RHINOPLASTY

Facial harmony is the most important endpoint in any beautiful aesthetic enhancement of the face. The nose, as one of the most distinguishing facial features, must always be addressed with balance and proportion in mind. There are a variety of reasons for which people consider a Rhinoplasty in Manhattan or New York City, but at the end of the process, a nose that is both intrinsically balanced and in beautiful proportion with other facial features, is the ultimate goal.
Getting a rhinoplasty procedure (nose job) is one of the top ways to enhance your appearance and feel more confident. In some cases, a rhinoplasty is performed to improve breathing, along with improving nose shape, projection, and size. No matter your reason for needing a rhinoplasty, board-certified plastic surgeon Dr. Dibelius, can help.

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ARE YOU A CANDIDATE
FOR RHINOPLASTY

Candidates for rhinoplasty have finished their facial growth. Girls should typically be at least 15 or 16 years old; boys should be at least 17 or 18. Patients considering rhinoplasty should be in overall good health and not smoke. It is important that candidates have realistic expectations about what rhinoplasty can do. Although undergoing rhinoplasty may boost self-confidence, it should not be viewed as a cure-all for personality or relationship issues, and should not be the result of social pressure.

GOALS OF RHINOPLASTY SURGERY

There are several goals of rhinoplasty; they include facilitating breathing as well as improving appearance. During rhinoplasty, the surgeon may attempt to do one or more of the following:

  • Remove a hump
  • Modify the bridge
  • Reshape the tip
  • Reshape or resize the nostrils
  • Repair an injury
  • Open breathing passages
  • Increase or decrease size

Rhinoplasty can involve modifying bone, skin or cartilage, or all three.

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RHINOPLASTY: THE PROCEDURE

Rhinoplasty is usually an outpatient procedure performed under IV sedation or general anesthesia. Two techniques are typically used. In closed rhinoplasty, incisions are made within the nostrils. In open rhinoplasty, an incision is made across the columella, the tissue between the nostrils. With both methods, the soft tissues covering the nose are gently lifted, and the bone and cartilage are sculpted to the desired shape.

If additional cartilage is needed to augment the nose, it is frequently taken from the patient’s nasal septum. If larger sections of tissue are required, cartilage may be surgically removed from the ear or other parts of the body as well. If the patient has a deviated septum, the septum and inner structures of the nose are adjusted to improve breathing. The tissues are then redraped and stitched closed. If necessary, nostrils are reshaped in the final stage of rhinoplasty.

RHINOPLASTY RISKS

Complications associated with rhinoplasty are rare and, when they occur, usually minor. Surgical risks in general include infection or adverse reaction to anesthesia. In the case of rhinoplasty, specific risks include the following:

  • Recurring nosebleeds
  • Difficulty breathing through the nose
  • Permanent numbness in or around the nose
  • Persistent pain
  • Discoloration of skin on the nose
  • Scarring
  • Perforation of the nasal septum

It is possible that a patient is not satisfied with the results of the rhinoplasty. In such a case, a second surgery, called a revision rhinoplasty, may be performed at a later date.

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Thank you so much for the excellent care you provided to me when I fell and broke my nose in 3 places. It was a traumatic experience for me until you began treating me. You were so kind, knowledgeable and reassuring that I was comfortable placing complete confidence in you.
My experience with Dr. Dibelius has been unparalleled to any other experience with a doctor. His dedication to his patients and work ethic are above and beyond. I would highly recommend him to anyone.
AMAZING! He is so knowledgeable and knows what he is doing! He has completely changed my life! I can finally breathe thanks to him! 2 years of sinus infections and countless doctors couldn’t fix.. he did! He’s amazing!!
I recommend Dr. Dibilius wholeheartedly to anyone that reads this. He is a Doctor that is knowledgeable, patient, and generous with his time to go over any questions you may have. As a surgeon, he is well skilled in his craft.
From my initial visit with Dr. Dibelius, I was comfortable and at ease. He was friendly and compassionate. Not once did he interrupt my questions and managed to satisfactorily answer all of my concerns. He was truly interested in the precise and complete correction of a very complex problem involving my nose which was very [...]

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