Cosmetic rhinoplasty, also commonly called a nose job, is a popular surgical procedure Dr. Konstantin performs often at his Manhattan, NYC practice to improve the shape and size of the nose. The nose plays a central role in creating a visual balance of all facial features. The slightest asymmetry or disharmony of the nasal relationship to other facial features can adversely affect our facial aesthetics. Rhinoplasty is a very effective solution.
If you are interested in learning more about getting rhinoplasty in New York City from Dr. Konstantin, contact us online for a consultation, or call
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Who Is a Good Candidate?
Cosmetic rhinoplasty can correct a wide range of concerns. In addition to other more subtle, but aesthetically important changes, some of the goals Dr. Konstantin can achieve include:
- Reducing an excessive dorsal hump for an attractive profile
- Improving the shape and definition of the nasal tip (reducing a bulbous tip)
- Narrowing wide nostrils
- Reducing excessive length
- Improving poor projection
- Straightening a previously broken nose
In addition to aesthetic considerations, rhinoplasty can often be of great help in improving a patient's breathing by opening obstructed nasal passages. When surgery is performed with the goal of restoring the function of breathing, it is called "functional" rhinoplasty. The nasal passages can become closed as a result of the prior trauma that causes nasal bones or the septum to shift and cause a mechanical obstruction. Straightening the bones and opening the nasal airways can alleviate the breathing problem, as well as improve the symmetry and aesthetics of the nose.
Speaking from Experience
"There are many different things a surgeon can do in rhinoplasty, from removing a hump to straightening out a nose to narrowing the nostrils. But every adjustment is made with one goal in mind: to bring the nose into harmony with the rest of the face."
There are 2 major methods by which doctors can change the shape of a patient's nose:
- An "open" approach requires a small incision at the bottom of the nose, enabling a major restructuring of the nasal framework.
- A "closed" approach is designed to hide all the necessary incisions inside the nose, thus leaving no visible scar. The disadvantage of a closed approach is in its limited visualization of the internal nasal structures, which places a higher demand on surgeon's skill and experience.
The difference between the 2 approaches is rather technical in nature, and both methods can produce great aesthetic results.
Dr. Konstantin performs most rhinoplasties using general anesthesia. He reshapes the nose through removal of excess nasal bone and cartilage with subsequent repositioning of the bones and restructuring of cartilage with grafts or sutures. Once he achieves the desired shape, the nose is covered with small tapes and a cast is applied. Also, packing is often placed inside the nose to provide internal support. These packs are typically removed in a day or 2 after the surgery.
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What to Expect After Rhinoplasty
Most people are pleasantly surprised by how little pain or discomfort they have after a rhinoplasty. Although a bit of soreness and a clogged sensation can be expected, most of the time these last for only a few days after the surgery. Significant nasal swelling is very uncommon; however, if major nasal bone reshaping was performed, bruises can appear under the eyes. These bruises commonly resolve within a week or 2 after surgery.
The immediate healing process after rhinoplasty can take a week or 2. The length of recovery primarily depends on the extent of the procedure. The cast is usually removed about a week after the surgery. The tape over the dorsum of the nose might remain in place for another week after the cast removal. After 2 weeks, the majority of patients are expected to return to work and resume their normal daily activities.
Even though the immediate healing process takes only 2 weeks, the nose continues to change for several months after rhinoplasty. The nasal tip becomes more defined, and the nose slowly narrows as the healing process continues. The final result is not expected for at least several months after the surgery.
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