This 17 year old, referred to Dr. Parker by another patient, was bothered by the bump on his nose and his difficulty breathing. He had sustained several bouts of trauma to his nose, previously. Conservative treatment of his breathing problems by an ENT had been unsuccessful and surgery was recommended. A closed rhinoplasty was performed by Dr. Parker... Read More
This 50 year old was bothered by the large size and shape of his nose as well as obstructed breathing on the left side. Dr. Parker performed an open rhinoplasty. He reduced the bony cartilaginous dorsal hump and reshaped the wide, over projecting asymmetric nasal tip with septal cartilage grafts. Additionally, he improved the patient’s obstructed... Read More
This 41 year old, who came to Dr. Parker by word of mouth, asked to have his nose made to appear smaller. During the patient’s initial consultation, Dr. Parker recommended an open rhinoplasty and chin augmentation. At surgery, Dr. Parker performed an open rhinoplasty which included dorsal hump reduction, sculpted a better proportioned and shaped... Read More
This 30 year old patient had suffered previous trauma to the nose, which partially obstructed breathing. Dr. Parker performed a closed rhinoplasty to reduce the prominent profile and correct breathing problems.
This 38 year old patient was bothered by his heavy neck and over-projecting nose (he had undergone a previous rhinoplasty with another surgeon). Dr. Parker performed an open rhinoplasty along with neck liposuction to refine his nose and jawline. Read More
This 41 year old was referred to Dr. Parker by several other patients. He complained about his dorsal hump, the horizontal lines running across the middle of his nose, his asymmetric tip, and decreased airflow through the left side of his nose. Dr. Parker performed an open rhinoplasty to reduce the dorsal hump, corrected the prominent cartilage in... Read More
This 23 year old came to Dr. Parker requesting improvement in the appearance of his nose. Specifically, he was bothered by the dorsal hump as well as his nose drooping when he smiled. Dr. Parker performed a closed rhinoplasty. During this procedure, he removed the bony cartilaginous dorsal hump, performed infractures to appropriately narrow the nose... Read More
This 20 year old patient requested improvement in the appearance of his nose. Specifically, he was bothered by the hump on his nose and wished to have a straighter profile. He said this developed over time without any history of trauma. He did not have any difficulty breathing. Dr. Parker performed a closed rhinoplasty which allowed him to remove... Read More
This 68 year old was referred to Dr. Parker, and came in stating that he was unhappy with the appearance of his nose, noting that it was too long for his face. The patient recently had a dramatic improvement in his breathing after treatment by an allergist. This experience made him look at and think about his nose–he decided he really didn’t like... Read More
This 24 year old, referred to Dr. Parker by his dermatologist, requested improvement in the appearance of his nose and correction of his bilateral breathing difficulties. He was bothered by his profile and broad nasal tip. Dr. Parker performed an open rhinoplasty, which included a reduction of his dorsal hump, infractures of his nasal bones and sculpturing... Read More
This 23 year old patient, referred to Dr. Parker by another patient, requested help with his large nose. He was bothered by its size, dorsal hump, over-projecting tip and flaring nostrils. During an open rhinoplasty, Dr. Parker removed the bony and cartilaginous hump, performed infractures to appropriately narrow the upper aspect of the nose, sculpted... Read More
This 46 year old was bothered by the large dorsal hump on his nose and bulbous tip. He no prior history of nasal trauma or breathing difficulties. Dr. Parker performed an open rhinoplasty, removing the dorsal bony and cartilaginous hump, performed infractures, and re-shaped a more defined nasal tip. After surgery, the patient had a moderate amount... Read More
This 30 year old, referred to Dr. Parker by another patient, sustained multiple episodes of nasal trauma playing sports when he was younger. He requested correction of his prominent profile and obstructed breathing. Dr. Parker performed a closed rhinoplasty as well as an SMR and partial inferior turbinectomy. The patient was amazed by his quick recovery... Read More
This 42 year old Hispanic patient expressed concern to Dr. Parker about the large size of his nose and weakness of his chin. Noses such as this with thick skin, poor tip definition and excessive width are challenging for the surgeon to get a natural result. Dr. Parker performed an open rhinoplasty to give him optimal control in re shaping the nose.... Read More
This 30 year old, referred to Dr. Parker by another patient, asked Dr. Parker to make his nose appear smaller and straighter. Dr. Parker performed an open rhinoplasty, which included a dorsal hump reduction, infractures, sculpting of a better tip and alar base resections. The patient was extremely happy with his quick recovery and the improved appearance... Read More
This 36 year old was referred to Dr. Parker by his family physician. He has been bothered by his asymmetric, bulbous nasal tip for some time and finally decided to do something about it. His only concern was his tip; he was happy with the upper portion of his nose. Dr. Parker discussed options with the patient and used computer imaging during the... Read More
This 23 year old was referred to Dr Parker by another patient requesting improvement in the appearance of his nose. He asked that his dorsal hump be reduced, his tip made less bulbous and his obstructed breathing corrected. Dr Parker performed an open rhinoplasty during which he reduced the bony cartilaginous hump, performed infractures to narrow... Read More
This 20 year old was referred by his physician to Dr. Parker to improve his obstructed breathing and the appearance of his nose. He had sustained significant blunt trauma to his nose when he was younger and thought it may have been broken. His breathing has been affected ever since. Dr. Parker performed an open rhinoplasty, an SMR and partial inferior... Read More
Dr. Parker changes the shape of a patient’s nose by changing the configuration 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.
