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Category: Rhinoplasty

How to Improve Rhinoplasty Results

Before and After RhinoplastyFar too many patients have experienced a “botched rhinoplasty” in which the results did not turn out as planned. Words may not be able to describe your feelings in discovering after rhinoplasty that your nose looks unnatural or abnormal, the results look nothing like they should, or you can no longer breathe through your nose. Expert rhinoplasty revision surgeon Dr. Steven Pearlman can improve your rhinoplasty results with revision rhinoplasty.

Revision Rhinoplasty

Revision rhinoplasty restores the form and function of the nose by surgically correcting the results of a poorly performed rhinoplasty. In so doing, revision rhinoplasty can create more natural-looking results and greatly boost your confidence in your appearance. Dr. Pearlman is a well-known and respected rhinoplasty specialist with decades of experience studying, teaching, lecturing on, writing about, and performing revision rhinoplasty techniques. With this procedure, Dr. Pearlman can expertly improve nasal issues and restore a natural-looking, attractive nose. Even patients who have had multiple previous rhinoplasties have achieved more desirable results through revision rhinoplasty with Dr. Pearlman.

Issues that Can Be Corrected With Revision Rhinoplasty

There are many functional and aesthetic reasons to undergo revision rhinoplasty. This procedure can correct:

  • Functionality: difficulty breathing due to structural issues
  • Tip issues: tip asymmetry, pinched tip, upturned tip (pig nose), tip “knuckles”
  • Bridge issues: collapsed bridge, narrow bridge, depressions on bridge
  • Nostril issues: notched nostrils, deep creases above nostrils
  • Other aesthetic concerns: crooked nose, length discrepancies, irregularities, “scooped out” profile, and other abnormalities

Since the nose takes a full year to heal from rhinoplasty, it is best to wait one year after your initial procedure before pursuing revision rhinoplasty. This waiting period helps swelling subside completely and the scar tissue to soften. In some cases, concerns about your rhinoplasty results will resolve on their own as the tissues heal during this time.

Get a Revision Rhinoplasty Specialist

A patient seeking to improve rhinoplasty results knows firsthand that not every self-proclaimed rhinoplasty surgeon is an expert in the field. Any individual interested in revision rhinoplasty should seek out a revision rhinoplasty specialist. This secondary procedure is often much more complicated than the initial rhinoplasty and requires the surgeon to have a thorough understanding and assessment of all aspects of the nose. Dr. Pearlman will carefully consider all your concerns and design a personalized surgical plan to alleviate all issues with the form and function of your nose and provide you with more pleasing, natural-looking results.

Steven J. Pearlman, MD, FACS is dual board certified in facial plastic surgery and lectures around the world regarding proper surgical technique for rhinoplasty and facial surgeries. If you are in need of revision rhinoplasty for any reason, Dr. Pearlman can help. To schedule your personal consultation with Dr. Pearlman, call 212-223-8300 or complete our online contact form today.

Rhinoplasty Recovery Guide

Rhinoplasty Before and AfterRecovery from any surgery has the potential to be difficult and uncomfortable, but there are many things you can do before and after your procedure to ease the process.

Follow this rhinoplasty recovery guide for a faster, easier recovery that can lead to your best possible results.

Things to Do Before Rhinoplasty

  1. Take Care of Responsibilities

    Recovery will be easier when you have fewer things on your mind. Tackle big cleaning projects, pay bills ahead of time, and do any shopping you may need to do before surgery. Prepare some meals to store in the freezer, and arrange for someone to assist you periodically within the first couple of weeks in case there is anything you need.

  2. Avoid Certain Medications

    Certain medications and supplements can increase bleeding, which is not ideal for an easy recovery. You should avoid aspirin, MOTRIN®, vitamin E, gingko, garlic, feverfew, and ginseng, along with any others that are on the list Dr. Pearlman will give you, for two weeks before and after surgery.

  3. Fill Prescriptions

    Save some time after surgery by filling your prescriptions ahead of time. Dr. Pearlman will have them available to you and will give you any other recommendations for supplies that may help with recovery from rhinoplasty.

  4. Quit Smoking

    Since smoking works directly against the healing process, patients should quit smoking at least two weeks before surgery until at least two weeks after surgery. Studies have shown that the benefits of quitting smoking begin as early as 20 minutes after your last cigarette.

  5. Aim for Optimal Health

    The healthier you are before surgery, the easier your recovery will be. Minimize caffeine and processed foods, eliminate alcohol, and increase your intake of fruits and vegetables. Maintain regular exercise, and be sure to get enough sleep each night so your body can spend energy healing.

