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

Can a nose bump be fixed under local anesthesia?

It truly depends on the size of the bump. While small bumps can be removed by rasping under local anesthesia, larger bumps, which carry the risk of open-roof deformity if removed by rasping, require osteotomies which are difficult to really perform under local anesthesia. General anesthesia might be more suitable for this reason, and because of the protection offered by the endotracheal tube (can block blood and other fluids from getting into the lungs during surgery).

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.

I just got a cold a week or so after my rhinoplasty. Anything I should do?

Other than causing congestion and subsequent increases in swelling and post-nasal drip, this should not have a major impact on the final shape of the nose post-rhinoplasty. Patients should just take care not to rub their nose or put any other pressure on it inadvertently.

How long after a rhinoplasty can I resume kissing?

To be frank, this really depends on how much contact with the nose will ensue during the kissing. Gentle kissing can be done probably around 3 weeks post-rhinoplasty, but more aggressive kissing where contact to the nose is a concern should probably wait until around 6-8 weeks.

Would I be turned down for rhinoplasty if I have a bifid tip?

Absolutely not, unless it presents a significant medical issue during the surgery (which is unlikely). In fact, the bifid tip can even be fixed during the procedure by suturing the lower tip cartilages closer together and then filling in the resulting dip in the nose with filler or cartilage.

Is the “work-ready” benchmark of 1 week post-rhinoplasty apply to more physically active jobs?

Depending on the degree of modification to the nose and the procedures performed, patients will generally be work-ready within 6 days to 2 weeks post-op. However, 2 weeks is usually the max, unless patients will be doing a heavy amount of exercise in which case, they are recommended to wait 4-6 weeks.

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.

Did hitting my nose 6 weeks post-rhinoplasty cause problems?

It is unlikely that after 6 weeks post-rhinoplasty, any minor hit to the nose caused irreparable problems in the nose’s structure.

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 “Nose Secret” an effective rhinoplasty replacement?

Many gimmicks like these work to simply temporarily compress nasal tissues, but do not lead to any substantial changes. There is no substitution for professional work when it comes to optimizing nasal structure.

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.

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.

Can I change the angle of my nose tip without breaking bones?

Absolutely. This can be accomplished via a smaller-scale procedure than a typical rhinoplasty known as a tip-rhinoplasty. During this procedure, the tip is refined and elevated via the help of cartilage grafts that will lend more support to the tip.

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 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.

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.

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.

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.

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.

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.

Is swelling post-rhinoplasty hard to the touch?

Firm swelling is common in the weeks post-op mostly in the peritip region, especially if cartilage grafts were used.

Can a bulbous nose be made smaller?

Absolutely, and this is usually done with an open rhinoplasty. The base of the nose is narrowed and support is brought in via septal or ear cartilage to make the tip sturdier.

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.

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.

Is a crooked nose more costly or painful to fix?

Not at all. The procedure of a rhinoplasty often entails osteotomies if necessary, that is, the purposeful breaking of the nasal bones to ensure their correct repositioning. Therefore, there is no additional cost and the “pain” is no more than a traditional rhinoplasty, which is basically none at all.

When does smell and taste come back after a tip-plasty and turbinate procedure?

Taste and smelling will generally be disturbed, particularly if work was done around the septum, for a period of a couple of months to a year. Speaking to an ENT might be the best option for figuring out how to hasten this process.

Why is my tip so stiff 6 months post-rhinoplasty?

Especially if cartilage grafts were introduced, it is normal for stiffness to remain post-rhinoplasty for up to a year due to the trauma which the tip of the nose in particular undergoes during the procedure.

How soon after giving birth can I have a rhinoplasty?

Theoretically, a patient can have a rhinoplasty as soon as 3 months afterwards. However, they must consider whether they will have the time or energy for a cosmetic procedure at this time. In addition, as the narcotics used during the rhinoplasty procedure may pass into breast milk, it is important for mothers to pump and store breast milk in anticipation for the procedure.

When is my nose strong enough to not break after a rhinoplasty?

Generally, nasal bones will be stable enough not to move easily following a month post-rhinoplasty.

Are dark circles under the eyes post-rhinoplasty normal?

