Rhinoplasty (Nose Reshaping aka Nose Job)

If you have any questions about rhinoplasty (nose job) surgery, please feel free to contact Board Certified Plastic Surgeon, Douglas M. Senderoff, MD, FACS  at his Manhattan or Westchester, New York office.

Rhinoplasty is one of the most rewarding procedures for both patient and surgeon. It is quite remarkable how much of an effect the nose has on the appearance of a person. While no two noses are exactly alike there are several features which comprise an aesthetically pleasing nasal shape. These features include a smooth profile, a well defined tip and a nasal width in proportion to the size of the face. It is important to create harmony between the bony part of the nose and the cartilaginous part of the nose in order to achieve a pleasing nasal shape. In the past most of the emphasis of rhinoplasty surgery to reshape the nose focused on the bony part of the nose which represents the upper 1/3 of the nose and is responsible for the width of the nose and part of the nasal hump. With the emergence of newer techniques the nasal tip can be reshaped more precisely in order to maintain a balance between these two parts of the nose.

Before	After

Your Rhinoplasty Consultation
During your consultation Dr. Senderoff will ask you what you like and don’t like about your nose. He will then ask you about your medical history including whether you are taking any medications or have any chronic medical conditions. An assessment of your nose will include any breathing problems, chronic allergies or congestion or any past nasal injuries or surgery. Next, the structure of your nose will be evaluated with regard to size, shape, thickness of the skin, and the potential for improvement with surgery. You will have the opportunity to ask questions and view before and after photos.

The Rhinoplasty Surgery
Your operation will be performed in Board Certified Plastic Surgeon, Douglas M. Senderoff MD's fully accredited outpatient surgical facility located on Park Avenue South in Manhattan. The operation will be performed as an outpatient usually under general anesthesia. Some procedures can be performed under local anesthesia with intravenous sedation depending on the extent of the surgery and the comfort level of the patient. The operation can be performed through an internal approach by making an incision within the nostrils. This technique is reserved for patients who require mainly a hump removal with minimal tip work. The open rhinoplasty involves an external skin incision across the columella (the area of skin between the nostrils) which provides better access to the delicate cartilage of the tip allowing more precise shaping under direct view. After the nasal hump is reduced and the tip is sculpted the nasal bones are usually moved closer together in order to narrow the width of the nose. This maneuver called an infracture is what patients commonly refer to as “breaking the nose” and is an important part of the procedure. A plastic splint will be applied to the newly operated nose in order to reduce the swelling and stabilize the shape.

Recovery from Rhinoplasty
Your face will likely be swollen and bruised for several days. While bleeding is rare the nose may drip blood for a few days until healing is underway. A pain reliever will be prescribed. Most patients require minimal amounts of pain medication and describe a throbbing feeling of discomfort initially. After one week the splint will be removed from the nose. It will take several weeks for the swelling to subside but the shape of the nose will be apparent within the first 2 weeks. It may take several months for the final subtle changes to become evident and for the nasal tip to completely soften.

Insurance Information: Reimbursement from your insurance carrier for your rhinoplasty (nose job) may vary depending on the carrier, and the type of operation performed. Generally, the companies will provide some type of reimbursement if there is a degree of difficulty breathing, documented with an anatomical problem that warrants correction at surgery. The procedures that are usually covered are:

- Septal Surgery
- Correction of nasal fractures (either open or closed)
- Turbinate surgery
- Reconstruction of nasal deformities with cartilage grafts- This may be applicable in patients who have had previous rhinoplasty procedures.

It is our office policy to help you contact your insurance company to attempt to determine your reimbursement for your rhinoplasty surgery.

If you have any questions about rhinoplasty (nose job) surgery please feel free to contact Board Certified Plastic Surgeon, Douglas M. Senderoff, MD, FACS at his Manhattan or Westchester, New York office. 
 

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Manhattan Office
461 Park Avenue South
@31st Street
New York, New York 10016
(212) 481-3939
info@drsenderoff.com

Westchester Office
90 South Ridge Street
Rye Brook, New York 10573
(914) 934-5000
 info@drsenderoff.com