The Parker Rhinoplasty

Facial harmony begins with an attractive nose.

Since the nose is the central feature of the face, it’s a visual focal point which draws our eyes to it. One of the most common reasons people feel self-conscious about their appearance is an overly large or misshaped nose that detracts from other attractive features. Rhinoplasty is a cosmetic surgical procedure which is designed to improve the size and shape of the nose as well as improve facial harmony. Dr. Paul M. Parker has performed thousands of successful rhinoplasty surgery (nose job) for New Jersey patients from Paramus and throughout Bergen County to create a more refined, natural nasal contour that complements their other facial features. 

The Rhinoplasty Society

Dr. Parker

Dr. Parker is a member of The Rhinoplasty Society, a prestigious organization whose exclusive membership includes 150 rhinoplasty specialists worldwide who are known for specializing in some of the most innovative nasal contouring techniques available. Membership is limited to board-qualified surgeons whose credentials, experience, and innovative techniques are thoroughly vetted before they can become members.

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Rhinoplasty Before Photos

Case: 1 of 9


This 27 year old was referred to Dr. Parker by another rhinoplasty patient with concerns about her nose. She asked him to improve her bulbous tip which drooped with smiling and give her a more aquiline profile. Dr Parker subsequently performed an open rhinoplasty doing the following: a component bony-cartilaginous hump reduction, lateral oste... Read More
Rhinoplasty Case 1373 Before & After Left Side | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After


This 49 year old existing patient of Dr. Parker came in requesting improvement in the appearance of her nose. She asked Dr. Parker to remove her dorsal hump and refine her broad tip. The patient told him that she did not want drastic changes made and how important it was to her that her nose looked natural after surgery. Dr. Parker performed... Read More
Rhinoplasty Case 194 Before & After View #2 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After


This 25 year old, referred to Dr. Parker by several other patients, expressed concern about the appearance of her nose and lower eyelids. Specifically, the patient did not like the bump on her nose and her drooping nasal tip, which worsened when she smiled. She also asked to have the puffiness of her lower eyelids corrected. Dr. Parker perfor... Read More
Rhinoplasty Case 143 Before & After View #2 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After


This 26 year old complained that her nose was too large. She said she would like to have it smaller and in better proportion with the rest of her face. Dr. Parker performed an open rhinoplasty during which he reduced the patient’s bony cartilaginous hump, narrowed the nose with infractures, refined and set back her large, over projecting tip... Read More
Rhinoplasty Case 159 Before & After View #2 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After


This 27 year old was referred to Dr. Parker by another patient asking for correction of her crooked nose, dorsal hump, bulbous tip and wide nostrils. Dr. Parker performed an open rhinoplasty, straightening her crooked nose, taking down the bony cartilaginous hump, infractures to appropriately narrow this part of the nose, a tiplasty to refine... Read More
Rhinoplasty Case 205 Before & After View #2 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After


This 15 year old requested improvement in the appearance of her nose. She said she would like her hump reduced, tip more refined and lifted with a more aquiline profile. At surgery, Dr. Parker performed an open rhinoplasty: he lowered the patient's dorsal hump with a component bony-cartilaginous reduction, then infractures to appropriately na... Read More
Rhinoplasty Case 1431 Before & After Profile view | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After


This 35 year old requested Dr. Parker to reduce her dorsal nasal hump, refine her bulbous nasal tip and give her a stronger chin. Dr. Parker reviewed these concerns with the patient during her initial consultation and discussed an open rhinoplasty as well as chin augmentation to address them. Computer imaging was then used to show the&nb... Read More
Chin Implants Case 1411 Before & After Side view | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After


This 25 year old referred by another patient to Dr. Parker requested improvement in the appearance of her nose and chin. She said she was struck in the nose several times when younger but never had any xrays. She is bothered by her crooked nose and tip pointing downward; she has seen several other consultants who discussed a stronger chin wit... Read More
Rhinoplasty Case 1416 Before & After Side view | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After