This is an indication of blood trapped in the lower rim of the eye, which will eventually dissipate after a period of 6 months or so.

I have a crooked columella months post-op. What is wrong?

Unfortunately, this may require a revision rhinoplasty. It seems that there may have been deformities in the columellar cartilages (medial crura) that were not addressed in the rhinoplasty you underwent or a septal deviation. It is best to consult with your surgeon regarding your options at this point.

What does an alar rim graft do?

Alar rim grafts are used to reduce the height of the ala and correct nostril shape and thickness.

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 I afford a rhinoplasty on a modest salary?

This is probably a question that is best answered by your personal surgeon. The costs of a rhinoplasty is driven by three main factors: operating room time, the surgeon’s individual fee for the operation, and the anaesthesia/individual equipment used. Many offices will have financing options that make these procedures surprisingly affordable.

When can I start lifting weights?

Patients can resume light exercise after 3 weeks post-rhinoplasty and then build up to strenuous exercise over the next couple of weeks after. However, I often recommend that they stop if they detect additional pressure in the nasal area. Increased blood flow to the area could increase the amount of potential scar tissue that forms post-rhinoplasty.

Can I use a tampon or pad during anesthesia for a rhinoplasty?

The only risk associated with tampon use during a rhinoplasty procedure is toxic shock syndrome, which is only an issue if you foresee not being able to change a tampon on a regular basis. Tampons themselves should not interfere with the anesthesia in any way.

There is some nostril asymmetry following my rhinoplasty. Should I be concerned?

Not at all. Again, swelling is a perfectly normal part of the post-rhinoplasty healing process and will take up to a year to fully dissipate (especially in the tip and nostril area). Therefore, most imperfections seen post-rhinoplasty are merely the result of swelling and will also disappear.

What causes dorsal hump formation?

Dorsal humps are usually an accumulation of bone and cartilage which is generally inherited, although trauma to the nose may also cause it (punch to the face, etc.).

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 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.

When does my smile return to normal post-rhinoplasty?

Particularly during septo-rhinoplasties, muscle fibers in the base of the nose and in the upper lip are slightly separated to allow for proper healing of the tip of the nose. Thus, the smile will be a little skewed as the upper lip may not properly elevate. However, this should return to normal within the first few weeks post-rhinoplasty.

What is the difference between silicone and Gore-tex implants?

Both silicone and Gore-tex implants are synthetic, with the former being constructed from siloxane molecule chains and the latter being composed of polytetrafluoroethylene. Gore-tex, while tending to shrink over time (unlike silicone, which is stabilized via a capsule), is also stabilized by the surrounding tissue, but tends to be more difficult to remove if infection occurs. I prefer personally to use the patient’s own cartilage as a first resort rather than these synthetic materials.

Why was an external splint not put on my nose after it was broken?

Although most surgeons will use an external splint in order to protect the results of their work, some (although rare) may opt to just use internal packing in order to realign the nasal bones. However, this method does not work as well as an external splint.

Can facial exercises post-rhinoplasty hurt the nose after rhinoplasty (e.g. Smiling, lifting the cheeks, etc.)?

This should not have a major effect on the rhinoplasty procedure. However, patients are advised that in the period of a couple weeks post-op, the nasal bones still aren’t fully solidified and should be treated carefully.

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.

What should I do about a short nose post-rhinoplasty?

This may simply be a symptom of the swelling which could cause your nose to look bunched up and shorter. However, if this appearance issue does not resolve itself after about a year, it may be the result of an over-shortening of the septum in which case revision rhinoplasty is needed.

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.

How much will rasping cost?

Rasping is considered a rhinoplasty procedure and thus may cost anywhere in the neighborhood of around $3,000-$6,000, depending on the anesthesia used.

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.

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.

Can removing the nasal splint early ruin my results?

As other surgeons will tell you, there are rare cases when patients will remove the nasal splint and, in a majority of those cases, the results of the surgery are permanently altered. Splints are used to hold the nasal skin in place over the cartilage and bones which were modified, so removal of them must be done carefully. Patients will often remove them incorrectly, pulling at the skin and causing irreparable damage to the results.

