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Category: Rhinoplasty

Choosing the Right Plastic Surgeon for Your Rhinoplasty

Experienced nose surgeon NJRhinoplasty is arguably the most intricate and complex plastic surgery procedure. Not surprisingly, it is also the most revised procedure to date. So many factors can affect the outcome, including the healing process, the patient’s skin thickness, and the patient’s bone structure and tissues. What’s more, the surgeon must endure the responsibility of restoring proper function to the nose while maintaining or improving the visual aesthetic. These are only a few reasons why choosing a specialist in facial plastic surgery for your rhinoplasty is a wise decision.

Many board-certified plastic surgeons are certified by The American Board of Plastic Surgery, which evaluates surgeons who are broadly competent. Although surgeons with this certification learn how to perform rhinoplasty, they may not have the fine-tuned surgical expertise that a specialist will have. Dr. Jeffrey B. Wise holds a double board certification from the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. Both of these boards establish requirements that cover all aspects of facial plastic, cosmetic, and reconstructive surgery. A large portion of the requirements for certification by The American Board of Otolarygology – Head and Neck Surgery involves in-depth nasal surgery.

Experience performing the procedure is also very important when it comes to choosing the right surgeon for your rhinoplasty. Check to see how many years your surgeon has been in practice, and be sure to ask which procedures he or she performs most often. Your surgeon should have plenty of before and after photos to show for their claims of experience.

Dr. Wise strives to meet the desires of his patients while holding true to the possibilities and limitations of the procedure. He will evaluate your facial anatomy, nasal bone structure, and health history to determine the procedural steps that will best meet your needs. Whether you are seeking rhinoplasty to correct an aesthetic concern or to correct a functional problem, Dr. Wise is an experienced surgeon you can trust.

To schedule your consultation at Dr. Wise’s Wayne, NJ practice, please call (973) 305-1400 or fill out our online contact form today.


What to Expect After Rhinoplasty?

If you have a deviated septum that causes breathing problems or you are otherwise unhappy with the appearance of your nose, you may be able to resolve the problem with rhinoplasty. Rhinoplasty is a surgical procedure designed to reshape the nose and/or correct certain defects. Although this procedure is relatively minor, it is still important to understand how the procedure will be performed, what to expect during recovery, and the procedure’s typical results.

On the Day of Surgery

Most rhinoplasties are performed as outpatient surgeries, which means that you can go home shortly after the procedure is complete. Surgery is typically performed under general anesthesia, which means you will be asleep for the duration of the procedure. Although general anesthesia does carry some risk, complications are exceedingly rare in healthy individuals.

The surgery itself will take a few hours to complete. Once the surgeon has finished, he will place a splint on the outside of the nose for protection. Although some surgeons use nasal packing, Dr. Wise does not. Without packing, the postoperative recovery is significantly more comfortable.

Waking Up

When you wake up after the procedure, you may feel some discomfort in the affected area. You may also notice swelling, puffiness, bruising and mild drainage. Once you are fully awake and a suitable amount of time has passed, you will be able to leave the clinic. Your surgeon may prescribe or recommend pain medication to help reduce discomfort at home.

Recovering at Home

After you arrive at home, you should rest in bed to prevent complications. It’s best to lay with your head elevated above your chest in order to minimize bleeding and reduce swelling around your nose. Drainage, swelling and discomfort in the affected area may persist for several days following the surgery. Be sure to rest as much as possible during this time to promote healing. Your doctor will schedule follow-up visits to make sure that your nose is healing properly. He will also remove the splint during one of these visits, so be sure to keep all of your appointments. Dr. Wise recommends taking at least one week off work for recovery. You should also avoid strenuous activity for several weeks following the surgery. In addition, you should avoid:

  • Blowing your nose.
  • Bending
  • Straining
  • Heaving Lifting
  • Pulling clothes over your head that catch on your nose.

What Results Should I Expect?

It is normal for some mild swelling to persist even several weeks after the procedure is performed. As a result, it may take a while for all of the benefits of the procedure to become apparent. However, you will most likely notice some improvement in the function and appearance of your nose once most of the swelling has disappeared. The appearance of your nose will continue to improve over time, and you will notice the full results of the procedure within 6-12 months.

Scheduling Rhinoplasty

If you are interested in rhinoplasty, contact the Wise Center for Plastic Surgery today to schedule a consultation. Dr. Wise can evaluate your case, explain your options and help you decide whether rhinoplasty is right for you.

Tips for a Speedy Rhinoplasty Surgery Recovery

What to Expect After Surgery
Rhinoplasty is a common surgery that many people undergo when they either do not like the appearance of their nose, or they have issues breathing due to irregularities in their nasal passages. After rhinoplasty surgery, patients must take approximately one week off from work to fully recover. Typically, it takes approximately a few days for the first signs of swelling and bruising to improve. In order to expedite the healing process, the following tips should be followed.

Exercise Moderately
Vigorous exercise does not bode well for patients who have undergone rhinoplasty surgery. Instead, patients should exercise moderately and not until two weeks post-surgery. Three weeks after surgery, you can slowly ease back into an exercise routine. However, it is still recommended to avoid playing any sports, or doing any exercises, that could injure the face; such as basketball or volleyball.