Concerns a Rhinoplasty Can Fix  

Rhinoplasty can improve the size and shape of your nose. Dr. Parker can also correct breathing problems at the same time if you have a deviated nasal septum or related internal nasal structural issues. Rhinoplasty performed by Dr. Parker can: 

  • Straighten a crooked nose 
  • Reduce excessive nasal tip projection
  • Refine or reduce a bulbous nasal tip 
  • Correct nasal tip asymmetry
  • Reduce the width of the nose
  • Improve a nose that’s too large for the face 
  • Reduce the length of the nose 
  • Correct a nasal bump 
  • Secondary rhinoplasty: revise poor nose job results 

Review more details about the many issues Dr. Parker can correct with rhinoplasty (along with before & after photos) in his What Can a Nose Job Fix? blog post.

Dr. Parker’s Unique Expertise

Rhinoplasty is one of the most technically complex procedures in plastic surgery, requiring advanced training, precision, and years of experience to achieve harmonious, natural-looking results without impacting function. Dr. Parker’s expertise is built on a foundation of elite training and ongoing refinement in both cosmetic and functional rhinoplasty techniques established by: 

  • Completing plastic surgery residencies at NYU Medical Center and Manhattan Eye, Ear & Throat Hospital, where he trained in advanced rhinoplasty techniques alongside master rhinoplasty surgeons.
  • Performing thousands of rhinoplasty procedures using “the best of the best in rhinoplasty techniques” as exemplified by the 100+ cases in his online photo gallery.
  • Continually refining his surgical technique and incorporating the most effective, evidence-based approaches.
  • Increasing precision and minimizing trauma to nasal tissues by reshaping the nasal bones under direct vision with Piezo ultrasonic rhinoplasty.

Through a combination of rigorous training, extensive experience, and advanced technology, Dr. Parker provides attractive, personalized rhinoplasty results with the potential for a smoother, faster recovery for his New Jersey patients.

My rhinoplasty has been a great experience with Dr. Parker and team. Surgery and recovery went smoothly and staff was always very easy to get in contact with for questions or concerns. The results are exactly what I asked for and it’s only been three weeks! Highly recommend Dr. Parker for any procedure.” 

5-Star Real Rhinoplasty Patient Review on Google, August 2024 

Dr. Parker’s Personalized Approach to Your Consultation 

Your consultation is a critical part of getting the results you want. Dr. Parker spends as much time with you as needed to ensure he understands your goals and fully educates you about your options so you can make a well-informed decision.  

When he first meets with you and examines your nose, he considers:  

  • What are your concerns?  
  • What is your unique nasal anatomy? 
  • Have you had previous nose surgery? 

Do you have a crooked nose, a button nose, or a wide nose bridge? The rhinoplasty surgical plan Dr. Parker devises is tailored to your needs based on the information he gathers during the consultation.

Dr. Paul M. Parker in a white dress shirt outside.

I don’t leave the operating room until everything looks as perfect as I can make it.”

Dr. Parker 

Vectra® 3D Imaging System 

Stacie showing a patient their computer image

During your consultation, we generate a computerized image of your nose using Vectra’s 3D imaging system, allowing you to understand what rhinoplasty can accomplish. It will give you a very good idea as to how your nose should look after Dr. Parker performs your rhinoplasty. During your actual rhinoplasty procedure, Dr. Parker will have your Vectra computerized images displayed on a larger monitor in the operating room and use them as an artist does their sketches or a builder uses blueprints. Dr. Parker has found a high rate of correlation between the Vectra computerized images and patients’ actual rhinoplasty results. 

3 images showing pre-op rhinoplasty, the virtual post-op image from Vectra and the actual rhinoplasty post-op.
19 year old shown before and after open rhinoplasty along with computer imaging (middle) done pre-operatively.
3 columns of images showing a patient pre-op rhinoplasty, the second images shows the Vectra virtual image and the third shows the actual post-op rhinoplasty results.
31 year old shown before and after open rhinoplasty along with computer imaging (middle) done pre-operatively.

