Nose Job
Nose Job Guide

Nose Job

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A nose job is a safe, effective and fast procedure. Every day the number of nose job procedures performed around the country increases and nose job surgeons today offer a wide range of options to get this procedure done with incredible results.

A nose job is not only a procedure used to correct a physical condition, but it can also boost the patient's confidence and help the nose job patient achieve a better quality of life. A nose job is usually an outpatient procedure. After a nose job, a patient should go back home and return to their normal activities within a few weeks. A nose job is a procedure that with the proper care will not interfere with the patient's daily activities and should show results in a very short time.

Marwan R. Khalifeh

Marwan R. Khalifeh, MD

3209 M Street N.W. Washington, DC
(301) 244-0148
Marwan R. Khalifeh profile

Nose Job Surgery

Like any other cosmetic or plastic procedure; a nose job is not to be taken lightly. Research is necessary in order to find the best nose job surgeon for you. Usually, nose job requires minimal or no downtime depending on the patients case.

If you're looking for a highly effective method to significantly change the size and shape of your nose and improve your appearance with safety and efficiency, then a nose job is definitely a procedure that you would want to consider.

With today's technology getting nose job is easy, safe and affordable. However, nose job treatments require educated decision-making.

Nose Job Overview

Nose job is a cosmetic procedure designed to improve the appearance of the nose.

A nose job can be used to change the shape and size of the nose in order to which improves the overall appearance of a person's face by surgically altering the nose. The technical name of a nose job is a rhinoplasty. The word rhinoplasty derives from Greek roots meaning "to mold or shape the nose." Nose job surgery enjoys a high level of success in America; over one hundred thousand Americans undergo this surgery every year.

Nose Job History

Nose Job History

The idea of nose job has been around for quite a long time. It is one of the oldest cosmetic surgeries that we have written evidence for. Writing around 500 BC, the Indian Ayurvedic physician Sushruta (sometimes referred to as the father of plastic surgery) described nasal reconstructive surgery in detail. Sushruta and his disciples used their techniques to repair the noses of soldiers whose faces had been marred in battle. They also rebuilt the noses of thieves who had had all or part of their noses cut off as punishment. Interestingly, some of the techniques recorded by Sushruta two and a half millennia ago are still being used today (particularly the technique of using a flap of skin from the forehead to aid in the reconstruction of the nose).

Modern nose job traces its roots to two men in the 1800's, Johann Dieffenbach and Jacque Joseph, who performed nose reduction surgeries using incisions located outside of the nose. These surgeries differ in that they were performed on relatively normal noses in order to achieve an improved aesthetic effect, and not to rebuild and repair a nose which had been marred or removed. In other words, these surgeries were cosmetic surgeries in the way that many people tend to think of, as opposed to reconstructive surgeries.

The first nose job performed using incisions within the nose (intranasal nose job) was performed by American John Orlando Roe in 1887. Placing the incisions inside the nose offered a number of benefits. The most notable of these was that this placed the surgical scars inside the nose, where they would be invisible to casual observers. This method (typically called "closed nose job") of incision-making lasted until about the 1970's.

In 1973, an article was published by Dr. Wilfred S. Goodman which helped to change the direction of the surgery. This article, which was titled "External Approach to Nose job," laid out the technique which has come to be called "open nose job." This technique not only uses incisions inside the nose, but also makes use of a small incision on the underside of the nose (the columella). This technique made it much easier for the doctor to get the ideal amount of access to the underlying cartilage and bone of the nose. The writings and refining work of Dr. Jack Anderson also helped to make open nose job more popular and widespread.

Even as open nose job became more common, though, it was typically not used for secondary nose jobs. During the late eighties, various doctors began to see the merits of using the open technique for secondary nose jobs.

As time has gone on, there have also been a number of other refinements and improvements to nose job technique. Today, noses can be surgically altered with more precision and safety than ever before. People can elect to reduce the size of their nose by removing cartilage. They can change the shape of the nose by reshaping the cartilage and bone structure of the nose. When the patient wants for a certain part of the nose to be larger than it was, the size can be increased by inserting some sort of filler. This filler can be made of artificial materials like silicone, or it can be made of natural materials harvested from the patient's body, or even from cadavers!

