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Rhinoplasty Frequently Asked Questions (FAQ)

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What types of rhinoplasty are available?

Rhinoplasty can correct a number of nasal concerns and issues via the two types of rhinoplasty surgery: aesthetic and functional surgery. These procedures can correct bone fractures, missing or damaged cartilage, misalignment, and issues with airway that prevent the patient from being able to breathe properly through the nose. Aesthetically, the nose can be physically altered to improve the appearance of the nose such as in the nostrils, bridge of the nose, and the tip.

Is rhinoplasty safe?

Yes. For patients who are of good physical health and who have not had prior negative reactions to general or local anesthesia, a rhinoplasty is an ideal and safe solution. Whenever possible, the Advanced Cosmetic Surgery Team uses local anesthesia for our rhinoplasty procedures to lessen the risk to the patient. There is generally little blood loss with the majority of rhinoplasty cases and acute recovery is about 2-3 weeks in duration with full healing of the nose taking place by about 12 months.

Can I opt to have local anesthesia instead of general anesthesia?

Yes, in some cases this is possible. When only soft tissue in the nostrils or the tip of the nose is involved, local anesthesia (along with IV sedation) is possible. For deviated septum procedures and those involving bony structures of the nose, general anesthesia is necessary.

Will my breathing be helped by rhinoplasty?

If you are unable to breathe freely through your nostrils, the most common reason is a deviated septum. Our Advanced Cosmetic Surgery Team is highly skilled to perform septum repair from injury to the nose, including septum perforations (tears or holes) due to physical trauma or chemical exposure. Though a septum repair is not 100% guaranteed to heal, it has an extremely high success rate as a result of our team’s many years of ear, nose, and throat surgery experience. When a deviated septum is the cause for lack of airway flow, The Advanced Cosmetic Surgery Team can straighten the crooked shape of the upper nasal passages to allow for clear airways and improved air flow.

Where are rhinoplasty incisions placed?

Patients will be informed which incision placement is right for the specific concerns that will be addressed during their surgical procedure. An open procedure is where the columella (or soft tissue between the nostrils) is cut to expose the entire nasal cavity for rhinoplasty procedures involving bone work to the upper bridge of the nose. Most soft tissue corrections such as to the tip of the nose, septum repairs, and cartilage repairs can be done using a closed procedure where the incisions are made inside of the nose and are never seen. For procedures to the nostrils, an incision may be placed in the outer fold of the nostril to allow for adjustment of the shape and size of the nostril.

What areas of the nose can be corrected with rhinoplasty?

The bridge of the nose, tip, and nostrils can all be adjusted in size and width while humps, bumps, and depressions in the bridge or other areas of the nose can also be corrected. Internally, a deviated septum repair surgery can be performed to restore function to the nasal airways and allow for clear breathing.

How long will my results last?

Adjustments to the bony structures of the nose, to the width of the nostrils as well as repairs to the septum are all permanent changes that patients can enjoy for the rest of their life, notwithstanding an injury to the nose. Changes to the tip of the nose can be altered by A) significant amount of weight gain or B) the natural effects of aging or C) over exposure to the sun. We recommend, therefore, limiting exposure to the sun and to practicing a healthy lifestyle that includes proper nutrition and exercise to help minimize the possibility of dramatic changes taking place. Click here to see nose surgery before and after photos.

What if I’m not happy with my rhinoplasty results?

Every effort is made by our Advanced Cosmetic Surgery Team to help set expectations for the end result of the rhinoplasty procedure. This helps to eliminate much of the possibility of being unsatisfied with surgical results. In cases where a patient is unhappy with their results, we will work with them to arrive at a reasonable resolution up to and including revision surgery if needed. The Advanced Cosmetic Surgery Team is sought after by many New York area patients to correct rhinoplasty done by other surgeons (also referred to as “revision rhinoplasty”). You can feel confident in our surgeons’ abilities.

Where will surgery be performed?

Many times, rhinoplasty procedures can be performed in our own AAAHC accredited surgical centers located in Commack, Long Island. Our facilities are well equipped for procedures requiring both local and general anesthesia. For cases requiring general anesthesia, an anesthesiologist will be present in addition to the surgeon for patient safety reasons. In some cases, our surgeon will recommend that surgery be done in a local hospital setting.

How long will it take for my nose to heal?

The nose is one part of the body that needs plenty of time to heal completely and only gets better with time. For the majority of patients, the first few weeks will consist of discomfort along with significant swelling and bruising. However, after those first few weeks, those issues will lessen gradually and the nose will get better as the months pass with full results seen in the contour of the nose at about 12 months post-surgery.

*This page does not communicate the full list of complete risks and potential complications from this surgery. To receive a list of post-op risks & complications, please be sure to get this complete list from our staff and do not rely solely on the information provided on this page.