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Rhinoplasty Frequently Asked Questions The Aesthetic Institute of New York and New Jersey

Who would benefit from Rhinoplasty Surgery?

A good candidate for Rhinoplasty Surgery is one who is unhappy with the appearance of their nose, who is in good health physically and emotionally, and is at least 15 years old. Noses come in many shapes and sizes, some of which are not in proportion with the rest of the facial features. A nose may naturally be too long, too short, have a drooping nasal tip or a round and undefined tip, a nasal dorsal hump (bump) or it may be crooked. Noses can have a very flat bridge or even excessive nasal width. There are many variations and some may be a result of injury or even previous Rhinoplasty. Top New York Rhinoplasty Surgeon, Dr. Oleh Slupchynskyj, respects all of his patients’ aesthetic goals and helps them form realistic expectations.

What are the risks of Rhinoplasty Surgery?

Dr. Oleh Slupchynskyj has performed thousands of nose surgeries with no complications. Although uncommon, Dr. Slupchynskyj always reviews all and any risks associated with surgery during your initial consultation. Complications of Rhinoplasty Surgery can arise when a surgeon is overly aggressive in removing bone or cartilage, or when an implant used for augmenting the nasal dorsal bridge is improperly placed, or the wrong type of implant was used. Learn more about nasal implant complications.

What are the chances of infection after a Rhinoplasty?

Rhinoplasty has a less than 1% risk of infection and even antibiotics are typically unnecessary after a standard procedure.

What is Septoplasty?

Sometimes the septum, or the bony structure that separates the right and left nostril, is crooked or become deviated. This can be something a person is born with, or it can be caused by trauma. Septolasty Surgery is a procedure to repair a deviated or crooked septum. This procedure can help mitigate the issues associated with a deviated septum, like sinus problems, trouble breathing, or stuffiness. Dr. Slupchynskyj repairs numerous deviated septums resulting in restored nasal functionality, (i.e. breathing). Many of his patients request to have a Septoplasty done at the same time as a Rhinoplasty.

Will I bleed a lot during and after surgery? What is nasal packing?

Dr. Slupchynkskyj does not use nasal packing. Many Plastic Surgeons, however, do. Nasal packing is perhaps one of the more uncomfortable parts of a Rhinoplasty procedure. Nasal packing is gauze or cotton that is inserted into the nasal chambers to achieve homeostasis, (i.e. inhibit bleeding and dripping). Due to his specific Septoplasty and Rhinoplasty techniques, Dr. Slupchynskyj’s patients rarely experience bleeding during or after surgery, therefore they do not require any materials such as packing or tissue glue to prevent bleeding or dripping.

What is the difference between “Open” and “Closed” Rhinoplasty?

“Closed,” or Endonasal Rhinoplasty is a technique used mainly when altering the dorsum of the nose, (i.e. reducing a boney hump). With Closed Rhinoplasty, incisions are restricted to the inside of the nose only, resulting in internal scarring, which is not visible. Most Body Plastic Surgeons (not rigorously trained in Rhinoplasty or Facial Plastic Surgery as are Facial Plastic Surgeons) prefer the Closed method of Rhinoplasty because it requires less surgical skill; however, it limits direct visualization of the nasal anatomy. This means it is more difficult to perform more complex surgery such as nasal tip refinement and good results may be compromised. Dr. Slupchynskyj performs both Closed and Open Rhinoplasty in New York and prefers the Closed approach for minor nasal correction cases, such as a simple hump reduction.

“Open” or External Rhinoplasty is an advanced surgical technique used for more complex cases involving bridge augmentation, altering the tip of the nose or revision surgery. Although an incision is made between the nostrils on the outside of the nose, an extremely well-trained Facial Plastic Surgeon ensures that the incision results in an imperceptible scar.

What is a 3-dimentional high definition endoscope in Rhinoplasty? Why don’t all highly trained Facial Plastic Surgeons use this instrument?

Your results will be surgeon dependent versus equipment dependent. Nasal endoscopes have been used in Sinus Surgery for many years. See what other Doctors have to say:
http://www.realself.com/question/3-dimentional-high-definition-endoscopic-rhinoplasty-hype.

