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Rhinoplasty

Rhinoplasty at a Glance

Rhinoplasty is usually performed under general anesthesia to ensure patient comfort throughout the procedure. The surgery itself typically takes about 1.5 hours, depending on the complexity and desired outcome. Initial recovery generally lasts about 1 to 2 weeks, during which swelling and bruising gradually improve, allowing most patients to return to normal daily activities.

Breathe easy and create a streamlined profile

When a nose is beautiful, it fits harmoniously with the other features of the face. It doesn’t jump out at you. In fact, other features, such as the eyes or lips, draw the eye more. There are as many different noses as there are faces. Ethnicity, genetics, and facial symmetry come into play. And, unlike decades ago, when most patients and plastic surgeons took a cookie-cutter approach to nose reshaping and one could spot a nose job at a party, today’s perfect look is as varied as the face on which it sits.

What is a Rhinoplasty?

A rhinoplasty is a surgical procedure that is performed for cosmetic purposes. A primary rhinoplasty works with the natural nose to enhance its size, shape, projection, and to improve facial harmony. In cases where a previous rhinoplasty failed to give satisfying results, a revision rhinoplasty can be performed.

Appearance Issues Nose Surgery Can Fix

Dr. Berman, a double board-certified plastic surgeon, can reshape your nose in any number of ways to correct many issues, including:

  • Reducing noses that are too big
  • Augmenting small noses
  • Removing a noticeable hump in the bridge
  • Reducing a hooked appearance
  • Slimming a bulbous nose tip
  • Narrowing or widening the span between the eyes
  • Adjusting the angle between the eyes and upper lip
  • Narrowing or widening the nostrils

Whatever the reason that you’re interested in nasal surgery, Dr. Berman can correct your issues through rhinoplasty at his South Florida plastic surgery practice.

Patient Results

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Good Candidates for Rhinoplasty

Nose reshaping surgery, or rhinoplasty, is among the most commonly requested procedures for men and women from their teens through their 50s. Interestingly, men undergo nose reshaping more than any other cosmetic procedure, according to statistics from the American Society of Plastic and Reconstructive Surgeons.

Rhinoplasty may also be recommended for people with breathing problems, commonly caused by a deviated septum, which can be corrected during a rhinoplasty procedure.

Good candidates for nasal surgery should be in good health, not smoke, and have realistic expectations for what results a plastic surgeon can achieve. In addition, they should not have any underlying health problems that would prevent them from having surgery.

The best way to know if this procedure can help you achieve the facial appearance you desire is to schedule a consultation with Dr. Berman, in which he can examine your nose and face, take your medical history, and make recommendations for a personalized treatment plan.

Types of Rhinoplasty Procedures

Dr. Berman is experienced in several advanced techniques to help you achieve the nose you want. He might suggest any of the following rhinoplasty techniques, based on your concerns, goals, and anatomy.

Above all, Dr. Berman’s goal of rhinoplasty surgery is to achieve a natural, elegant look, rather than an exotic or drastically different shape. To avoid looking “done” at all costs, Dr. Berman chooses specific rhinoplasty techniques that augment the strengths of the patient’s facial features while minimizing the weaknesses.

Open Rhinoplasty

For more significant procedures, Dr. Berman will likely choose an open technique for better access and visualization of nasal tissues. In an open rhinoplasty, an incision is made through the columella, which is the skin that separates the right and left nostrils. Through this incision, Dr. Berman can manipulate cartilage, skin, and bone to achieve the desired look. The incision will be closed with sutures and there will be no visible long-term scarring.

Closed Rhinoplasty

In the closed rhinoplasty, all the corrections are done within the nose to avoid any visible scarring. Incisions may be used within nostrils, but the columella will be left intact. This technique is best for those who only need minor changes made to the nose.

Non-Surgical (Liquid) Rhinoplasty

Dr. Berman might recommend the non-surgical rhinoplasty to those who are not ready for a surgical procedure or want to “try out” what a surgical rhinoplasty can do. A liquid rhinoplasty involves the use of dermal fillers to subtly change the shape of the bridge or tip of the nose. Results from a non-surgcial nose job are temporary, lasting between six months to a year before needing re-treatment or surgical rhinoplasty.

