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Rhinoplasty

Rhinoplasty
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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Before & After

Case: 1 of 8

Case #131

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This 17 year old male was bothered by his overly protruding nose which seemed out of balance with the rest of his face. An open rhinoplasty was performed by Dr. Parker. This included reducing the prominent nasal bones, sculpturing and setting back the nasal tip. Postoperatively, the patient liked the improved shape and contour of his nose. Read More

Before & After

Case: 2 of 8

Case #132

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This 38-year old, referred by his primary care physician, expressed concern about his heavy neck, over-projecting nose and obstructed breathing on the left side. He had undergone a closed rhinoplasty many years ago by another plastic surgeon. During surgery, Dr. Parker sculptured the patient’s neck with VASER liposuction. With an open approach, he... Read More

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Case: 3 of 8

Case #155

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This 25 year old Hispanic patient, a former basketball player requested improvement in the appearance of her nose. She had broken her nose several times playing ball. Specifically, she was bothered by her dorsal hump, the crooked appearance of her nose and the bulbous tip. Dr. Parker and the patient discussed open rhinoplasty as a means  to correct... Read More

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Case: 4 of 8

Case #160

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This 16 year old patient was referred to Dr. Parker by word of mouth. She requested improvement in the appearance of her nose. Specifically, she was bothered by her large dorsal hump, broad tip and wide base of her nose. Dr. Parker performed an open rhinoplasty removing the bony cartilaginous dorsal hump, did infractures to narrow the upper nose... Read More

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Case: 5 of 8

Case #128

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This 18 year old asked Dr. Parker to improve the appearance of her nose and correct her breathing obstruction. She had struck a coffee table with her nose many years ago. Since then, her breathing has been impaired on the left side and she was concerned about her dorsal hump and crooked appearance of her nose. During an open rhinoplasty, Dr. Parker... Read More

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Case: 6 of 8

Case #121

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This 37 year old was referred to Dr. Parker by her primary care physician for a secondary rhinoplasty and to correct breathing problems. She had undergone a closed rhinoplasty by another surgeon several years ago. She presented now with difficulty breathing from both sides of her nose and concerns about the external appearance of her nose . She felt... Read More

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Case: 7 of 8

Case #171

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This 42 year old felt her nose was too large for her face. She asked Dr. Parker to reduce her dorsal hump, refine her bulbous tip and make the nose look smaller and in better proportion to her face. Using computer imaging prior to surgery allowed the patient and Dr. Parker to precisely plan the details of the procedure. Dr. Parker subsequently performed... Read More

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Case: 8 of 8

Case #179

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This 50 year old requested improvement in the appearance of both her nose and neck. She sustained nasal trauma when younger and has been bothered by her dorsal hump and lack of nasal tip definition. The patient had previously been heavier, and following weight loss, her neck skin became lax. Dr. Parker performed an open rhinoplasty to reduce the... Read More

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Keep in mind that each patient is unique and your results may vary.

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A nose that is out of harmony with other facial features draws attention and affects the overall aesthetics of the face. Dr. Parker performs rhinoplasty (nose job) in Paramus, New Jersey, to help patients achieve a more refined, natural nasal contour that complements the other facial features, while also correcting any internal deformities that may be causing breathing difficulties.  

Rhinoplasty Specialist Trained by Masters

Dr. Parker was fortunate to train under several master rhinoplasty surgeons during his plastic surgery residencies at NYU Medical Center and Manhattan Eye, Ear & Throat Hospital. In his private practice, Dr. Parker has maintained a strong interest in rhinoplasty, performing many rhinoplasties each year. Dr. Parker is a member of The Rhinoplasty Society, a prestigious organization composed of 150 premier surgeons throughout the world who specialize in noses. These surgeons go through an extensive vetting process in order to become members of this organization. They are considered innovators in their field and deeply committed to aesthetic and reconstructive nasal surgery.

Page Contents 

• Understanding the anatomy of the nose 
• What issues can rhinoplasty treat? 
• How much does a nose job cost in New Jersey? 
• How is rhinoplasty performed? 
• How is a closed rhinoplasty performed? 
• What is open rhinoplasty surgery? 
• What is a nasal tip plasty? 
• What should I expect at my rhinoplasty consultation and imaging session? 
• What is secondary/revision rhinoplasty? 
• Should I get a nose job, a chin implant, or both? 
• What is the procedure for a nose job? 
• How long is rhinoplasty recovery? 
• How old do you have to be to get a nose job? 
• What are my next steps? 

Understanding the Anatomy of the Nose 

From an anatomy perspective, the nose is a complex structure (see illustration). 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? 

People from Ridgewood, Paterson, Jersey City, and beyond visit Dr. Parker for rhinoplasty to improve the size and shape of their nose. He may also correct breathing problems at the same time by correcting a deviated nasal septum and other related internal nasal structures.  

Dr. Parker reviews details about all of the issues he can correct with rhinoplasty (with patient photo examples) in this blog post and this rhinoplasty infographic. 

How Much Does a Nose Job Cost in New Jersey? 

At Parker Center, the cost of rhinoplasty typically ranges between $6,950 and $10,100. Your total cost will depend on your anatomy, your desired results, and the complexity of the procedure. At your consultation with Dr. Parker, we will provide a detailed price quote that includes surgeon’s fees, operating room and anesthesia costs, supplies, and pre- and post-operative care. Visit our Pricing page for detailed information.