Things to Do After Rhinoplasty Surgery

  1. Rest for Two Weeks

    You should avoid strenuous activity and anything that will raise your heart rate and blood pressure for at least two weeks. Occasionally, delayed bleeding can occur, which may require surgery to drain, making recovery longer. Adequate rest can prevent this complication.

  2. Communicate

    If you sense that anything is out of the ordinary during your recovery, communicate with Dr. Pearlman right away. You should always report your concerns, even if you think they are minor, because correcting the problem early may prevent it from becoming worse or causing other problems.

  3. Trust the Process

    Recovery from rhinoplasty initially takes two weeks, but final results are not apparent for up to a year. The length of time swelling and bruising will be apparent also depends on the individual. About 15 percent of primary rhinoplasty procedures require revision surgery for one reason or another, but a second surgery is not recommended until your nose has fully healed. As you trust the healing process and are patient with the results, your realistic expectations can be fully met.

To schedule your consultation for rhinoplasty with Dr. Steven Pearlman, please call (212) 223-8300 or fill out our online contact form today.

Nose Surgery for Men

Nearly 31,000 men underwent nose surgery in the U.S. in 2015, according to the American Society for Aesthetic Plastic Surgery. This popular facial procedure is one of the top five plastic surgeries for men. Men who undergo rhinoplasty can attain masculine noses that look natural and attractive.

Motivation for Surgery

Most men who want to undergo rhinoplasty are hoping to create a stronger, more masculine-looking nose. Masculine features tend to be prominent and sharply defined yet well-balanced. Some common complaints men have about their noses are that they are bulbous, flat, off-center, or overly large. Additionally, some men’s noses are disproportionate with their chins, and this creates a weak profile. Rhinoplasty can reshape the male nose to create a more well-defined profile and more attractive face. The results of a well-done rhinoplasty will look natural and may even give men an edge in their professional and social endeavors.

Male Rhinoplasty

before-and-after-rhinoplastyFemale noses are usually less prominent and have a narrower, more defined, and more delicate structure, whereas male noses are usually larger, more prominent, and have thicker skin. Due to these differences, rhinoplasty techniques have to be adjusted to meet the patient’s genetic needs, aesthetic desires, and anatomy. Some men are concerned that rhinoplasty will leave them with an overly done, feminine-looking nose. However, a skilled surgeon can expertly perform both male and female rhinoplasty. Modern techniques can rotate the nasal tip, straighten the nose, and correct sports-related injuries so that the nose looks balanced, natural, and masculine. Dr. Pearlman can improve the structure, aesthetic form, and function of your nose with nose surgery and bring out the best in your facial features. After your procedure, your nose will no longer grab attention but will appear balanced, attractive, and natural so that other features (such as your eyes and smile) can stand out. The results of rhinoplasty frequently lead to improved self-confidence that carries over into other aspects of life.

Board-certified plastic surgeon Dr. Pearlman frequently performs male rhinoplasty at his office in New York City. During your consultation, Dr. Pearlman will use computer imaging to show what can be accomplished with rhinoplasty so that you can visualize your results before your surgery. To schedule your personal consultation with Dr. Pearlman, call 212-223-8300 or fill out our online contact form today.

Do I Need Septoplasty or Rhinoplasty?

When most people think of nose surgery, they are thinking of rhinoplasty, which is a surgical procedure that can improve the appearance of the nose. Another lesser-known nose surgery is septoplasty, which is a surgical procedure that can improve functionality (i.e., breathing) of the nose. These two nose surgeries can produce highly satisfying results and may even be performed together as a septorhinoplasty to enhance both the appearance and function of the nose.


Septoplasty is a nose surgery that specifically improves nasal breathing by correcting a deviated septum. A deviated septum occurs when the wall between the two sides of the nose becomes crooked, most commonly due to an injury or trauma during birth. While a mildly deviated septum is common, some people suffer from perpetual blockage of one side of the nose and cannot breathe as easily as they should. Septoplasty can straighten a deviated septum and create more open airways for nasal breathing. An important difference between rhinoplasty and septoplasty is that if you are ONLY getting a septoplasty, there will be no change whatsoever to the outside of your nose—no cast and no black-and-blue eyes.

Before and After RhinoplastyRhinoplasty

Rhinoplasty is a nose surgery that specifically improves the appearance of the nose. This procedure may lengthen the nose, widen it, strengthen or straighten the nasal bridge, correct the angle of the nose, adjust the shape or size of the nasal tip, or perform a number of other aesthetic improvements. Rhinoplasty can make the nose appear more balanced and aesthetically pleasing in comparison to the other facial features.

