Rhinoplasty Services in NYC’s West Village

Rhinoplasty, often referred to as a "nose job," is one of the most intricate and challenging cosmetic procedures. It demands a profound understanding of nasal anatomy and a high level of skill in sculpting to achieve a pleasing outcome. When executed flawlessly, rhinoplasty can subtly yet significantly enhance facial harmony.

Open vs. Closed Rhinoplasty Techniques

There has been a long-standing debate among plastic surgeons regarding the use of open versus closed rhinoplasty techniques. The primary distinction lies in the incision on the columella—the tissue separating the nostrils. The open technique involves a small incision on the columella, allowing for greater visibility and precision during surgery. This clinic exclusively uses the open technique, as it ensures meticulous work and optimal results. When performed correctly, the scar on the columella is virtually undetectable and does not pose any aesthetic issues.

Customized Rhinoplasty Approach

The clinic's approach to rhinoplasty focuses on enhancing the nose's aesthetic appeal while maintaining harmony with its natural features. The surgeon conducts a thorough examination of the nasal structure, discussing with the patient their likes and dislikes about their nose. This detailed consultation includes assessing the nasal septum for deviations that might impair breathing. The proposed changes to the nasal shape and septum are explained in detail, ensuring they align with the patient's vision and expectations.

Septoplasty for Improved Breathing and Structural Support

Septoplasty may be recommended for patients with a deviated septum to improve nasal airflow or to harvest septal cartilage for nasal reshaping. Septal cartilage is often the ideal material for refining the nasal tip, especially in cases where additional support is needed. This dual-purpose procedure can significantly enhance both the functionality and appearance of the nose.

Nasal Implants for Enhanced Aesthetics

In some instances, a nasal implant can dramatically improve the nose's dorsal contour, particularly for patients with a flat nasal bridge. The selection of the appropriate implant size and shape is crucial for achieving a natural and aesthetically pleasing outcome. Improperly chosen implants can result in an unnatural appearance and potential complications.

Post-Operative Care and Recovery

Following rhinoplasty, an external nasal splint is applied over steri-strip tape to support the new nasal structure. If septoplasty is performed, internal nasal packing or splints are used and typically removed after a few days. The external nasal splint is usually removed after one week. Initial swelling and bruising around the eyes subside within two weeks, while most of the swelling diminishes within a month. However, it may take six to eight months for the nose to settle into its final, refined shape.

Extensive Experience in Rhinoplasty and Revision Rhinoplasty

The clinic boasts extensive experience in both primary and revision rhinoplasty. This expertise underscores the preference for the open technique, which allows for greater control and precision during surgery. The goal is always to achieve a natural, balanced look that meets realistic expectations, avoiding the pitfalls of over-correction exemplified by well-known cases like Michael Jackson's.

Non-Surgical Rhinoplasty Options

For those seeking a less invasive option, non-surgical rhinoplasty using hyaluronic acid fillers or Radiesse is available. Hyaluronic acid fillers like Voluma offer longer-lasting results, typically over a year, while Juvederm, Restylane, and Radiesse provide improvements lasting from a few months up to a year. The key to successful non-surgical rhinoplasty is the precise and careful injection of these fillers to avoid compromising the blood supply to the nose.