Rhinoplasty Miami

Introduction to Rhinoplasty Miami

What is Rhinoplasty?

Rhinoplasty is a surgical procedure used to modify or correct the shape of the nose. The main goal is to change the nose in a way that looks as natural as possible while also restructuring it and creating an attractive look. In order for the procedure to look natural and the results to be permanent, it must be performed by specialized surgeons in this field. This procedure is generally performed on patients with ethnic facial features who suffer from a deviated septum and feel uncomfortable with how their nose looks.

What is a Deviated Septum Surgery?

Very similarly to the traditional rhinoplasty, a deviated septum surgery consists of the surgical alteration of the nasal skeleton in order to improve the function of the nose.

The septum is the wall between the nostrils, which also supports the nose and has a great effect on the airflow in and out of the nose. A deviated septum can cause breathing problems and can cause unnatural facial appearances. A deviated septum is indeed a medical condition, which can be sometimes covered by your medical insurance provider.

How does a Nose Job work?

A rhinoplasty is executed through one or more incisions in the nose, where they are guaranteed to show the least visible scarring possible. Depending on the surgical approach you and your surgeon decide is best for you, you might have incisions made on the inside of the nostrils. Once these incision are made, the nasal skeleton and cartilage are altered, whether it is reduced, augmented or carefully sculpted, to create a new appearance. Once all changes have been made to the nose, the skin and tissue are redraped over the new nose and the incisions are closed.

Open vs closed Rhinoplasty

There are two main techniques used to perform a rhinoplasty Miami. Although both are very popular, they do hold their own individual differences and benefits. Open rhinoplasty and closed rhinoplasty are just two terms used to describe the two possible surgical approaches.

Closed Rhinoplasty

Closed rhinoplasty is a very complex procedure that will demand noteworthy skill from the surgeon yet it has been widely demonstrated how beneficial it can be. Closed nose plastic surgery consists of having all necessary incisions made through the inside of the nostrils. This approach is visibly-scar free but can make the repositioning of the nasal skin pretty difficult when the nose requires a lot of surgical alteration.

Closed nose plastic surgery is also a less evasive procedure since it involves less scaring therefore the patient may need less recovery time. During closed rhinoplasty the nose is not taken apart therefore it will be easier for the surgeon to know how the nose will look like after the surgery. This is somewhat hard to judge in open rhinoplasty procedures.

Before and After closed rhinoplasty

Open Rhinoplasty

Open rhinoplasty consists of an opening in the nasal bridge that allows maximum visibility of the areas of the nose that need to be changed. An incision is made at the base of the columella. This is the thin wall of soft tissue separating the nostrils. This allows the surgeon the ability to manipulate and modify the nasal shape with more precision, something rather difficult with closed rhinoplasty.

The incision is a zig zag since it allows the surgeons to create the perfect shaped to camouflage the incision. A straight line incision is more visible. Patients requiring more projection or deprojection, that meaning the nose being closer or farther to the face, generally achieve the desired results with this type of procedure.

Open rhinoplasty has truly transformed the treatment of challenging nasal malformations such as severely crooked noses, cleft lift operations and when the structural grafts may need to bring the nose down. The long term effects of this approach compensates for the temporary side effects involved with this procedure.

Before and After open rhinoplasty

Before and After open rhinoplasty
by Dr. Fisher

What is Revision Rhinoplasty Miami?

A revision rhinoplasty Miami is performed when an individual has already endured and undergone a rhinoplasty procedure in the past. In many cases, individuals who have rhinoplasties performed by uncertified surgeons will end up unsatisfied or unhappy with the appearance and function of their nose. A revision rhinoplasty specialist can perform a secondary rhinoplasty in order to correct and alter any part of the nose that was previously untouched or unaffected by the first rhinoplasty procedure performed.

