Do you feel unhappy with the appearance of your nose, or feel like it’s the only thing holding you back from the look you’ve always wanted? Many people feel the same way. At the Lasky Clinic, double board-certified facial plastic surgeon Dr. Andrew Frankel gives rhinoplasty patients from Beverly Hills, Los Angeles & surrounding areas incredible results that last a lifetime.
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Table of Contents
What is Rhinoplasty?
Rhinoplasty is a surgical procedure that reshapes the nose for aesthetic or functional reasons.
A rhinoplasty, more commonly known as a nose job (or nose surgery), can help even out your facial features while addressing any functional issues like breathing problems or a deviated septum. It is also an ideal procedure for an aging nose (drooping tip), undefined nasal tip and so much more.
Of all the operations in the field of plastic surgery, rhinoplasty is considered the most difficult. The appearance of the nose affects the overall aesthetics of the face, including facial balance, making the process of rhinoplasty surgery exacting and unforgiving. Because the nose contains cartilage, bone, and skin, predicting how the area will heal can be extremely challenging. It takes a high level of skill, attention to detail, and artistry to execute each custom procedure well.
During the rhinoplasty Beverly hills consultation with expert Dr. Andrew Frankel, there will be an in-depth discussion with the patient about their goals, expectations, and any previous procedure(s). There will also be a pre-operative evaluation of the nose and the overall facial balance. Computer imaging may also be used. Expectations, results, methods, and risks will all be discussed.
As part of our consultation, we will discuss preparing for your procedure as well. As with any surgery, there are certain medications, vitamins, and herbs that should be avoided beforehand as they can cause you to bleed more than normal. These should generally be stopped two weeks prior to surgery. Dr. Frankel will provide you with a list of these medications.
Schedule a consultation today with Dr. Frankel, a facial plastic surgeon & rhinoplasty specialist in Beverly Hills.
Am I a Candidate?
Men and women alike often choose to change their noses with rhinoplasty for cosmetic or functional reasons. Plastic surgeons look for patients who are in good physical and emotional health. Patients must understand that a nose job is meant to improve the nose’s shape and will not always be able to create a perfect nose. Realistic expectations are key before moving forward with plastic surgery.
The Rhinoplasty Procedure
Prior to your nose reshaping surgery, Dr. Frankel will go over your custom surgical plan with you. If you will be given general anesthesia, you will need to refrain from eating or drinking after midnight the night before your surgery. Other patients may only need local anesthesia with sedation and may be given other instructions.
Making the Incision(s)
Rhinoplasty surgery starts with an incision made either externally at the bottom of the nose or inside the nostrils.
Making the incision externally is known as the “open approach” and allows the doctor to gain better access and visibility when manipulating the structures within the nose. The small scar that is considered to be the only downside of this approach is very small and tends to fade well.
The “closed approach” involves making incisions inside the nostrils, with no external cuts. This may be appropriate for patients who only need small changes made, but most surgeons favor the open approach for best results. Dr. Frankel will go over the surgical technique he plans to use for your procedure prior to the surgery to ensure you are fully informed and feel comfortable with the process.
Shaping the Nose
Once the incisions have been made, the skin on the nose is separated from the bone and underlying cartilage. Bone and cartilage are trimmed to create the desired shape. Additionally, cartilage grafts may be created and placed to enhance the shape of the nose. The incisions are then closed and a splint is put in place to support the new shape of the nose while it heals.
Many people seeking rhinoplasty or revision rhinoplasty in Beverly Hills have significant problems breathing through the nose. Dr. Frankel is well-versed in functional surgery of the nose and knows how to improve or maintain nasal function when making changes in the shape of the nasal tissues.
A primary rhinoplasty will take an average of one to two hours to complete. Rhinoplasty is an outpatient procedure, so patients can go home with a friend or family member after being cleared by the staff at the Lasky Clinic.
Primary Rhinoplasty Procedure
What to expect on the day of surgery
The majority of all operations that Dr. Frankel performs will be under the direction of a board-certified anesthesiologist, and involve twilight anesthesia without the need for a breathing tube, ventilator or paralysis.
