Rhinoplasty, which is also called a “nose job,” can be performed for a variety of reasons. Some patients of Dr. Ran Rubinstein’s in Newburgh, NY, want to correct breathing issues and obstructions. For other patients, they desire more symmetry and congruity in their overall facial appearance.
Still other patients wish to reshape their nose for cultural or career reasons. All of these reasons are equally valid and can help you feel more comfortable in your body and in your appearance to live your life to the fullest. However, because rhinoplasty takes place in such a sensitive and confined area of the face and requires exquisite attention to detail and fine surgical motor control, the surgeon you pick can make the difference between a successful nose job and the need for later revisions.
Learn what you need to know about rhinoplasty to decide if this is the right procedure for your needs and goals.
The Rhinoplasty Procedure
Rhinoplasty is a term that translates to mean “surgical alteration or correction of the nose.” Rhinoplasty itself can address many areas of the nose, including the tip of the nose, the nostrils, the nasal passages in the interior of the nose, the bridge (bony area), the slope and much more.
The scope of each rhinoplasty procedure will differ greatly depending on each individual patient’s facial structure, needs and goals. For example, if a patient is having trouble breathing, a rhinoplasty might require more internal reconstruction. On the other hand, if a patient simply wants to reduce their exterior nose tip size, this type of procedure won’t require as much interior work.
What is most important is to talk with Dr. Rubinstein in detail about your needs and goals so he can design your procedure to perfectly meet your goals.
Good Candidates for a Rhinoplasty
In general, provided that you are in good general health and have normal expectations for the outcome of your procedure, you are quite likely a good candidate to have rhinoplasty performed.
Your Rhinoplasty Consultation
In many ways, your consultation is the most important part of your rhinoplasty. During your consultation, you will have a one-on-one session with Dr. Rubinstein to share your desires and goals, review any issues with breathing that concern you, go over your medical history to be sure now is the right time to do your procedure and ask all your questions.
During your consultation, Dr. Rubinstein will also take some “before” photos. He will make some notes about your goals and use your photos to create a detailed computer-generated 3-D model of your facial structure. He will use this model to pre-plan every tiny detail of your rhinoplasty.
Before you leave Dr. Rubinstein’s office, you will be able to learn about possible financing options and even schedule the date for your rhinoplasty procedure if you wish. You will also be given a full list of instructions on the best way to prepare for the most successful procedure.
Rhinoplasty Frequently Asked Questions
If you are considering rhinoplasty, you probably have lots of questions. This is totally normal! Here, we have listed some of our patients’ most commonly asked questions and general answers to give you more information to prepare for your consultation with Dr. Rubinstein.
What happens during my rhinoplasty procedure?
Dr. Rubinstein maintains a certified surgical suite in his practice office for the convenience of his patients. In most cases, general anesthesia is recommended – this is due to the precision required for rhinoplasty surgery as well as patient safety.
The scope of your personal procedure will determine the length of the surgery. In general, rhinoplasty can last anywhere from one to three hours depending on the scope.
There are two types of rhinoplasty techniques: open and closed. Here again, the technique chosen will reflect your individual needs and goals. Open refers to making one small outer incision (in the area between the nostrils) while closed refers to making all incisions on the interior of the nose.
Once the initial incisions are made, Dr. Rubinstein will achieve your desired results by changing, rearranging, removing or otherwise augmenting the bone and cartilage in your nose.
In some less common cases, Dr. Rubinstein may recommend a non-surgical approach through the use of injection-based fillers to achieve your goals. In this case, your procedure will take less time and require no recovery time away from work. However, you may need to return to have maintenance injections from time to time.
What is recovery from rhinoplasty like?
Before you leave Dr. Rubinstein’s office after your rhinoplasty surgery, he will place a small splint on your nose and bandages to protect the healing areas.
It is important to know that while patients commonly report some level of discomfort, these can be managed with pain medications. Dr. Rubinstein will make sure you have the necessary prescriptions to keep you comfortable during recovery.
You will likely experience minor side effects in the first one to two weeks following your rhinoplasty. The most commonly reported side effects include swelling, tenderness, pain, redness, minor bleeding and bruising. If present, these temporary side effects will be most noticeable during the first 48 hours following your procedure.
After your procedure, Dr. Rubinstein will let you know when you will need to return for your post-operative check-up appointment. He will also remove any sutures during this appointment.
You may also need to sleep in an elevated position for the first 1 to 3 nights to ensure any swelling around the incision area(s) resolves as rapidly as possible. Here again, the prescriptions Dr. Rubinstein gives you should control any discomfort, but you can also call the office at any time with questions or concerns.
Are there any possible risks or complications from having rhinoplasty?
As with any type of invasive procedure (any procedure requiring incisions), there is always a minor risk of infection. As well, it is critical to follow Dr. Rubinstein’s post-surgical recovery instructions to the letter to ensure the best results from your procedure.
In some rare cases, there can be scarring, excess bleeding or nerve damage. Here again, your choice of surgeon can greatly reduce these less common risks.
How long before I can go back to work after rhinoplasty?
As long as your work does not involve heavy physical work or heavy lifting, most patients choose to return to work within 7 days after their rhinoplasty. One way to reduce time away from work is to schedule your procedure at the end of the week so you can have the whole weekend to recover.
How long before I can return to my regular daily schedule?
Understandably, patients are often eager to get back to their regular activities and fitness routine. However, for best results, Dr. Rubinstein usually recommends holding off on any high impact activities for up to six weeks to allow your nose to heal.
You should be prepared to take additional time away from contact sports, so be sure to talk with Dr. Rubinstein if this may be an area of concern for you.
When will I see the full results of my rhinoplasty procedure?
You will be able to see some or most of the results of your rhinoplasty in as little as 7 to 14 days. This is because it will be necessary to wait for the swelling to reduce before you can really see the results.
However, because some residual swelling may remain beneath the surface for up to 12 months, it may take that long to see the full results of your rhinoplasty. Whether or not such swelling occurs will depend on the scope of your rhinoplasty.
Can my insurance cover my Rhinoplasty procedure?
Some parts of the surgery can be covered by insurance if there is a functional problem such as a deviated septum or chronic sinuses. Anesthesia and facility fees are also substantially reduced when insurance covers the functional component of your procedure.
About Dr. Ran Rubinstein
Dr. Ran Rubinstein is one of New York’s best-known facial plastic surgeons. As a double board certified facial plastic surgeon, he is also a sought-after educator at the prestigious New York Presbyterian Hospital where he teaches future ENT and facial plastic surgeons.
Dr. Rubinstein’s busy practice is located in Newburgh, NY, just an hour outside of New York City proper. His nationwide clientele seeks him out for both his cutting-edge expertise in facial reconstruction and laser esthetics and for his caring, compassionate bedside manner.
You can contact Dr. Rubinstein’s office in Newburgh, NY, by calling 845-863-1772 or visit us online at www.yourfacemd.com.