Another change which has come about in recent years is the gradual but steady increasing in the popularity of the surgery. In the early days of modern nose job, the surgery was pretty much reserved exclusively to the rich and famous. These days, the surgery is much more widely accessible to large amounts of the populace.

This increase in availability has crossed both economic and racial boundaries. Every culture has different ideas regarding what is aesthetically pleasing. In the past, a nose job was primarily performed according to an idea of beauty based on a subset of American Caucasian aesthetics. However, more recently a number of surgeons have tried to expand their approach. Some doctors specifically offer "ethnic nose jobs" to Hispanics, Asians and African Americans. These doctors try to help improve the patient's nose in a way that fits naturally with the patient's face and that doesn't require arbitrary adherence to the Caucasian idea of beauty.

Perhaps as a result of nose job's increase in the popularity , the surgery has also lost much of its early stigma. In times past, the news that someone had gotten a "nose job" was a juicy and vaguely scandalous bit of gossip. Today, however, the surgery has become much more commonplace. According to the American Society for Aesthetic Plastic Surgery, nose job currently ranks as the fourth most popular cosmetic surgery in America (behind breast augmentation, liposuction and eyelid surgery). In 2009, 138,258 nose jobs were performed. Of these, approximately 24% were performed on men and 76% on women. Among men, nose job is the second most popular cosmetic surgery. A nose job is the most commonly requested cosmetic surgery among patients 18 and under.

Primary Nose Job

Primary Nose Job

The term primary nose job refers to the first time that a nose job is performed on a given person.

The nose job could have been performed for aesthetic, functional or reconstructive reasons, or for a mix of all three of these.

During this nose job surgery, a surgeon may help to restore skin coverage of the nose, create or recreate normal nasal contours, and even help to correct and increase nasal airflow.

The surgery is sometimes used to help repair nasal damage sustained during traumatic injury of the nose. Nasal injury can lead to permanent deformation such as displaced bony humps and disalignment of the nasal bones. These problems are typically only fixable by nose job. During the surgery, nasal humps can be reduced and the nasal bones can be realigned.

The nose job surgery is sometimes also used to repair congenital nasal defects or inborn unpleasing aspects of one's nose. Whether your nose is too short, too long, too wide, too narrow, twisted, or unappealing in some other way, chances are that nose job can help you.

Secondary Nose Job

The majority of people who undergo nose job only ever need to get one.

However, a minority of nose job patients (between 5% and 20%) find that they have results that they are not satisfied with. In this case, a secondary nose job (also referred to as a revision nose job) may be attempted. A secondary nose job is any nose operation which is performed to correct, revise or improve upon the results of a primary nose job.

In general, patients cite two main reasons for dissatisfaction with their primary nose job. The first is cosmetic. A patient may find that his or her surgeon gave them a nose which he or she is simply unhappy with. This could come through mistakes made by the nose job surgeon, or simply through a lack of proper communication regarding the patient's goals.

The second reason is more functional. Just as some patients first turn to nasal surgery in order to correct breathing problems, so also some patients turn to secondary nose job for the same reason. Sometimes an initial surgery which is meant to help stop breathing problems may not be entirely successful. Unsuccessful nose jobs can also sometimes contribute to breathing issues. In some cases, a secondary nose job can rectify these problems.

Secondary nose jobs are typically much more complicated than primary nose jobs. Because of this, they are typically performed using the open technique. This technique makes the nose more clearly visible and accessible to the surgeon, which allows him or her to more easily see and correct the nasal deformities. Due to advances in nose job techniques, secondary nose jobs can provide satisfactory results for many patients.

Functional and Reconstructive Nose Job

Functional nose job aims at restoring normal breathing function by restoring the normal passage of air through the nasal passages.

