in my rhinoplasty soften up eventually?

The reason why patients are often told that rhinoplasties take up to a year or so to fully heal is due to the healing of scar tissue and cartilage grafts which are often used during the procedure to give more support to the tip of the nose. However, if rib cartilage was used, then this may remain noticeably more firm than the rest of the cartilage in the nose (which is why rib cartilage is used as a last resort).

Can a 16-year old girl get a rhinoplasty?

The surgeon and the girl’s parents must consider this question and evaluate whether the patient is physically and emotionally ready for the procedure. However, at 16 years old, a female patient would be within the “safe zone” of having a rhinoplasty done.

What is the best material for nasal implants?

Your own cartilage, particularly septal cartilage (or ear cartilage, if not enough of this is available), is the best choice for implant as it mitigates a lot of the risks of silicone, Gortex and other implants including movement, warping (twisting out of shape), infection, etc.

Why do I have upper eyelid swelling post-rhinoplasty?

Especially if an osteotomy was performed, this is a perfectly normal symptom of a rhinoplasty. Patients are advised not to concern themselves if something like this were to happen.

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.

When can I wear makeup after a rhinoplasty?

Because of the inherent difficult in keeping the splint dry when there is makeup next to it, it is recommended that patients wait until the splint is removed (1 week post-rhinoplasty) before applying makeup.

What is the best way to fix Pollybeak deformity?

A pollybeak deformity (the name given to supra-tip fullness in a patient) can be corrected often by removing some septal cartilage and reinforcing the tip of the nose —- which tends to drop —- via the placement of a cartilage graft. Steroid injections may also help as the deformity may be the result of excess scar tissue.

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.

How can I fix a natural ski-slope nose?

A natural ski-slope nose may be best addressed by inducing less projection of the tip (deprojection) and perhaps placing some septal or ear cartilage along the patient’s supratip area to introduce fullness into the area.

My nose tip dropped too much post-rhinoplasty. What can I do?

Depending on the time frame, I would wait until a year post-op to begin considering revision surgery. However, further support in the tip may be necessary via a strut graft.

Can shaving the nasal bones reduce the width of the nose?

Theoretically, yes. However, this is a relatively temporary fix and also makes the lower nose look much wider and misshapen. In cases where the bridge is seen as too wide, a full rhinoplasty may be required, complete with osteotomies (which break the bone in a purposeful manner).

Can the cartilage be fractured without breaking the bone in the case of nasal trauma?

It is certainly possible for nasal trauma to fracture cartilage and cause deviation of nasal tissues without actually breaking the bone. In this case, separation of the cartilages in the nose may be necessary for evaluation and cartilage grafts will be introduced to supplement weaken structures.

How bad is Rhinoplasty Swelling?

Swelling after rhinoplasty varies depending on the what and how much work was done on the inside of the nose. Our general advice to patients is to expect that 80% of the swelling subsides after 2 weeks, and 90% after 2 months. Healing will be complete by about a year after the procedure. We have patients avoid any type of medications that may thin their blood (aspirin products, garlic, vitamin E, etc), and have them supplement with Vitamin C, arnica and other homeopathics prior to the surgery. It is very important to avoid alcohol before and after the procedure. If necessary we can give steroids to reduce excessive swelling post operatively.

Can nasal tubes help you breathe post-rhinoplasty?

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

Can 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.

What is the best scar cream after an open rhinoplasty?

This should probably be best addressed by your surgeon, but personally, I believe time is probably the best healer for scars especially if it is soon post-op.

Can you change the shape of your nose non-surgically?

Unfortunately, changing the shape of your nose requires movement and repositioning of the underlying skeleton and cartilaginous structure. Fillers and other non-surgical tools will typically only camouflage defects like a dorsal hump, etc by filling it areas around the defects.

How long does swelling last post-rhinoplasty?

Most, if not all, of the swelling will disappear by the one-year post-rhinoplasty mark. However, the majority of the swelling should be gone within 3-4 months post-rhinoplasty.

What is a “good” male nose?

Male noses generally have straight bridges without deviation/curvature, thicker skin at the tip, and are generally a bit larger than female noses.

Why do some many people regret rhinoplasties?

The main reason why people regret their rhinoplasties is generally because they are dissatisfied with their surgeon’s performance. In order to prevent this from happening, it is suggested that patients thoroughly research their surgeon prior to going ahead with surgery and make sure that their expectations are realistic and align with the plans of their surgeon. Communication is key to this step.

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.

How soon can I get pregnant post-rhinoplasty?

If patients are trying to have a baby, it is advised that they wait at least 6-8 weeks before pursuing any vigorous activity like sex simply because of the risk of bumping the nose and also increasing blood pressure and triggering nose bleeds.

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.

Can I have an upper lip lift at the same time as my rhinoplasty?

Generally I would remain cautious about this, because traditional upper lip lifts can leave a scar that presents problems when combined with a rhinoplasty.

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.

How can I reduce swelling post-rhinoplasty?

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

Why did I develop a dorsal hump?

Patients may experience the growth of a dorsal hump after trauma to an area which can prompt bone-producing cells (osteocytes) and cartilage-producing cells (chondrocytes) to build up that area. However, formation of a dorsal hump (if this is not the case) can often be due to genetics.

How do I ask my doctor about getting a rhinoplasty in addition to my septoplasty?

This is very simple as both procedures are often performed concurrently, although the septoplasty will be covered by insurance and the rhinoplasty will most likely not be. However, check if the surgeon has experience with both surgeries and is board-certified.

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.

Can nasal bones shift back after an osteotomy?

Sometimes, it is possible for a couple nasal bones to shift here and there which is why patients, especially within the first month post-op, should be extra careful not to disturb any areas on the surgical site.

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.

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.

I had bad acne breakouts following removal of the tape. What should I do?

This is especially common due to the blockage of sebaceous glands on the skin by the tape. Common acne regimens should be fine to help alleviate this.

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.

How long is a rhinoplasty procedure?

A typical rhinoplasty will take around 2 hours to perform.

Will my smile be normal after rhinoplasty?

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

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

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

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 picking the nose post-rhinoplasty impact results?

If you have to ask the question, I would say you answered it yourself. Any poking or prodding of a surgery site, especially within the early weeks of the post-rhinoplasty period, will inevitably cause undesired results.

What should I do if I get an infection post-rhinoplasty?

Serious infections following a rhinoplasty are exceedingly rare. However, when they occur, they are very easily treated like any other infection, with antibiotics and careful monitoring by the surgeon.

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.

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.

Do I need to remove my piercings pre-rhinoplasty?

Yes, it is necessary because cauterization during the procedure can cause severe burning of the nasal tissue AND because they present a risk for infection because they penetrate underlying soft tissue, not just the epidermis of the skin.

Can an alarplasty serve as a quick fix nose job?

This depends on what exactly the patient’s needs are. If the only concern is wide nostrils, then an alarplasty or a Weir reduction is ideal. However, neither of these procedures addresses questions about the tip of the nose or the bridge which are often problem areas for patients requiring a nose job.

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.

Contact Jaime to find out more. Click here or call 973.692.9300

Dr. Ramtin Kassir © 2017

Top Plastic Surgeon in NJ | Plastic Surgery NJ

Click to contact us

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

Plastic Surgeon 4.9 out of 5 stars - based on 1208 reviews