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

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.

How long does an alarplasty take to heal?

Alarplasty scars tend to stay well hidden, but may take a while (several months) before becoming fully camouflaged. Once the swelling and bruising is resolved, the smile will develop normally after six weeks.

Is it possible for rhinoplasties to cost less than $1000?

If performed by residents at a university hospital, rhinoplasties can be done with minimal cost to the patient. However, given the difficult nature of the procedure and the inherent risks in appearance if the rhinoplasty turns out badly, it may benefit the patient to find a more experienced surgeon in spite of the extra cost. After all, fixing a bad job often incurs more costs than doing it right the first time.

There is dead skin on my nose post-rhinoplasty. Can I scratch it off?

During the first couple of weeks post-rhinoplasty, it is probably best to advise against moving or disrupting the nasal structure in any way. It would be best for patients to ask surgeons for their recommendations in these cases.

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.

What is your opinion of Gore-Tex and silicone in a rhinoplasty?

Personally, I am more partial to avoiding man-made materials during rhinoplasty which can often pop out post-op and, in the case of Gore-Tex, have a high probability of infection. I prefer to use septal cartilage from the patient’s nose or, if that is not available, from the patient’s ear because the body is accustomed to it.

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.

I popped a suture in my nose after my rhinoplasty. Is that bad?

Messing up one suture will probably not do a significant amount of damage. However, consult with your surgeon just in case.

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 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.

When does the splint come off?

Uusally, splints are removed 1 week after surgery.

I have minor bleeding in my nose post-rhinoplasty. Why?

Though this is probably best addressed by your surgeon, bleeding within the nasal wall post-op may just be the result of aggravation of a suture. This is best addressed by consulting what to do with the surgeon and NOT touching the aggravated site anymore.

How long is the time period from consultation to surgery?

This really depends on the surgeon’s schedule, the patient’s schedule, and the need to obtain medical clearances.

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.

How can I fix this dent in my nose?

Generally, dents from damage to cartilage can be fixed via the introduction of fillers into the region.

Is open or closed rhinoplasty better for tip work?

Generally, I would advise patients to pick the surgeon, not the procedure, as the surgeon’s individual skill is probably the biggest factor as to whether a patient achieves the results he/she wants. However, if you insist on a straightforward answer to the question, I would probably recommend open rhinoplasty for tip work only because it allows for the surgeons to have a greater view of the work they are doing in that area.

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.

If my septal cartilage is harvested, how is it replaced?

Generally, in the hands of a good surgeon, cartilage which is harvested from the septum will NOT require replacement as the surgeon will leave a large piece of cartilage there to maintain support of the nasal tip. If more cartilage needs to be harvested for grafting, it will be taken from the ear and the rib.

When can I start smoking following surgery?

Though I would rather patients quit smoking entirely after surgery, I would wait at least 4 weeks post-rhinoplasty to begin again. Cigarettes contain nicotine and carbon monoxide, the first of which is a vasoconstrictor and causes tissue death in the surgical area by limiting blood flow and the second of which decreases the blood’s oxygen capacity and also causes tissue death.

Can my nose be made straight in spite of my asymmetrical facial features?

Rhinoplasties can indeed be performed even if the patient can has asymmetrical facial features. However, it is best for these patients to seek out experienced, board-certified surgeons who have a good sense of how to perform these types of procedures.

Is there a way to thin wide nostrils without surgery?

Generally, no. Depending on the width of the nostrils in relation to the rest of the nose, patients may either require a Weir/alar base reduction (if it is just the nostrils that are the issue) or may require a full-on rhinoplasty in which osteotomies are performed in addition to the reduction of the nostrils in order to thin the bridge of the nose as well.

I have a crooked nose after rhinoplasty. Should I be concerned?

It is recommended that patients not worry about the results of a rhinoplasty until about 3-4 weeks post-op, at which point the majority of the swelling which may skew the appearance of the results will subside. Check again at this point and consult with your surgeon if you are still unhappy.

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.

Can I have rhinoplasty while pregnant?

Absolutely not. There is no telling what the anesthesia or the medications needed prior to and post-rhinoplasty will do for the baby.

Can a spreader graft fix nasal valve collapse?

Generally, most surgeons will use a spreader graft or even an onlay graft (which strengthens the cartilage more than a spreader graft, but does not really lift or support it) for open rhinoplasties, rather than closed ones. Collapsing nasal valve may be better served with an onlay graft in order to bolster the cartilage wall.