Key Differences

  • Purpose: Septoplasty achieves functional restoration, whereas rhinoplasty achieves cosmetic improvement.
  • Adjustments: Septoplasty alters the septum and inner nasal structures, whereas rhinoplasty alters the structures that affect the outer appearance.
  • Surgical Technique: Septoplasty uses endonasal techniques inside the nose, whereas rhinoplasty can use a closed or open surgical approach.
  • Scarring: Septoplasty leaves no noticeable scarring, whereas rhinoplasty (if using the open surgical approach) may leave an inconspicuous scar at the base of the nose.
  • Insurance Coverage: Septoplasty may be partially or fully covered by insurance, whereas rhinoplasty is not usually covered by insurance.


Dr. Pearlman will examine every patient for a deviated septum even if they are only seeking rhinoplasty. This is because adjustments made during the rhinoplasty procedure may lead to more nasal blockage in patients with a mildly deviated septum, which can aggravate breathing issues and create a need for septoplasty in the future. To correct a deviated septum and perform desired aesthetic changes, Dr. Pearlman can perform a septorhinoplasty, which includes septoplasty and rhinoplasty as one operation.

If you are interested in undergoing septoplasty, rhinoplasty, or septorhinoplasty, schedule your personal consultation with Dr. Steven J. Pearlman. Dr. Pearlman is dual board certified in both facial plastic and reconstructive surgery and in Otolaryngology – Head and Neck Surgery (Ear Nose and Throat), and he would be pleased to help you achieve your goals with nose surgery. Call 212-223-8300 or fill out our online contact form to schedule your consultation with Dr. Pearlman today.

How to Keep Swelling Down After a Rhinoplasty

In every operation, no matter how small, there’s always swelling of the surrounding area of the surgical site. The amount of swelling will vary from person to person. It could be greater if both the inside and outside of the nose have been operated on, or in patients who have undergone surgery to improve the breathing function of their nose. Here’s how to keep the swelling down after a rhinoplasty.

  1. Keep your head elevated or upright as much as possible after surgery. Sleep with the head elevated for at least two weeks following surgery.
  2. When resting, put a cold compress over the nose and mid-facial areas. Cold compresses are only effective for swelling during the first 48 hours after surgery. After that, a cold compress can be used to relieve discomfort. Make sure when you are doing this that the compress is not wet.
  3. Avoid bending over or lifting heavy things for two weeks. Bending over can aggravate the swelling as well as raise blood pressure and increase the chance of hemorrhage.
  4. Avoid hitting or bumping the nose.
  5. Avoid getting excess sun exposure on the face for four months; this will reduce the risk of hyper-pigmentation. Ordinary exposure is fine as it’s not harmful as long as you use a sunscreen with SPF 30. During the summer, sunscreen should be reapplied to the nose every two hours to avoid burning.
  6. When drying your hair, use only a hand-held blow dryer. Sitting under an overhead dryer commonly used at hair salons should be avoided for at least two weeks.
  7. Don’t get the nasal dressings wet. If the tape does become wet, just pat it dry. Normally it won’t come off. If the bandage becomes loose, notify your doctor.
  8. This one’s tough, but try to avoid sniffing for the first week following surgery. Sniffing will not relieve the sensation of blockage most people feel. It will, however, aggravate this sensation, because suction created on the inside will cause more swelling.
  9. Patients should not blow their nose for two weeks after surgery or until instructed by the doctor to do so. The reason is this could cause bleeding. During the second week, patients may begin sniffing through the nose in the shower. Use a saline nasal spray, to help clear the nostrils.
  10. Avoid rubbing the nostrils or the base of the nose with tissues or a handkerchief. Not only will this aggravate the swelling, but it can cause infection, bleeding or dislodge the cartilage inside the nose. If discharge continues, a mustache dressing made of rolled gauze should be used instead.
  11. If there are dissolvable stitches at the base of the nose, clean them four times each day with hydrogen peroxide and apply Aquaphor over the stitches. The stitches on the inside of the nostrils must be kept moist with Aquaphor. Apply with a cotton-tipped swab after cleaning with hydrogen peroxide. This should help keep the stitches and crust soft and more comfortable.

The 10th Annual Vegas Cosmetic Surgery Meeting.


Last week I attended the 10th annual Vegas Cosmetic Surgery meeting where over 1,000 aesthetic physicians were in attendance, along with over 100 presenters. While there, I coordinated the two-day section on rhinoplasty and was scheduled for three talks on revision rhinoplasty, rhinoplasty, and 3-D video imaging. I should note that I am on the advisory committee for the event and that our chairman is Dr. Randy Waldman.

 I am also on the educational group for RealSelf, which was represented at the meeting. I was able to attend the RealSelf physician user group which focused on social media and how physicians can reach out to their patients after procedures and respond to  any questions they may have. Below are a few more photos from the event. 








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