This sort of nose job is undergone by people who have troubles breathing and who wish to find a surgical solution. In conjunction with this surgery, a septoplasty (a surgery which aims at straightening the septum, or the partition between the two nasal cavities) may also be performed. If the breathing is caused by swollen turbinates, a turbinectomy or a turbinate reduction can also be performed.

A reconstructive nose job aims at restoring the appearance and normal function of the nose. This sort of surgery is frequently performed after some sort of trauma has deformed the nose. Some things which can necessitate a reconstructive nose job include traumatic accidents, autoimmune disorders, previous unsuccessful surgery, cancer involvement and intra-nasal drug abuse. A reconstructive nose job can also treat congenital abnormalities.

Non-Surgical Nose Job

The terms non-surgical nose job and non-surgical nose job refer to procedures which shape the nose without the use of surgery.

These non-surgical nose job methods can be performed on an outpatient basis, and they typically do not require anesthesia.

One of the most common types of non-surgical nose job involves the injection of filler substances such as Artefill, Juvederm, Restylane or Radiesse into the nose. These fillers help to alter the appearance of the nose. Obviously, this procedure is not as flexible as a surgical nose job. It cannot reduce the size of an overly large nose or narrow overly wide nostrils. However, sometimes adding fillers can help to camouflage bumps, raise droopy nasal tips and even help to make a crooked nose appear straighter.

Unlike the results of surgical nose job, the results from this sort of procedure are not permanent. The longest they can be expected to last is several months. Some patients find that their results disappear more quickly. However, a non-surgical nose job is much less expensive than surgical nose job, sometimes costing as little as $500.

Even if you get a non-surgical injection nose job, you should make sure that you find someone who is skilled and properly qualified to administer the injections. There can still be a number of risks to your health and appearance if the injections are not properly administered, even if no one is actually taking a scalpel to you.

Another non-surgical option is the use of flexible nose inserts or splints. These splints are inserted into the nose, and they help to alter the shape of the nose while they are worn. Some people compare their use to contacts—they help you when you're wearing them, and you can wear them whenever you'd like. Nose inserts are much cheaper than either traditional nose job or injections. Of course, they also have some drawbacks. They only help as long as you're wearing them, and they cannot be worn while sleeping, swimming or exercising. Also, some people find them uncomfortable.

Nose Job Recovery

If you undergo surgical nose job, you will not be able to drive yourself home from the surgery, and you will need some additional assistance for the first day or so after the surgery.

Prior to the nose job surgery, you will need to arrange for a ride, and you should also find someone who is willing to care for you during the first couple days of your recovery. Most often, patients can return home immediately after the nose job surgery (which typically lasts between one and three hours). However, in some rare cases, a doctor will recommend a hospital stay.

Most patients are prescribed antibiotics, pain killers and some sort of steroid medication. You should make sure to fill these prescriptions before your surgery, and take the medication as your nose job surgeon directs. Some surgeons advocate the use of hot and cold compresses, although some discourage this. Similarly, some surgeons suggest that patients use Arnica gel and other homeopathic remedies to help with bruising and swelling. However, some others suggest different options. You should always follow your nose job surgeon's directions.

Many patients stay at home to relax and recover for about a week. How long it takes before you are able to return to work will depend on how strenuous your work is. People working desk jobs will be able to return more quickly than people who perform difficult physical labor.

Patients are advised to avoid the sun for a short time after their nose job surgery. Once they do start going out in the sun, they are advised to use sunscreen on their noses and to wear a hat. After the nose job surgery, the nose may be especially sensitive to sunlight and sunburn, and it's possible that too much sun could increase the likelihood of visible or obvious scarring.

Most patients leave their surgery with some amount of "stuff" still on or in their nose. These things are removed within the first weeks after the surgery. If there are any external sutures, they will probably removed four or five days after the nose job surgery. The external cast is usually taken off somewhere around a week after the nose job. If there are internal stents in the nose, they are usually taken out between around four days and two weeks after the nose job surgery.

