Rhinoplasty is often known as a “surgery of millimeters,” meaning even small adjustments to the nasal tip, bridge, septum, and nostrils can make a big difference to your overall facial appearance. Everyone has their own personal reasons for pursuing nose surgery, but one truth is universal for all patients: the technical precision and aesthetic know-how of a board-certified plastic surgeon is critical to achieving a result that looks natural and fits the unique character of each person’s face.
Dr. Ira Savetsky’s passion for nose surgery led to his completion of a prestigious post-residency fellowship, where he trained with some of the most renowned rhinoplasty surgeons in the world. Rhinoplasty is considered among the most intricate and complex elective surgeries available, but the results of this transformative procedure can be incredibly rewarding when performed correctly.
What is Rhinoplasty?
Rhinoplasty is a nose surgery performed for both cosmetic and functional reasons. Some patients interested in rhinoplasty have harbored a lifetime of insecurity and self-consciousness regarding their nose shape, while others may feel their breathing is inhibited by obstructions in the nasal structure. No matter the nature of each person’s motivations for undergoing rhinoplasty, the procedure is designed to meticulously reshape and recontour the nasal framework. This may be done to balance the proportions of the nose in relation to the rest of the face, or to enhance breathing. With rhinoplasty, even subtle alterations to the nose can result in powerful improvements.
What Can Rhinoplasty Accomplish?
The procedure can benefit individuals who are dissatisfied with the appearance of their nose or who would like to improve their breathing. Rhinoplasty is capable of a wide range of cosmetic and functional refinements, including:
- Straightening bumps in the nasal bridge
- Adjusting the angle of the nasal tip
- Correcting a crooked nose
- Making the nose shorter/longer
- Fixing a deviated septum
- Repairing a birth defect
- Reconstructing the nose after an injury
If you are considering surgery, Dr. Savetsky will be able to give you more insight into whether rhinoplasty (or another face procedure) is the most ideal approach to achieve your goals. These factors will be discussed in a consultation, where Dr. Savetsky will answer all of your questions and obtain an understanding of your needs and cosmetic desires. It’s essential for potential rhinoplasty patients to be in relatively good health and to maintain realistic, positive expectations for what rhinoplasty can achieve.
Is Rhinoplasty Right for Me?
Rhinoplasty can help a wide range of patients bothered by obstructed breathing and/or the appearance of their nose. A personal consultation will be your first step in discussing your concerns with Dr. Savetsky and learning the most ideal techniques to achieve your goals. In general, individuals interested in nose surgery should be:
- Healthy, with no unmanaged medical conditions that may interfere with the recovery process
- A non-smoker or willing to quit smoking prior to the procedure
- Able to maintain realistic expectations about what surgery can accomplish
- Motivated by their own reasons for rhinoplasty, rather than pursuing the procedure to appease others
At your appointment, Dr. Savetsky will review your medical history and examine your concerns to develop the best possible treatment plan for your needs. In some cases, a dominant nose may be balanced through the use of a chin implant. Subtle augmentation of the chin can also complement the results of rhinoplasty depending on each person’s needs.
Open Rhinoplasty vs. Closed Rhinoplasty
Open and closed rhinoplasty are the two main techniques to reshape and refine the nasal tissues. Depending on the enhancements necessary to achieve your goals, Dr. Savetsky may make an incision internally — referred to as a closed rhinoplasty — or across the strip of tissue between the nostrils, which distinguishes the open technique. While some cases of nose recontouring can be performed through closed rhinoplasty, open rhinoplasty generally offers unmatched visibility of the internal structures, as well as a greater degree of surgical control. Dr. Savetsky will review both procedures with you and determine the most optimal approach to ensure a natural-looking, proportionate outcome. It’s not uncommon to incorporate other techniques, such as cartilage grafting, into rhinoplasty to obtain the highest quality of results.
How is Rhinoplasty Performed?
The surgical process varies for each patient, but rhinoplasty is usually an outpatient surgery performed under general anesthesia. The most well-known variations of the procedure are open and closed rhinoplasty, although additional techniques may be performed depending on the nature of the planned corrections and whether the procedure is a patient’s first or secondary nose surgery.
Open rhinoplasty is distinguished by a small, discreet incision made along the natural crease of the columella (the base of the nose’s undersurface). From this incision, Dr. Savetsky can access the bones, cartilage, and soft tissues of the nasal framework to complete the desired enhancements. In contrast, closed rhinoplasty utilizes internal incisions that should not produce any visible scarring. In both cases, Dr. Savetsky strives to make incisions as inconspicuous as possible to help ensure a harmonious, natural-looking outcome.
Dr. Savetsky is a fantastic doctor. His technique and knowledge are exceptional as is his understanding of patient concerns. He gave me the improvements and procedures I wanted while still having me look like me. Dr. Savetsky is the BEST!
What is Recovery From Rhinoplasty Like?