Although nose surgery has become very popular these days, sadly, some individuals haven’t achieved the desired look partly due to the lack of experience some surgeons performing these procedures have. It’s very common seeing unhappy clients who read some hard to believe ad online and don’t do proper research first before calling. Every patient who is not completely satisfied with the results of their nose job should seek a consultation with an expert to discuss possible treatment options.

nose job Miami

Most patients are reluctant to seek additional surgery since they already had a bad experience elsewhere. This is why we recommend seeking an expert who can improve the specific features the patient struggled to accept after nose surgery. Revision rhinoplasty is generally a longer and more extensive procedure yet in can yield noteworthy results. Frequently, the surgeon will use tissue from the ears or ribs in order to shape the nose. Synthetic materials are also common. The recovery time for this type of procedure is generally the same as a secondary nose surgery. It is essential to take into consideration the nasal balance, purpose, malformations of bone and cartilage, areas that may need to be reshaped or may require extra support, and to come up with a good plan that meets, as much as possible, the patient’s expectations.

During the revision, nasal surgery surgeons often notice that the nasal septum has often been completely or partly removed and the cartilage and bone responsible for creating the nasal shape has also been altered and/or misshapen making the skin thinner and less flexible. Oftentimes, these patients already went through a number of disappointments and spent a lot of money on operations that didn’t accomplish what they promised. Coming up with a good surgical plan prior to surgery it’s important. The patient must understand how the procedure is going to accomplish what the patient wants.

Surgeons specializing in revision and difficult rhinoplasty, have the experience required to deal with these complex procedures. If you had a bad experience in the past don’t feel discouraged and come see our doctors for a consultation. Addressing your persistent concerns might not be as hard as you think.

What is Ethnic Rhinoplasty?

Traditional rhinoplasty is intended to remove excess cartilage and bone in the nose in order to give it a usually smaller and smoother appearance. Tissue can also be added to help improve some specific features. Modern surgical procedures offer individualized treatment for each nose area with the intention of providing a refined and balanced look as supposed to over-reducing tissue which often decreases the patient’s ability to breathe through the nose.

People from different ethnicities have noses with diverse characteristics. Ethnic rhinoplasty Miami may need a highly individualized approach somewhat different from traditional rhinoplasty. This procedure is a category or specialty rhinoplasty. In other words, the surgeon will analyze the type of nose and approach surgery in a way that helps the nose retain its ethnic origin.

Ethnic Rhinoplasty Miami

A person’s nose is often a defining feature of ethnical authenticity. During ethnic rhinoplasty the surgeon will make sure those basic ethnic features are not altered.

Ethnic rhinoplasty Miami has many challenges which are not present in a more traditional procedure. The skin is normally thicker which tends to obscure the underlying structures of the nose and make it hard to foretell the results. The framework is more delicate demanding more care and the use of cartilage crafts to accomplish good results. Darker skin may require caring more for the incisions during closure to help reduce scarring. Ethnic rhinoplasty Miami may often require a more difficult and detailed surgical procedure.

African American Rhinoplasty

When looking to enhance their facial attractiveness, many patients like to preserve their ethnicity. The African American population, for example, has contributed to a distinctive array of nasal beauty. Ethnicity is very important for patients of African American descent and patients who immigrated by choice to the United States.

The role of multicultural ancestry should be considered first when looking to appreciate African American nasal beauty. Nasal features, however, are often a mixture of ethnic heritages including Latino, European, African and Native American Hispanic descent. African American rhinoplasty specifically may require technical expertise and the ability to appreciate aesthetic limitations associated with African American nasal anatomy, and to encourage appreciation for the African American features. Changes cannot be overly dramatic as they tend to compromise ethnic authenticity and lead to bad rhinoplasty results. One of the most common mistakes some surgeons make is narrowing the nostrils too much. The goal is to still be you and allow you to represent your ethnic background with pride yet looking better.

Fundamental Differences of African American Noses

African American Rhinoplasty often involves narrowing a wide nose. African American noses can be wide across the tip, the bridge, from nostril to nostril and across. In order for the nose to appear natural it might require to reduce it uniformly. Nostril reduction surgery called Alar Base Reduction/Alarplasty is a surgical procedure employed to decrease the size of the nostrils, amount of nostril flaring, and narrow the width of the nostril base which are common concerns in African American patients pursuing this surgical procedure.