When is alcohol consumption post-rhinoplasty fine?

Alcohol in moderation should not a problem at around 3 weeks post-op.

Can picking my nose cause nostril asymmetry?

It has been shown that repetitive stretching and pulling of the skin can cause irregularities, but this only occurs with constant pressure. Nostril asymmetry is more often caused by an irregularly shifted nasal midline that can be repaired surgically.

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.

Can the nasal tip be reduced via rhinoplasty?

Patients with a bulbous nose (wide) can easily have this defect correct via rhinoplasty. However, they should also take care to consider additional revisions in the bridge of the nose to ensure that the corrections made at the tip will not look disproportionate.

Does the nasal tip drop after rhinoplasty?

Of course, after the surgery, the nose ages just like the rest of the body and drooping does occur. However, this only occurs at a gradual rate and is unlikely to look unnatural. For patients concerned with the possibility of an upturned nose following surgery, it is important to recognize that there will be significant swelling in the columella region (the bottom part of the nose where the incision was made) that will cause upward rotation of the nose, but this will dissipate over time.

When will I see the final results of a rhinoplasty?

The full results of a rhinoplasty will manifest themselves generally after about 1 year post-rhinoplasty, but patients should generally have an idea about how they should generally look at 6 months (anything afterward is simply refinement of the existing product).

Is nose cracking normal post-rhinoplasty?

This is a very unusual symptom, not at all common. I would recommend seeing a board-certified surgeon immediately to check what the issue might be. It may be the sign of a re-broken nose.

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.

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.

Can rhinoplasty make my nose flatter?

Although this is a rather uncommon request when it comes to rhinoplasties, it can certainly be accomplished via rasping or even an osteotomy to flatten the bridge of the nose. However, given that most people would prefer a thinner nose, I would suggest consulting with your surgeon before having any procedures done.

Is it normal to have headaches every day following rhinoplasty?

Because rhinoplasties often entail the narrowing of the bridge of the nose, it is normal for a minority of patients to experience sensitivity and discomfort for a period of weeks. No concern is needed.

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?

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.

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.

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.

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.

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.

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.

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.

How long should I wait post-rhinoplasty to get steroid injections?

Kenalog injections can be safely administered 4-6 weeks apart as early as one month following the rhinoplasty procedure.

Should my nose continue to grow in my 20s?

Nasal growth typically ends in a patient’s 20s, but other changes may be responsible for making the nose seem larger. Acne outbreaks and rubbing the nose due to allergies may thicken the nasal skin and changes in the underlying nasal bones and cartilage may cause drooping of the tip.

What can I do about blackheads developing on my skin post-rhinoplasty?

Many times, the surgical tape applied post-rhinoplasty will trap sebaceous fluid underneath the skin, prompting acne breakouts. In this case, it is necessary for patients to be gentle in their cleaning, using mild exfoliators and asking their surgeon for advice.

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.

What is septurbinoplasty?

This term can be broken down into two parts: sept- and turbino-. It is a procedure which corrects a deviated septum (sept-) and corrects for enlarged turbinates (turbino-), both of which can obstruct nasal airways. Correction of these two issues is often determined as functionally necessary and will usually be covered by insurance.

When will my ear recover if cartilage was harvested from it during the rhinoplasty?

Patients can sleep on the ear in question within a week or two after the cartilage is harvested, but it may continue to be mildly painful for around 3-4 months, after which it heals completely.

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.

Is it normal for my nose to twitch post-rhinoplasty?

Patients may experience paresthesias post-rhinoplasty, which is a zapping sensation that occurs when sensory nerves begin to regrow in a trauma-affected area. However, twitching is unusual and should be addressed via consultation with the surgeon.

What is a graft and why is it used in rhinoplasty?

A graft is tissue (bone, cartilage, fat, other soft tissue) taken from a region of the body and transplanted to another region of the patient’s body or another person’s body for functional purposes. In the case of rhinoplasties, these grafts can either be contour grafts or structural grafts. Contour grafts are used for aesthetic purposes, that is, to smooth and even out structures in the face, correct asymmetry, etc. Structural grafts are used for support purposes, that is, to provide strength to areas like the tip of the nose, etc. 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.

