Nose Surgery (Rhinoplasty)

Rhinoplasty New Jersey | Englewood NJAfter the eyes, the nose is the most dominant feature of the human face. Unfortunately, many people don’t like the nose they see every morning in the mirror. Maybe it’s out of proportion with the rest of the face, maybe it has a bump or ridge, maybe it was broken long ago and never healed correctly — regardless of the reason, Dr. D’Amico can perform nose surgery to give you the nose you want.

What is rhinoplasty?

Rhinoplasty is the clinical term for nose reshaping surgery; the goal is to improve the appearance and/or function. In the procedure, various techniques can be used to make an overly large nose smaller or to build up an overly small nose. The underlying cartilage and bone can be shaved or reshaped to change the outer characteristics of the nose. Flared nostrils can be addressed. The options are numerous, and you can visualize your different potential changes beforehand with our digital software.

Am I a candidate for Nose Surgery?

Healthy men and women with concerns about the shape or size of their nose are good candidates for a nose surgery procedure, as are those who have suffered from a previously broken nose, who are unhappy with their results from a prior nose reshaping surgery, or who have a deviated septum. If the nose is strong and the chin is weak, Dr. D’Amico may discuss the addition of a chin implant to create better facial balance*.

Would rhinoplasty help me?

When it comes to nose surgery, the reasons fall into three categories:

  • Appearance — The nose can really impact a person’s self-confidence. Correspondingly, changing the appearance of the nose is the most popular reason for this surgery. These are some of the issues usually addressed:
    • There is a bump or depressions on the bridge of the nose
    • The tip is enlarged or bulbous
    • The tip droops
    • The nose is out of proportion with the rest of the face
    • The nostrils are excessively flared
    • The nose is crooked or off-center
  • Injury — From a skateboarding fall to a car wreck to a collision in a “touch” football game, trauma can leave the nose crooked or misshapen.
  • Function — Whether the problem is congenital or from trauma, nose surgery can open restricted nasal passages and improve function. 

What is the rhinoplasty procedure?

Dr. D’Amico uses either an open or closed surgical method, depending on the unique situation of each patient. He prefers the closed method due to its lack of a visible scar, but that method isn’t always the best option.

Open rhinoplasty — In open rhinoplasty, Dr. D’Amico makes a small incision across the columella (the small strip of skin between the nostrils). He then lifts the skin up and back from the tip of the nose to expose the bone and cartilage. Whether building up or reducing the bridge, the open method provides excellent access. Once the changes are made, the skin and tissue is re-draped over the new underlying structure. This method leaves a small scar on the columella, but it is innocuous and becomes almost invisible over time.

Closed rhinoplasty — Dr. D’Amico uses the closed method where possible, as all of the incisions are made within the nose, eliminating any outer scarring. The closed method is effective when the size of the overall nose is being changed, and to address breathing problems. Once the incisions are made, the soft tissues are separated from the bone and cartilage. When the nose is being made thinner or smaller, the nasal bones will be fractured to allow reduction. If increasing the size, Dr. D’Amico can use cartilage or bone from the patient’s ears or ribs, or he can use synthetic material.

Testing out a new nose

Patients can be resistant to having rhinoplasty because it is a permanent change. But there is a way to, in effect, demo a new nose. This can be done with dermal fillers. While they cannot make the nose smaller, they can change the nose shape by strategically adding volume. Fillers are eventually absorbed by the body, although their results can last up to a year. At that point, the patient can either schedule another filler session with Dr. D’Amico, or go ahead with nose surgery.

Recovery After Nose Surgery*

When you return home, your nose will be splinted to support and protect it. There will also be packing in your nostrils to absorb fluids and to also provide support. You will have some significant swelling and your eyes will like blacken due to the tissue trauma. Dr. D’Amico will prescribe pain medication, which will also help manage swelling. Over the first few days, you’ll need to keep your head elevated, even when sleeping. After around one week, your splint will be removed, but your nose and areas around your eyes will still be swollen. This will begin to improve in 10-14 days, but there will be times of swelling for a few weeks, particularly later in the day and at night. Obviously, you’ll have to avoid any activity that can bump your nose for six weeks. Overly strenuous activity will also have to wait.

How long before I will see my completely healed new nose?*

Due to swelling, it will take around six months to fully realize your new nose, although this can vary between patients. You can’t get frustrated at periods of swelling, as this is completely normal due to the trauma that is involved with nose surgery. But when all is said and done, you’ll be pleased with your new nose and your results will last the rest of your life.

Watch Dr. D’Amico discuss Rhinoplasty

Part 1: Reasons & Candidates for Nose Surgery

Part 2: How nose surgery is performed

Getting Started

The first step in achieving your cosmetic goals is to request a consultation with Dr. D’Amico, serving the New York metro area. He enjoys spending time with you one-on-one to understand your objectives and give his professional opinion about the procedures that are best for you. You will never feel pressured to choose surgery and you will even have a second consultation visit (included with your fee) to bring along family or loved ones and ask follow-up questions. The consultation fee is applied toward any surgical procedure you choose. We are also happy to schedule appointments by phone.

* = Results may vary