The bruising and swelling will gradually go down with time, with the bruising typically fading after about two weeks. The appearance of the nose will continue to shift and improve for about six months after the surgery.

Planning Your Nose Job

Are you considering a nose job? Make sure that all your nose job questions are answered before getting this procedure.

Click on our different sections to learn more about nose jobs and to find nose job surgeons in your area.

The initial consultation is a very important part of the nose job process and you should try to make the most of it in order to have a successful nose job. Additionally a consultation with a nose job specialist is the only way to know if you are a good candidate for nose job surgery and how you can benefit from this procedure.

When meeting with your nose job surgeon, make sure that you are aware of any pre- nose job surgery recommendations, the complete nose job cost, recovery time, care and recommendations after your nose job surgery.

Nose Job Consultation Questions

Once you have decided that nose job is the right option for you; the next step is to schedule a consultation with a certified nose job surgeon.

During your consultation you can ask questions to your nose job surgeon that can include:

General Nose Job Questions:

  • Is nose job the right procedure for me?
  • Are there any alternatives to nose job surgery and would you recommend any for my case?
  • Am I a good candidate for a nose job?
  • What results should I except from my nose job?
  • What is the next step to get nose job surgery?
  • What is the nose job cost?
  • How can I pay for my nose job?
  • Can my nose job be done on an outpatient basis?
  • Do I need additional blood work or x-rays before my nose job?
  • How soon can I have nose job surgery?

Questions About The Nose Job Procedure:

  • How is the nose job surgery performed?
  • How successful is the nose job procedure?
  • How much experience do you have performing nose jobs?
  • What are the risks associated with a nose job?
  • Where will my nose job procedure take place?
  • How long will the nose job take?
  • What kind of preparation do I need before my nose job?
  • What should I bring with me to my nose job surgery?
  • Should I have a relative or friend stay during my nose job surgery?

Questions About What To Expect After A Nose Job Surgery:

  • How long will I have to stay in recovery after my nose job surgery?
  • How much pain is there after a nose job surgery?
  • For how long can I expect to recover from my nose job?

Questions To Ask About Your Return Home:

  • Is it required to have someone to drive me home after my nose job surgery?
  • What kind of care will I need at home?
  • Should I have someone help me after my nose job surgery?
  • Are there any activity limitations after my nose job surgery and for how long?
  • What kind of diet should I keep after my nose job?
  • What symptoms should I watch out and report after my nose job surgery?
  • When should I contact my nose job surgeon?
  • What medications do I need to take after my nose job?
  • Is there anything that I should refrain from after my nose job (example: Heat or sun)?
  • Should I wear a hat after my nose job? for how long?
  • Do I need bed rest after my nose job? for how long?
  • How long before I can go back to work after my nose job?
  • Do I need to wear bandages or special garments? for how long?
  • How long before I can exercise again after my nose job?

Please let your nose job surgeon know all details about your medical history and any previous surgeries, any medications that you are taking and any health conditions that you may have or have suffered from.

Don't hold anything back during the nose job consultation.The more your surgeon knows about you medically the safer he or she can keep you during surgery; and you have a better chance of experiencing a successful nose job.

Nose Job Side Effects

Although nose job is relatively safe it does have some mild side effects.

The most common side effects from a nose job are temporary bruising, numbness, swelling, and a tingling sensation. Patients should ask their doctors about nose job side effects that may affect their particular situation.

Nose Job Risks

Although nose jobs are generally safe and mostly successful, sometimes complications can arise, even under the best of circumstances.

Patients should understand the risks and complications that can occur in connection with a nose job.

However, patients can minimize their chances of complications, both serious and benign, by selecting a skillful and experienced surgeon, and by following all of the surgeon's instructions to the letter.

Some of the most common risks associated with nose jobs are bruising and swelling. These are present to some degree in every patient. Somewhat more serious are the potential for blood clots and infections. Another possible risk is the potential to develop adhesions, or scars which form across the nasal cavity. These scars can stretch across the entire nostril, from the septum to the turbinates. Adhesions of this sort are rare, but they can cause nasal obstructions and make it difficult for the patient to breathe normally through the nose. These typically need to be cut away.