When can I go back to work?

Patients of Dr. Slupchynskyj usually are ready to return to work within 7 to 10 days following the surgery. It is recommended to take about two weeks of rest from exercising and other strenuous physical activities.

Is there a lot of bruising after Rhinoplasty Surgery and how long will it last?

Due to his specific surgical techniques, Dr. Slupchynskyj’s patients typically experience little bruising, if any, and minimal swelling following surgery. Should any bruising occur, it usually disappears within 5 to 7 days.

Will smoking affect my recovery after Rhinoplasty?

Smoking can cause complications with healing since the blood vessels that supply oxygen and nutrients to the tissues are negatively affected by smoking. It is recommended that you stop smoking for at least 2 weeks before surgery to decrease the risk of these complications, and at least 2 weeks after the procedure.

What is a graft and when is it used?

A graft is a piece of cartilage taken from the patient’s septum, or sometimes from other parts of the body like the ear or ribs. There are even customized silastic implants that can be used to serve as a graft.

During a Primary Rhinoplasty, a graft may be used to help define and strengthen the nose, especially noses with thick skin. If the patient were seeking a higher nasal bridge, or dorsal augmentation, a graft would be used to provide support and shape to the bridge. Saddle nose deformities and some Primary Ethnic Rhinoplasties are a few examples of when a graft or implant might be used.

What will my nose look like after the procedure?

In general, Cosmetic Nose Surgery is designed to reduce excess cartilage and bone in the nose, removing irregularities and bumps to deliver a straightened, smooth and usually smaller appearance. Adding tissue to enhance certain features of the nose can also occur. The overall trend in modern Rhinoplasty is moving away from over-reduction of tissue which can reduce the ability to breathe and towards individualized treatment of each segment of the nose to give a balanced and refined look without compromising function. You deserve individualized treatment by skilled New York City Rhinoplasty Expert, not a “one-size-fits-all” surgeon who will slap on a generic procedure with no regard for how the nose harmonizes with your features. Dr. Slupchynskyj understands that the needs of each New York Female Rhinoplasty and Male Rhinoplasty patient are different.

How long does Rhinoplasty Surgery take and what kind of Anesthesia is used?

Usually, Rhinoplasty takes from 1 to 3 hours depending on the complexity of the condition of the nose. Most patients have sedation prior to and during the procedure, while some patients request a General Anesthesia. Nearly all Rhinoplasty operations are done as outpatient surgeries.

I have trouble breathing through my nose and have terrible sinus problems. Will my insurance policy pay for Rhinoplasty?

The condition described is usually associated with a deviated septum or a bent internal framework of the nose. Most of the time this results from trauma such as a broken nose, but many patients with this condition cannot recall an episode where this might have occurred. The condition described in this question, however, could also result from allergies or the two conditions existing simultaneously. Careful examination is needed before surgery to separate the two conditions. While individual insurance policies can vary, functional surgery to improve breathing is considered a covered benefit in many group policies. If additional correction of a cosmetic deformity of the nose is done at the same time, the cost of this part of the procedure is usually not covered by insurance. While many policies differ in New York City, Rhinoplasty is a worthwhile option to discuss with your insurance so that you can better understand the cost of Nose Surgery in New York.

Where are the incisions placed during Rhinoplasty Surgery?

In general, most or all of the incisions in Rhinoplasty are hidden on the inside of the nostril. While external incisions hidden in the creases where the nose meets the cheek can be used to narrow the nose, incisions on the bridge or tip are usually not used in Cosmetic Surgery of the nose.

Will my nose grow after Rhinoplasty Surgery?

In general, our noses tend to elongate as we enter the middle years of our life and drooping of the tip of the nose can occur in the later years as elasticity disappears from the body. While undergoing a Cosmetic Rhinoplasty as a teenager or young adult will not prevent the effects of aging on the nose, the final shape that results from this surgery is expected to last a lifetime and the regrowth of bumps and deformities corrected by the operation is rare.

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    New York City Rhinoplasty patient discusses her Nose Job procedure, performed by Dr. Oleh Slupchynskyj.

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