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Dr. Nirmal Nathan is a board-certified plastic surgeon based in Miami, Florida. A highly sought-after plastic surgeon known for his expertise in facial, body, and breast aesthetic surgery, Dr. Nathan specializes in mommy makeovers and rhinoplasty, as well as n
Asked By: Cute891132
ANSWER
Dear Cute, It is unlikely that the rhinoplasty is the cause of pigmentation 9 months after surgery. Pigmentation can happen from sun exposure, and when it happens can respond to sun screen, topical peels and skin turnover creams such as treretinoin. A dermatologist or cosmetic plastic surgeon should be able to guide you. Good luck! Dr. Nathan Miami, Fl
Asked By: klatte
ANSWER
Hi KLatte, Thanks for your question. Rhinoplasty and eyelid surgery are often performed together and should not be an issue. A lip lift could alter the aesthetics of the base of your nose, or swelling from the rhinoplasty could alter the accuracy of the lip lift. I am sure there are surgeons who would disagree with me, but I would rather perform the lip lift at a later date to ensure the best accuracy and also maintain a good blood supply to the nose. I hope this helps.
Asked By: RealSelf Admin
ANSWER
Dear Realself Admin, Thank you for your question. Rhinoplasty recovery is variable. In most patients, a large amount of swelling will resolve after 7-10 days. At the 10-14 day mark, patients usually feel OK to return to work. Bruising can sometimes occur, but is rare in my practice. The nose may have persistent minor swelling that resolves over 4-6 weeks. It is rare to have significant swelling longer than this, although tip definition takes 6 months to a year to fully appear. These rules are pretty similar between both open and closed rhinoplasty, despite marketing claims to the contrary. It is at 6 weeks that I usually clear patients for strenuous activities and exercise. I will sometimes perform a steroid injection at 4-6 weeks to help with tip swelling. Hope this helps, Nirmal R. Nathan, M.D. o Certified, American Board of Plastic Surgery o Member, American Society of Plastic Surgeons o RealSelf Top Doctor
Asked By: chavez8953
ANSWER
Dear chavez8953, Thank you for your question. You need to reach your goal weight before making a definitive plan. Based on your BMI you probably have 20 pounds to lose (although your pictures don't show it), and that much weight loss could dramatically change the plan. Good luck! Nirmal R. Nathan, M.D. o Certified, American Board of Plastic Surgery o Member, American Society of Plastic Surgeons o RealSelf Top Doctor
Asked By: Sensible8717
ANSWER
Dear Sensible8717, Thank you for your question. Based on your photos a traditional tummy tuck is likely the best choice for you. An in person exam needs to be performed, however, to determine the definitive plan and assess if you are a good candidate for surgery. Make sure your plastic surgeon is board certified by the American Board of Plastic Surgery, and ask to see before and afters. Good luck, Nirmal R. Nathan, M.D. o Certified, American Board of Plastic Surgery o Member, American Society of Plastic Surgeons o RealSelf Top Doctor
Asked By: u137598
ANSWER
Dear u137598, Thank you for your question. With most body contouring cases it is OK to return to a desk job after 2-3 weeks. It is usually 4-6 weeks before you are able to perform strenuous exercise. Keep in mind, these are averages, and some patients take less or more time to fully heal. Consult with a board certified plastic surgeon to learn more. Best regards, Nirmal R. Nathan, M.D. o Certified, American Board of Plastic Surgery o Member, American Society of Plastic Surgeons o RealSelf Top Doctor
Asked By: soccergirl34
ANSWER
Dear soccergirl34, Thank you for your question. Based on your photos, your rhinoplasty goals can be achieved. Thick skin can be addressed through a variety of techniques, including skin thinning and cartilage grafts. Consult with a board certified plastic surgeon to learn more. Ask to see before and afters. Best regards, Nirmal R. Nathan, M.D. o Certified, American Board of Plastic Surgery o Member, American Society of Plastic Surgeons o RealSelf Top Doctor
Asked By: Ssssssb
ANSWER
Dear rubbbyyfran, If your COVID PCR test comes back negative you should be able to have surgery for rhinoplasty. The Accutane is a different issue. Make sure your surgeon has experience with your type of nose and ask to see before and afters. Best regards, Nirmal R. Nathan, M.D. o Certified, American Board of Plastic Surgery o Member, American Society of Plastic Surgeons o RealSelf Top Doctor
Asked By: Lara223
ANSWER
Dear Katiee14, Nostril size can be reduced with debulking and other tip techniques. Sometimes what patients interpret at large nostrils is actually alar show. It is hard to comment without photos. Consult with a board certified plastic surgeon to learn more. Best regards, Nirmal R. Nathan, M.D. o Certified, American Board of Plastic Surgery o Member, American Society of Plastic Surgeons o RealSelf Top Doctor
Asked By: RavenShieldMaiden
ANSWER
Dear RavenshieldMaiden, It is completely normal to feel nervous before any type of surgery. In these situations, the physician patient relationship is extremely important. Your surgeon should be able to answer all of your questions and make you feel at ease. If you have doubts, seek a second opinion. Make sure your surgeon is certified by the American Board of Plastic Surgery. Ask to see before and afters. Good luck, Nirmal R. Nathan, M.D. • Certified, American Board of Plastic Surgery • Member, American Society of Plastic Surgeons • RealSelf Top Doctor
Dr. Nirmal Nathan is highly regarded for his expertise in and . Patients consistently praise his natural-looking results, compassionate care, and thorough explanations. His dedication to safety and attention to detail have given many patients their confidence back. His staff is also highly commended for their amazing support.
