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Considering a Nose Job? Ask yourself these 5 key questions

Rhinoplasty, better known as a “nose job”, is performed to alter the size and/or shape of the nose and is one of the most commonly performed types of plastic surgery. An estimated 77,000 people got rhinoplasty in 2010; while some simply didn’t like the noses they were born with, others needed corrections to previous surgeries or accidents that damaged their noses.

Before opting for any kind of cosmetic surgery, there are some key questions you should ask yourself before going under the knife.

Am I healthy enough to get plastic surgery?

Cosmetic surgery has its risks just like any other type of surgical procedure. The risks are even greater in people who have preexisting health conditions. That is why it is wise to take your health into consideration before getting any type of cosmetic procedure. Your plastic surgeon may require that you receive clearance from your physician.

Have I considered the alternatives?

There are a number of ways you can improve their appearance without getting rhinoplasty. Trying a new hairstyle or wearing makeup are two of the many ways to improve your looks without going under the knife. Makeup tricks can also change how your nose appears, and some cosmetic injectable fillers can alter the appearance of your nose temporarily without invasive surgery.

Am I doing this for myself or to please others?

Far too many women get cosmetic surgery to conform to society’s standard of beauty or to impress someone else. While a nose job, or any cosmetic surgery, can improve your appearance and life, it’s important to do it for the right reasons. Do it for yourself, not someone else.

Can I afford this procedure?

Nose jobs can cost thousands of dollars, depending on the surgeon and the complexity of the procedure. Because most nose jobs are elective, they aren’t covered by insurance. While you may be able to setup a payment plan with your surgeon’s office, you may be expected to pay a significant amount up front. Note that many med spas and clinics accept credit cards, so that’s always an option as well.

Can I afford to take time out of work and school?

In the end, it’s worth it, but in the meantime, you will be sore after your nose job. Patients are expected to stay home for at least a week after surgery and are advised to avoid strenuous activity. Make sure you can afford to miss work or school during this time period and that you have help with daily tasks, such as child care and household chores.

Once all the above answers are “yes” make sure you choose a doctor who specializes in rhinoplasty. Ask your doctor of choice, how many they perform per year, look at their before and after photos and consider computer imaging to make sure you are both on the same page.


Copyright 2012. As licensed to Pearlman Aesthetic Surgery. All rights reserved

Revision Rhinoplasty New York City

Revision Rhinoplasty Specialist 

New York, NY: I just launched a new site dedicated to Revision Rhinoplasty. I feel it is important to educate the public about a number of common issues that come up when discussing this topic and will be addressing these issues in my next few blogs:

  • Why do so many patients seek revision rhinoplasty?
  • What are the most common complaints patients considering revision surgery have?
  • What went wrong in the first place that may necessitate revision surgery?
  • Why don’t patients go back to their original surgeon for revision surgery?

Rhinoplasty is considered to be the most difficult procedure in cosmetic surgery. The specific steps may seem easy to an un-initiated surgeon, but to a surgeon who has extensive experience with the procedure like myself, no nose is simple or should be fixed in a “standard,” one-size-fits-all, cookie-cutter fashion. This is the first step in getting into trouble. Each patient needs to be addressed as an individual and not categorized, then treated in a routine fashion.
The Rhinoplasty procedure has also evolved more than most other procedures over the past 3 decades, and may do so even more over the next few years… which is why it is imperative a true rhinoplasty surgeon be a student of the procedure. When I go to meetings, I see the most respected surgeons sitting in the first few rows scribbling notes more furiously than anyone else. This is how they got on top and continue to stay that way. I find that teaching and lecturing on this topic also forces me to stay on top of all new innovations – good or bad – so that I am able to address any and all questions posed by young surgeons seeking guidance. 

Not every patient will be happy with their results. The published statistics of patients unhappy with their revision surgery is 5 to 15%, and are provided by the more active and knowledgeable surgeons. So if they have rates from 5 to 15%, imagine what is happening to the doctors who don’t publish? But to make you feel less uncomfortable, at least in my practice, most patients who do have revision are getting minor tweaks. They commonly report that they “love” their nose but have a tiny irregularity or bump that can be taken care of in a simple way.

I will continue to review revision rhinoplasty in my next blog. For more information and before and after photos, please see the articles on revision rhinoplasty posted on my website,, as well as the new website

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