Facial Plastic Surgery / Rhinoplasty Surgery

Rhinoplasty New York At Laser & Cosmetic Surgery Specialists, PC hundreds of people have consulted with Dr. Rubinstein about nose enhancement surgery. And for each and every person who has sought him out for his expertise, the response has been a recommendation that best fits his or her individual aspirations. This is why Dr. Rubinstein's patients remain so pleased with the results years, even decades, after the procedure is done. The surgery enhances them in a way that they would never have thought possible.

Browse our Rhinoplasty case studies to see before and after photographs which reveal what Rhinoplasty Surgery has accomplished for Dr. Rubinstein's patients.

Changing the focal point of your face -- your nose

Take a good look at your nose in the mirror. Are you aware of the various ways you could improve the appearance of your nose? From minimally invasive skin peels to improve skin tone to rhinoplasty (nose surgery), there are many ways you can improve the function, symmetry, shape, and skin of your nose.

Improve the Function: A surprising number of people have difficulty breathing through their nose and choose to suffer unnecessarily. A functional rhinoplasty can address this problem. Nasal obstructions may be caused by a crooked septum (cartilage and bone that divides the nose into two air chambers), by enlarged internal structures, or by weak sidewalls of the nose. Your facial plastic surgeon can improve your ability to breathe by adjusting and supporting the inside of your nose. This type of surgery may be covered by your insurance company since symptoms making the surgery necessary and appropriate cannot be controlled by medication. Be sure to check.

A surprising number of people have difficulty breathing through their nose and choose to suffer unnecessarily. A functional rhinoplasty can address this problem. Nasal obstructions may be caused by a crooked septum (cartilage and bone that divides the nose into two air chambers), by enlarged internal structures, or by weak sidewalls of the nose. Your facial plastic surgeon can improve your ability to breathe by adjusting and supporting the inside of your nose. This type of surgery may be covered by your insurance company since symptoms making the surgery necessary and appropriate cannot be controlled by medication. Be sure to check.

Correct the symmetry: Your facial plastic surgeon will evaluate your nose from several different angles. From the front, the nose should lie within parallel lines drawn down from the inner corners of the eyes to the nostrils. From the base, the nasal tip should appear triangular and the nostrils should be symmetrical in shape and size. In order to bring the nose into better balance, your surgeon may employ several techniques of adding, removing, and refining. The benefit of returning symmetry to the nose has a tremendous affect on the overall appearance of the face.

Refine the shape: Patients may be surprised to learn that their small imperfection can be improved by a non-surgical option. Injectable fillers can be used to provide more definition to the top and sides of your nose. This provides immediate results with no recovery time. The disadvantage is that the results are not permanent, with fillers lasting between three months to two years depending on the substance. Implants made of a synthetic sponge-like material can augment parts of the nose and offer long-lasting results. Changes that are more extensive will require underlying bone and cartilage to be rearranged, removed, or added.

Your facial plastic surgeon will evaluate your nose from several different angles. From the front, the nose should lie within parallel lines drawn down from the inner corners of the eyes to the nostrils. From the base, the nasal tip should appear triangular and the nostrils should be symmetrical in shape and size. In order to bring the nose into better balance, your surgeon may employ several techniques of adding, removing, and refining. The benefit of returning symmetry to the nose has a tremendous affect on the overall appearance of the face. Patients may be surprised to learn that their small imperfection can be improved by a non-surgical option. Injectable fillers can be used to provide more definition to the top and sides of your nose. This provides immediate results with no recovery time. The disadvantage is that the results are not permanent, with fillers lasting between three months to two years depending on the substance. Implants made of a synthetic sponge-like material can augment parts of the nose and offer long-lasting results. Changes that are more extensive will require underlying bone and cartilage to be rearranged, removed, or added.