Even in surgeries taking several hours, the anesthetic is well tolerated and patients wake up quickly feeling very good. The entire experience is enhanced.
Day of surgery
The first one to two hours after rhinoplasty are spent in the recovery room on monitors and under the care of a registered nurse.
Patients are transferred to private rooms once they are more awake, where their families or friends can join them. Once fully alert, patients will be able to return home with a set of post-operative instructions.
Rhinoplasty is not typically very painful, and most patients experience more discomfort than pain, particularly immediately after surgery while the local anesthesia is still working.
While recovering at the clinic, patients may receive intravenous medications to stem any acute pain. Patients are discharged from the clinic with their prescribed medications.
You will likely feel a variety of different emotions before your surgery: excitement, anxiety, fear, etc. It is normal to have some apprehension before any operation, and in particular one that will change your appearance.
If you are questioning things, Dr. Frankel suggests that you trust yourself and the time and effort you spent making the decision to have surgery and choosing the best doctor.
What to expect after surgery
Following surgery, a splint will be placed on the nose, both for protection and to help it maintain its new shape. The nose will be moderately swollen and stuffy for several weeks, and the remainder of the swelling will gradually resolve over the course of the next six to eighteen months.
Sleeping with a humidifier can be helpful for the first two weeks after surgery. Once Dr. Frankel gives the go-ahead, use a nasal saline spray to help keep the inside of your nose moist. Using a saline spray will minimize crusting in your nose and will make breathing easier.
Rest and exercise
Rest for the week after surgery and avoid excessive smiling or bending over. Most patients can drive a car and return to work and social activities after eight days. Avoid strenuous/extreme physical exercise for three weeks, and contact sports should be avoided for eight weeks.
Every patient heals differently. If you notice that a particular behavior or activity is causing swelling, do your best to avoid that activity until you have healed. Physical recovery from the surgery is fairly quick, but the nose will not achieve its final form for well over a year.
After rhinoplasty, you’ll have bruising and swelling that may subside quickly or last for months. Most patients can expect the majority of the swelling to resolve within 2-4 months and residual swelling to last up to a year. You should take at least two weeks off from work to ensure that you have the rest and relaxation you need to heal.
It is important to follow all of Dr. Frankel’s instructions during the recovery period. These may include how to ice and clean the area properly, instructions on using your pain medications, alternatives for blowing your nose, and how to prop yourself up when you sleep to help reduce swelling. You should not engage in any strenuous activities for two or three weeks, but you can return to work in a week or two. Patients should also avoid sun exposure and bumping or jarring the nose for eight weeks.
Because rhinoplasty is a surgical procedure, there are some risks involved. For most people, the risk is minimal, especially when the procedure is performed by a board-certified facial plastic surgeon specializing in rhinoplasty. Risks and complications may include:
- Breathing problems
- Unfavorable scarring
- Changes in sensation
- Poor aesthetic results
- Anesthesia complications
- Skin necrosis
Why Choose Dr. Frankel?
Dr. Andrew Frankel is board-certified in both ENT (Otolaryngology-Head and Neck Surgery) and Facial Plastic and Reconstructive Surgery. He is a rhinoplasty specialist and has over 20 years of experience fixing nasal airways with septoplasties, turbinate reductions, perforation repairs, nasal valve adjustments, and various other nose job methods.
Many surgeons do not want to perform rhinoplasty except for the most simple of cases such as reducing a dorsal hump. In contrast, Dr. Frankel welcomes the challenge that complex nasal surgery poses and has developed a passion for it.
Over the years, he has performed thousands of rhinoplasties in Beverly Hills and still finds each case unique and educational. By critically analyzing his results, he is constantly improving on the way he approaches cosmetic surgery. This helps to ensure that patients receive the best results possible.
RHINOPLASTY PROCEDURE FAQs
Are there any age restrictions for undergoing rhinoplasty?
It is generally advised that rhinoplasty not be performed on younger patients until the nose and face have nearly completed their growth. Additionally, the emotional maturity of the individual is a very important factor and this must be assessed by Dr. Frankel.
