Rhinoplasty July 1st, 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 rhinoplasty (a.k.a. nose job surgery) is to achieve a more refined, natural nasal contour that complements your facial features, while also correcting any internal deformities that may be causing breathing difficulties. For more information, check out our rhinoplasty infographic and more answers to your questions below.


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.

What issues can rhinoplasty treat?

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.

How is rhinoplasty performed?

Depending on your anatomy and the changes you would like to make, Dr. Parker may perform a closed rhinoplasty, open rhinoplasty, or tiplasty. 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 photograph your face and review computer images of what your nose should look like after surgery.

What is the difference between an open and closed rhinoplasty?

A closed rhinoplasty uses incisions hidden on the inside of the nostrils. This technique is indicated for relatively minor shape adjustments to the nasal bone and cartilage, as well as some cases of deviated septum repair.

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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What is a nasal tiplasty?

A nasal “tiplasty” involves improving only the tip of the patient’s nose—it is not a surgical technique, but an area of focus. Almost always, Dr. Parker will use the open rhinoplasty approach to achieve the most natural, symmetric tip he can.

Before & After: Tiplasty with Nostril Reduction*

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Should I get a nose job, a chin implant, or both?

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. This combination procedure is very popular with Dr. Parker’s patients, and adds no extra recovery time.

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 & Eyelid Surgery*

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

What is involved in rhinoplasty surgery?

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.

How long is rhinoplasty recovery?

Rhinoplasty recovery time is approximately 7 to 10 days. During this time, you will be wearing a splint and/or bandage to protect the nose as it heals. Most patients go back to work and social activities about 1 to 2 weeks after nose surgery, and can gradually resume exercise after 2 to 3 weeks (at least 4 to 6 weeks for swimming and contact sports). Camouflage make-up can be applied after seven days of completed rhinoplasty.

Our Signature Rapid Recovery Program at the Parker Center

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.

“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

How much does a nose job cost in New Jersey?

At the Parker Center, the cost of rhinoplasty typically ranges between $5,200 and $8,450. Your total cost will depend on your anatomy, your goals with surgery, the extent of procedure necessary to achieve your desired results. At your consultation with Dr. Parker, we will provide a detailed price quote including surgeon’s fees, operating room and anesthesia costs, supplies, and pre- and post-operative care.

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 13-14 for girls and 15-16 for boys.