Healing after rhinoplasty is completed in stages, but the majority of healing should occur within the first few months of the recovery period. Immediately after surgery, reactions like swelling, minor bruising, and tenderness should be expected. While they should subside naturally as your nose begins to heal, over-the-counter medications can help reduce swelling and assuage any discomfort. Dr. Savetsky will provide you with comprehensive aftercare instructions and monitor your progress in post-operative follow-up appointments.
Normal activities can often be resumed after one week, barring exercise and strenuous labor. It’s very important to refrain from exercise until Dr. Savetsky instructs otherwise so as not to exacerbate swelling. It can take up to 12 months for inflammation to completely subside, at which point the final outcome should look subtle, natural, and beautiful.
How Long Do Rhinoplasty Results Last?
The procedure changes the nasal framework forever, allowing rhinoplasty patients to enjoy a more balanced and harmonious appearance for a lifetime. The longevity of the outcome is far superior to other temporary methods of nose reshaping, such as liquid rhinoplasty treatments utilizing dermal fillers. For this reason, rhinoplasty is often considered among the most sought after cosmetic surgeries available and can be extremely rewarding when performed by a well-qualified plastic surgeon. As you age, you may notice gradual changes in your appearance as the face naturally matures; however, the results of surgery should remain relatively stable. If you suffer a facial or nasal injury in the future that diminishes airflow or changes the outcome of your initial procedure, revision rhinoplasty is also available to improve both form and function.
Will I Have Visible Scars From Rhinoplasty?
While all surgical procedures generally leave scarring to some extent, rhinoplasty incisions are placed very inconspicuously. As a result, scars are usually imperceptible to outside observers once incisions are fully healed. Dr. Savetsky will give you an idea of what you can expect for the shape, size, and location of your incisions. If you received a closed rhinoplasty, there should be no outside scarring. Patients who received an open rhinoplasty appreciate that their incision is placed along the natural crease where the nose meets the upper lip, disguising any post-operative scarring. Ultimately, the best way to encourage the lightening and fading of rhinoplasty scars is to closely follow Dr. Savetsky’s aftercare instructions regarding incision care.
How Much Does Rhinoplasty Cost?
Rhinoplasty costs are assessed based on the details of each patient’s treatment plan and include the expenses commonly associated with surgery, including fees for the surgeon, anesthesia, surgical facility, etc. In general, the price ranges from $12,000 to $25,000 depending on factors like:
- The surgical technique utilized
- The complexity of the procedure
- Whether the surgery is a secondary rhinoplasty
Dr. Savetsky will be able to provide you with a personalized cost estimate after your needs are evaluated in a consultation. To help you better manage out-of-pocket expenses, our office accepts plastic surgery financing with CareCredit®. This trusted healthcare lending company offers qualified patients the option of paying for their procedure in a series of low- to no-interest installments rather than a lump sum.
Additional Rhinoplasty FAQs
When can I blow my nose after rhinoplasty?
During the initial healing process, it’s necessary to practice caution when it comes to blowing your nose. Blowing your nose too forcefully or recklessly can disturb the bones, cartilage, and other nasal tissues, potentially causing bleeding and affecting the improvements achieved with nose recontouring surgery. We advise refraining from blowing your nose for four weeks, and Dr. Savetsky will give you instructions on how to safely clear your nasal passages.
How long after rhinoplasty can I wear glasses?
Unnecessary pressure on the nasal bridge should be avoided during the recovery process, so we encourage rhinoplasty patients to switch to contacts, if possible, for four to eight weeks or until Dr. Savetsky advises that you’re able to safely resume wearing glasses. This also applies to sunglasses as well, and Dr. Savetsky will monitor your healing in follow-up appointments.
Does male rhinoplasty differ from female rhinoplasty?
Rhinoplasty is performed using the same incisions for both male and female patients, but there are distinctions between men and women that may inform your procedure. Since the goal of each nose surgery is to achieve natural-looking results in relation to your unique facial features, the differences in anatomy between both genders will generally affect the surgical techniques utilized. For example, male patients often have thicker nostrils and a wider, broader nose bridge while female patients typically have smaller, more delicate nasal features. These distinctions — in addition to each patient’s individual aesthetic desires — are taken into account to achieve the best possible results.
When will swelling from rhinoplasty go down?
The majority of swelling from rhinoplasty should subside within the first couple of months after rhinoplasty, but residual inflammation can last as long as six months to one year. Your final results will gradually improve as your nose continues to heal. In many cases, patients can help minimize swelling after rhinoplasty by keeping the head slightly elevated when sleeping and adhering to a healthy diet rich in protein, fruits, vegetables, and antioxidants.
If you have any questions about any aspect of the rhinoplasty procedure, our friendly team members are here to help. Don’t hesitate to contact our NYC practice to schedule a consultation with Dr. Ira Savetsky, or to learn more about our services.