What can I expect during a consultation for rhinoplasty?
The consultation will include in-depth discussion about your desires regarding your nose. A detailed medical history with emphasis on nasal function and an examination will follow. Computer imaging will be used to aid in communication and offer them the opportunity to have input into their aesthetic goals. A detailed explanation of the surgical process, acute post operative period, and the long term healing will also take place.
Where is rhinoplasty performed?
Your rhinoplasty will most likely be performed at the Lasky Clinic Surgical Center, which is situated within the same building as Dr. Frankel’s office. On rare occasions surgery might be done at a hospital or another facility if specific situations require so.
How is the actual rhinoplasty procedure performed?
Incisions are made either within the inside of the nose or both inside of the nose and one small one under the tip of the nose. The skin is then separated from the underlying bone and cartilage, which is then sculpted to the desired shape. The skin is redraped over the new framework and the incisions are closed.
How long does the actual rhinoplasty procedure last?
Rhinoplasty generally takes between one and two hours to complete.
Where are the incisions made for rhinoplasty?
Incisions may be solely confined to the inside of the nose, which is referred to as closed rhinoplasty. Sometimes an additional small incision under the tip of the nose is also required, which is referred to as open rhinoplasty. Open rhinoplasty may be preferred in some cases if it can provide better exposure and an overall better result. Other cases, however, can be performed with closed rhinoplasty.
Are there scars after rhinoplasty?
Surgical incisions will results in scars. However, for closed rhinoplasty the incisions are confined to the inside of the nose and result in no visible scarring. Open rhinoplasty includes an additional small incision under the tip of the nose which will result in a well-concealed, fine-line scar that will fade with time.
Is there much pain after rhinoplasty?
Patients may experience some discomfort during the first few days after surgery, but this can be controlled with prescription pain medication.
Will I be able to drive myself home after rhinoplasty?
You must have a family member or friend drive you home on the day of surgery.
Will I need someone to help me out at home after rhinoplasty?
It’s best to have a family member or friend accompany you home or to your place of recovery for the evening.
How much time will I need to take off from work after rhinoplasty?
Patients are typically able to return to work within one to two weeks after rhinoplasty.
When can I exercise after rhinoplasty?
To prevent bleeding and increased swelling, avoid extreme physical activity, including athletic activities and intercourse. After 24 hours, you are encouraged to go for light walks and strolls. Light cardio, such as an elliptical machine or spin bike on a low resistance can begin on post-operative day seven (7). Do not engage in any heavy cardiovascular activity (running), any activity that involves straining (weight lifting) or anything that involves bending over (yoga, pilates) for at least three (3) weeks, unless otherwise instructed.
When are the stitches removed after rhinoplasty?
The stitches are typically removed within six or seven days after surgery.
Does insurance ever cover rhinoplasty?
Insurance typically does not cover rhinoplasty procedures performed solely for cosmetic purposes. In cases where breathing problems are being treated, some degree of coverage may be provided.
Is it possible to get a rhinoplasty procedure financed?
Yes, we offer financing for surgery. We accept Care Credit, Alphaeon Financing, and VISA and MasterCard.
Are there any medications that need to be avoided before surgery?
It is important to avoid taking certain medications, vitamins and herbs two weeks prior to your surgery, as some medications may cause you to bleed more than normal. A list of these will be provided by our Patient Coordinator.
In order to fix a nose that is too long, is it necessary to remove tissue?
It is usually necessary to remove tissue to shorten a nose. Tissue removed may include cartilage or internal lining. There are specific instances when a nose can be shortened by changing the shape of the tip cartilages, rather than removing anything to rotate the tip up.
Is it possible to fix a nose that is both too long and has a bulbous tip during the same surgery?
Yes, that is quite common.
I have a broken nose. Are nasal packings used to repair it, and what exactly are they?
Nasal packing is simply used to minimize bleeding or dripping from the nose after surgery. It is also helpful in compressing the internal tissues to prevent collections and swelling. Packing is generally comprised of a soft absorbent material or strips of gauze. Dr. Frankel rarely uses nasal packing, but occasionally will use stents, which are firm pieces of silicone, to stabilize the internal structure of the nose and prevent internal adhesions from forming.