Pre-Op Education Session 

One to two weeks before your scheduled rhinoplasty, you will undergo a one-hour, in-office, face-to-face education session with one of Dr. Parker’s Nurse Educators. During this session, the nurse educator thoroughly reviews a detailed information packet to further educate you about your rhinoplasty. This includes a discussion of what to do to prepare for surgery, what occurs on the day of surgery, and what to expect after surgery during your recovery. It’s a detailed session that really educates our patients about the entire surgical process at the Parker Center. Patients tell us they love it because they don’t need to guess about what to know before rhinoplasty and feel so well-prepared for their surgery. Learn more about what to expect during your pre-op education session.

Anatomy of the Nose 

Nose anatomy illustration showing nasal bones, upper lateral cartilage, and lower later cartilage

Rhinoplasty improves the appearance and functioning of the nose by changing its anatomy, which consists of:

  • Upper 40% is a pair of fixed nasal bones
  • Lower 60% is cartilage
  • Septum, composed of bone and cartilage, separates the nasal passages inside the nose

Cartilage can be manipulated, while bone cannot.

Rhinoplasty Techniques

Illustration showing open rhinoplasty technique

The most common techniques are open structural rhinoplasty, closed rhinoplasty, and tip plasty. Dr. Parker customizes each procedure based on the unique anatomical structure of your nose, your concerns, and your desired results.

Open Structural Rhinoplasty 

Open rhinoplasty involves a well-concealed incision on the thin strip of skin separating the nostrils (columella). Dr. Parker prefers this technique because it provides direct access to the nasal anatomy without causing trauma to the surrounding soft tissues when he:

  • Reshapes the bridge, such as a dorsal hump
  • Refines the tip (may involve internal shaping sutures)
  • Improves the size of the nostrils or the entire nose

Dr. Parker meticulously closes the tiny incision across the columella at the end of the procedure, so that the resulting scar becomes virtually imperceptible. 

Rhinoplasty Case 166 Before & After View #2 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After Open Rhinoplasty
Rhinoplasty Case 166 Before & After View #1 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After Open Rhinoplasty

Closed Rhinoplasty 

Closed rhinoplasty is best for reshaping the bridge of the nose without changing the nasal tip. This technique is sometimes called scarless rhinoplasty because the incisions are placed inside the nose. Dr. Parker used the closed technique for “preservation rhinoplasty” because it preserves the bone and cartilage while lowering the nasal bridge.  

Rhinoplasty Case 141 Before & After View #2 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After Closed Rhinoplasty
Rhinoplasty Case 141 Before & After View #1 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After Closed Rhinoplasty

Tip Plasty 

Tip plasty (upturned nose rhinoplasty) is an open technique used to increase or decrease the tip’s projection and adjust its rotation—either raising or lowering the angle—to enhance facial balance. Dr. Parker often uses septal cartilage grafts to provide support and achieve long-lasting results.

Before and after image showing the results of a tip plasty from Dr. Parker

Piezo Ultrasonic Rhinoplasty for Greater Precision and Faster Recovery

Dr. Parker uses Piezo ultrasonic technology to gently reshape the nasal bones without impact to surrounding soft tissues. Benefits over traditional techniques include:

  • More refined results
  • Less swelling and bruising
  • Shorter recovery

Originally developed in Europe and now used by select surgeons in the United States, Piezo technology enables Dr. Parker to refine results with exceptional accuracy while helping New Jersey patients experience a more comfortable recovery.

Functional Rhinoplasty 

Functional rhinoplasty addresses structural issues related to decreased breathing through the nose. Dr. Parker can address functional concerns by performing the following procedures individually or in combination with cosmetic rhinoplasty:

  • Septoplasty to help straighten a deviated septum and/or remove the crooked portion of that septum.
  • Septoturbinotomies to push out the enlarged side wall structures called inferior turbinates to mechanically open the airway.

