Overview What exactly is rhinoplasty? Typically referred to as a nose job, rhinoplasty is one of the most common plastic surgery procedures sought out by individuals today. Because the nose occupies such a crucial and central part of one’s face, a minor change can result in an impressive enhancement of an individual’s appearance and, elevate their self-confidence.
Why Rhinoplasty? There are many reasons why people consider undergoing a rhinoplasty procedure. Some might not be satisfied with the nose they were born with. Others might be dissatisfied with the way age has changed the shape of their nose, or need treatment from an injury or trauma that has deformed the nasal contour and/or function. Some have a medical condition where they cannot breathe properly. Whether you feel that your nose is too small or too large, too flat or pointy, or too crooked or twisted, rhinoplasty surgery can help improve all these nasal qualities to fit your needs and wants.
The Techniques An experienced surgeon in the New York rhinoplasty field, Dr. Philip J. Miller, typically implements a wide variety of surgical and non surgical techniques to improve the nose of a patient, including: manipulation of the nostril width, reshaping, downsizing or enlarging the nose, altering the angle between the nose and the mouth and defining the tip. These methods, when done meticulously, can not only fix any defects, injuries or breathing problems but also improve the nose for a more harmonious fit with the other facial features.
The Procedure Dr. Philip Miller has over 20 years of experience in the field of rhinoplasty and is considered a master rhinoplasty surgeon. His New York rhinoplasty practice is located in an accredited office based surgery facility. A typical nose job surgery lasts from 1 to 2.5 hours. Individuals considering rhinoplasty surgery should ideally be a non smoker and at least 13 years of age. Patients undergoing the surgery will have general anesthesia or be sedated using intravenous medication to ensure a safe and comfortable procedure. Although techniques implemented vary case-by-case, closed rhinoplasty is most often used. Closed rhinoplasty refers to incisions made on the inside of the nostrils, where they are hidden from the outside view, guaranteeing a most natural look. Under certain circumstances, open rhinoplasty might be chosen – in which case, small, well-hidden incisions are made underneath the nose. These incisions allow the surgeon to remove and shape the bone and the cartilage. In a patient with a deviated septum (a condition where bone or cartilage is obstructing one’s ability to breathe), a septoplasty is also performed by altering the septum and inner structures of the nose. After the alterations have been made, the incisions are closed with dissolvable stitches, and a cast will be affixed on the nose to uphold the shape of the nose and decrease swelling while it is healing. The cast is removed one week after the surgery. Nasal packing is seldom used to control bleeding and is typically removed before you leave the office, or early the next morning.
After the Surgery Although most patients do not experience much pain in their recovery stage, pain medication can be taken as necessary to reduce any discomfort that might arise. Some common symptoms include swelling, stuffiness and bruising. Although some patients may experience slight nasal congestion in the first few days following the procedure, the swelling and bruising will clear in the next few weeks. Most patients find it easy to return to work or resume everyday activities within a week, and rigorous physical activity is recommended after 3-6 weeks. Patients who wear eye glasses should either tape their glasses to the forehead or the glasses should be bolstered on the cheeks for the week after the surgery.
Considering Surgery? Dr. Miller is considered by his peers as one of the top New York rhinoplasty surgeons. He will conduct meticulous and extensive preoperative planning and discussions to ensure that he knows exactly what you want. In his consultation, he will evaluate your facial features including your jaw line, your skin quality and thickness, the eminence of your cheeks and the overall elements of your nose – in an effort to determine the most harmonious nose to fit for your facial aesthetics. If breathing is a problem, this can also be assuaged through surgery – in your preoperative meetings with us, you will undergo a comprehensive examination to identify the problem. In some occasions, you might need to undergo additional tests in an effort to better understand your sinuses and degree of obstruction.
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