Is it true that swelling can disguise the end result of surgery? How long does this last?
Swelling is a normal and expected part of the healing process, and may take 18 months. Usually, the acute swelling subsides and the nose begins to look normal within three weeks. With time, the nose becomes thinner, smaller and more refined at the tip, as the edema resolves.
Are your rhinoplasty techniques different from those of other doctors and how?
I cannot speak to how other doctors operate on noses. I am a very experienced and versatile rhinoplasty surgeon and have a multitude of techniques to draw on to accomplish my goals. Sound surgical techniques are published and available to all surgeons, yet very few study all of them and utilize them. I pride myself on being able to adapt and utilize whatever maneuvers are necessary to reach the desired final outcome.
I have a long nose. Will rhinoplasty change its look from the both the front and the side?
When a long nose is shortened the rhinoplasty usually changes the way it looks from both the facial profile and the front.
Before the rhinoplasty procedure, can the analysis be sufficiently performed online?
While computer imaging can be employed to photos sent via the internet and communication can be productive, it is always relevant to examine the patient to determine the specific characteristics of the skin, cartilage, bone and other related features.
Can you fix my nose if I’ve already had rhinoplasty and am unhappy with the results?
Revision rhinoplasty is the process of improving on the aesthetics and function of a nose that has already been done. I can almost always help these cases, even after several prior rhinoplasties.
You have great before and after photos. When can I expect my results of rhinoplasty to look like your after pictures?
Before/after photos should reflect multiple views of a patient, not just a single angle. I usually don’t take photos for six months but I prefer to wait for one year to see the final result.
How do you correct a nose that is broken and twists to the side?
Noses that are twisted can be straightened by a variety of maneuvers, including breaking the bones and re-setting them, straightening the cartilage, applying sutures, and camouflaging things with grafts. Sometimes a combination of these procedures is necessary to achieve a straight nose.
Does the repair of a broken nose result in a lot of post-op bleeding?
There is usually very little post-op bleeding from repair of a broken nose.
How long after a fractured nose repaired is a cast worn?
I have my patients wear a splint or cast for six days.
Is it true that nothing can be done for a nose that’s been broken many times or can it still be fixed?
Although it becomes more and more difficult to repair a nose that’s been broken several times, it can be done.
I have a bulbous tip and I am wondering how this is fixed, and if tissue is removed during surgery.
Correction of a bulbous tip is very common, and requires a great deal of pre-op planning. There are many ways to deal with the bulbous tip, and the way I choose will depend on factors that relate to what the underlying cause of the problem is. I often remove some cartilage, cut and re-connect cartilage, as well as use grafting techniques, along with sutures, to achieve my goals.
I would like to have my round nose straightened and narrowed, but I’m worried that it won’t match my face. How do you ensure the changes you make to the nose stay in balance with the other facial features?
Ultimately, the question of balancing the nose with the other facial features is one of judgment, and each surgeon will have a slightly different aesthetic sense. There are never any guarantees the patient will love his/her nose, however with the use of computer imaging, I can discuss this more fully with each patient ahead of time in an attempt to understand what he/she hopes to achieve.
Is there a technique for rhinoplasty that doesn’t require breaking the nose, and can you do this?
Not all rhinoplasty involves breaking the nose and there are many instances in which I do not need to do this. I only break the nose when it is essential to obtain the proper balance or result that the patient requests.
Once a bump is removed from the nose, is there any pain or tenderness in that area after surgery?
When a bump is removed or made smaller, there typically is no persistent pain or tenderness in the area after healing is complete. On occasion, people may have some sensitivity, but those are rare cases.
How do I know if I’m a good candidate for finesse rhinoplasty?
The term finesse rhinoplasty refers to a situation in which the patient needs only a very minor or subtle change to refine the nose. Whether or not someone is a good candidate for such a procedure depends on how much the patient thinks such a change would benefit him/her, how confident the surgeon is that he/she could execute such a result, and what the risk/benefit ration is to doing so.
