The Rhinoplasty Miami procedure, also known as a nose reconstruction, or “nose job,” is a cosmetic surgical procedure that aims to reshape and enhance the nasal appearance. Within this article, we will touch upon the commonly asked questions for a nose job, the benefits of this procedure, ideal candidates for this surgery, best plastic surgeons, cost and so much more about this highly popular procedure!
What is Rhinoplasty?
A rhinoplasty, also commonly referred to as a nose job, is a procedure which aims to reshape and alter an individual’s nose. Jolie Plastic Surgery offers this procedure to individuals who may wish to reshape their nose due to a large or protruding appearance or in order to improve functionally. For example, if there is a cartilage or bone present in the nose canal which can be obstructing the airway or making it difficult to breathe, the nose can be surgically reshaped to open the airways through a nose surgery procedure.
While there is no single type of nose that appears to be the “most beautiful” within our culturally diversified society, people typically leans towards a smaller, defined, and proportional nose appearance.
Often times, there are instances in which an individual is unhappy or ashamed of their nose, especially because it is located in the center of the face and cannot be hidden. However, if an individual is unhappy with their wide nasal base or large bump on the top of their nose, it can easily be corrected with a nose cosmetic surgery procedure.
Who is a good candidate for Rhinoplasty surgery?
Unlike other cosmetic procedures, rhinoplasties serve a dual purpose of correcting physical defects and imperfections in the nose. While other procedures require patients to be over the age of 18 to ensure that the individual has fully developed, this procedure has been performed on millions of individuals ranging anywhere from their teens to their 60’s.
An ideal candidate for this procedure is someone who has self-confidence issues brought on by the appearance of his or her nose. Ideal candidates for a nose surgery should have a strong desire to have their nose altered or reshaped, good health standing, and should have no life-threatening medical conditions.
Many patients who undergo this surgery claim that their lives have completely changed for the better. Whether their noses are corrected to clear the airways or to correct an unattractive nose appearance, this surgery has incredible results both physically and mentally. By choosing a highly-trained and certified plastic surgeon that specializes in rhinoplasty you too can attain a perfect nose by improving its nasal contour, size, and profile.
Types of rhinoplasty Miami (nose job)
Very similar to other cosmetic and plastic procedures, there are a variety of different methods in which a nose job can be performed. Together with your nose job surgeon Miami, deciding on which technique is best for you will ultimately depend on your discretion and expectations.
There are generally two ways in which a plastic surgeon performs a nose surgery which include the open or closed technique. While the closed method was the most common technique used to perform a nose job years ago, this procedure has been remastered through a method which provides a clear view of the entire nose cartilage by way of an open rhinoplasty. This procedure allows nose surgery surgeons to beautifully reshape and perfect the outcome of the nose to the patient’s ultimate desires.
External /Open Rhinoplasty
The open approach to a rhinoplasty involves a small incision in the skin between both nostrils, also known as the columella. During the surgery, the nasal skin is lifted and folded upwards, providing the surgeon with a full and clear view of the bone structure of the nose. This technique also allows surgeons to have an easier access to the cartilage or tissue that is intended to be removed without having to use as much physical force on the nose.
Being able to flip the nasal skin upwards means that there are endless possibilities in regards to what can be done to the nose. Having so much access to the nasal skeleton can mean a shorter operation and more precise results. When an open rhinoplasty is performed, the surgeon will place self-dissolving stitches on the very bottom of the columella. Although this may leave some scarring, the incision is so small, it is barely visible.
Endonasal /Closed Rhinoplasty
Unlike an open nose job, a closed rhinoplasty does not involve any kind of incision on the exterior of the nose. All of the possible incisions that will need to be made to the nose will be made on the inside of the nostrils. Because these incisions are made so closely to the border of the nostril, any scarring is nearly impossible to see with the naked eye. Because this technique uses a very limited access to the nasal skeleton, every part of the operation must be performed through tiny surgical openings in the nostrils. Because the incisions on the right and left nostril are not connected, repositioning the nasal skin and tissues can be somewhat difficult. A closed nose surgery simply means that the surgeon will not have much access to the nasal framework and any corrections made to the nose will be executed through the nostrils.
Oftentimes individuals need to undergo rhinoplasties not only for aesthetic purposes but also functional purposes. Secondary nose surgery, or revision nose job, is an additional cosmetic procedure to enhance or correct a previous nose surgery. Patients who are not satisfied with the results of a prior nose surgery or who are having difficulty breathing may seek a second surgery. Rhinoplasties are one of the most complex surgeries to perform; therefore, patients seek out revisions for a variety of reasons ranging from the desire to remove additional cartilage or bone, to more complex cases where too much tissue was removed resulting in deformity.
