Rhinoplasty and Cosmetic plastic surgery Q & A

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D.J. Verret, MD
D.J. Verret, MD

Rhinoplasty - Is it too soon after surgery to be worried about uneven nostrils?

I would suggest speaking with your doctor about your concerns. No one knows better what was done than the person that did it. Though it is his art, most physicians will be up front and often will say when they get a result that was unexpected or... more

D.J. Verret, MD
D.J. Verret, MD

Why does rhinoplasty surgery not allow my nose to be made as small as I want?

Any nasal reduction surgery has certain limitations. The goal of surgery should be to create an aesthetically pleasing nose which still has good function (i.e. you can breathe out of it). To do this, a certain size of the nose must be maintained.... more

Manish H. Shah, M.D. Manish H. Shah, M.D.

How is rhinoplasty in Hispanic patients different than in other patients?

In general, my Hispanic patients tend to have thicker, oilier skin. Also, their noses tend to be flatter and broader. If the bridge of the nose needs building up, then grafting material (cartilage, bone, silicone, medpore) is used. Tip grafts... more

Stella Desyatnikova, M.D.Stella Desyatnikova, M.D.

Revision rhinoplasty - have I had too many nose jobs?

We do many revision rhinoplasties, and they are sometimes indeed extremely complex. Sounds like you have a septal perforation, perhaps, and a droopy tip. The first thing you need to do is to see an experienced facial plastic surgeon and discuss... more

D.J. Verret, MD
D.J. Verret, MD

After rhinoplasty is it common to have breathing problems?

The goal of rhinoplasty surgery should be first to maintain function and second to achieve improved aesthetics. While there are complications of surgery which can produce difficulty breathing, such as a perforated septum or nasal collapse, in... more

D.J. Verret, MD
D.J. Verret, MD

What is a graft and what is it used for in rhinoplasty?

Grafts are augmentation places inside of the nose to either provide structural support or cosmetic contouring. Usually the grafts are cartilage obtained from either the nose itself, the ear, or the rib but can be synthetic including silicone and... more

Steven Wallach, M.D.
Steven Wallach, M.D.

After rhinoplasty how long should the swelling last?

The swelling varies for each individual patient.  Open rhinoplasty techniques tend to cause more post-operative swelling that persists for a longer time than closed rhinoplasty.  Most swelling will dissipate after 3-4 weeks. ... more

Steven Wallach, M.D.
Steven Wallach, M.D.

Celebrity rhinoplasty - what kind of results do they get?

I supose I treat everyone as a celebrity, but really I treat them as if I am treating my own family member.  I want them to have a great result, a great experience, and I want them to feel that all their questions and concerns were... more

Steven Wallach, M.D.
Steven Wallach, M.D.

Should I have my rhinoplasty done by a facial plastic surgeon or a general plastic surgeon?

I think that either one can do it well or poorly.  It really depends upon their experience and their artistic eye.  The best way to find the right one for you is to talk to friends that have had good results, and good experiences. more

Steven Wallach, M.D.
Steven Wallach, M.D.

Rhinoplasty - why do some surgeons seem to do the same nose for everyone?

I remember growing up with similar memories. There were surgeons in my  area that did very "cookie cutter" type procedures.  Everyone had an over-resected looking button nose. Unfortunately, this often left the person as a... more

Steven Wallach, M.D.
Steven Wallach, M.D.

How young is too young for rhinoplasty?

Because the chin and the nose are usually the last structures to reach adult size, you want her to wait until she has fully grown. This is usually between 15 ands 16 for girls and 17 and 18 for boys. more

William A. Portuese, MD
William A. Portuese, MD

Rhinoplasty - will my nasal allergies affect the surgery or outcome?

Allergies must be well managed through anti-histamines or nasal sprays prior to surgery.  This will reduce any prolonged internal nasal swelling from a combination of both surgery and allergies.  If allergies are not under control it... more

William A. Portuese, MD
William A. Portuese, MD

Can rhinoplasty correct asymmetric nostrils?

Yes, the goal of Rhinoplasty is to create a nose that fits harmoniously with the face and balanced for each individual patient.  Asymmetric nostrils can be improved upon and made to look more symmetrical.  However, largely asymmetric... more

William A. Portuese, MD
William A. Portuese, MD

I have trouble breathing through my nose. My doctor says it looks OK and I don't need a rhinoplasty. What should I do?

Difficulty breathing through your nose can be alleviated through other procedures that do not alter the shape of your nose.  Procedures such as Septoplasty, Turbinate reduction or spreader grafts , are performed to improve a person’s... more

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