If nonsurgical issues such as allergies or inflammation of the nasal lining (chronic inflammatory rhinitis) cause the patient’s breathing issues, their improvement in breathing may be limited. 

Rhinoplasty and Chin Implant: Creating a Balanced Side Profile 

Balanced facial features are the hallmark of an attractive face, particularly the refined facial profile people seek in “selfies.” Together, the nose and chin are important in helping determine your profile. Many patients achieve optimal facial balance with a chin augmentation at the same time as rhinoplasty. This combination procedure is performed on approximately 20% of Dr. Parker’s rhinoplasty patients and adds no extra recovery time.  

Chin Implants Case 892 Before & After View #4 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After Chin Augmentation With Rhinoplasty

Revision Rhinoplasty 

Dr. Parker performs secondary rhinoplasty, also called revision rhinoplasty, to correct deformities from prior rhinoplasty surgery. These procedures are typically more complicated than primary, or first-time,  rhinoplasty because of:

  • Intricacies of the internal nasal structures
  • Scar tissue
  • Altered cartilage and bone

Dr. Parker typically  uses an open rhinoplasty technique for these surgeries without cartilage grafts.  

How long should I wait before revision rhinoplasty?

Secondary rhinoplasty surgeries are almost always performed at least 12 months after the prior procedure. 

Chin Implants Case 125 Before & After View #2 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After Revision Rhinoplasty
Chin Implants Case 125 Before & After View #1 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before & After Revision Rhinoplasty

What type of rhinoplasty is best?

The best rhinoplasty is a primary rhinoplasty that will not have to be redone. Dr. Parker’s revision rate following primary rhinoplasty surgery ranges from 5 to 10% and most often is needed for removing scar tissue that can develop over the nasal bones after reducing a dorsal hump.  

What To Expect During Your Surgery 

For your safety, Dr. Parker performs all rhinoplasties (nose jobs) using general anesthesia, administered by an experienced, board-certified anesthesiologist who is present throughout the procedure. Surgery may take anywhere from 30 minutes to 3 hours, depending on its complexity.  

Dr. Parker inserts several very fine sutures into the columellar incision in an open rhinoplasty. All sutures are inside the nose and dissolvable in a closed rhinoplasty. A light plastic splint is applied to protect the nose in almost all cases. Dr. Parker never uses nasal packing because patients don’t like it and it is unnecessary. You will recover in our Post Anesthesia Care Unit (PACU), assisted by one of our experienced, nurturing registered nurses. Patients typically return home after 1 or 2 hours.  

The columellar sutures and external splint are removed 1 week after surgery.  

Watch a Real Rhinoplasty Patient Reaction

Healing & Rapid Recovery Techniques  

Our rapid recovery protocols help patients avoid extensive bruising, swelling, and pain after rhinoplasty surgery. To make your recovery as smooth as possible, we use a combination of oral medications both before and after surgery, as well as other medications during surgery, that help minimize swelling, bruising, and pain. Most commonly, TYLENOL® or TYLENOL® Extra-Strength is all that is necessary to supplement the medications we give you. We also use postoperative lymphatic drainage massage to accelerate healing. Our specially trained massage therapist performs lymphatic drainage massage once weekly during the first 3 weeks after your surgery.  

Rhinoplasty recovery week-by-week

Even though the recovery timeline can vary depending on the patient, this is what you can expect in general: 

  • First week: Swelling and bruising peak. During this time, you will wear a plastic splint to protect the nose as it heals. When the splint is removed 7 days after surgery, swelling and some bruising will be present. Patients are excited to see their improved nose shape, even this early in recovery.  
  • Weeks 1 to 2: Return to work and social activities. 
  • Weeks 2 to 3: Gradually resume some exercise but continue to avoid swimming and contact sports. Dr. Parker and his team will guide you through this during your recovery, depending on your particular situation. You can apply camouflage makeup if needed. Although much of the swelling will be gone, it often takes about a year for the last 10% of the swelling to disappear.  
  • Weeks 4 to 6: Return to swimming, contact sports, and other physical activities. You can also resume wearing glasses. Dr. Parker and his team provide personalized recovery instructions based on the specifics of your procedure and your desired activity level.

