Rhinoplasty May 3rd, 2019 Paul M. Parker, MD

New Jersey Rhinoplasty

A nose out of harmony with the rest of the face can be significant to a patient and alter their self image. The goal of nasal surgery is to achieve an improved, but natural contour, while correcting any internal deformities that may be causing breathing difficulties.

Understanding the Anatomy of the Nose

From an anatomy perspective, the nose is a complex structure. The upper 40% of the framework consists of paired nasal bones which are not movable. The lower 60% of the nose is made of movable cartilage. The two nasal passages are separated by the nasal septum which is composed of both bone and cartilage.

Refining Shape, Symmetry and Proportion

Dr. Parker changes the shape of a patient’s nose by changing the shape of their nasal bones and cartilage. He may also correct breathing problems at the same time by correcting the patient’s deviated nasal septum and other related internal nasal structures.

Types of Surgeries

Depending on your anatomy and the changes you would like to make, Dr. Parker may perform a closed rhinoplasty, open rhinoplasty, or tiplasty.

A “closed” rhinoplasty, using incisions hidden on the inside of the nostrils, is indicated for relatively minor shape adjustments to the nasal bone and cartilage.

Before & After: Closed Rhinoplasty*

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This 25 year old wanted to correct her dorsal nasal hump, which had developed over time. Dr. Parker performed a closed rhinoplasty to narrow this part of the nose. Click here to see more New Jersey Rhinoplasty Before & After photos.

An “open” rhinoplasty uses a small and inconspicuous incision underneath the tip of the nose and between the nostrils. This is connected to incisions inside the nostrils. These cleverly hidden incisions allow Dr. Parker to “open” the nose and sculpture the underlying bone and cartilage very precisely under direct vision.

Before & After: Open Rhinoplasty*

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A “tiplasty” involves improving only the tip of the patient’s nose. Almost always, Dr. Parker will use an “open” approach to achieve the most natural, symmetric tip he can.

Before & After: Tiplasty with Nostril Reduction*

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Working out a Surgical Plan for Each Patient

During your consultation, Dr. Parker will explain to you his recommended surgical plan to improve the appearance of your nose. To help you understand your options, we will photographs of your face and  by reviewing computer images of what your nose should look like after surgery.

Enhancing Your Facial Profile

Balanced facial features are the hallmark of an attractive, refined facial profile. Together, the nose and chin determine your profile. A chin augmentation at the same time as rhinoplasty can help achieve better facial balance.

Before & After: Rhinoplasty & Chin Augmentation*

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This patient had a custom-fit chin implant inserted during the same surgery as her rhinoplasty procedure. Note the more refined jawline and improved balance in facial features.

In addition, rhinoplasty procedures are commonly combined with eyelid rejuvenation or neck contouring. This allows the patient to have multiple areas corrected during one surgery with only one anesthesia and recovery. Usually, the recovery is similar whether one or more procedures are performed.

Before & After: Rhinoplasty & Chin Augmentation*

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This patient had a lower lid blepharoplasty performed in addition to a closed rhinoplasty.

Rhinoplasty for Teenage Patients

Nose reshaping is one of the most common procedure sought 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 13-14 for girls and 15-16 for boys.

Surgery & Recovery

For your safety, Dr. Parker performs rhinoplasty using general anesthesia. Surgery may take anywhere from 30 minutes to 2 hours, depending on the degree of complexity. You will be able to go home about an hour after surgery. There is usually little pain. Sutures and a light plastic splint used to protect the nose are removed within a week. Swelling and discoloration subside within ten days. Camouflage make-up can be applied after seven days of completed Rhinoplasty. Typically, patients return to normal activities at 7 to10 days and resume exercise after two weeks.

“I had my rhinoplasty done by Dr. Parker in June 2012. Dr. Parker is a compassionate doctor with great bedside manner and his staff are wonderful. It’s been a year since my surgery, my nose has healed with no problems and I am more then happy with the outcome. I would highly recommend Dr. Parker to anyone that is interested in getting plastic surgery.”—Rhinoplasty Patient

Our Signature Rapid Recovery Program

Most of our patients lead active lives and are anxious to return to their activities as soon as possible after surgery. As part of our unique Rapid Recovery peri-operative program, we have tailored our surgical procedures, anesthesia, medications, and post-operative massage and skincare to minimize post-operative discomfort and accelerate recuperation. During both your consultation with Dr. Parker and in your pre-op education visit with our Nurse Educator, your anticipated recovery will be discussed in detail.