African American noses are somewhat different anatomically from other noses. The basic difference is a wide and low nasal bridge, thick skin especially at the nasal tip, thin and weak lower side cartilages, and excess subcutaneous fat in the tip, which may contribute to bulbous tips and flared and wide, nostrils. All these differences make African American rhinoplasty absolutely different from other nose surgeries. It has a unique surgical approach and it aims at the desired cosmetic result and goals of the patient. Since fatty tissue in the tip doesn’t grow back, the tip fat should be removed correctly.

Another difference in the African American ethnic nose is the enlarged nostril width, which can sometimes contribute to the appearance of an oversized nose that might be disproportionate with the face. In order to balance the nostrils with the rest of the nose and face, nostril narrowing might be required. Another anatomical distinction in African American and Ethnic noses is the extra fatty tissue and thin or weak nasal tip cartilage.

Hispanic Rhinoplasty

This is a specific type of cosmetic procedure in which noses with very distinctive ethnic features are reshaped to achieve the patient’s specific cosmetic goals. Just like in any other type of ethnic rhinoplasty, this surgical procedure requires a good understanding of the most common issues found within this particular patient population.

Hispanic Rhinoplasty

One of the main considerations when performing ethnic rhinoplasty is dealing with the somewhat thick nasal skin. This generally means that the surgical procedure may require putting more effort on reshaping the cartilage structure. The main purpose is for the nose to look less wide or round. A tip that is significantly narrowed will fit more on a Caucasian face. The change in the shape of the tip can be accomplished without compromising ethnicity.

When reducing the height in the dorsal bridge, aggressive change must also be avoided. The goal is to straighten the bridge while providing a subtle transition into the nasal tip area. Some patients may even request to have a slight convexity left when reducing the bridge. Reducing the bridge too much can result in a nose that doesn’t match with the rest of the patient’s facial features.

Structural Differences of the Hispanic nose

There is a good variability in the different types of noses within the Hispanic population. For example, patients who come from South and Central America have noses different from those who have Spanish heritage. Hispanic noses have common features which may include:

  • Thick Nasal Skin: This is one of the most common features. Hispanic noses can have thicker skin. This often means the nose looks less defined when it comes to surface anatomy.
  • Weak Tip Cartilage: The Hispanic nose can also have weaker tip cartilage. This can present a problem since the cartilage is commonly too thin to effectively shape the covering soft tissue. This results in a lack of definition of the nose.
  • Dorsal Hump: This is another characteristic of the Hispanic nose. The bump can be composed of both, bone and cartilage. Other patients may have a dorsal bump or hump that will make the nasal tip look as it was drooping down too much. When a Ptotic nasal tip is also present, the dorsal hump can make it look even more noticeable.

Why do you need an Ethnic Rhynoplasty Miami?

Although the nose has some beauty standards, an attractive nose can also depend on the patient’s goals and perception of beauty. In other words, some people are happy with their nose and others may want to improve its appearance. When an ethnic rhinoplasty is performed properly, the individual can have a nose that is better-looking. Perhaps there are some unattractive features the patient wants to improve. Some of these features may include: a curved appearance, a wide tip, a wide bridge, a tip that droops, a large bump, and others. These are mostly ethnic traits which are inherited or the results of a past plastic surgery.

When it comes to ethnic rhinoplasty, you need describe to the surgeon what changes you desire. Communication between you and your surgeon is a key factor to better understand your specific goals.

Planning your Ethnic Rhinoplasty Miami

The entire process of preparing for an ethnic rhinoplasty may require time and commitment. Although this surgical procedure is generally performed in less than two hours, the process should not be taken lightly. Planning and preparation should begin weeks before the actual procedure. Some general tips that may help include:

  • Doing some research about surgeons in your area
  • Scheduling a consultation
  • Making dietary and lifestyle changes
  • Arranging post-operative care
  • Planning your recovery time

Choosing an Ethnic Rhinoplasty Surgeon

In order to achieve the natural appearance that matches or complements your other facial features, it’s important you find a qualified surgeon. Find someone who has performed this type of surgical procedure several times on non-Caucasian patients. You can also request to see pictures of patients the surgeon has operated before. Professionals with experience on ethnic rhinoplasty are familiar with the limitations of the surgery. You can even meet with a few plastic surgeons until you find someone you feel comfortable with.

