Is there a technique for rhinoplasty that doesn't require breaking the nose and can you do this?
Not all rhinoplasty involves breaking the nose and there are many instances in which I do not need to do this.  Only break the nose when it is essential to obtain the proper balance or result that the patient requests.

Once a bump is removed from the nose, is there any pain or tenderness in that area after surgery?
When a bump is removed or made smaller there typically is no persistent pain in the area or tenderness after healing is complete. On occasion people may have some sensitivity in such an area but those are rare cases.

How do I know if I'm a good candidate for finesse rhinoplasty?
The term finesse rhinoplasty refers to a situation where the patient needs only a very minor or subtle change to refine the nose. Whether or not someone is a good candidate for such a procedure depends on how much the patient thinks such a change would benefit them, how confident the surgeon is that he/she could execute such a result, and what the risk/benefit ration is to doing so.

Can you show me over the Internet what my nose would look like after rhinoplasty?
I prefer not to perform computer imaging over the internet if I have not yet examined the patient.  There are just too many factors that would be assumed and it may be a worthless endeavor or even one that is inaccurate.

Is rhinoplasty different in any way for men than for women?
While the mechanics of the surgery may be the same for men and women rhinoplasty, the aesthetic goals are very different and so the two operations are inherently different from the start.

If we disagree about things at the consultation, what happens?
If I consult with a patient and we have a disagreement about what should be done or how to accomplish our goal or even on what is possible then I prefer to refer that patient to another surgeon that may be more appropriate for that particular patient. I will not operate on this patient because I feel they may not be content with the result, even if I do my job well.

What would you do to correct my droopy nose?
A droopy nasal tip needs support and often times projection.  There are a myriad of ways to provide these things and the ultimate choice depends on various other factors about the nose and the patient's desires.

When fixing a droopy, hanging nose, how is the columella involved?
When fixing dependent (droopy) tip the columella needs attention because if it is not considered it may become more visible. It is usually quite straight forward to adjust things to compensate for excess columellar showit just cannot be forgotten.

Will the front of my nose look different after rhinoplasty?
The nasal tip will only look different if it is changed during surgery. Not all rhinoplasty involves manipulating the tip.

Do you have any special training in facial plastic surgery? I want to make sure that my nose after surgery still fits my face.
I am a board certified Facial Plastic and Reconstructive Surgeon and my training prepared me to be a good judge of facial aesthetics overall and how the nose balances with respect to the other features.

Is it possible to finance my rhinoplasty procedure?
My office does not finance surgery. Many patients choose to put the cost on a credit card and finance it that way.

What is tip-plasty and what is finesse rhinoplasty? Is there a difference between them?
A tip plasty is when the entire procedure is limited only to the nasal tip.there is no bony work or other manipulation.  A finesse rhinoplasty just refers to a case where the changes are very subtle. A tip plasty is usually a type of finesse rhinoplasty.

When correcting a bump on the nose, is it necessary for the nose to be broken?
It is not always necessary to break the nose to remove a hump, though it usually is.  The breaking of the nasal bones should be an irrelevant point to the patient since they are not going to feel it or suffer as a resultit is just another part of the surgery and the surgeon should not be limited by a patient request to not break the nose. There is more bruising and swelling post operatively from this maneuver but that's the extent of it.

When fixing a twisted nose, does one side have tissue removed, the other added to or both?
Straightening a twisted nose is difficult and often requires multiple different things be done to achieve the desired result. It is never determined until the case is being performed as to just what will be needed to fix the problem.

I think my nose needs to be brought out from my face. Will this result in scars at the nostrils?
Increaing tip projection does not result in any added scarring or any scarring at the nostril rims at all.

During surgery, how will my flat nose be fixed?
Flat noses generally require that cartilage be added to them to build them up and to increase projection. Narrowing the nose also gives the illusion of it not looking so flat. I almost always use the patient's own tissue (ear cartilage, rib cartilage, septal cartilage) but occasionally I will use a synthetic implant.

Will my information be private or will others have access to it?
All patient information is private unless I have written position to discuss it or show it.

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