Enhancing your Appearance with Nose Plastic Surgery (Rhinoplasty), or “Nose Job” can Enhance Facial Harmony & Self Confidence

Rhinoplasty or nose surgery, sometimes referred to as “nose reshaping” or a “nose job,” improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Surgery of the nose may also correct impaired breathing caused by structural abnormalities in the nose.

Rhinoplasty Surgery Boca Raton

 Enhancing your appearance with nose plastic surgery

While the shape of your nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery.

What can surgery of the nose accomplish?

Rhinoplasty surgery can change:

• Nose size, in relation to the other facial structures
• Nose width, at the bridge
• Nose profile, with visible humps or depressions on the bridge
• Nasal tip, that is large or bulbous, drooping, or too upturned
• Nostrils that are large, wide or upturned
• Nasal asymmetry and deviation
  

Is it right for me?

Nose cosmetic surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

• Your facial growth is complete and you are 13 years of age or older
• You are physically healthy
• You do not smoke
• You have specific, but realistic goals in mind for the improvement of your appearance

My nose surgery recovery

After your procedure is completed, packing will likely be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing.


You will be given specific instructions to follow during your recovery from rhinoplasty: How to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon.

What you can expect during your individual recovery:

• After your surgery is completed you will be taken to the recovery suite.
• You will be given a prescription for antibiotics and pain.
• Stitches are removed one week after surgery.
• You may resume normal activity and exercise two to three weeks post surgery depending on how you heal.
• You will return for follow-up care the following day after surgery

Who Can Benefit From Non-Surgical Rhinoplasty?

Non-surgical rhinoplasty, also known as a non-surgical nose job, injection rhinoplasty, or the “15-minute nose job”, can be a lower-risk, lower-cost alternative (with less pain and less downtime as an added bonus) for those who may have otherwise considered surgical rhinoplasty. For those who can’t afford the expense or downtime associated with surgery, or for those who are simply afraid to actually go under the knife, it can be quite a relief to hear that there is such an option available.

While non-surgical rhinoplasty cannot reduce the size of a large nose, the creation of symmetry or smoothing out of contour irregularities can actually make the nose appear smaller on the face. Furthermore, the non-surgical nose job can provide a non-invasive alternative for revision surgery for patients dissatisfied with the results of surgical rhinoplasty.

Non-surgical rhinoplasty can be useful to:

·         Reduce the appearance of a “bump” by filling out the surrounding tissue

·         Reduce or eliminate unsightly depressions, dents, or grooves

·         Improve symmetry

·         Create a lifting effect on a drooping nasal tip

·         Raise and define a flat bridge or de-emphasize a rounded tip (popular in Asian and African-American populations)

·         Correct a “scooped out” or “saddle-nose” profile (whether you're born with it or it is the result of previous surgical rhinoplasty)

How Non-Surgical Rhinoplasty Is Done

Tiny amounts of an injectable dermal filler (such as Radiesse, Artefill, Juvederm, or Silicone) are injected into areas that need to be filled out to achieve a smoother, more symmetrical appearance. The filler is injected in miniscule amounts using what is called a microdroplet technique.

This procedure is not exactly a quick fix, as the end result is only achieved after a series of several treatments, with at least 4-6 weeks in between sessions. This gradual approach is necessary because of the way these fillers work: After injection, your body’s defenses begin working to “wall off” each microdroplet of the filler material, forming a capsule of tissue that holds it in position. Over a period of time, the natural tissue built up around the filler creates more volume in the area, so the result cannot be accurately judged at the end of each injection session.

Only after the prescribed amount of time is it possible for the doctor and patient to judge if and where more injections are needed, as well as how much is needed. This allows to doctor and patient to judiciously decide when enough is enough.

Is It Safe?

Non-surgical rhinoplasty does not require general anesthesia or IV sedation. Only a local anesthetic is used, sometimes in conjunction with an oral sedative to relax the patient. Because of this and the fact that there is no actual cutting involved, this method carries less risk than a surgical rhinoplasty procedure. There are, however, some risks, which include:

·         Hyper-sensitivity reactions

·         Infection

·         “Lumpy”, asymmetrical, or otherwise unsatisfactory aesthetic results

·         Nasal skin damage

There are also risks associated specifically with silicone injections, such as migration (movement of the silicone to another part of the face or body), and the formation ofgranulomas. However, these problems have historically been mostly associated with the injection of larger quantities of silicone by unqualified injectors.