Can you show me online what my nose would look like after rhinoplasty?
I prefer not to perform computer imaging over the internet if I have not yet examined the patient. There are just too many factors that would be assumed, and it may be a worthless endeavor or even one that is inaccurate.
Is rhinoplasty different in any way for men than for women?
While the mechanics of the surgery may be the same for men and women rhinoplasty, the aesthetic goals are very different and so the two operations are inherently different from the start.
If we disagree about things at the consultation, what happens?
If I consult with a patient and we have a disagreement about what should be done, how to accomplish our goal or what is possible, then I prefer to refer that patient to another surgeon who may be more appropriate for that particular patient. I will not operate on this patient because I feel he/she may not be content with the result, even if I do my job well.
What would you do to correct my droopy nose?
A droopy nasal tip needs support and often times projection. There are a myriad of ways to provide these things and the ultimate choice depends on various other factors about the nose and the patient’s desires.
When fixing a droopy, hanging nose, how is the columella involved?
When fixing dependent (droopy) tip, the columella needs attention because if it is not considered, it may become more visible. It is usually quite straightforward to adjust things to compensate for excess columellar show, it just cannot be forgotten.
Will the front of my nose look different after rhinoplasty?
The nasal tip will only look different if it is changed during surgery. Not all rhinoplasty involves manipulating the tip.
Do you have any special training in facial plastic surgery? I want to make sure that my nose after surgery still fits my face.
I am a board certified Facial Plastic and Reconstructive Surgeon, and my training and experience have prepared me to be a good judge of facial aesthetics overall and how the nose balances with respect to the other features.
Is it possible to finance my rhinoplasty procedure?
Yes, we offer financing for surgery. We accept Care Credit, Alphaeon Financing, and VISA and MasterCard.
What are tip plasty and finesse rhinoplasty? Is there a difference between them?
A tip plasty is when the entire procedure is limited only to the nasal tip. There is no bony work or other manipulation. A finesse rhinoplasty just refers to a case where the changes are very subtle. A tip plasty is usually a type of finesse rhinoplasty.
When correcting a bump on the nose, is it necessary for the nose to be broken?
It is not always necessary to break the nose to remove a hump, though it usually is. The breaking of the nasal bones should be an irrelevant point to the patient, since he/she is not going to feel it or suffer as a result. It is just another part of the surgery, and the surgeon should not be limited by a patient request to not break the nose. There is more post-operative bruising and swelling from this maneuver, but that is the only difference.
When fixing a twisted nose, does one side have tissue removed, the other added to or both?
Straightening a twisted nose is difficult and often requires multiple different things be done to achieve the desired result. It is never determined until the case is being performed as to just what will be needed to fix the problem.
I think my nose needs to be brought out from my face. Will this result in scars at the nostrils?
Increaing tip projection does not result in any added scarring or any scarring at the nostril rims at all.
During surgery, how will my flat nose be fixed?
Flat noses generally require that cartilage be added to them to build them up and to increase projection. Narrowing the nose also gives the illusion of it not looking so flat. I almost always use the patient’s own tissue (ear cartilage, rib cartilage or septal cartilage), but occasionally I will use a synthetic implant.
Will my information be private or will others have access to it?
All patient information is private unless I have written position to discuss it or show it.
Is it really necessary to have a consultation in person?
I will never operate on any patient unless I have previously met with them in consultation. Any surgeon that would do so is suspect.
Will my insurance company need to contact you before my rhinoplasty procedure?
If the procedure is for functional improvement and medically necessary to correct a problem, then insurance can be applied. We often work with insurance companies in these instances, and they usually require that we pre-authorize the case with them beforehand.
Are there any visible bumps or indents if grafts are used to correct a nose that is too narrow?
Whenever a graft is used in rhinoplasty, there is potential for visible or palpable irregularities, usually at the edges. This is especially true for grafts on the nasal dorsum because the skin is thinner in this area. I do my best to thin the grafts, soften them and bevel the edges, and sometimes I may use other techniques, such as covering a graft with soft tissue, to make it blend in. If such issues exist, then some fine tuning may be necessary to correct it.