We will spend time during your preoperative education visit to carefully walk you through the details of recovery.  

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Rapid Recovery Program

Our surgical procedures, anesthesia, medications, and aftercare are tailored to minimize post-operative discomfort and accelerate recuperation.

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How Much Does a Nose Job Cost in New Jersey?  

A rhinoplasty at the Parker Center can start as low as $392 a month for qualified patients. Our Patient Coordinator will provide you details of the costs for a rhinoplasty at the Parker Center. The total cost will depend on your anatomy, desired results, and the complexity of the procedure.

At your consultation with Dr. Parker, we will provide a detailed price quote, backed by our Price Guarantee, that includes surgeon’s fees, operating room and anesthesia costs, supplies, and preop and postoperative care.

Apply for plastic surgery financing online now or request a consultation to work with our team to guide you through the process.

Frequently Asked Questions 

How old do you have to be to get a nose job?  
Nose reshaping is one of the most common procedures requested by teenage patients. Having a nose that is in proportion to your features can help you feel better about the way you look, but it is important to approach your decision thoughtfully. Rhinoplasty can only be performed safely and successfully after the nose has finished developing, typically by age 14 to 15 for girls and 15 to 16 for boys.  
How many years does a nose job last? 
The changes made by rhinoplasty are permanent. Your results will evolve during the first year after surgery and then more gradually as you age. A traumatic injury to the nose can also alter the results of rhinoplasty surgery. 
How painful is the procedure? 
The surgery itself is performed with the patient under general anesthesia, so you will be comfortable during the operation. An experienced board-certified anesthesiologist is present throughout the procedure. While a plastic splint is placed on your nose to protect it, there isn’t any nasal packing inserted; it’s not comfortable and just not necessary. There is some discomfort during the initial recovery phase, but many patients are pleasantly surprised that the recovery is much less painful than anticipated. The medications we give in our rapid recovery protocols are very effective in managing any discomfort you experience; usually TYLENOL or TYLENOL Extra-Strength are the only other medications needed. 
Is rhinoplasty surgery safe? 
Rhinoplasty surgery is typically very safe, especially when performed by an experienced, board-certified plastic surgeon like Dr. Parker who is well-versed in open, closed, and tip plasty techniques. As with any surgery, potential yet unlikely risks include bleeding or infection. 
Will a nose job change my face? 
It is important to Dr. Parker to produce rhinoplasty results that look very natural and in proportion to your face. When he asks his rhinoplasty patients several months after surgery about feedback they have received from others, their most common response is, “no one notices that I had my nose done.” When you look at their pictures before and after surgery, the changes are evident, but the natural-looking nose Dr. Parker has created—and his blending it into the patient’s face—is why people don’t realize a rhinoplasty has been performed. 
Is the surgery really worth it? 
This is a very personal question that only patients can answer for themselves. Rhinoplasty is one of the most popular plastic surgery procedures performed in the U.S., and users of the RealSelf website rate it as 91% “worth it.” Typically, patients who are happy with their results have reasonable expectations for their outcomes and choose a rhinoplasty specialist to perform the operation.  
Is there anything I should avoid after surgery? 
Your nose will be very vulnerable post-surgery. Initially, you should avoid blowing your nose, touching your nose, and wearing glasses. You should also refrain from rigorous physical activity, including contact sports, for about 4 to 6 weeks. Dr. Parker provides detailed post-op instructions to guide you through the healing and recovery process. 
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Results: Dr. Parker is known for remarkable results that may surpass your expectations

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Rapid Recovery: Our protocol includes massage, medications, and advanced surgical techniques for reduced downtime

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