Are there any risks of removing bumps from the nose?

Depending on the size of the bump, the procedure required to remove it may be as simple as filing away (rasping) the bump or as complicated as actually breaking the nasal bones and repositioning them more inward. Both of these procedures are perfectly safe in the hands of a good surgeon.

Can a rib graft make a nose bridge larger?

The rigidness of rib cartilage definitely makes it useful for procedures like dorsal augmentation (which is what I image you are looking for) and reshaping, especially in the case of revision rhinoplasties. However, there is a greater degree of discomfort associated here than taking cartilage from the septum or the ear because of the numerous muscle attachment points on rib tissue.

Can I workout the day BEFORE surgery?

Yes this should be fine. As long as no workouts are done after surgery and the blood pressure is kept normal, do whatever you want prior to the surgery.

Can thin skin make a rhinoplasty more difficult to perform?

Generally speaking, I would prefer to do rhinoplasties on thin skin as opposed to thick skin. Thin skin does make the outline of the bone and the cartilage more apparent underneath, but it is much more manageable than thick skin which tends to hide results and make the change less dramatic (although some prefer that).

Should I have the dorsal hump on my nose corrected with open or closed rhinoplasty?

Either approach would work, with the open approach having more bruising and a more noticeable scar. However, it is important for patients to consider whether they also need changes in addition to the dorsal hump (e.g. Droopy tip, etc.) which could better be fixed by the open approach.

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 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.

How soon can a revision rhinoplasty be done after the initial one?

Surgeons will advise that patients wait at least a year before considering revision rhinoplasties, simply because the results of the initial surgery will only be fully apparent than and any problems that happen as a result of that initial surgery can be detected and corrected with ONE surgery.

How long will breathing be difficult post-rhinoplasty?

Especially during the first several weeks post-rhinoplasty, swelling in the nasal area and crusting of blood and mucus will cause congestion of the nasal airway and thus inhibit breathing. This swelling will begin to subside, however, and will improve after 2 weeks.

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 is there a transverse crease in my upper lip?

Often, creases in these areas are caused by repeated motions of the muscles, much in the same way that laugh lines or crow’s feet developed. Mild solutions like Botox or Dysport may provide relief.

What is the time frame for steroid injections post-rhinoplasty?

The time frame for using Kenalog and other steroid injections as a way of combating swelling and eliminating scar tissue post-op varies from surgeon to surgeon, with some recommending it right after surgery and others advocating the use of it months after. They are generally spaced 4-6 weeks apart, however.

Can I laugh or smile following a septorhinoplasty?

Of course! Patients are told to avoid strenuous activity like exercise for 6 weeks or so post-rhinoplasty, but smiling and laughing does not go under this category.

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.

How much does alar base reduction cost?

If done under local anesthesia, this procedure will typically run within the $2000-$3000 dollar range. However, this cost can vary depending on geographic area, the patient’s choice of anesthesia, etc.

How can I fix my hanging columella and how much will it cost?

A hanging columella is treated very simply under local anesthesia in which the surgery basically consists of trimming the columellar cartilage to an appropriate length. It is a very easy procedure that should not cost more than $3000 or so to do.

Is thick skin a problem for rhinoplasty?

Rhinoplasties can definitely be performed on patients with thick skin. However, there may be some limitations. Rhinoplasties work by lifting up the skin, adjusting the underlying muscle and cartilage, and then re-draping the skin. However, the skin needs to be tight in the last step which may be difficult to do for patients with more elastic, thick skin, so extra thinning of the underlying tissue might be needed.

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.

Will putting pressure on an area induce bone resorption there?

Unfortunately, it is not that easy. Single finger pressure cannot induce bone resorption.

Can I run 2 weeks post-rhinoplasty?

Any activity which increases blood pressure (even light exercise) can present a problem in terms of swelling. I often recommend to my patients that they refrain from running until at least 3 weeks post-rhinoplasty.

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.

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.

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.

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.

Do non-surgical fillers have long-term effects?