Anatomic Differences Between a Male and Female Nose
Anatomically, the nose is a complicated structure. The skin is draped over the nasal framework, which is what gives the nose its shape and support. The upper 40% of the framework is composed of paired nasal bones that are not movable. The lower 60% of the nose consists of cartilage and is movable. Dr. Parker takes the following anatomical differences into account in performing male rhinoplasties:
The male dorsum is wider and straighter with less concavity at the superciliary ridges (the part of the nose between the eyes) than the female nose.
The male nasal dorsum should remain straight, whereas a female nose may have 1–2 mm of aquilinity (curvature) and a supratip break.
The angle of the nasal columella to the upper lip should be 90 degrees in men versus 95 degrees in women.
The chin is more prominent in men, projecting to a plumb line drawn from a point at one half the ideal nasal length tangential to the upper lip versus a line 2–3 mm posterior to this plumb line in women.
The nasal tip is broader and more bulbous in men versus that of a more refined tip in women.
The nasal skin in men is usually thicker, limiting the amount of change that can be achieved.
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.
Closed rhinoplasty, which involves 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*
Open rhinoplasty involves 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 sculpt the underlying bone and cartilage very precisely under direct vision.
Before & After: Open Rhinoplasty*
A tip plasty involves improving only the tip of the patient’s nose. Almost always, Dr. Parker will use an “open” approach to achieve the most natural-looking, symmetric tip he can.
Your Personalized Surgical Plan
During your consultation in the office or online, Dr. Parker will listen carefully to your concerns about the appearance of your nose. He will then explain to you his recommended surgical plan to improve it. His discussion with you will be supplemented by reviewing computer images of what your nose should look like after surgery.
Rhinoplasty is most safely performed with general anesthesia. Surgical time varies from 30 minutes to 2 hours depending on the degree of complexity. Patients are discharged 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.
Our Signature Rapid Recovery Program
Most of our male rhinoplasty patients lead active lives and are anxious to return to their activities as soon as possible after surgery. With that in mind, we have tailored our surgical procedures, anesthesia, and medications, and developed our Rapid Recovery peri-operative program to accelerate patients’ recuperation after surgery. While everyone heals differently, most of our New Jersey rhinoplasty patients are able to return to work within 7 days.
Swelling and discoloration subside within 10 days and most patients can resume exercise at 2 weeks. 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.
Rapid Recovery Program
Our surgical procedures, anesthesia, medications, and aftercare are tailored to minimize post-operative discomfort and accelerate recuperation.
Together, the nose and chin determine your profile. Chin augmentation is sometimes suggested at the time of rhinoplasty to achieve better facial balance.
Before & After: Rhinoplasty & Chin Augmentation*
Rhinoplasty procedures can be performed in combination with other procedures, such as a face lift, blepharoplasty, liposuction, otoplasty, or chin augmentation. The patient shown here had liposuction of his neck performed in addition to an open secondary rhinoplasty.
Before & After: Secondary Rhinoplasty & Neck Liposuction*
This allows the patient to have multiple areas corrected during one surgery with only one anesthesia and recovery. Usually, the recovery is similar when one or more procedures are performed.