Common questions regarding changing the shape of the nose include over-projection, bumps, saddle nose, and width. How much a nose sticks out, or projection, can be reduced by removing cartilage from the tip of your nose. A bump on the nasal bridge (dorsum) can be reduced by using a file-like instrument to shave off and smooth down the excess bone. For some cases, it may be necessary to create controlled breaks in nasal bone to achieve simple bump reduction. The skin easily re-drapes and adheres to the new shape of the nose. When the middle of the nose is too close to the face this is called a saddle nose. This can be improved by building up the dorsum with your own cartilage from the nasal septum, ear, or rib, or by using an artificial material. If you are unhappy with the width of your nose, your surgeon will take into account several factors that may be contributing to the width, such as the distance between the nasal bones, the width of the cartilage in the tip of the nose, and the thickness of the nasal skin. The width of the nasal tip can often be made more harmonious with the face, but the width of the middle third and nasal base are not usually as changeable.

Reasons for Surgery: Aesthetic surgery of the nose was one of the first cosmetic procedures ever developed, and it remains among those most frequently performed to this day. There are many reasons why people seek to change the appearance of the nose, including reducing the size of the nose, removing bumps, correcting asymmetry, and improving the angle of a nose. In rarer cases, rhinoplasty is performed to help patients who have difficulty breathing. Conditions may be natural or due to external trauma to the face. Surgeries of the nose can be performed on all age groups, including teens and the elderly.

Dr. Rubinstein's triple board certification and expertise as both an ear, nose, and throat specialist and a facial plastic surgeon makes him an expert not only in enhancing your nasal esthetic features, but also ensuring that your breathing ability is maintained and or restored. Patients are frequently referred to Dr. Rubinstein by other plastic surgeons for difficult revision rhinoplasty surgery from the entire New York / tri-state area. Dr. Rubinstein's staff will assist you in arranging for travel and hotel accommodations. Stewart International airport is located just minutes from Dr. Rubinstein's office.

Before Rhinoplasty Surgery

A medical history along with a careful examination is conducted in order to evaluate your general health. In preparation for our Rhinoplasty procedure. We will discuss with you the way your nose could look in relation to your other facial features. Digital photographs and computer imaging allow Dr. Rubinstein to evaluate the appropriate procedure to achieve the desired results. Pre-operative instructions may include the elimination of certain drugs that contain aspirin in order to minimize the possibility of excess bleeding. Arnica is frequently prescribed to help minimize bruising and swelling after rhinoplasty. Antibiotics may be prescribed before surgery to prevent infection.

Method of Rhinoplasty Surgery

Rhinoplasty surgery is usually performed under IV sedation, which is both extremely comfortable and results in less swelling and bruising than general anesthesia. In most cases involving a reduction in shape or size of the nose, angle or removal of a hump, the skin of the nose is separated from the underlying skeleton of bone and cartilage. The bone and cartilage are then reshaped and the skin re-draped over the surface. Patients who have a deviated septum may benefit by correction of this problem. The incisions are placed inside the nose, unless the surgeon uses an open approach, in which case the incisions are made across the tissue between the nostrils. In cases where the nostrils flare, the surgeon may make an incision at the junction between the nose and the skin of the upper lip to narrow the flared appearance. It is not unusual to combine our New York rhinoplasty with chin augmentation to improve the profile.

Post-Operative Information

Recovery from rhinoplasty surgery takes one to two weeks. Most people resume their normal activities within a week or two. Following surgery, a lightweight splint is applied to maintain the new shape of the nose. The splint is removed within a week. Rarely, nasal splints or packing may be inserted at the time of surgery to protect the septum. These are removed within a week. There is always some stuffiness of the nose after a rhinoplasty, especially when work has been done on the nasal septum. This can last several weeks.

Pain is minimal and is controlled with medications. Bruising occurs around the eyes, but begins to fade within a few days. Discoloration usually disappears in two weeks.

Insurance

Your insurance company may pay for all or part of the costs associated with your surgery if it is performed as a result of nasal obstruction. It is recommended that you check with your carrier to determine if there is coverage for your rhinoplasty procedure at our New York location.