Rhinoplasty is an extremely difficult surgery. You should find a surgeon who has advanced training in this area. Your surgeon should also feel comfortable with external and endonasal approaches. You also want to have a surgeon who is accessible and answers all your questions or concerns and address your needs during the postoperative period.

Your first Ethnic Rhynoplasty Miami Consultation

Before scheduling your ethnic rhinoplasty, you should meet with your surgeon in order to discuss the essential factors that will determine if the surgery will work well for you or not. The first consultation will include mostly:

  • Your medical records: The surgeon will ask you about your goals and what motivates you to have this procedure done to you. You will also be asked about your medical history which may include surgeries or any medications you are taking, any history of nasal obstruction, the presence of a bleeding disorder, etc.
  • A physical examination: A thorough physical examination will be conducted which may include lab tests such as blood tests. Your skin will also be inspected together with the inside and outside of the nose. This examination will help your doctor determine what changes should be made and how some specific physical features you have can affect the surgery outcome. This exam is also important to find out whether or not surgery will affect your breathing.
  • Photos: Photographs of your nose from different angles are going to be taken. Computer software is often used in order to show you what kind of results you can accomplish.
  • Discussing your expectations: Your surgeon should talk about your motivations and expectations and what can rhinoplasty specifically do for you. You should be open with your doctor about your surgery goals.

What is the best approach for an Ethnic Rhinoplasty?

The open rhinoplasty surgical approach is generally preferred over closed rhinoplasty since it provides the surgeon more room to achieve better results. This procedure’s main goal should be, depending on the needs and desires of the patients, to reshape the nose in a way that it matches the other facial ethnic features of the patient. Regardless of creed or nationality, everyone wants a good-looking symmetrical nose that blends in perfectly with their skin and face. Open rhinoplasty helps the surgeon make changes which can be subtle or dramatic, depending on the needs of the patient. These changes won’t interfere with the person’s ethnic background or ethnic features.

African American Rhinoplasty – Open or Closed Rhinoplasty

This is a sometimes confusing dilemma patients can face. These are the two possible approaches for this type of procedure:

  • The closed approach which is also called endonasal rhinoplasty means that all the incisions are done inside the nostrils. This prevents visible scars. However, this surgical procedure can also have some complications such as distortion of the nasal cartilage. The lack of surgical access has its limitations.
  • The open or external rhinoplasty uses a small bridging incision and the procedure is done in a way that it helps minimize distortion of the nasal cartilage. This approach is preferred since it improves accuracy. Most effective contemporary techniques are performed through the open method.

African American Rhinoplasty

Hispanic Rhinoplasty – Open Rhinoplasty or Closed?

One of the most important elements when performing the open approach is the precision of the incision. When this incision is performed correctly, it’s rarely visible. The incisions are closed accurately and therefore healed beautifully. The open rhinoplasty has more technical advantages than the closed and has minimal risk of visible scarring. Closed rhinoplasty can create unnecessary results because the demands of reshaping and misshaping while keeping ethnic authenticity are already difficult enough to deal with.

Rhinoplasty Recovery in Miami

rhinoplasty surgery

Upon the end of your surgery, you will be sent home once you have fully recovered from the anesthesia. Although the majority of patients do not feel any intense or significant pain, swelling and bruising will occur around the eyes due to the close proximity of the nose and the eyes and the sensitivity of the veins and tissues that surround the area.

Although you may feel some slight discomfort, your doctor will prescribe you analgesics to reduce the swelling and any possible painful sensation. Any splints or stitches used to seal the incisions in the nose will be removed anywhere from 5-10 days after the surgery. It is crucial that patients follow all instructions given by their surgeon without any exceptions. It is also very important that any prescribed medication is picked up before going into surgery in order to ensure maximum comfort.

What is the recovery time for Rhinoplasty?

The splint or tape is generally left on the nose for about 7 days. Although this procedure is not particularly painful, some patients have reported a bit of struggle to breathe through the nose as they recover. There is generally crusting, scabbing, and swelling of the tissues that blocks one’s airway. Bruising around the eyes can also be common. But it all fades during the initial week of recovery. It can take two or more weeks for some patients to completely heal.