It is believed that the microdroplet method significantly reduces the risk of these complications. Furthermore, because the nose is a virtually static (having limited movement) area of the face, the possibility of silicone migration is much less. In fact, Beverly Hills cosmetic surgeon Robert Kotler, MD, who has been performing non-surgical rhinoplasty for over thirty years, says he has never seen a significant complication in his own practice with this use of silicone.

What Cannot Be Accomplished With Non-Surgical Rhinoplasty?

If you want a smaller nose, a thinner bridge, a large bump removed, or a more narrow tip, this procedure will not accomplish your goals. Non-surgical rhinoplasty cannot improve breathing problems or correct internal defects such as a deviated septum. Nor can it (or any other procedure) give you a “perfect”, completely symmetrical nose. As always, the goal of cosmetic surgery is improvement, not perfection.

The Downside

Injections with Juvederm, Radiesse, or most other fillers are temporary. To maintain your results, you will have to come back again and again for injections. This can be inconvenient and could become quite expensive over time.

On the other hand, injections of silicone or Artefill are forever. You can’t change your mind and have it removed, except through painful and disfiguring surgical excision. Because of this, selection of a highly-qualified surgeon is exceedingly important.

People with autoimmune disorders should not undergo injections with silicone or other permanent fillers, and those concerned about hyper-sensitivity reactions should ask their doctors to perform a skin test before going ahead with the procedure.

If you are considering surgical rhinoplasty at any point in the future, you should not have injection rhinoplasty with a permanent filler like Artefill or silicone.

Learn More About Non-Surgical Rhinoplasty Fillers

If you are considering non-surgical rhinoplasty, but are unsure which filler material might be best for you, please check out this article, which will help you to learn more about your options for non-surgical rhinoplasty fillers.

It is as Plain as the NOSE on Your Face

J. R. Berman, MD, FACS, PA

Rhinoplasty or nasal reprofiling is one of the most common of all plastic surgery procedures.  “Performing rhinoplasty is one of the most enjoyable surgeries I perform.  My patients find it most gratifying,” says Jonathan Ross Berman, MD, FACS, PA.  “Subtle or dramatic changes to the profile, tip, nostrils, and even size are possible.  The key to successful rhinoplasty is to match the nose with the patient’s face.  As each one of us is unique, so too is the rhinoplasty procedure that is tailored to the individual patient.  No nose should be a “cookie cutter” nose.”

Rhinoplasty can be performed safely in an outpatient setting.   Most rhinoplasty is performed in our modern state of the art facility certified by the American Academy of Ambulatory Facilities under the supervision of a Board CertifiedMedical Doctor of Anesthesia.  By performing the surgery in our fully equipped surgical suite we can deliver unexcelled personalized attention, safely, at a fraction of the cost of a hospital or even outpatient surgical center.  Dr. Berman’s facility has been certified since 1995.  He has been performing rhinoplasty for 20 years.

Look as good as you feel!

To allay apprehension about surgery as well to enable patients to visualize their before surgery and after surgery changes, Dr. Berman uses a computer digital imaging system to plan the individual’s surgery.    He is no newcomer to this technology; he has been using digital computer imaging in his practice of rhinoplasty since 1994.  Using this system, the patient sees what is realistic and what is not.  After all, the best candidates for surgery are people who are looking for improvement, not perfection in the way they look.  The surgery usually takes under two hours and lasts a lifetime.  Some bruising and swelling are not uncommon in the one to two-week recovery period. 

About the doctor.

Consider this:  Jonathan Ross Berman, MD, FACS, PA is a Yale graduate, double board certified by the American Board of Plastic Surgery and the American Board of Otolaryngology (Ear, Nose, and Throat).  He performs not only cosmetic but reconstructive rhinoplasty, the spectrum ranging from cleft palate to cancer patients.  Such expertise is unique and hard to find.  You can be doubly sure that you are i n good hands with Dr. Berman for your nasal surgery.

Wrap up. 
1.     Computer imaging.
2.    Accredited Operating Room Suite since 1995.
3.     Board Certified Anesthesiology Doctor.
4.    Board Certified Plastic Surgeon.
5.    Board Certified Ear, Nose, and Throat Surgeon.
6.    20 year Rhinoplasty surgical experience.

The credentials speak for themselves.  Competitive pricing.  Day in Day-out surgery.

For more information about rhinoplasty or any other cosmetic plastic surgery techniques including ULTRASONIC liposuction of the abdomen, thighs, hips, or knees, breast augmentation, breast reduction, facelift, eyelid lifts, or LASER surgery or to schedule a complimentary consultation, call 561.417.0171.  Check us out on our website at www.drberman.com. Come see us at our Boca Raton office.  You will be glad you called!