Revision Rhinoplasty

For those who have had rhinoplasties in the past, but are not satisfied with the results, a revision rhinoplasty can bring satisfaction in your appearance using either an open or closed technique. Correcting other doctors’ rhinoplasties is a delicate procedure that you can trust double board-certified rhinoplasty surgeon Dr. Berman to perform with the utmost care and best results.

What to Expect From a Rhinoplasty Consultation

During a consultation with double board-certified plastic surgeon Dr. Jonathan Berman, three things will happen. First, you’ll tell him your concerns, reasons for seeking surgery, and goals you have in mind. Then, he will perform an examination and take your full medical history to ensure you’re a good candidate for the procedure. Finally, you and Dr. Berman will map out a personalized surgery plan that works best for your timeline.

Depending on your needs and concerns, this process could take a single appointment or require multiple consultations. Either way, Dr. Berman will be committed to getting you the plastic surgery results you want in Boca Raton, FL.

Preparing for Nose Surgery

Although not as large a procedure as other cosmetic surgeries, nasal surgery is still considered a major procedure, as it affects sensitive tissues in the face. This means good preparation is key to a successful surgery and smooth healing process.

In preparation for rhinoplasty, Dr. Berman will instruct you to stop or adjust certain medications, as well as quit smoking and drinking alcohol a certain number of days before surgery. You will also need to have a friend or family member take you to and from the surgery center on the day of the procedure, and schedule several days to be off of work as you recover.

How is a Rhinoplasty Performed?

As in all our other plastic surgery procedures, rhinoplasty is performed on an outpatient basis in our on-site accredited ambulatory surgical facility, which is certified by the American Academy of Ambulatory Surgery Facilities (AAASF).

Rhinoplasty is usually performed under general anesthesia. Depending upon whether the procedure is an open or closed rhinoplasty, incisions are made within the nose and Dr. Berman reshapes the nose structure by cutting, trimming, or manipulating the cartilage and bone through the nasal incisions. When additional cartilage is needed to enlarge parts of the nose, Dr. Berman can take cartilage from the septum or, in some cases, the ear. The procedure generally takes about 90 minutes to complete.

All our staff members have been hand-picked by Dr. Berman to ensure patients receive the highest level of personal attention, skill, and safety. Dr. Berman uses the services of board-certified anesthesiologists, as he wants to be certain his patients have the best. Our patients enjoy a 0% infection rate and a combined 60+ years of experience among our surgery staff members.

What to Expect During Recovery

Our surgical rhinoplasty patients go home with nasal packing, which Dr. Berman removes at a follow-up appointment after about two days, as well as a nasal splint, which comes off in about seven days. Patients experience little pain or swelling and can go back to normal activities in about 10 days.

With a closed rhinoplasty, since the surgery is done from inside the nose, there are no visible scars. In an open rhinoplasty, a tiny incision will have been made in the columella which, for most patients, heals into an invisible scar in the long-term.

Liquid, or non-surgical, rhinoplasty patients can leave immediately after the procedure. There may be some swelling or redness in the area, which should subside within a week.

Your Rhinoplasty Boca Raton Results

Although your surgical rhinoplasty results will technically be visible immediately, some swelling can linger for many months, obscuring your true results. However, as swelling begins to diminish, a patient can enjoy their enhanced nose and more harmonious facial features. Rhinoplasty surgery provides permanent results, often leading to patients’ reporting an improvement in self-confidence as well.

See for yourself with rhinoplasty before-and-after photos in our patient gallery.

VIEW PATIENT RESULTS

Frequently Asked Questions about Rhinoplasty

Can a nose job make your nose smaller?

Yes. This is called a reduction rhinoplasty. Your nose size and shape can be changed from the tip to the bridge.

Can I sleep on my side after rhinoplasty?

Sleeping positions after rhinoplasty play a crucial role in your recovery process. It is generally recommended that patients avoid sleeping on their side following rhinoplasty surgery. This precaution is primarily to prevent any pressure or displacement of the nose, which could potentially affect the healing process and the final cosmetic results.

Can nasal bone be shaped?

