As a facial plastic surgeon, there are many different reasons patients seek my expertise for rhinoplasty, or “nose job” surgery, but they can be divided into 3 main categories: The “hump” or bump on the nasal bridge, the tip size and shape, and differences in nasal symmetry. Keep reading for more information about the three most common aspects of a nose that are addressed by rhinoplasty surgery. Hump/Bump The nasal bridge or dorsum is the part of your nose that starts at the radix (the deepest part of the nose between the eyes) and ends at the nasal tip.  The bridge is flanked on either ..read more

After patients make the personal decision to undergo facial plastic surgery, they are faced with determining who is the best suited to perform their procedure. Some of the obvious criteria includes the surgeon’s practice proximity/location and convenience of office access. However, there are several other less obvious aspects of choosing a surgeon to consider when selecting your specialist, including cost, the surgeon’s practice setting, alignment of goals, and the physician-patient connection. The easiest way to search for a skilled provider in your area is to hop on Google and do a “nearby s ..read more

In the past several years, rhinoplasty was the most commonly-performed facial plastic surgery procedure. A recent article in the Facial Plastic Surgery & Aesthetic Medicine Journal took a dive into “patient recovery and satisfaction with perioperative care after rhinoplasty”. The research studied a group of 51 participants who underwent functional septorhinoplasty with an average age of 37.8 years old, and the group was divided about equally between men and women. The patients completed an experience questionnaire at their first post-operative visits in an effort to identify factors that i ..read more

According to the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), rhinoplasty is the most common cosmetic surgery performed each year in the United States.  This is no surprise given the nose’s prominent position in daily life.  This front and center status of the nose combined with its critical breathing function and delicate anatomy also render rhinoplasty one of the most revised cosmetic procedures. Published revision rates for rhinoplasty range from 5% for tip rhinoplasty to 15.5% for complex revision rhinoplasty.  A history of previous nasal operation ..read more

As a board-certified facial plastic surgeon, I have in-depth knowledge of what are considered to be the ideal proportions of the face (have you read my post about the golden ratio?).  To supplement my training and expertise, I have done extensive research on how someone’s face is perceived based on their features (read my blog here).  Cosmetic surgery will undoubtedly impact the way you’re perceived, so it’s important to entrust your surgery with a skilled specialist who understands the real-life implications of making a change to your appearance. During every rhinoplasty consultatio ..read more

Thinking about a Nose Job?  Here are answers to your rhinoplasty questions. There are many questions that may arise when deciding whether or not to pursue a “nose job” or rhinoplasty surgery.  And once you decide you’d like to explore further, there is the ever-important decision about who you will trust to do the operation.  Lastly, there are the seemingly endless questions about the procedure details itself and what to expect in the recovery process. Getting the answers to these questions can help you make an informed decision as to whether surgery and the surgeon are right fo ..read more

While many patients focus on the end-goal of a rhinoplasty (aka “nose job”), there are some details to be aware of before undergoing the scalpel. Upon completion of the procedure, you will be given prescriptions for specific medication to make you as comfortable as possible postoperatively to allow your body to heal.   Routinely, this includes medications to help treat potential pain and/or nausea as well as nasal saline spray to keep the nose clean and moist while you are healing.  Depending on the details of your surgery, I may also prescribe antibiotics and/or steroid pills t ..read more

During your initial rhinoplasty consultation, I will snap a variety of photos of you in very specific views, the majority of which are done while aligning the top of the ear canal with the inferior orbital rim (the bony ridge below the eye).  This is called the Frankfurt Horizontal Plane. It’s important to take photos in this alignment to provide an accurate representation of the results.  Photos can be deceptive if the patient is angled differently, wearing a different facial expression or degree of makeup, or being photographed with different lighting in the before versus after pho ..read more

What is a filler rhinoplasty? Will a filler rhinoplasty work for my nose? If you watch any form of social media lately, you’ll see numerous TikTok videos or Instagram reels of providers performing “liquid rhinoplasties.” These procedures are on the rise, and many of my patients are asking me if it’s right for them. The short answer is that, for safety reasons, I generally do not recommend liquid rhinoplasty.  Although certainly less invasive than a surgical rhinoplasty, filler injections come with an uncommon but major risk called injection related vascular compromise or IRVC.    ..read more

Most people think of the words “rhinoplasty” and “nose job” as one in the same.  However, while a “nose job” is really a term that is used to refer to a cosmetic procedure performed on the nose to improve the appearance, “rhinoplasty” is a broader term and refers to any surgery that is done to alter the structure of the nose for appearance purposes, breathing purposes, or both.  A “functional rhinoplasty” is surgery that focuses on optimizing the structure of the nose to improve breathing.  While there may be some mild changes in nasal appearance that occur whenever the structur ..read more