If you’ve ever considered rhinoplasty, you’re not alone. This transformative surgical procedure, also known as a nose job, can address a variety of concerns, from enhancing facial harmony and correcting breathing difficulties to boosting self-confidence. Dr. Undavia, a board-certified and experienced plastic surgeon, specializes in rhinoplasty and offers personalized solutions to help you achieve your desired nasal shape and function. Contact our Marlton, New Jersey location to schedule a consultation

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Reasons for a Nose Job

Rhinoplasty (Nose Job) surgery is the reshaping of the nose, and is one of the most common facial plastic procedures Dr. Undavia performs.

Rhinoplasty serves a broad range of indications that can be classified into three primary categories: aesthetic concerns, functional issues, and congenital deformities or post-traumatic reconstructions.

 

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Aesthetic Concerns:

Rhinoplasty is perhaps most renowned for its capacity to address a wide array of aesthetic concerns, allowing individuals to achieve a more balanced and harmonious facial appearance. Common aesthetic issues that lead people to consider rhinoplasty include:

  • a bump on the nose
  • a droopy nasal tip, especially while smiling
  • a wide or large nose
  • an aging nose that is droopy and poorly functioning
  • a crooked or flattened noses from an accident
  • a flattened nose from a septal perforation
  • a bulbous nasal tip
  • wide or flaring nostrils
  • an upturned nose
  • an overly projecting nose
 

Functional Issues:

Rhinoplasty isn’t solely a cosmetic procedure; it also offers solutions to functional problems that impact a person’s ability to breathe comfortably. Functional issues that may warrant rhinoplasty include:

  • Deviated Septum: A deviated septum is a condition in which the nasal septum, the wall between the nostrils, is displaced, obstructing airflow. This condition can lead to chronic congestion, difficulty breathing, and recurrent sinus issues. Rhinoplasty can correct the septum’s alignment, relieving these functional problems.
  • Breathing Difficulties: Beyond septal deviations, other structural abnormalities within the nose can contribute to breathing difficulties. Rhinoplasty can address these issues by modifying the nasal passages to enhance airflow and alleviate congestion.
 

Congenital Deformities and Post-Traumatic Reconstructions:

Rhinoplasty is also instrumental in addressing congenital deformities and repairing the nasal structure following traumatic injuries. Conditions present at birth, such as cleft lip and palate, may necessitate reconstructive rhinoplasty to improve both form and function. Additionally, individuals who have experienced trauma, such as a broken nose, can benefit from rhinoplasty to restore the nose’s pre-injury appearance and function.

No matter the reason, as the nose is central to the face and is a major focal point of the face, small changes in the nose can dramatically enhance the appearance of the face. Dr. Undavia also understands that every face is unique, and therefore every nose is unique. As a dual board certified Facial Plastic Surgeon and Otolaryngology – Head and Neck Surgeon, he understands that a nose is only as good as it functions. This separates him from his peers, as he often sees a rhinoplasty that may look good, but functions poorly.

A Natural Looking Nose

Most patients want a natural appearing nose. They don’t want to appear as if they had surgery. Men want a strong masculine nose, while women should have smaller refined noses. This is in stark contrast to the past, where both men and women wanted a “surgical appearance”, being more “scooped out” and “turned up”. Furthermore, most people simply want them to have a nose that enhances their inner abilities by giving them confidence to not focus on their nose.

Rhinoplasty Consultation

At the time of your consultation, Dr. Undavia will examine both the inside and outside of the nose, examining both things that are already good about your nose, as well as things that might need to be changed. Special attention will also be paid to how your nose works, because any alteration to the structure of your nose will affect the function.

Dr. Undavia uses computer imaging to help show you realistic goals for surgery. Working in conjunction with your goals and desires, Dr. Undavia will tailor a surgical plan that is unique to your nose and your face. Sometimes, the projection of the chin can alter the appearance of the nose. Therefore, sometimes it’s important to address the chin to help enhance the nose and face. At this time of the consultation, you can help Dr. Undavia understand exactly what you want for your nose. It is important to let Dr. Undavia know if you have trouble breathing through your nose, if you have headaches, or recurrent sinus infections. Because of his dual board certification, Dr. Undavia can address all of these problems at the time of surgery. During your consultation you can also discuss plastic surgery financing and how much the nose job surgery typically costs.

Preparing for Nose Surgery

Before undergoing rhinoplasty, thorough medical assessment and careful preoperative preparations are essential to ensure a safe and successful surgical experience. This process involves several critical components:

  • Comprehensive Health Evaluation: Your surgeon will conduct a comprehensive evaluation of your overall health. This includes a review of your medical history and a physical examination to assess your suitability for surgery. These evaluations help identify any underlying medical conditions that may need to be managed or considered during the procedure.
  • Medication Adjustments: It’s essential to inform your surgeon about any medications you are currently taking, including prescription and over-the-counter drugs, vitamins, or supplements. Medication adjustments may be necessary to reduce the risk of complications during and after surgery. Some medications, like blood thinners, may need to be temporarily discontinued before the procedure to minimize the risk of excessive bleeding.

