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Category: Rhinoplasty

Non-Surgical Rhinoplasty NYC

non surgical rhinoplastyNon-surgical rhinoplasty certainly sounds novel, doesn’t it?  This exciting and very effective procedure uses facial fillers to camouflage a hump, raise a low bridge, and can even help make the tip of the nose project outward.

What is cannot do is make the nose or large bump smaller.  By filling above and sometimes below the hump on a nose, the hump will be less prominent, looking more symmetrical and pleasing to the eye.  However, the overall nose will also be larger.

Computer imaging is a good way to determine if a non-surgical rhinoplasty will look good on you or will it just make your nose appear bigger.

non surgical nose job

Raising a low bridge is becoming very popular with Asian patients.  They tend to have weak tips that can also be brought out with filler.  For drooping tips, a little Botox in the muscle just under the base of the nose may even raise the tip of the nose.  I have performed this on one of my staff members, who is officially “addicted”!

non surgical rhinoplasty illustrations

A Broken Nose: One of the Most Common Sports Injuries

Young man defeated in sports game suffered loss with broken noseParticipating in sports can be rewarding and exhilarating, but it is not without risks. Because of flying elbows and sticks in many sports, sports injuries are all too common. Nasal fractures are the most commonly injured facial bones. A broken nose is especially likely among participants in baseball, basketball, soccer, and boxing. Without attentive care, a nasal fracture can result in permanent disfigurement of the nose and even breathing issues. Fortunately, Dr. Pearlman can perform either what is called a closed reduction soon after trauma or, if delayed, a rhinoplasty to improve a nose that was damaged by a sports injury.

What to Do After a Sports Injury to the Nose

A sports injury to the nose can occur when an athlete is hit in the face by an opponent, ball, stick, or another piece of sporting equipment. The first thing to do is check whether a serious head injury took place. While monitoring the condition of the nose, it should be determined whether a concussion, neck injury, or brain injury may have occurred. If so, emergency medical services should be contacted immediately. If emergency medical services are not needed, initial steps should include stopping the bleeding with pressure on the nostrils and applying ice to minimize swelling in the nose and eye area.

The athlete should visually inspect his or her nose to determine if there is any sign of misalignment that was not previously there, such as a crooked bridge, flattened bridge, or asymmetry. Increased difficulty breathing through the nose can also indicate a fracture, which may obstruct the nasal airways. A fractured nose will likely begin to swell and bruise, and the athlete should go to a local hospital or walk-in clinic for an evaluation and X-rays. If the swelling is not yet severe, a facial plastic surgeon or ENT specialist may reset the fracture immediately after the injury. It is very important that someone evaluates the inside of your nose to make sure you don’t have a collection of blood inside, called a hematoma. Hematoma is the only true urgent reason to see a specialist right away.

When Is Nose Surgery Recommended?

Dr. Pearlman Broken Nose Repair Rhinoplasty PatientIf a broken nose is not reset immediately after the injury, swelling will ensue. Unfortunately, this is the likely situation. Sometimes, it is prudent to wait several days for the swelling to reduce to actually be able to tell how crooked the nose really is. However, if you wait more than two weeks, the bones start to set and can no longer be manipulated with a simple closed reduction. So, the sweet spot is between a few days and a week and a half.

A fractured nose that is very badly displaced, was never reset, or heals poorly despite being reset can be corrected with rhinoplasty. Rhinoplasty can reshape the nose to reverse the effects of the break on the outward appearance and nasal breathing. Under the hands of a skilled rhinoplasty surgeon, the athlete can expect natural-looking results that mask the evidence of there ever having been a sports injury to the nose. If there is a concurrent deviated septum from the trauma, cartilage heals differently than bones. We recommend waiting at least six to eight weeks for the cartilage to fully heal before performing septoplasty after trauma. If desired, athletes can make the most of the experience by asking the surgeon to correct other nasal defects, such as a bulbous tip, large nostrils, or a bump along the bridge. After rhinoplasty, instead of being permanently crooked or deformed by the injury, the nose will be able to heal properly and retain a natural, aesthetically pleasing appearance.

When Can I Play Sports Again?

Because the nose will be especially sensitive and vulnerable after being broken and undergoing surgery, it is usually best to take six to eight weeks off from contact sports and three weeks off from strenuous physical activity. Athletes should be careful not to return to sports too early, or they risk damaging their nose further and compromising their surgical results. If an early return to physical activity is requisite, most physicians will require a face guard or protective splint for at least six weeks to protect the nose as it heals. As athletes comply with this directive, they can expect full healing of a broken nose and look forward to having an entirely natural nasal appearance after a sports injury.

Dr. Pearlman is a recognized expert in rhinoplasty, revision rhinoplasty, and septoplasty. For nasal surgery and correction of a broken nose, you should trust your face to a facial plastic surgeon.

Surgeries That Enhance Facial Structure

While some facial plastic surgeries are designed to recreate a more youthful appearance, others are designed to enhance your natural beauty. The following surgeries that enhance the structure of the face can improve your natural attractiveness. Some of these procedures may be appropriate even for young patients and can create a more aesthetically pleasing and well-defined face shape.