Recovery Tips for Rhinoplasty Surgery

A rhinoplasty surgery can help patients breathe easily and make them feel better about their looks. Once you have undergone this procedure, you may want to follow some tips in order to recover quickly and without complications:

  • Don’t do strenuous exercise for about two weeks. This type of exercise will force your body to aggressively move up and down. Go back to your workout routine after the third week of recovery. Playing basketball or volleyball, for example, should be avoided for about six weeks.
  • Don’t go swimming. Since your nose is still tender during the time of recovery, avoiding swimming or diving is a good idea. These activities can move your nose around.
  • Don’t eat meals that might require chewing. Eat simple meals that require minimal effort to eat.
  • Avoid some facial expressions such as laughing or smiling too wide. The less your nose stretches the better.
  • Brush your teeth gently. Brushing your teeth aggressively will cause your upper-lip move more than what’s expected and the upper lip is connected to the nose.
  • Try not pulling clothing over your head. Button-down shirts might work best since they will help avoid accidental pain or nose movement.
  • Try not exposing unprotected skin to the sun for about three months after surgery. Using sunscreen is a great way to protect your skin. Too much sun can cause permanent discoloration of the nose.
  • Quit smoking for three weeks: This means three weeks before and after surgery.

Deviated Septum Surgery Recovery

This type of surgery lasts about an hour and complications rarely occur. Patients generally go home on the same day the surgery takes place. After surgery the patient will need someone to take him or her home. Patients should keep their heads elevated in order to avoid nose bleeding and any straining exercise or bowel movements. Swelling of the nose and face is very common. Ice packs can help reduce the swelling. Some patients may feel more comfortable with applying a bag of frozen corn or pees since it provides the most comfort to the face.

rhinoplasty Miami

Aftercare is very important for promoting surgical success. Patients will be taught about any required follow-up examinations, nasal packing, and the use of nasal irrigation to lessen scab formation or nasal crusting. The surgical area is going to be sensitive to regular activities including bending over, lifting objects, wearing glasses, etc. These types of physical activities should be avoided.

Rhinoplasty Risks

A rhinoplasty can be a life changing procedure and can change an individual’s appearance and self confidence but also entails certain risks that should be carefully considered before deciding to undergo the procedure. Like any cosmetic or plastic surgery, a rhinoplasty Miami can involve the risk of an infection. Because the nose has a direct pathway to the lungs and the blood stream, an infection in a nasal wound can prove fatal or life threatening. A change in the sensation of the skin surrounding the altered areas of the nose can also occur, although this can come back to normal after a certain amount of time.

How much does a Nose Job Cost in Miami?

Because cosmetic surgery procedures are performed worldwide, the prices of such procedures can vary greatly depending on the geographical location and the standards and regulations of the state or country. Although these prices are very different, they all consist of surgeon fees and expenses along with anesthesia fees, medical examination fees, prescriptions of any analgesics and many others. When dealing with a procedure that is so life changing, accepting a price for a nose job is just as important and difficult to do as choosing a plastic surgeon to perform the procedure. The national average cost for a rhinoplasty procedure varies anywhere from $4,500 to $8,000.

Who is the Best Rhinoplasty Surgeon in Miami?

When deciding upon any cosmetic or plastic surgery, choosing a certified and experienced surgeon is the most important decision made through out the entire process. In order to obtain the maximum results, it is critical that individuals take their time to research about a board certified facial plastic surgeon in the location in which they wish to have their surgery performed. More often than not, when patients are unsatisfied with the outcome of their rhinoplasty, it has been because of lack of research on their part. A respectable and well known board certified surgeon should have a minimum of 5 years of experience specializing in facial plastic surgery along with board certifications and impressive education. If you have found a plastic surgeon with all of the previously mentioned criteria, you are well on your way to a successful and life changing rhinoplasty.

