Rhinoplasty, also known as a nose job, is a surgical procedure that improves the appearance of the nose. Nose surgery, septoplasty, or septorhinoplasty can also correct breathing problems associated with structural issues involving a deviated septum and nasal wall support called the nasal valve. Rhinoplasty can refine the shape, angle, width, structure, and other nasal features for individuals who are dissatisfied with the appearance and function of their noses. At his New York, Park Avenue practice, Dr. Steven Pearlman regularly performs rhinoplasty for men and women from across the United States as well as many international patients. He also frequently instructs other surgeons on both primary and revision rhinoplasty, lecturing on the most up-to-date techniques used for nose surgery around the world.
Patients should undergo a medical evaluation before undergoing surgery. Dr. Pearlman also asks his patients to refrain from smoking and taking certain medications for several weeks before and after rhinoplasty to ensure a safe and effective procedure.
We perform most of our rhinoplasty and revision rhinoplasty procedures in our AAAHC certified operating facility and have done so safely for over 16 years. The procedure is performed with the patient under either general anesthesia or twilight sedation administered by an anesthesiologist. Dr. Pearlman will use either the closed or open surgical approach as determined during your consultation. After adjusting and reshaping the nasal cartilage and bones to improve the appearance of the nose, Dr. Pearlman will close the surgical incisions with dissolvable internal sutures. For open rhinoplasty, external sutures need to be removed approximately one week later.
An external splint will be used to hold the nose in place, and bandages will be applied for protection. External sutures and the nasal splint will be removed at a later date during a follow-up appointment with Dr. Pearlman. Internal sutures do not need to be removed. Prescribed medication can alleviate any discomfort during recovery. Swelling and bruising will be noticeable after surgery and will persist for a few days to a few weeks. Some swelling of the nasal tissues may continue for several months. We utilize delicate surgical techniques and Arnica Montana to reduce swelling and healing time. Patients should carefully follow all of Dr. Pearlman’s recommendations for taking medications, changing bandages and dressings, returning for follow-up appointments, and notifying Dr. Pearlman of any unusual developments. Most patients will be able to go back to work a little over one week after surgery.
As the nose heals over the weeks and months after surgery, patients can anticipate an improved appearance that will be long lasting. Patients who undergo septorhinoplasty can also enjoy improved nasal breathing after swelling subsides. The results are meant to be permanent, although the nasal cartilage and tissues may shift slightly over time due to the natural process of aging. Most patients will see 85% of the final result at one month, 95% by six months, and 98% by one year. The tip of the nose is the last part to show swelling and may continue to get smaller for a year or more, especially in patients with thick skin.