Why do some surgeons recommend massages post-rhinoplasty and others don’t?

Surgeons disagree over massage simply because of the underlying issue of whether pressure from the massage could alter the structure of the nose which was determined during the surgery. Some will claim, however, that it reduces swelling. There is not enough proof to really support either side, so it is more of a practice which passes from mentor to student.

My nostrils flare too much when I smile. What can I do?

Patients with this condition may benefit from a Weir excision in which skin from the inside of the nostril is removed and the hole is tightened to prevent excess spreading during smiling. However, even non-surgical options like Botox could help with this problem by relaxing the muscles that spread the nostrils.

What can I do about an indentation on my nose post-Kenalog injection?

Unfortunately, this is not an issue that will resolve by itself. Steroid injections may have weakened the tissue and caused it to collapse, an issue which can only resolved by injecting fillers like Restylane into the area.

How can I clean the outside of my nose post-rhinoplasty?

It is important that, when a patient’s surgeon gives him/her the OK to begin cleaning the outside of the nose, they remain gentle. Generally, patients will use sterile solution like alcohol on gauze/cotton.

What is an I-implant versus an L-implant?

An L-implant shapes the columella area (bottom of the nose) and the dorsum area, while the I-implant only shapes the dorsum area. Patients may want to reconsider getting these silicone implants, however, and may want to instead opt for natural cartilage from the septum or the ear.

I have a weird smell in my nose post-rhinoplasty. Is it infected?

Although patients will experience mild crusting of blood and mucus post-rhinoplasty, it is rare for it to smell unusually bad unless it is infected. Please consult with your surgeon to evaluate your condition.

What are the preferential sites for cartilage harvesting in a rhinoplasty?

Generally, surgeons will prefer to use septal cartilage as a first resort, followed by ear cartilage from the cymba or cavum (top and bottom parts of the central depression within the ear). Rib cartilage is used as a last resort when these two sources are depleted, simply because of the invasiveness of cutting into rib tissue.

Is the removal of splints following a rhinoplasty painful?

Nowadays, when the packing used for rhinoplasties is less than it used to be, the removal of splints should not cause any major discomfort for the patient.

How is a crooked nose corrected?

There are generally two types of crooked noses: one which starts normal but is made crooked by trauma and another which is naturally crooked. The first is resolved with correction of the septal deviation and alignment of the nasal bones, while the second may require additional steps like support via cartilage grafts.

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.

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.

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.

How long do silicon implants in the nose last?

Implants, unless they shift and create unpleasant nasal shapes or become infected, are built to last for the remainder of a person’s life

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.

Should I go to an ENT doctor or a plastic surgeon for a rhinoplasty?

In general, both types of surgeons should theoretically be qualified to conduct this procedure. Therefore, the choice really comes down to who the surgeon will be, rather than their practice. Make sure to obtain a surgeon who is board-certified, specializes in your procedure, has good before-and-after results, etc.

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?

How can I augment the philtrum and the radix?

I would generally recommend filling out these areas via the transfer of septal or ear cartilage.

Is mucus buildup one month post-rhinoplasty normal?

Yes, absolutely. It is safe for patients to begin blowing their nose after about a month post-rhinoplasty, but saline spray can be used prior to this (as long as the splint has been removed).

Can Laser Septo Control Correction correct a deviated septum?

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

Can a typical African-American nose be modified to a Middle Eastern nose (pointy but with a drooping tip)?

Unfortunately, due to the thick nasal skin associated with an average African-American nose, it is very unlikely that even the most skilled surgeons can complete this transformation without risking the nose being unnatural looking. The nostrils and the tip can be narrowed and the nasal bridge can be augmented, but not to the extent that many will desire.

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.

Can Alar Base Reduction be done simply on the nostril area?

Yes absolutely. It is possible for this procedure to be done without touching the tip or the bridge of the nose because the incision is made as a crescent shape on the inner wall of the nostril. However, it is rare for patients to expect a reduction in nostril area without reducing anything else, especially the tip.

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.

A hump is forming on my nose post-rhinoplasty. Why?

A hard bump forming on the nose is an indication of a minor bone callus which will eventually resolve itself within six months. In some cases, a minor revision may be required to shave it off if it is not resolved by that point.

Is it normal to have headaches and pressure pains three weeks post-rhinoplasty?