By adhering to these preoperative preparations, you not only enhance your safety during the rhinoplasty procedure but also optimize the conditions for a smooth and successful recovery, ultimately contributing to the achievement of your desired results. View our video below on what to expect the day of rhinoplasty surgery.

Rhinoplasty Surgery

Rhinoplasty surgery is performed under general anesthesia, which is administered by a board certified Anesthesiologist. Most of the incisions are hidden inside the nose. This is often referred to as a closed rhinoplasty procedure. Often there is the need for an external, small hidden incision in the skin between the nostrils. This is referred to as an open rhinoplasty procedure. For those who need their nostrils narrowed significantly, there might be small inconspicuous incisions that are hidden in the crease between the nostrils and the face.

With access to the internal structures, Dr. Undavia proceeds to reshape the nose. The core of any rhinoplasty procedure involves the artful reshaping of the nasal structures to achieve the patient’s aesthetic or functional goals. This intricate process often encompasses several key aspects:

  • Modifying the Nasal Bones, Cartilage, and Soft Tissues: Dr. Undavia accesses the nasal structures through the chosen incisions (open or closed) to sculpt and refine the nose’s form. This may involve modifying the nasal bones, cartilage, and the nasal tip, depending on the patient’s desired outcome. Techniques can include reducing or augmenting these structures, or narrowing the nostrils.
  • Addressing Humps, Tip Refinement, and Nostril Reshaping: Rhinoplasty offers solutions to a variety of aesthetic concerns. For those with dorsal humps or irregularities along the bridge, these are meticulously smoothed out, resulting in a straighter and more balanced appearance. Refining the nasal tip can create a more defined and elegant shape. The procedure can also address nostril reshaping, where the surgeon carefully adjusts the nostrils’ size or shape to achieve facial harmony.

Any functional issues such as a deviated septum are also addressed during the surgery. The ability to breathe more freely not only improves one’s quality of life but also contributes to an overall sense of well-being.

Once the necessary modifications are complete, Dr. Undavia closes the incisions using sutures. After surgery is complete, an external splint is used to protect the surgical results.

Rhinoplasty Recovery

The day of your surgery you will return home with a friend or family member to rest.  After surgery, pain typically is not a problem. Most patients are tired from anesthesia, and there is some discomfort.

Ice the area and keep your head elevated. Patients are ready to return back to work (depending on what the activities of work are) or school within one week of surgery.

Both the splint and sutures (if external) are removed after 5-7 days. There is some swelling and bruising following surgery, but these are minimal. Much of the swelling comes down within a few weeks. The nose will continue to improve everyday. The final results of the rhinoplasty procedure are clear early, but might take a year to complete all reduction in swelling. Light exercise can be initiated around 3 weeks (no heavy lifting or impact exercise). Full contact sports need to wait for 6 weeks to allow the nasal bones to heal fully. Contacts are fine, but glasses can exert asymmetric pressure on the nasal bones. Ask Dr. Undavia for options if you wear glasses. Dr. Undavia will schedule appointments for the day after surgery, followed by weekly visits for the first few weeks. Then visits are regularly scheduled at 3-month intervals for one year to check on the healing process.

Choosing Your Rhinoplasty Surgeon

Experience matters in nasal surgery. Rhinoplasty surgery is clearly the most difficult plastic surgical procedure to achieve consistently good results. It is important that you choose a doctor that not only does this operation often, but that has had the training to handle all of its intricacies. As a dual board certified plastic surgeon, Dr. Undavia focuses exclusively on the face and neck. His training in both Otolaryngology and Facial Plastic surgery has made him the surgeon that other doctors approach for help in patients who have had previous nasal surgery. During training, Dr. Undavia focused heavily on Rhinoplasty and Revision Rhinoplasty. He understands the implications on structure and function of every surgical decision in nasal surgery after having published in numerous peer reviewed journals, educational materials and presented his work nationally. Dr. Undavia also offers revision rhinoplasty surgery.

Nose Surgery Frequently Asked Questions

A rhinoplasty, commonly known as a nose job, is a surgical procedure that can help improve the appearance and proportion of your nose. It can also correct structural impairments that affect breathing. Typically, the effects of a nose rhinoplasty are permanent.

Nose rhinoplasty is a surgical procedure that can be uncomfortable. Most patients describe what they feel as discomfort, and not pain.  Different people experience different levels of pain, but most report some degree of discomfort during the recovery period. Your doctor will likely use local anesthesia in order to minimize any pain associated with the surgery. Painkillers may also be prescribed to help manage any discomfort.

Rhinoplasty is a major, yet common, surgery. It involves reshaping the nose in order to enhance its form and function. During the procedure, soft tissues are modified or removed and underlying cartilage may be re-shaped or reconstructed. The surgery is performed under anesthesia and recovery can take from one to two weeks.

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