Is there a difference between a broken nose and a nasal bump, or are they the same thing?
A bump on the nose may be the result of trauma or just because the nose is shaped that way. There are some subtle differences in treatment of these two entities, but they should both be amenable to correction.
I’m interested in both chin augmentation and rhinoplasty. Can you perform them both?
I often perform chin augmentation at the same time as rhinoplasty. Oftentimes, it is necessary to use a chin implant to correctly balance the way a nose looks on the face. Sometimes, I am able to leave a stronger nose by using a chin implant. Chin implants are extremely powerful in achieving facial harmony, and they are relatively easy to perform, low risk, and can always be removed if the patients don’t like them.
I’d like to have my nose fixed because it hangs too low. Will I have a visible scar after rhinoplasty?
No, after healing, you should not have a visible scar after rhinoplasty.
I have a narrow nose. What do you do during rhinoplasty to make it wider?
To widen a narrow nose, there are several procedures that I perform, including lowering the profile, rotating the tip, placing spreader grafts, out-fracturing the nasal bones, and using onlay grafts. The procedures I use depend on the specific nose.
I have a nose that sticks out too far. How do you correct this during rhinoplasty?
A nose that sticks out too far is overprojected, and there are number of ways to bring it in closer to the face. When the tip is deprojected, I must also bring down the profile to compensate and keep the nose balanced.
I have a nose that’s too short, and I want it to look normal. Can you fix this?
Lengthening a short nose is very difficult, but it can be done by using a patient’s own cartilage to elongate it, or by creating the illusion of length with various maneuvers. It is more difficult to lengthen a nose that was shortened as a result of prior surgery than one that is naturally short.
What do you do during surgery to make an overly wide nose more narrow?
To narrow a nose, I often fracture the nasal bones and bring them in. I also occasionally narrow the middle part of the nose by removing some of the nasal septum or upper lateral cartilages. The tip cartilages can be narrowed by removing cartilage or by using sutures to change their shape, and the base of the nostrils can be narrowed by removing some soft tissue. Occasionally it is necessary to build up the height of the nasal dorsum to make the nose look narrower.
My nose is overprojected and my nostrils are too long. How do you correct these issues during rhinoplasty?
When an overprojected nasal tip is deprojected, the nostrils will automatically change orientation. There are a number of ways to deproject a nasal tip, and this can be done equally well via an endonasal (closed) or open technique.
The end of my nose points upward. How do you correct this during surgery?
If the end of your nose points upward, it can be re-oriented to point forward by using sutures to change its shape or grafts to elongate it. Sometimes, removing some septum or membrane can also accomplish the same goal as well.
Can my pug nose be fixed with rhinoplasty?
Pug noses can be fixed by using various techniques that strengthen and elongate the nose, as well as those that increase nasal tip projection. This is a common problem that should respond well to advanced rhinoplasty techniques.
Can you explain the difference between primary rhinoplasty and revision rhinoplasty?
A revision rhinoplasty is a secondary operation that serves to improve upon or correct problems that still remain after prior rhinoplasty. I have performed many revision rhinoplasty operations on patients who have had five or six prior nasal surgeries. I find revisions more technically difficult, but also more rewarding for myself and the patient.
In rhinoplasty for children, are there any special considerations to take into account?
Children who have yet to fully mature may be adversely affected by a rhinoplasty because their faces have yet to become fully developed and may continue to change. In this scenario, the rhinoplasty yields a result that may initially look good, but not as the jaw bone grows or other facial features change. Additionally, the nasal septum serves as a secondary growth center for the mid face and it may be impacted by surgery, interfering with mid-facial development (although the recent science on this suggests it may not be so important).
After my rhinoplasty procedure, will more of my nostrils be visible from the side?
No, more of your nostrils will not be visible from the side after rhinoplasty.
During the rhinoplasty, is the bump really “shaved” off?
There are different ways of taking down a bump on the nasal dorsum. It can be rasped or filed down, which can be done manually or with a power tool. It can also be removed with an instrument called an osteotome, that is like a chisel.