Ethnic rhinoplasties are also wildly common among patients of Jewish, Greek, Asian and African American descent. Often controversial, ethnic nose cosmetic surgery can help diminish the bulbous or rounded shape of the tip of the nose, straighten the bridge of the nose, and reduce the size and width of nostrils. For example, the Asian population often suffers from a “flat-like” appearance causing a lower nasal bridge. With this surgery, the addition of cartilage for support can correct the aesthetic appearance of the nose.
Preparing for a rhinoplasty procedure
Once you have decided that a nose job is the right procedure for you, there are several pre-operative instructions that you must follow before your cosmetic nose surgery. If necessary, patients undergoing a nose surgery procedure are required to take a variety of blood exams and laboratory analysis prior to the day of the operation. If a patient is over a certain age or has some kind of chronic medical condition, they will be asked for a medical clearance from their general physician.
Four weeks before the rhinoplasty, any patients who smoke are asked to completely stop in order to ensure that the body will recover and heal properly. Also, alcohol should not be consumed a minimum of seven days before the surgery. Patients must refrain from drinking any blood-thinners, anti-inflammatory medication, or vitamins fourteen days prior to the procedure including but not limited to aspirin, Benadryl, and vitamin E. Failure to do so can ultimately cause excessive bruising, bleeding and swelling in the face. Your doctor will provide you with medication regime you will begin taking the day before the surgery and during the recovery after the procedure is complete.
How is cosmetic nose surgery (rhinoplasty) done?
Performed as an outpatient procedure under general anesthesia, the majority of nose jobs are open rhinoplasties where the incision is made underneath the nose where it meets the upper lip. Depending on the patient’s desires, bone, cartilage, and skin can be removed, reshaped or repositioned. Once the surgery is complete, splint and cast are placed on the nose to support the delicate structures as they being to heal.Anesthesia
A nose reduction surgery is considered a major cosmetic procedure due to the incisions and extraction of tissue. Therefore, this surgery must be performed under general anesthesia to ensure a comfortable and painless procedure. While receiving general anesthesia, the patient is intubated by way of a certified anesthesiologist who inserts a breathing tube through the throat. Throughout the procedure, the anesthesiologist will administer intravenous medication to ensure you stay sedated throughout the procedure.
At first you will feel at ease and calmed as the intravenous medication begins. After you are relaxed, the general anesthesia will be administered. This is the moment in which you will not remember feeling or consciousness throughout the procedure. Your blood pressure and pulse will remained at a low level and monitored during the entire process.
Rest assured that Jolie Plastic Surgery provides the highest trained anesthesiologists in the South Florida Area. Our anesthesiologist team constantly overlooks the patient’s vital functions such as heart rate, blood pressure, and rate of breathing at the time of the procedureIncision and Reshaping
Depending on the type of nose surgery the patient goes forward with, an incision is made on the columella. The skin is then gently raised to allow access to the entire nose bridge. Reshaping of the nose begins as the doctor removes or replaces bone and cartilage.Correction and Suture
If the patient presents a deviated septum, which blocks correct air passageway, the nasal surgeon then corrects and straightens the nose bridge. This will lead to better breathing and improved quality of life. If necessary the doctor then alters the size of nostrils and then closes the incision.
Rhinoplasty Miami recovery process
Recovering from a nose surgery will most likely be the most difficult part of the entire procedure. We say this because patients will have to be very patient and remain calm while they recover. After the procedure has been performed, all activity should be kept to a very minimum. It is highly recommended that patients follow a liquid diet for the first couple of hours until the anesthesia and its effects have completely left the body.
In order to reduce swelling and bruising, patients should maintain their heads lifted at all times. When lying in bed, make sure you have two large pillows in order to take stress away from the neck. Your rhinoplasty surgeon Miami will prescribe medications and a certain set of instructions to help cope with the pain until your next appointment. It is crucial to your recovery that these instructions are followed precisely as they were instructed. Making sure that all of these steps are followed will ensure a comfortable and speedy recovery.
When performed by a skill plastic surgeon, patients generally experience shorter recovery time, less pain and discomfort after a secondary nose job. Bruising and swelling will occur, though these symptoms should subside in less than two weeks.
Nose job: Results vs. Expectations
Whatever the reason behind a patient requesting a nose job, results can range from barely noticeable to quite dramatic. The results of nose surgery can take anywhere from four months to one year to be considered final as residual swelling is normal to last a while. Depending on factors such as technique and post-operative care, swelling and bruising are usually almost completely gone at two weeks. Everyone’s “healing time” will vary and may be impacted by how closely the patient follows the post-operative instructions and other lifestyle factors.