Don’t Swim
Swimming is not a good idea during the first two weeks of the recovery period either. It can cause chlorine to get into a patient’s nose and cause pain and stinging.

Eat Foods that are Easy to Chew
Patients should eat foods that are easy to chew and that are soft. The goal is to move the nose as little as possible while it is healing, so soft foods help to minimize chewing. Examples of healthy choices are soups, smoothies, mashed potatoes, sautéed veggies and fish.

Brush Your Teeth Carefully
Aggressive teeth brushing can cause the upper lip to move and cause pain in a patient’s nose. Therefore, it is advised to brush teeth carefully and softly while in recovery.

Don’t Wear Glasses
Glasses that rest on the bridge of the nose can cause pain and complications when the nose is trying to heal. Any extra weight can cause the nasal bones to move around before they are completely set, which can lead to poor results. If possible, stick to contacts. If you require glasses, taping the glasses to the central bridge of the glasses to the forehead will allow as little pressure as possible on the nasal bones..

Protect the Skin from the Sun
The skin on the nose will be extra sensitive to the sun after their surgery. Patients should therefore protect their nose after their surgery by applying sunscreen whenever going outside and also by wearing a hat.

Be Careful When Getting Dressed
Clothing shouldn’t be pulled over the head while recovering from rhinoplasty. Clothes could hit the nose and cause unintended pain. When possible, wear shirts that button up or have a large neck hole. Also, take care when drying off with a towel after bathing.

Don’t Smoke
It is important to stop smoking before rhinoplasty surgery and not smoke again for three weeks after the surgery. Smoking stunts the healing process and could cause a prolonged recovery time.

Contact Dr. Wise
With these tips, you will be healed up following nose surgery as quickly as possible. Dr. Wise is a double board-certified facial plastic surgeon who can help if you are interested in learning more about rhinoplasty surgery. You can reach him at his office in New Jersey or through his website to set up an appointment today.

Why Rhinoplasty Is an Art

Grey statue of woman's shoulders and head on a grey backgroundRhinoplasty, commonly known as “nose surgery” or a “nose job,” is a complex procedure that can improve the shape, size, and function of the nose. This surgery is very intricate and takes a keen eye for detail and aesthetics in order to achieve the desired results; plastic surgeons must be artists in the operating room as they sculpt the nose into the ideal shape. Like a great statue requires a skilled sculptor to create exceptional results, rhinoplasty requires a skilled surgeon with an artistic eye to create the work of art that is the finished nose.

Individual Patient Factors

A variety of factors contributes to how the results of rhinoplasty will look on an individual patient, including their skin thickness, ability to heal, and overall facial structure. The same nose will look different on different people based on the shape of their faces and other facial characteristics, and it is the surgeon’s job to determine the appropriate nasal shape and size to suit the needs of each patient. The surgeon must balance surgical expertise with an aesthetic eye to achieve the most pleasing overall appearance for the patient.

Form and Function

A sideview of a woman smelling a flower in her hands on a white background

During rhinoplasty, the surgeon must focus on sculpting the outer structure of the nose to achieve the aesthetic desires of the patient while also restoring or maintaining the internal nasal structure for proper functioning. If the internal structure of the nose causes problems, such as difficulty breathing, a septoplasty may need to be performed to restore proper nasal function. Septoplasty is a type of nose surgery that corrects problems associated with the septum (the interior cartilage of the nose that separates the nostrils). This can add another element of complication to this already complex surgery, and it takes a highly skilled and experienced surgeon with an artistic eye to improve the form and function of the nose.  

Dr. Wise’s Artistic Eye

It is important to choose a surgeon who is trained and experienced in performing this procedure in order to achieve the results you desire. Dr. Jeffrey Wise is a double board-certified facial plastic surgeon with years of extensive experience performing rhinoplasty, and he is dedicated to providing exceptionally beautiful and natural-looking results. View Dr. Wise’s rhinoplasty before and after photos to see examples of his previous works of art.

If you are dissatisfied with the overall appearance of your nose or are having breathing problems associated with your septum, please call (888) 295-6933 or fill out our online contact form to schedule your consultation with board-certified facial plastic surgeon Dr. Jeffrey Wise.

See Your Surgery Results BEFORE Surgery!

Many people are interested in undergoing facial plastic surgery, such as a facelift, laser skin resurfacing, fat transfer, and eyelid rejuvenation, but are hesitant because they are unsure of how they will look after the procedure. Imagine if you could know how the results of your surgical procedure would look before you ever enter the operating room. At Wise Center For Plastic Surgery, we offer imaging with an advanced system that allows patients to more effectively communicate their desires to Dr. Wise and determine if a particular procedure will achieve results that meet their aesthetic goals.

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Three-Dimensional Imaging System

With Canfield’s VECTRA M3 Imaging System, Dr. Wise can simulate proposed before and after images of your desired surgery. Three high-resolution 36-megapixel color cameras capture detailed photographs of you from different angles, and then the VECTRA system quickly combines the images of you to create a fully rotatable 3-D image of your face and neck. Advanced computer software is used to analyze the images and simulate the corrections that can be made with facial plastic surgery.

