Nose Surgery (Rhinoplasty) in New York City with Dr. Shridharani

Q: What is a Rhinoplasty?

A rhinoplasty, “nose job,” is a plastic surgery procedure commonly performed to correct the structure, function, and aesthetics of the nose. A rhinoplasty enhances facial harmony and leaves the nose size more balanced in relation to the face. This can be accomplished by improving the nose width at the bridge, the position and size of the nostrils, the profile of the nose, the tip of the nose, or any asymmetry.

Q: How commonly performed is rhinoplasty surgery in the United States?

Rhinoplasty or cosmetic nasal surgery is one of the most commonly performed plastic surgery procedures performed in the United States. Rhinoplasty ranks consistently in the top five commonly performed cosmetic surgical procedures of all ages, ethnicities, and in both men and women.

Q: Does my nose change even in adulthood?

As one ages, it is common for the skin in parts of the body to droop/sag. The tip of nose can begin to look slightly longer, more bulbous, or droop over the years. This is partially due to as we age we continue to produce cartilage. This is correctable and requires rearranging the skin and sometimes underlying supportive cartilage. Many patients request the tip of their nose to be lifted to give them a more naturally yet pleasing look.

Q: When I have a rhinoplasty, will I have a scar?

Anytime an incision is placed on the face/nose, a scar will result. The goal of an excellent plastic surgeon is to place as few incisions as possible in areas that are easy concealed. During your consultation, Dr. Shridharani will thoroughly review the location of your anticipated incisions. Often cosmetic nasal surgery can be performed with the incisions concealed on the inside of the nostrils. Revision surgery and more extensive surgery may require a small incision concealed on the underside of the skin. A rhinoplasty is performed either using a closed or open technique. During a closed rhinoplasty incisions are hidden inside the nose. During an open rhinoplasty the incision is made across the columella, the narrow strip of tissue that separates the nostrils. These incisions are necessary to gently raise the skin that covers the nasal bones and cartilages, allowing access to reshape the structure of the nose.

Q: Are dermal fillers ever used in a “non-surgical” nasal contouring?

Hyaluronic Acid (HA) fillers such as Juvederm, Restylane, or Belotero, for nasal contouring have become increasingly common over past several years. During a “non-surgical rhinoplasty” or a “liquid rhinoplasty” filler is used to inject into specific places to help correct minor contour irregularities that otherwise would require surgery. This is commonly done when patients are not ready for a rhinoplasty, which usually due to the downtime involved with surgery. If you have an important event coming up and are unhappy with your nose, but do not have the downtime for surgery, a “non-surgical rhinoplasty” may be the best option for you. Also, some patients may find they are nervous about changing the defect they have had for so long, and starting with a “liquid rhinoplasty” may be more suiting for them. Results typically last 8-12 months depending on the filler that is used. If you are looking for more permanent results surgery is your best option. Having an in depth discussion with Dr. Shridharani will help finalize a plan suited specifically for you.

Q: What is a deviated septum? Can my deviated septum be fixed at the same time of my cosmetic rhinoplasty?

Absolutely! A deviated septum means the cartilage that separates the nostrils is misaligned which may cause a partial airway obstruction. A deviated septum can be the result of a many things that leads to difficulty breathing and sometimes a crooked appearing nose. Generally, a repair of the septum, also known as a septoplasty, is required to repair the internal structures that are not straight. A deviated septum is one of my most common causes of breathing impairment. Dr. Shridharani will carefully evaluate your nasal structure during your consultation to determine if your septum needs to be repaired.

Q: What is the “bump” on my nose?

The “bump” is called the “dorsal hump” of the nose. This results from slightly excess cartilage and is often most visible from the profile view. This cartilage is at the junction of the nasal bones and cartilage, which provides support to the nose. During your surgery, this portion of the nose can be lowered to give a more straightened appearance. Dr. Shridharani will discuss the steps necessary to give you a more esthetically pleasing nose while still looking like you!

Q: I feel like my nostrils are too wide. Can that be fixed?

YES! Surgically correcting the nostrils is often necessary to give you a more harmonious look. Many patients request a “slimmer” nose by narrowing the nostrils. Some patients feel like their nostrils flair too wide when they smile. The size, width, and flaring of your nostrils will be evaluated during your rhinoplasty consultation with Dr. Shridharani.

Q: Do I have to have my nasal “bones broken”?

During a rhinoplasty, it may be necessary to narrow the nose if the bony part of the nose seems too wide. Also, it may be necessary to fracture the nasal bones if you have a large “bump” on your profile view and you want it reduced. If only the tip of your nose bothers you, there is a chance you will not have to have your bones broken at all.

Q: Why does the skin on my nose seem thicker than other noses?

Due to ethnicity or genetics, some patients have slightly thicker skin on the tip of their noses. This oily skin sometimes makes it difficult to reveal adjustments made to the underlying cartilage and supportive tissue. These refinements may not show up quite as much if your skin is thick on the tip of your nose. Dr. Shridharani is very experienced in ethnic rhinoplasty and carefully takes each of these factors into consideration. 

Q: How long will I be swollen?

There is generally a rapid decline in swelling after the first week. Swelling after a rhinoplasty often persists for several weeks to months. It may take up to a full year to see the final results of a rhinoplasty.

Q: Why do some people have black eyes after nasal surgery?

Generally black eyes and swelling under the eyes is a result from the need to break the nasal bones during the rhinoplasty procedure. Darkening under the eyes usually dramatically improves several days after the procedure. Dr. Shridharani will review your surgical plan with you during your consultation.

Q: Will I have to wear a bandage after surgery?

Yes. Dr. Shridharani asks that his patients wear a splint for one week after surgery. Dr. Shridharani will remove your splint on your post-op office visit. The splint is important to keep the nasal structure in place while you are healing from your rhinoplasty.

Q: How long does it take to see the final results of my rhinoplasty?

Initial swelling subsides within a few weeks. During this time you will notice a gradual improvement until your new nasal contour will be visible. These changes are generally appreciated within a few weeks. The final result of your cosmetic nasal surgery may take up to one year.

Q: Where will I have my rhinoplasty?

Patients have the ability to have their rhinoplasty at the LUXURGERY office. Our operating room has certification and accreditation by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). If you prefer to have your surgery at a hospital, we can make further arrangements for your surgery. Our team provides patients with the option of having their procedure performed in the safety, convenience, and comfort of our office/facility.

Q: Would I have to spend the night?

Dr. Shridharani’s rhinoplasty patients are not required to stay overnight and generally go home the same day. Some of our patients choose to stay in a nearby hotel with a private nurse overnight while they rest and recover.