Where is the rhinoplasty surgery performed in relation to your office?
I perform over 95 percent of my rhinoplasty operations in my office at Lasky Clinic. We have a fully accredited outpatient surgery center and use excellent, top quality anesthesiologists who are very accustomed to working with me on a daily basis. This relationship between anesthesiologist and surgeon is very important in creating trust, and results in a safer, more efficient operation, as well as a more comfortable experience for the patients.
After repairing a narrow nose, how long is it until the swelling is reduced after surgery?
Whenever a rhinoplasty is performed, it will result in swelling that takes many months, if not a year to go away.
When having my thin nose fixed, should I be concerned that it will no longer look right on my narrow face?
If a patient has a very narrow nose, but also has a very thin face, then it may be advisable to forego nasal surgery. This is a very important point, as the nose must balance with the other facial features and it must fit into context of the rest of the person.
I’ve already had one primary and two revision rhinoplasties. Am I still a candidate for surgery?
If someone has already had several rhinoplasties, and he/she is are still unhappy, the nose may still be able to be fully corrected. This necessitates finding the right surgeon and allowing him/her to carefully examine you and create a surgical plan. There are cases that should be left alone, but these are the rare ones. In my experience, I usually can improve the nose, and the post-operative course is usually easier for these patients than their prior surgeries.
I’ve heard that the tip of the nose has many intricate things in it and that makes tip-plasty very complicated. Is that true?
Surgery that involves the nasal tip must be done with precision and foresight as to what the effects of healing will be. Wound healing and scar contraction often impacts the way the tip heals and, as such, these need to be considered when operating on the tip.
Does swelling of the tip really take longer to heal?
Swelling post operatively often stays longer at the tip because it is the most dependent (lowest) part of the nose, and also because the skin there is thicker. Additionally, I rely on the healing process to help create the desired tip shape, and this process takes time.
I’m from out of town and will be traveling to you for my rhinoplasty. Do offer a travel discount?
My office has several arrangements with nearby hotels whereby we can get a discount for patients. These hotels are all nearby and at various price points.
How long will I need to plan on staying for my rhinoplasty if I’m traveling from out of town?
If a patient is traveling to me for surgery and will be flying, then I advise he/she stays for at least 9 nine days. The reason for this is that the cabin pressure on planes will cause swelling to occur, and the nose will then take longer to acquire its desired shape. Rarely, this may impact the final result. There is no medical risk to flying earlier, and often patients do it and I have seen no ill effects thus far, but ideally I would have them wait.
What happens if I have problems after my rhinoplasty if I live in another state?
If a patient has any acute problems after rhinoplasty that need urgent attention, they would occur within the first week. Otherwise, the problems that develop over time are less in need of immediate attention and can be addressed by me at a later date or via the internet with correspondence. If a patient requires a medical visit, I will contact a colleague in the patient’s vicinity and have him/her evaluated.
My nose is twisted on the bottom front part rather than the top. Can this be fixed?
If the nose is twisted at the lower part, it implies that the cartilage is misshapen. This may be due to the septum or the tip cartilages, and generally can be straightened with good results.
My nostrils are uneven because my nose is all twisted. Can both be fixed?
Nostril asymmetry is extremely difficult to fix, especially if it is due to congenital factors where the nostril attaches to the face. Asymmetries that result from tip cartilage variability are less difficult to repair.
Is there some way that you can make sure my nose won’t look strange from the side when fixing it because it’s upturned?
A good surgeon will take into account all of the views of the nose when operating to keep it looking natural and balanced.
I’m worried about my information. Who will have access to it?
All medical information is kept private and no unauthorized person is allowed access to it whatsoever.
How does a nose become twisted?
Noses become twisted from a variety of causes such as trauma or tumors. Oftentimes the nose is injured when someone is very young or even at birth, and only becomes curved as that person ages and the cartilage bends more and more. Cartilage tends to distort more with age and the soft tissue support diminishes. Certain people have larger nasal septums and occasionally they are too large for the soft tissue envelope that encloses them which results in a twisted or curved nose.