A More Comprehensive Beauty Plan

Our state-of-the-art imaging system allows you and Dr. Wise to have a shared visual understanding of your beauty goals in order to develop a comprehensive plan to achieve these specific goals. The VECTRA M3 System will display a visual image of the desired changes you describe to the doctor, and this image will let you confirm that the result of those changes align with your aesthetic goals. This also grants Dr. Wise the ability to provide specific recommendations for your individual circumstances to achieve the particular appearance you desire. Since each person ages differently and has distinct physical structures, Dr. Wise uses an individualized approach to correct signs of aging, and the VECTRA M3 provides a visual aid to demonstrate the possible results of what can be achieved with your surgery.

Benefits of the VECTRA M3

  • Demonstrates proposed results of facial surgeries that are:The before and after pictures of a women who had a facial rejuvenation procedure

    • Three dimensional

    • Detailed

    • Realistic

  • 3-D simulations can be viewed:

    • From any angle

    • At any distance

To schedule a consultation with our board-certified facial plastic surgeon, Dr. Jeffrey Wise, and see the visual results of your enhanced appearance that can be achieved with plastic surgery, please call (888) 295-6933 or fill out our online contact form today.

Revision Rhinoplasty: What to Expect

woman with bandage on noseEven in the hands of the most skilled and qualified plastic surgeon, there can be complications that result from primary rhinoplasty that may require revision surgery. In fact, rhinoplasty has one of the highest rates for revision among other cosmetic procedures. This is due to several reasons:

  • The nose is located in the center of the face, which makes even slight imperfections more easily noticed.
  • Rhinoplasty is a complex procedure since many structures and tissues must be manipulated within such a small area.
  • Nose surgery must not only provide an aesthetically pleasing result, but it must also allow the nose to function properly for breathing.
  • Final results are predictable, but the ability for the skin to heal properly cannot be predicted or significantly controlled.
  • Patients who do not follow their surgeon’s postoperative instructions can negatively impact the final results.
  • If the initial surgeon had little experience or was not a rhinoplasty specialist, this can also negatively impact the final results.

Is revision rhinoplasty right for me?

A couple of months after rhinoplasty surgery, patients often worry that their final result is not what they expected. In actuality, the final results of the procedure have not yet become apparent. For most patients, the most noticeable swelling will resolve within a few weeks, but the final 20 percent of swelling can take a year or even longer to dissipate. Patients are encouraged to wait at least that long after their initial rhinoplasty before considering a revision.

If a patient is simply unhappy with the aesthetic aspect of their new nose, they should consider revision rhinoplasty very carefully. Revision surgery will be an even more complex procedure than the initial surgery. It also usually costs more and may not even yield the results the patient desires. However, a consultation with a rhinoplasty specialist will best determine the success of the revision procedure for their unique case.

How to prevent the need for revision surgery

The patient should always have realistic expectations for their initial rhinoplasty procedure. The patient should understand that advanced 3D imaging technology, such as that used at Dr. Wise’s practice, can help predict results, but the results may not always be exact because they depend on so many factors. Although the risk for revision surgery is always present, there are a few things that can lower the risk:

1. Good communication

Communicating your desires for the procedural outcome is of utmost importance with any plastic surgery procedure, but especially with rhinoplasty. Once you express all of your concerns and desires, the surgeon can let you know if your expectations are realistic based on your skin type, bone structure, health history, and many other factors. Your rhinoplasty surgeon will also be able to tell you how difficult those results may be to achieve based on the information you communicate.

2. Follow your surgeon’s instructions

Many patients are tempted to remove their splint sooner than their surgeon advised, or they may manipulate their swollen nose, thinking that this will somehow improve the outcome. If you have chosen a surgeon that has performed many rhinoplasty surgeries, he or she knows the best approach to recovery. Your surgeon also knows best because he or she understands your particular case as well as the specific techniques used during your surgery. Failure to follow your surgeon’s instructions can definitely compromise your final results.

3. Choose an experienced surgeon

A patient who is considering primary or secondary rhinoplasty should not cut corners when it comes to choosing a surgeon. They should view plenty of rhinoplasty before and after photos of the surgeon’s patients, and make sure the surgeon is board certified in plastic surgery. Almost always, the more experience the surgeon has with the procedure, the better.

Dr. Wise is a double board-certified plastic surgeon. He has dedicated his career to focus exclusively on plastic surgery of the face, head, and neck. As such, he has completed countless successful rhinoplasty procedures and is one of the top plastic surgeons for rhinoplasty in the Wayne, New Jersey area. Dr. Wise’s background in facial reconstructive surgery also gives him an added advantage in the operating room.

Whether you are considering rhinoplasty surgery for the first or second time, Dr. Wise can answer all your questions regarding the procedure during your consultation. To schedule an appointment, please call the Wise Center for Plastic Surgery at (888) 295-6933. For your convenience, you may also fill out our online contact form.