Yes, the nasal bone can be reshaped during rhinoplasty to refine the size, profile, and overall balance of the nose. This is often done by removing, filing, or repositioning bone for a more symmetrical and aesthetically pleasing result.

Can nasal polyps change shape of nose?

Nasal polyps themselves typically do not change the external shape of the nose, but they can cause nasal blockage and breathing issues. In severe or chronic cases, long-term inflammation from polyps may contribute to subtle structural changes internally.

Can rhinoplasty help sinus problems?

In some cases, rhinoplasty can be combined with functional procedures, such as septoplasty, to improve airflow and reduce certain sinus-related issues. However, cosmetic rhinoplasty alone is not designed to treat chronic sinus problems.

Does your voice change after rhinoplasty?

There is a possibility that your voice might change slightly after undergoing a rhinoplasty. The extent of any vocal change largely depends on the specifics of the surgery, especially if major structural changes are made that affect the nasal airways. Some individuals may experience a resonance change due to alterations in airflow through the nasal passages.

How do I prepare for a nose job?

Preparation may include avoiding certain medications and supplements that can increase bleeding risk, stopping smoking, and arranging for post-surgery care. Your surgeon will also provide specific instructions tailored to your procedure and health.

How long are you swollen after rhinoplasty?

Swelling after rhinoplasty is a common concern for individuals undergoing this cosmetic procedure. Generally, the most substantial swelling occurs during the first few days following surgery, with noticeable swelling lasting for about two weeks. However, the swelling tends to peak around the third day and then gradually subsides.

How long does a nose job take to perform?

Most rhinoplasty procedures take between 1.5 to 3 hours, depending on the complexity and whether functional corrections are included. Your surgeon will give you a more precise time estimate during your consultation.

How long is recovery from rhinoplasty?

Initial recovery usually takes 1–2 weeks, during which swelling and bruising improve significantly. Full healing, including subtle swelling resolution and final results, may take up to a year.

How much does it cost for a good nose job?

The cost of a good nose job can vary widely depending on several factors, including the surgeon's experience and the complexity of the procedure. On average, the price for rhinoplasty ranges from $5,000 to $15,000. This estimate typically includes fees for anesthesia, surgical facilities, and other associated costs.

Is nose job permanent?

Yes, rhinoplasty results are considered permanent, as bone and cartilage are surgically reshaped. However, natural aging and lifestyle factors can cause subtle changes to the nose over time.

What are the side effects of rhinoplasty?

Common side effects include swelling, bruising around the eyes and nose, mild discomfort, and temporary nasal congestion. These typically resolve within a few weeks, though subtle swelling can last for several months.

What is closed rhinoplasty?

Closed rhinoplasty is a surgical procedure designed to reshape the nose without any external incisions. In this method, all surgical cuts are made within the nostrils, resulting in no visible scarring on the outside of the nose.

Will the tip of my nose get smaller after rhinoplasty?

If desired, rhinoplasty can refine and reshape the nasal tip by adjusting cartilage and soft tissue. This can create a smaller, more defined, and proportional tip while maintaining a natural look.

How can I reduce swelling after rhinoplasty?

Swelling is a natural part of the rhinoplasty procedure, like any surgical procedure. You can reduce swelling by applying ice to the nose. You should also keep the head elevated and avoid bending down or other movements that would cause blood to flow to the nose. Dr. Berman will provide his patients with a detailed recovery timeline and instructions that should be followed closely to ensure proper healing.

What is a revision rhinoplasty?

Revision rhinoplasty is a secondary surgery performed to improve or correct the results of a previous nose procedure. It can address functional issues, refine shape, or correct asymmetry.

Is rhinoplasty surgery painful?

During rhinoplasty, patients are typically under general anesthesia, which means they won't feel pain during the surgery itself. Post-surgery, some degree of swelling and bruising around the nose and eyes is common, and mild discomfort can be expected as the anesthesia wears off. Pain can usually be managed effectively with prescribed medication from Dr. Berman.

What is an open rhinoplasty?