During nose job, a hole can sometimes inadvertently be made in the septum, or the wall which separates the two nostrils. This hole, which is called a septal perforation, can cause chronic nose bleeds, crusting and difficulty breathing. It can also cause a strange whistling nose when breathing through the nose.

If the nose job surgeon removes too much of the underlying bone or cartilage of the nose, this can cause an unusual appearance. In these cases, the nasal skin is left without support and loses its shape, resulting in a deformity known as a "Polly beak." Another possible deformity occurs when the septum is left without proper support. When this happens, the bridge of the nose sinks, creating a "saddle nose."

During some nose jobs, the tip of the nose is rotated upward. While this can improve one's appearance when performed in moderation. However, if the rotation is overdone, this can make the nostrils overly prominent and visible. This produces a somewhat pig-like appearance. On the other hand, if too much of the cartilage at the tip of the nose is cut away, this can cause the tip of the nose to have a strangely pinched appearance.

In addition to these aesthetic difficulties, there is the possibility for nasal numbness if certain cuts are not made properly. This numbness can linger for months. In some cases, it may be permanent

Additionally, the final outcome of a nose job cannot always be foreseen. Over time, the cartilage and soft tissue may change in shape, and sometimes the nasal bones can become dislodged. To minimize the chances of this sort of unfortunate change, patients should make sure that they adequately protect their nose and face while they heal and recover. Any sort of trauma or pressure while the nose is still healing can have adverse effects on the eventual appearance of the nose.

As stated above, one of the best things that a patient can do is to ensure that they select an experienced and qualified nose job surgeon. Finding an excellent surgeon is worth every bit of effort it takes. There is a reason why nose jobs are so popular. They can have a large and powerful impact on a person's life. They can help to alleviate breathing problems, improve one's appearance, boost a person's confidence and help them to achieve an overall better quality of life. And all of this can frequently be achieved with only a minor amount of downtime.

But on the other hand, if the nose job surgery is not performed properly, it can lead to serious problems. One's appearance and health can be seriously jeopardized if a sub-par surgeon is selected.

Like any other cosmetic surgery, the decision to get a nose job should not be taken lightly. Patients need to do research in order to find the best possible surgeon for them. They need to do research so that they can understand the procedure and so they can find out whether they would be good candidates for a nose job.

Patients should learn the answers to questions like, "Is nose job right for me?" "Would I make a good nose job candidate?" "What sorts of results can I expect from nose job?" "How can I find a good nose job surgeon?" "How much will my nose job cost, and how long will it take me to recover?"

Our goal with Nose job Guide is to help you with all aspects of your decision making process. We have compiled information, videos, and before and after pictures to help you to understand the nose job procedure. We have compiled a list of surgeons which you can search to find nose job surgeons in your area.

The more you know about nose job the better. With increased knowledge comes increased power and an increased chance of success.

Learn About Nose Jobs

Nose job Guide has helped many prospective nose job patients like you to learn about the latest trends, procedures and developments in nose job.

If you take a look at the different sections of our site, you will come away with a very good understanding of a number of different aspects of nose job.

You can find out what nose job techniques are most popular, how much your nose job surgery could cost, get a blow by blow of what could happen during your surgery, receive answers to numerous frequently asked questions, and much more. You can see view pictures and videos of people who have undergone this surgery, and you can see for yourself what they looked like before and after their surgeries.

Simply visit the other sections of our nose job site to access all of this information.

Finding the Right Nose Job Surgeon

Nose job involves many choices. One of the very most important is selecting a competent and talented surgeon that you can trust.

At Nose job Guide, we would like to make this all-important question a little easier for you.

All of the nose job doctors listed on our site are experienced medical professionals who have been trained in nose job procedures. They operate in accredited medical facilities and fulfill continuing nose job and medical education requirements.

To get started in your search for a nose job surgeon, simply use our search feature. By simply entering your zip code, you can find nose job surgeons in your area.

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