Paul M. Parker, M.D., FACS

Board-Certified Plastic Surgeon

Known for his surgical talent and caring personality, Dr. Parker has been serving the community for over 25 years. He has dedicated his practice to the education, safety, and comfort of his patients—making each one feel as important as family.

Meet Dr. Parker

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 tip plasty. During your consultation, Dr. Parker will explain 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. 

How Is a Closed Rhinoplasty Performed?

A closed rhinoplasty is performed through incisions that are completely hidden on the inside of the nose. This technique is indicated for adjustments to the nasal bones and cartilage to improve the profile of your nose. If your nasal tip needs reshaping, Dr. Parker will perform an open rhinoplasty. At the same time, if appropriate, he can perform deviated septum repair. 

Before & After Closed Rhinoplasty* 

What Is Open Rhinoplasty Surgery? 

Open rhinoplasty involves a small, inconspicuous incision underneath the tip of the nose in the skin between the nostrils, called the columella. This incision is connected to incisions inside the nose. These cleverly hidden incisions allow Dr. Parker to “open” the nose, providing unparalleled exposure to the underlying bone and allowing him to make very precise adjustments under direct vision. 

Before & After: Open Rhinoplasty*

What Is a Nasal Tip Plasty? 

A nasal tip plasty involves improving only the cartilage that shapes the tip of the patient’s nose (see illustration)—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-appearing, symmetric tip he can. 

Before & After Tip Plasty With Nostril Reduction* 

What Should I Expect at My Rhinoplasty Consultation and Imaging Session? 

Your consultation is where the fun really begins—and Parker Center has made the experience particularly special! During your appointment, Dr. Parker will spend extra time with you to ensure that he understands your goals and that you are fully educated about your options so you can make a well-informed decision. 

In addition to your time with Dr. Parker, you’ll also have the opportunity to meet with our imaging expert so you can see the possibilities of your procedure. One of the best ways to understand what rhinoplasty can achieve for you is to see a picture of the possible results on your own nose. Using our advanced computer imaging technology will give you a very good idea as to how your existing nose can be sculpted to the nose you desire. 

What Is Secondary/Revision Rhinoplasty?

Secondary rhinoplasty, also called revision rhinoplasty, is performed to correct deformities from prior rhinoplasty surgery. These procedures are typically more complicated than primary, or first-time, rhinoplasty. Secondary rhinoplasty surgeries are almost always performed after waiting at least 12 months following the prior procedure. 

The intricate nature of the structures that shape the nose, as well as scar tissue from prior surgery, most commonly make a secondary rhinoplasty an especially tricky and complex procedure. Accordingly, Dr. Parker almost always uses an open rhinoplasty technique for these surgeries. Cartilage grafts are often needed to replace or support the nose as part of a secondary rhinoplasty procedure. 

The best rhinoplasty is one 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 simply for rasping dorsal callus, which may form after surgery. 

Before & After Secondary Rhinoplasty* 

Before & After Secondary Rhinoplasty*

Should I Get a Nose Job, a Chin Implant, or Both? 

Balanced facial features are the hallmark of an attractive face, particularly a refined facial profile, so sought after in today’s “selfie” pictures. 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 in approximately 20% of Dr. Parker’s rhinoplasty patients and adds no extra recovery time. 

Before & After Rhinoplasty With Chin Augmentation* 

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 With Eyelid Surgery* 

What Is the Procedure for a Nose Job? 

For your safety, Dr. Parker performs rhinoplasty (nose job) using general anesthesia. Surgery may take anywhere from 30 minutes to 3 hours, depending on the degree of complexity. You will be able to go home about an hour after surgery. There is usually little pain. 

Several sutures are inserted in the columella, and a light plastic splint is applied to protect the nose. Packing is never inserted because patients don’t like it and it is unnecessary. The columellar sutures and external splint are removed 1 week after surgery. Swelling and discoloration usually subside within 7 to 10 days. 

How Long Is Rhinoplasty Recovery? 

Rhinoplasty recovery occurs progressively over time. Swelling and bruising are most intense the first week after surgery. During this time, you will be wearing a plastic splint to protect the nose as it heals. When the splint is removed at 7 days after surgery, swelling and some bruising will be present. Patients, however, are excited to see the improved shape of the nose even this early on in the recovery process. 

Though timeframes vary from patient to patient, most patients go back to work and social activities about 1 to 2 weeks after rhinoplasty surgery. They can gradually resume exercise after 2 to 3 weeks (at least 4 to 6 weeks for swimming and contact sports). Camouflage makeup can be applied 10 days after rhinoplasty surgery. Much of the swelling will be gone 2 to 3 weeks after surgery. It often takes approximately a year for the last 10% of the swelling to disappear. 

We will spend time during your pre-op education visit to carefully walk you through the details of recovery following your rhinoplasty. 

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

Rhinoplasty Patient

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 to 14 for girls and 15 to 16 for boys. 

What Are My Next Steps? 

To meet with Dr. Parker and his team to learn more about rhinoplasty, request a free cosmetic consultation using our online form or call (201) 967-1212 for an appointment.