An open rhinoplasty is a surgical procedure designed to reshape or reconstruct the nose for cosmetic or functional purposes. This technique involves making a small incision on the columella, the tissue that separates the nostrils, allowing the surgeon to lift the nasal skin and gain better visibility and access to the underlying nasal structures. This approach is often used for more complex nose surgeries, as it enables precise alterations to the cartilage and bone, potentially leading to more refined results.

When can I return to work after a rhinoplasty?

After undergoing rhinoplasty, the typical timeframe to consider before returning to work is about one to two weeks. This period allows for initial bruising and swelling to subside, helping you feel and appear more comfortable in a work setting. The exact recovery time can vary based on individual healing rates and the nature of your job.

What are the complications that can come with rhinoplasty surgery?

Rhinoplasty can come with several potential complications, as with any surgical procedure. These complications may include infection, bleeding, and an adverse reaction to anesthesia. In some cases, patients may experience difficulty breathing through the nose, persistent swelling, and numbness around the nose. Outcomes can vary depending on individual healing processes and the surgical techniques used.

Does insurance cover a rhinoplasty?

Insurance coverage for a rhinoplasty largely depends on the purpose of the surgery. If a rhinoplasty is performed for cosmetic reasons, insurance companies typically do not cover the procedure, as it is considered elective. However, if the rhinoplasty is deemed medically necessary, such as for correcting breathing problems due to a deviated septum or damage from an injury, insurance may cover part or all of the procedure. Contacting your insurance provider directly can give you the most accurate information regarding your coverage options.

When can I start working out after my rhinoplasty?

After undergoing rhinoplasty, it is generally recommended to wait at least two weeks before resuming light exercise, such as walking. More strenuous workouts, such as running, weightlifting, or high-intensity interval training, should typically be postponed for about four to six weeks, depending on your individual recovery and the advice of Dr. Berman.

Will a nose job affect my breathing?

Rhinoplasty can actually improve breathing when it addresses issues like a deviated septum, narrowed nasal valves, or other forms of nasal obstruction that limit airflow. When performed by an experienced facial plastic surgeon, the rhinoplasty procedure reshapes the nose while preserving or enhancing nasal function and the integrity of the nasal airway.

When can I wear glasses again after rhinoplasty?

Most patients need to avoid resting glasses on the nasal bones and cartilage for several weeks to protect the healing nasal dorsum. Dr. Berman may recommend taping the glasses to the forehead or using light frames until the nasal tissues stabilize after rhinoplasty surgery.

What is the difference between open and closed rhinoplasty?

Open rhinoplasty uses a small external incision across the columella to provide complete visibility of the internal nasal anatomy and nasal tip structures. In contrast, closed rhinoplasty places all rhinoplasty incisions inside the nasal passages. Both approaches allow precise nose reshaping, and your facial plastic surgeon will choose the method that best fits your nasal anatomy and aesthetic goals.

How soon can I return to work or exercise after surgery?

Most rhinoplasty patients return to desk work within a week, but strenuous activity should be avoided for several weeks to protect the healing nasal bones and reduce facial swelling. Exercise can impact the nasal blood supply and increase swelling, so your surgeon will give specific guidance based on how your nasal tissues are recovering.

Am I a good candidate for rhinoplasty?

Ideal candidates are individuals with realistic expectations who want to improve nasal shape, correct breathing problems, or achieve better facial balance through aesthetic or functional rhinoplasty. A rhinoplasty consultation includes a detailed nasal analysis of both the external nasal anatomy and internal structures to determine whether primary rhinoplasty or revision surgery is the right approach.

Rhinoplasty Surgery in Boca Raton, FL

Dr. Berman is known in the Boca Raton, Miami, Ft Lauderdale, and Palm Beach areas in Florida as the go-to nose surgeon and nose specialist. To learn more about this procedure and Dr. Berman’s expertise in rhinoplasty, schedule a consultation with him today. Get started by calling us at 561.235.3208 or filling out a contact form on our website.

Board Certified Plastic Surgeon at  | Website

Dr. Jonathan Ross Berman is a Boca Raton plastic surgeon who has been certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology / Head and Neck Surgery with over 30 years of service experience specializing in Breast Augmentation, Rhinoplasty, Face Lift, Liposuction, and many other types of plastic surgery in Boca Raton, FL.

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