The ASPS claims that
“While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome. As your body ages, it is natural to have some gradual changes to your face including your nose. But most of your improvement should be relatively permanent”.
“Pick your friends, not your nose” is a good motto to adopt following nose surgery as we remind patients to fight the temptation to touch, pick, or otherwise disturb their noses throughout the healing process. The average patients will be close to seeing their final nose cosmetic surgery results about two months after surgery.
Rhinoplasty costs and financing at Jolie plastic surgery
As with all cosmetic procedures, we urge all patients to research their procedures and look at “before and after” image galleries. The national average cost of nose surgery in the United States begins at about $4000 but can sky rocket in to the $10,000. The cost of nose reconstruction surgery is based on location, and the complexity of the surgery.
The American Society of Plastic Surgery states that:
“The average cost of nose surgery is $5,046, according to 2016 statistics from the American Society of Plastic Surgeons. Nose surgery costs can vary widely. The average fee referenced above does not include anesthesia, operating room facilities or other related expenses. A surgeon's fee will be based on his or her experience and geographic office location”.
The Cost of Cosmetic Procedures at Jolie Plastic Surgery includes:
- Surgical facility costs
- Anesthesia fees
- Medical/laboratory tests
- Prescriptions for medications
- Post-op garments
- Surgeon's fee
Schedule a consultation with a rhinoplasty surgeon in Miami
The best revision rhinoplasty Miami surgeons will not promise to deliver results they can’t guarantee. Having a rhinoplasty can improve facial balance and harmony, correct crookedness and respiratory issues, or diminish or enlarge the size of the nose, thereby changing the overall structure of the face. The nose job is a delicate procedure which takes a skilled surgeon’s hand to deliver the dramatic yet subtle results most nose surgery patient’s desire.
Once you have made the decision to move forward with surgery, connect with a plastic surgeon specializing in rhinoplasty like the ones here at Jolie Plastic Surgery and schedule your consultation.
Frequently Asked Questions Rhinoplasty Miami
Depending on the severity of each individual’s case and the type of technique used to execute the surgery, a rhinoplasty can take anywhere from 30 minutes up to 3 hours. On average, this procedure is performed in two and a half hours.
As with any cosmetic or plastic surgery, you should expect some bruising or swelling in the operated area and some level of discomfort when recovering from a rhinoplasty procedure. Depending on the type of technique you opt for and if the nose must be broken during the procedure, you can expect some more pain than is commonly experienced but should be completely tolerable with the use of prescribed medication provided to you by your doctor.
In many cases, individuals who decide to have their noses altered through a rhinoplasty have come to that decision because they are unhappy with the appearance or shape of their natural nose. In the event that you are unhappy with your nose because you feel it is too wide, chances are that your nose will have to be broken during the procedure in order to allow for a much narrower nasal base. However, you should not worry. This is done under general anesthesia and you will be prescribed pain medication by your doctor to help with the discomfort.
Ideally, the results of a rhinoplasty last a lifetime. However, very similarly to the human ear, the nose of an individual is composed of bone and cartilage. This cartilage will continue developing as long as the individual lives. Although the effects of a rhinoplasty will be enough to prolong these results, the nose will continue to develop as you age.
An open rhinoplasty allows the surgeon to have more access to the nasal framework as it allows the doctor to fold the nasal skin upwards. A closed rhinoplasty on the other hand is performed strictly through small incisions in the nostrils.
All patients to research their procedures and look at “before and after” image galleries. Do not choose a plastic surgeon solely based on cost. The national average cost of rhinoplasty in the United States begins at about $5000 but can sky rocket in to the $10,000. The cost of nose reconstruction surgery is based on location, and the complexity of the surgery.
Recovering from a rhinoplasty surgery will most likely be the most difficult part of the entire procedure. We say this because patients will have to be very patient and remain very calm while they recover. After the procedure has been performed, any and all activity should be kept to a very minimum. It is highly recommended that patients follow a liquid diet for the first couple of hours until the anesthesia and its effects have completely left the body.
The rhinoplasty surgery is ideal for patient who wish to make changes to their nose appearance. However, if you are not ready to experience irreversible nose changes, we suggest trying out the “non-surgical” nose job through dermal fillers. These fillers typically last 6 to 12 months and allows patients to receive a preview of what a nose job will be like.
As you age your nose changes in shape and amount of cartilage will increase. This means your nose job results may change over time. Although the surgery usually achieve a lifetime change, revisions can still be performed in the future.