Nose Jobs (Rhinoplasty) Westchester 

Since the nose is one of the most prominent features, a rhinoplasty is one of the most popular cosmetic surgery procedures we discuss at our White Plains office. The shape of our nose has a significant impact on the appearance of our face. It can impact our self-esteem, confidence, and how people perceive us.

Rhinoplasty surgery, or a “nose job”, is designed for those who want to change their nose shape to improve their facial features. One might schedule a rhinoplasty to reshape your nose appearance or to remedy issues with breathing. If you are considering rhinoplasty in Westchester, this guide is here to help.

What is a Rhinoplasty Procedure? 

Rhinoplasty, commonly known as a ‘nose job,’ is a surgical procedure that aims to reshape the nose to achieve a more aesthetically pleasing and harmonious facial appearance. It may also address functional issues, such as breathing difficulties caused by structural abnormalities.

Rhinoplasty can focus on several aspects of your nose, including the bridge, tip, nostrils, and overall proportions. Most rhinoplasty surgeons use one of two techniques: open rhinoplasty or closed rhinoplasty. 

Open rhinoplasty involves creating a small incision on the columella, the strip of tissue between the nostrils and occasionally in the crease on the outside of both nostrils as well. This approach provides easier visibility and access to the nasal structures and is useful for more complex cases. On the other hand, closed rhinoplasty involves making incisions inside the nose, leaving no visible external scars. This technique is suitable for most patients in our experience.

At Rothaus Plastic Surgery, the closed rhinoplasty is predominantly used as not only is there an absence of external incisions, but also we believe the recovery is easier and faster. Once we have made the necessary incisions, we will carefully reshape and refine the underlying nasal structures, including cartilage, bone, and soft tissues. This may involve removing excess tissue, adding grafts or implants for structural support, or repositioning the nasal structures to achieve the desired shape and symmetry.

Types of Rhinoplasty Procedures

There are two main types of rhinoplasty procedures: open and closed.

Open vs. Closed Technique

During an open rhinoplasty, the surgeon will make an incision at the base of the nose to gain access to the underlying nasal structures. This method allows for more precision and a more comprehensive range of possible corrections.

Closed rhinoplasty requires no external incision, as the surgeon accesses the underlying nasal structures through the nostrils. This method gives less control over reshaping the nose but is still an effective technique for some types of corrections.

Depending on your needs, your doctor may recommend one type of procedure over another. Discussing which option is best for you with your surgeon before the procedure is important.

Cosmetic vs. Reconstructive Surgery

Rhinoplasty can be performed for both cosmetic and reconstructive purposes.

Cosmetic rhinoplasty involves reshaping your nose to improve its aesthetics, such as reducing a hump or adjusting the size of the nose.

Reconstructive rhinoplasty is used to correct birth defects or injuries that have distorted the shape of your nose, such as a broken nose or a deviated septum.

Rhinoplasty Consultation 

During the initial consultation, we will thoroughly evaluate your nasal structure and discuss your goals and expectations for the surgery. It’s essential for us to have a clear understanding of what you hope to achieve so that we can develop a personalized treatment plan that aligns with your desires and addresses any functional concerns.

In some cases, we may need to address functional issues, such as a deviated septum or nasal valve collapse, during the procedure. This can improve your breathing and overall nasal function.

After the reshaping and restructuring process is complete, we will close the incisions using absorbable, fine sutures. We will also place internal packing (which is in place until the morning after surgery) and an external splint for approximately 4-5 days.  

Identifying Aesthetic Goals for Rhinoplasty

Having realistic expectations of what rhinoplasty can do for you is crucial. Dr. Rothaus will discuss your aesthetic goals with you before the procedure to ensure they can meet your desired outcome. Your surgeon will review photographs of noses similar to yours and use these as a reference point when discussing how they can reshape your nose.

Examining Facial Features and Proportions

Dr. Rothaus will examine your facial features and proportions to determine how the rhinoplasty procedure should be performed to achieve a natural-looking result. This includes looking at the shape of your face, the size of your eyes and ears, and the position of your chin.

Understanding Nose Shapes and Facial Growth Patterns

Dr. Rothaus will also consider the anatomy of your nose and the growth patterns of your facial features. This helps them determine how they can best reshape your nose while maintaining its natural structure and balance with the rest of your face.

Preparing for Surgery

Once you decide to go forward with rhinoplasty, your surgeon will provide detailed instructions on how to prepare for the procedure. This may include avoiding certain medications and supplements in the weeks leading up to surgery. It is essential to follow their instructions carefully in order to ensure a successful outcome.

Nasal Packing After Surgery

After surgery, nasal packing may be placed inside your nose to reduce bleeding and provide support. This is typically removed after a few days but can be left in place for up to a week. During this time, you must always keep your head elevated and ensure that your nose remains clean and dry.

Advanced Techniques for Crooked Noses and Nasal Bridges

Some noses may require advanced techniques to restore a straight nose and nasal bridge. This can include cartilage grafts, alarplasty (reshaping nostrils), neck lifts, or suturing techniques to support the nasal structures.

Rhinoplasty Recovery Time 

It’s important to understand that rhinoplasty is a highly personalized procedure, and the specific techniques used will vary based on your unique nasal anatomy and goals. We will guide you through the entire process, discussing the potential risks and complications, as well as the expected recovery timeline and post-operative care instructions.

Recovery from rhinoplasty typically involves a brief period of swelling and bruising. Most patients can resume their normal activities within a couple of weeks. Although the improved appearance of your nose is seen within several months, continued improvement can be seen for up to 1-2 years. 

It’s crucial to maintain realistic expectations and understand that rhinoplasty can enhance your facial harmony and self-confidence, but it cannot completely alter your fundamental facial features. The goal is to achieve a natural-looking result that is in harmony with your overall facial proportions.

We hope this detailed explanation helps you understand the rhinoplasty procedure. Please don’t hesitate to ask any further questions you may have, as we are here to provide you with the information and support you need to make an informed decision.

Post-Surgery Care Instructions

Immediately following surgery, you will need to rest and keep your head elevated. You should also avoid blowing your nose or wearing glasses, which may disrupt the healing process. Your doctor will provide detailed instructions on how to care for yourself after surgery.

Your surgeon will also schedule follow-up appointments to monitor your progress and ensure that desired results have been achieved.

Contact our Certified Rhinoplasty Surgeon in Westchester

Dr. Rothaus is on staff at The New York Presbyterian Hospital-Weill Cornell and at The Hospital for Special Surgery.  His Manhattan office and office-based surgery center are located on the Upper East side of Manhattan.  Dr. Rothaus has, however, maintained for his Westchester and Connecticut patients a conveniently located Westchester office for almost two decades. He and his staff are available in their White Plains office to provide consultations and take care of all your pre-operative and post-operative care. If you have any questions or concerns about the rhinoplasty procedure, we are here to address them and guide you through the process. Request a consultation at our Westchester Cosmetic Surgery office to learn more. 

About Dr. Rothaus

Kenneth O. Rothaus, MD is a board-certified Manhattan and Westchester plastic surgeon offering cosmetic and reconstructive surgery for the face, breast, body, and skin. Educated at Yale College and Harvard Medical School, Dr. Rothaus’ general and plastic surgery training was at the Columbia and Cornell campuses of the New York Presbyterian Hospital. Dr. Rothaus values the wants and needs of his patients and strives to give them the best experience possible.

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