Although people usually do experience some degree of discomfort and mild head/nose pain within the first few days, experiencing these same pains weeks into the post-rhinoplasty period is rather abnormal. This may be an indication of some other pathology.

What causes polly beak deformity?

Polly beak deformity, the common name given to supra-tip fullness, can be seen due to excision of dorsum just above the tip and also from poor nasal tip projection, both of which give the impression of an unnatural curve at the tip.

Is twilight sedation safe for rhinoplasty?

I generally prefer using general anesthesia during the operation simply because it allows for protection of the breathing airway via endotracheal tubing, minimizes the danger of the patient moving around surgery, etc. However, some surgeons will opt for twilight sedation if they trust their anesthesiologist enough.

I have small, hard bumps on my nose post-op.

Generally, hard bumps on the nose post-op are the results of swelling due to the instruments used in osteotomies (controlled breaks in the nose made to correct the nasal deformities). Patients should consult with their surgeons upon seeing these bumps, just in case they are the results of other issues, but should generally not be concerned.

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 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 indentations at the tip of my nose be fixed non-surgically?

Although some surgeons will recommend using fillers for indentations in the nose, these fillers offer only a temporary fix to a more permanent problem and have been shown to cause other problems like redness of the skin. Often, what patients are dealing with in these types of indentations are separation of cartilages in the nose which can only be corrected with rhinoplasty procedures.

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.

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.

I’m having breathing problems and uneven nostrils post-rhinoplasty. Should I have revision rhinoplasty?

Depending on the timing post-rhinoplasty, this may be a simple case of residual swelling within the nostrils which can push around structures and block the nasal canal, leading to the two issues which you described.

Will the Medpor nasal implant hold for a lifetime?

In my experience, it is usually best for support to be introduced into the nasal region via natural cartilage grafts from the ear or the septum. It is not clear whether the Medpor nasal implant will work for a particular patient, but the best chance of success involves grafts from the body.

Should I tell my friends and family about my rhinoplasty?

This is generally a matter probably best decided by the patient. However, it is my opinion that true friends and family will support you, regardless of the decisions you make and how they feel about it. I have found that many family members tend to be supportive of the patient’s decision and even those that aren’t will generally not be so outspoken as to openly challenge the decision and try to cancel the surgery.

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 a minor nose bump be fixed via filing?

Yes. However, patients must evaluate whether the nose bump is as minor as they believe. Larger nose bumps cannot be simply filed away because it leaves a hole in the nose called an open roof deformity which can lead to a disastrous appearance that can only be resolved with a purposeful breaking of the bone (osteotomy) to push the bones inward and fill that gap.

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.

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 much does the nose grow during the teenage years?

As you probably learned in your middle school health classes, puberty is a time of great changes for the body and, as such, it is also a time of great changes for your nose. Before nasal growth stops permanently in one’s 20s, it progresses extensively in the teenage years and features which stood out before on the nasal area will stand out further (bumps will grow, etc.).

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.

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.

How can I fix a hanging columella?

This can easily be done by trimming the membranous and cartilaginous parts of the columella and suturing the resulting structure in place.

Why does some packing come with nasal tubes?

A major complaint which patients have with nasal packing (gauze which pushes the skin against the septum for better healing) is that they feel congested and are forced to breathe through their mouths. For this reason, nasal packing with tubes are introduced to help the patient breathe through the nose and feel less congested.

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.

Can I have rhinoplasty in India and achieve good results?

It is highly recommended that patients looking to go abroad to have surgeries done take a second look at this idea and perhaps err on the side of caution and choose a surgeon closer to home. While there may be wonderful doctors abroad, it is important that, should something go wrong in the post-rhinoplasty phase, the surgeon who treated you also be able to evaluate you.

How do I choose a surgeon for rhinoplasties?

Recommendations for ideal surgeons for rhinoplasties include board certification in plastic surgery/otolaryngology, specialization in nasal surgeries, and experience in doing your specific type of surgery. I would personally recommend looking at their before and after catalogue to see if their work is satisfactory for your needs.

Can I get a cheaper rhinoplasty by residents at a university?

It is certainly possible for these arrangements to be made. However, one must remember that rhinoplasty is one of the most difficult procedures in the plastic surgery world and is ideally conducted by a doctor with a great deal of experience and the proper credentials in order to ensure a good result.

When is alcohol consumption post-rhinoplasty fine?

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

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

Dr. Ramtin Kassir © 2018

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.