Rhinoplasty - Your Nose. Transformed.
Rhinoplasty may be the most challenging procedure in plastic surgery of the face. It is the focal point of the face and one of the defining features of your profile. It has the ability to unite the features of the face and improve confidence. A nose job or rhinoplasty can not only address any concerns you have with the appearance of your nose, but can also improve your breathing. Whether you’re looking to get rid of a “dorsal hump” or you’ve had trauma to your nose, we can create the right nose for you.
My passion for rhinoplasty began during my training while focused on cleft lip nasal deformities. My apprenticeship included assisting in over 80 rhinoplasties, performing my own surgeries and always having the humility to review my results and always strive for improvement. I continued to seek out pioneers in the field of rhinoplasty and have been blessed to learn from some of the best rhinoplasty surgeons in the world.
As opposed to older approaches to rhinoplasty, when patients were left with tiny little “ski jumps”, I understand that there is no one perfect nose for everyone. Unless you have a twin, the nose that is right for you will likely not fit anyone else’s face.
Rhinoplasty can be performed “open” or “closed”. The difference is a small incision placed across the columella (skin in between the nostrils) of the nose in an open procedure. I perform both methods depending on your goals and the surgical maneuvers required to achieve your golas. Even in an “open” rhinoplasty, the scar all but disappears. The procedure varies in length depending on the goals of the surgery with times varying between 2-4 hours. A primary rhinoplasty (the first nasal surgery) is typically shorter than a revision rhinoplasty, but again, every procedure is unique. We recommend that all rhinoplasty surgery be performed in an accredited surgical facility under general anesthesia. The surgery is an outpatient procedure so that you can go home the same day, but you will need a friend or family member to drive you home and stay with you overnight.
Downtime is typically 1-2 weeks depending on the extent of the procedure. There can be some swelling and bruising that migrates into the lower eyelids. You will have a small splint on your nose and inside your nose for the first week. A few small sutures will also be removed after the first week. You will be able to enjoy the new shape of your nose when the splint is removed and you will notice continuous improvement in the shape and detail of the nose for up to a year after the procedure.
The cost of a typical rhinoplasty is around $10,000. This will vary depending on where the procedure is performed and whether we will address problems with your septum or breathing. Functional Rhinoplasty (nose job for breathing) and otherwise reconstructive nose surgery can be covered by your health insurance.
The goal of rhinoplasty in men is different than women. While a smaller nose and lower profile is typically desired in women, a straight strong dorsum is more appropriate for men. Men also benefit from a less up-turned nose and may have more breathing difficulties before surgery and are more likely to have a history of nasal trauma. Preservation rhinoplasty has also given us the ability to maintain a more natural Romanesque dorsum than was possible with older methods of rhinoplasty.
Preservation rhinoplasty is a technique that is used to minimize trauma to the nasal skin, while preserving most of the structures and ligaments of the nose in order to create natural, durable results. The downtime and swelling can be minimized, particularly in patients that have thicker skin. Tiny, residual swelling can persist for up to 1 year after rhinoplasty surgery, and therefore anything to decrease trauma to the nasal structures at the time of surgery can help the recovery process.
An ethnic rhinoplasty is simply an appreciation of the fact that a “beautiful” nose is different around the globe. The goals and techniques used to refine the features of your nose do not have to sacrifice the characteristics of your heritage.
If you have had nose surgery previously and are interested in correcting a new or remaining deformity, revision surgery is typically more complex than the original procedure. Many times these secondary or even tertiary procedures require rebuilding a solid yet refined nasal structure that can tolerate the deforming forces of scarring during the healing process. Furthermore, it may be necessary to use cartilage from another body part (ear or rib cartilage) if the cartilage in the nose was harvested at the original surgery.
Skin Cancer/ Moh's Reconstruction
Not all nose surgery requires addressing the underlying structure of the nose. If you have been diagnosed with skin cancer, we can work with your dermatologist or Moh’s surgeon in order to replace the soft tissue that has been lost during cancer resection.