Surgical fillers have been FDA approved for use on the face for wrinkles, but surgeons have been using them for a long time for nasal injections (off-label use, of course). I am not aware of any particular diseases which result from the use of fillers, but there have been reports of patients who are unhappy in the long-term with the use of fillers and would rather have rhinoplasties done to correct the original problem.

Does removal of the nasal splint cause increased swelling?

Yes definitely, because the nasal splint serves to compress the surgical area and reduce swelling. However, nasal taping can help ease the amount to which swelling occurs.

Why is my columella so swollen after surgery and will it get better?

The tip/columella area is a primary surgical site during a rhinoplasty and will take longer to heal in terms of swelling than other areas of the nose. The swelling will tend to gradually dissipate over the course of a year, but should be generally resolved within 6 months.

Can I have a rhinoplasty with a cold?

Generally, it is best for the patient to be as healthy as possible prior to an elective surgery like this. Many surgeons will not risk a bacterial infection during a rhinoplasty as there is a possibility for complications.

When can I get my septum pierced post-rhinoplasty?

I would suggest not getting it pierced. Because of its importance in breathing and the possibility of cartilage reabsorption after surgery (which can potentially undo the results of the procedure), the septum is best not touched post-op.

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 can I correct an over-upturned nose?

This can be corrected via an incision within the nose that will free up the tip and allow it to drop down naturally. Additional reinforcements may be needed in the form of cartilage grafts at the base of the septum. Trimming the cartilage near the tip of the nose may also provide the loss of support and thus the derotation which is desired.

Is my nose still supposed to be swollen months post-rhinoplasty?

It is completely normal for swelling, particularly in the tip of the nose, to still be present up to a year post-rhinoplasty.

I have pain in the roof of my mouth post-rhinoplasty. Is this common?

This is a relatively common complaint due to the disruption of nerves which occurs when work is done on the septum. As it happens, the palate and the septum share some nerves which are disrupted during the surgery. The subsequent regeneration of the nerves comes with dull throbbing and pain which will resolve itself

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.

I have pain months post-rhinoplasty. Is it infection?

Generally, patients should not experience excessive pain and tenderness post-rhinoplasty and should check for redness, swelling or discharge at the surgical site (could be signs of infection).

Can Nasofix help alter the hump on my nose?

Sounds like a marketing gimmick. I would avoid it if possible.

Can I die from a rhinoplasty?

It is rare for patients to die of complications directly associated with rhinoplasty, simply because the nose is not exactly crucial for survival. If deaths do occur, and this is EXTREMELY rare, it will occur due to complications with anesthesia or because of prior health concerns which are not disclosed to the surgeon. Make sure, during your consultation, to tell your surgeon everything and also look into general anesthesia in which a breathing tube is inserted to ensure proper ventilation.

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.

I still have problems smelling one month post-rhinoplasty. Is this permanent?

Generally, problems with smelling post-op are the result of swelling in the nose and should resolve gradually within a year post-op.

Can I clean out dried blood one day post-op?

Most surgeons will recommend that patients utilize saline solution and apply it to problem areas via Q-tip, and then use another Q-tip to then absorb the remaining crusted blood loosened by the first Q-tip.

Can Laser Septo Control Correction correct a deviated septum?

Unfortunately, no. This is probably another market gimmick designed to dupe less-informed customers.

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.

What kind of stitches are used in rhinoplasty?

There are two main types of stitches that are used in rhinoplasties: dissolving and non-dissolving. Stitches which are placed inside the nose will dissolve over the course of a couple months, while external stitches are non-dissolving and will typically be removed within a week post-rhinoplasty.

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.

Do rhinoplasty results really take a year to show?

In general, full healing (that is, full dissipation of the swelling from the procedure) will take up to a year to heal properly. However, the bruising and swelling which results varies widely depending on if osteotomies were performed, the type of rhinoplasty performed, etc. The majority of the swelling, however, in most cases will resolve itself within 4 months and the nose will generally be presentable to the public without significant issues within 1-2 months.

Does using a nasal splint longer than a week help?

Not usually. One must remember that the nasal splint goes OVER the surgical tape underneath, and both of these measures are used to reduce swelling post-rhinoplasty. At 7 days post-rhinoplasty, the nasal bones and cartilage are usually stable enough to not require the splint anymore.

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