Frequently Asked Questions about Rhinoplasty

If I am unhappy with the results of my nose job, how long is it recommended that I wait before undergoing a revision rhinoplasty procedure?
In general, because a rhinoplasty recovery can take some time, it is never recommended to perform a secondary procedure before the tissues surrounding the area have completely healed and hardened. This can take anywhere from 12-18 months since the cartilage can take some extra time to heal and adjust. Sometimes it is also recommended that the same surgeon doesn’t perform a revision rhinoplasty if the patient is lacking confidence in his or her service. This can make a huge difference in the perspective of the patient.
I dislike hospitals. Where can my rhinoplasty be performed other than? What are my options?
Luckily, plastic surgeons all over the world have found a way to perform a great variety of procedures in a safe and timely manner. This allows for a great variety of options when deciding where to have such procedures executed. Although the safest possible choice is indeed a hospital, surgeons can perform this surgery in the comforts of their private practice or an outpatient center as well.
Can a rhinoplasty fix any breathing problems I may have?
Absolutely. If difficulty breathing is the main reason why you are opting for a rhinoplasty, you will reap the most benefits from a deviated septum surgery or septoplasty. This specific approach to rhinoplasty focuses on the correction of the wall between both nostrils, which can ultimately be affecting the airflow in the nose.
How long will I need to be out of work after a rhinoplasty procedure?
Because the recovery of a rhinoplasty is crucial to the results achieved, relaxation and rest are highly suggested until the nose has healed properly and completely. Although some bruising around the nasal area may be evident during the first three weeks, employees who perform very light duties such as paper work at an office or desk can safely return to the workplace at such time.
How well this procedure works?
It all depends on what type of correction you desire. You should agree with your surgeon on your goals before surgery. Some results can be minor and others quite noticeable depending on what the patient is looking for. The results of this procedure are permanent. This surgical procedure should not be performed on undeveloped noses. Development generally occurs between the ages of 15 and 16 in females and ages of 17 and 18 in males.
How can I prepare for surgery?
Your surgeon will talk to you about the realistic expectations of rhinoplasty. He or she will also explain to you the methods employed during surgery in order to meet your expectations. You shouldn’t take any medications that prevent blood clotting or cause bleeding after surgery such as ibuprofen and aspirin. Smokers should stop smoking at least a month before rhinoplasty. This can slow down the healing process.
Are there other alternatives to rhinoplasty?
There are no alternatives to cosmetic rhinopasty. Patients looking to improve their breathing can try using nasal strips.
What are some instructions to follow during the day of surgery?
Your surgeon will provide you with this specific information. Some steps you can take include:
  • Washing your face to eliminate bacteria
  • Don’t drink or eat anything after midnight prior to surgery
  • Don’t wear any makeup
  • Have a good rest
What type of anesthesia is used during an ethnic rhinoplasty?
You can have local anesthesia with sedation or general anesthesia. It all depends on the complexity of the surgery and your surgeon’s preferences. You will discuss with your doctor in advance about what type of anesthesia is more fitting in your case.
What are some of the results I will see?
You will clearly see slight changes to the nose structure which will make a great difference in how your nose looks. An experienced surgeon can get satisfying results. If the patient is not satisfied with the slight changes made, he or she might opt for a second surgery. This is why is very important you openly discuss your goals with your surgeon prior to surgery.
How do I plan for post-surgery?
Planning your post-operative care is very important. You should take the necessary steps to make your life after surgery as comfortable as possible. Some things you can do include:
  • Arranging for a caretaker for your first 48 hours after surgery.
  • Find reliable transportation.
  • Plan to take at least two weeks off from work.
  • In order to minimize swelling, gather supplies for cold compresses.
  • Try doing all your strenuous chores before surgery.
What to expect after surgery?
During the surgery, splints are placed inside the nose by the septum and a cast and tape is placed on the outside. The inside stitches are all dissolvable. Everything is removed within one week during which time the nose might still appear swollen and larger than what the patient is expecting. Nevertheless, as the swelling resolves, the final cosmetic result will take several weeks or even months to show up. Once the splints and the cast are removed, breathing will improve yet the patient may feel stuffy for a few weeks.
Will I have any follow-up appointments after surgery?
Yes, in order for your surgeon to track the progress, patients generally have an appointment about a week after surgery. The nasal packing will be removed as well as stitches and a splint. Bruising and swelling should be less noticeable by this time.

Updated on: October 21st, 2016