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Rhinoplasty Nose Surgery

What is Rhinoplasty?

Rhinoplasty is a procedure designed to improve breathing problems (septoplasty) or aesthetic concerns, such as a hump on the nasal bridge, wide nostrils, a bulbous nose, an extended nasal tip, asymmetry, or any other concern that can result from heredity or injury.

Open Rhinoplasty

  • Also called "external rhinoplasty," open rhinoplasty involves a transcolumellar incision (between the nostrils), which allows Dr. Wise to manipulate the skin and nasal structure.
  • Open rhinoplasty is often utilized when grafts or implants must be used, at Dr. Wise’s discretion.
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Closed Rhinoplasty

  • Small incisions are made endonasally inside the nostrils so that no external scars will be visible.
  • Closed rhinoplasty is often utilized for reductive cases, or noses where there is simply a bump on the bridge of the nose, at Dr. Wise’s discretion.

Rhinoplasty FAQ

Q. Am I a good candidate for rhinoplasty?

A. The best candidates for rhinoplasty are looking for improvement in the appearance of his or her nose. Increased confidence and an improved appearance are the typical results of rhinoplasty.  Candidates should be in good physical and psychological health. Some rhinoplasty cases, such as ethnic rhinoplasty, are more complex procedures, but they can be performed successfully at the hands of an experienced surgeon, like Dr. Wise. A consultation with Dr. Wise will be the best means to determine if rhinoplasty is right for you.

Q. Is there an age restriction for rhinoplasty?

A. Rhinoplasty is not usually recommended until the nose has fully developed. For girls, this typically occurs around the age of 14-15; for boys, full growth is usually reached at 15-16 years of age.

Q. What happens during a rhinoplasty consultation?

A. During a consultation, an assessment will be made of your current and past health history. You and Dr. Wise will discuss any medications you are taking, as well as your expectations for the procedure. Together, you will decide the next steps as far as whether or not to pursue surgery and, if so, the techniques to be used. Dr. Wise is one of a handful of surgeons worldwide to utilize the Canfield Vectra 3D System that allows for a three-dimensional image of the patient to be created.  Dr. Wise can manipulate the image in real time, allowing the patient to see firsthand potential results of their rhinoplasty!  This has served as an excellent educational tool for Dr. Wise and his patients.

Q. Is nose surgery covered by insurance?

A. Cosmetic rhinoplasty is not usually covered by insurance. However, a functional problem, such as difficulty breathing due to a deviated septum or other cause, may be covered by some insurance plans.

Q. Will my rhinoplasty need to be re-done in the future?

A. Rhinoplasty is intended to be a one-time operation. Uncontrollable factors, such as the way the nose heals, can inhibit the best results. The complexity of the operation, as well as the patient’s skin and facial anatomy, can also have an impact on the results. Although exceedingly rare in Dr. Wise’s hands, revision surgery is periodically performed to correct a minor imperfection.

Q. Is anesthesia dangerous?

A. Rhinoplasty is usually performed with general anesthesia, which means the patient is completely asleep during the procedure. General anesthesia is very safe, even for the elderly or those who are sick. Although there are risks associated with general anesthesia, they are exceptionally rare.

Q. What happens on the day of surgery?

A. Nose surgery is usually performed on an outpatient basis and takes a few hours to complete, depending on the amount of correction needed. Anesthesia will be administered, and Dr. Wise will begin sculpting the cartilage and underlying structures of the nose. After surgery, a splint will be placed on the outside for protection. Dr. Wise does not use nasal packing!

Q. What is recovery like with nose surgery?

A. Patients should expect to take approximately one week off from work. Some degree of minor swelling with rhinoplasty can last several weeks, but it is also normal for minor swelling to last much longer. Dr. Wise will instruct you to avoid strenuous activity for a few weeks. Follow-up visits will be scheduled so Dr. Wise can monitor your healing progress.

Q. What results can I expect with rhinoplasty?

A. You will be able to see improvement in the appearance and function of your nose once the swelling has fully gone down, but full results with rhinoplasty can take several months to manifest. The appearance of your nose will continue to improve over time, and most patients see final results about 6-12 months after the surgery.

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With an exclusive focus on plastic surgery of the face, head and neck, Dr. Jeffrey Wise has performed hundreds of successful rhinoplasty procedures during his time in practice in Wayne, New Jersey. His double board certification, along with his Yale, Cornell, and University of Pennsylvania training, have provided the ultimate foundation for his passion. Dr. Wise teaches rhinoplasty to medical students, residents, and surgical fellows at the NYU School of Medicine. His commitment to staying current with the latest and most advanced techniques in his field has cemented his reputation as a surgeon patients can trust.

*Individual results may vary

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