Why Facial Structure Matters

Before and After Chin ImplantsThe structure of the face is built around the balance of all your facial features. The angle, prominence, and proportion of each feature in relation to the others determine facial attractiveness. By enhancing a feature that is deficient in some way or by minimizing an area that is overly prominent, the overall face appears more harmonious. A face that is well-balanced is generally considered to be more attractive, youthful, and likable.


Rhinoplasty candidates may feel that their noses are the most prominent and flawed feature on their face. Whether you are unhappy with the size of your nose, the shape of its tip, bumps on your nasal bridge, the width of your nostrils, or other issues, rhinoplasty can help. Rhinoplasty improves the aesthetic appearance of the nose so that it is more balanced with the rest of the face. This allows it to blend naturally rather than stand out, thereby enhancing facial structure and overall facial attractiveness. Even younger patients who are adequately prepared can undergo teenage rhinoplasty.


Otoplasty can improve facial harmony by restructuring the ears so that they are smaller, more natural in appearance, and/or lie flatter against the head. When the ears are made to be less prominent, the remaining facial features become more of a focal point. Ear surgery may be appropriate even for children as young as 6 years old.

Lip Enhancement

Lip enhancement can improve the appearance of the lips and mouth. Using fillers, reshaping, implants, or a lip lift, a surgeon can make the lips appear more prominent, shapely, and youthful. Lip enhancement may be recommended for individuals with naturally thin or flat lips or for individuals whose lips have become thinner with age. Additionally, if the lips are naturally oversized, a lip reduction can reduce their size so that they are more proportionate to the other facial features.

Facial Implants

Facial implants can have a profound impact on the appearance of the face as a whole. Where the facial skeleton is deficient, implants can be inserted to improve definition and create better angles and contours. For example, a chin implant often improves the balance of the nose and chin and alters the look of the entire face. Cheek implants, sub-malar implants, or jaw angle implants can augment these features to enhance facial structure. Since the facial bones change shape with age, facial implants can also restore more youthful facial contours.

When choosing your facial rejuvenation or enhancement treatments, consider whether you would like to enhance your facial structure by undergoing one or more of these procedures. Dr. Pearlman is a distinguished facial, plastic, and reconstructive surgeon and can advise you regarding which procedures will help you achieve your aesthetic ideals. To request your personal consultation with Dr. Pearlman, please contact us online or call (212) 223-8300 today.

Should a Teenager Get a Nose Job?

Teenagers experience significant social pressure from their peers. Everything from their tastes to their appearance can be called into question, and all of this can play a major role in their self-confidence, their self-esteem, and how they respond to social influences. For teenagers who desire surgical correction and are emotionally ready, rhinoplasty can improve the appearance and proportional balance of the nose to help them develop healthy self-confidence at this sensitive time in life.

When Is Teenage Rhinoplasty Appropriate?

Teenage rhinoplasty can be appropriate for teens whose noses are a source of embarrassment or teasing. Having a nose that is large, misshapen, crooked, drooping, wide, asymmetrical, or otherwise unattractive in appearance can lead to emotional distress or even severe anxiety during adolescence. However, rhinoplasty is not for everyone. Teenage rhinoplasty is only appropriate for teens who are emotionally mature and who have been able to carefully consider their motivations as well as the consequences and potential risks of undergoing this procedure.

When Is My Teen Ready for Rhinoplasty?

Teenagers may be ready for rhinoplasty if they are mature enough to make the decision for themselves. While parents may wish to save their children from emotional scarring, they should not pressure their teens into undergoing plastic surgery. They should counsel with their children, but the decision must ultimately be personal. Additionally, girls should be at least 15 and boys should be at least 16 to ensure that the nose and facial features have finished growing. If he or she does not have reasonable motivation, emotional maturity, or the necessary physical growth, your teen should wait for now and consider rhinoplasty in the future.

How Will Rhinoplasty Affect My Teen?

The initial recovery period after rhinoplasty can significantly affect your teen. Nose surgery requires a 10 to 14-day healing period, which may require some absence from school. Teenage rhinoplasty patients also have to avoid physical education classes and sports for two full months. It may be wise to consider waiting until summer break to schedule your teenager’s rhinoplasty procedure so that he or she has adequate time to heal.

In terms of results, rhinoplasty can improve both the form and function of the nose. For teens with impaired nasal breathing, rhinoplasty can incorporate septoplasty techniques to help your teen breathe more easily and comfortably. From an aesthetic perspective, rhinoplasty can greatly improve the appearance of the nose while maintaining a youthful and proportionate facial balance. Nonetheless, it won’t suddenly and dramatically change everything. Rhinoplasty can’t make a teen more popular or guarantee getting a boyfriend or girlfriend. However, teenage rhinoplasty can help teens by enhancing their natural beauty and fostering confidence as well as a healthy self-image and self-esteem. For many teens who choose rhinoplasty, these benefits can help improve their quality of life for years into the future.

Dr. Steven Pearlman is a dual board-certified plastic surgeon with extensive experience in teenage rhinoplasty and other facial procedures. Dr. Pearlman can counsel with you and help you and your teen decide whether to undergo teenage rhinoplasty. Request your personal consultation by calling (212) 223-8300 or by filling out our online contact form today.

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.

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