After my rhinoplasty procedure, will more of my nostrils be visible from the side?
NO

During the rhinoplasty, is the bump really shaved' off?
There are different ways of taking down a bump on the nasal dorsum. It can be rasped or filed down and this can be done manually or with a power too. It can also be removed with an instrument called an osteotome that is like a chisel.

Where is the rhinoplasty surgery performed in relation to your office?
I perform over 95% of my rhinoplasty operations in my office at Lasky Clinic. We have a fully accredited outpatient surgery center and use excellent, top quality anesthesiologists that are very accustomed to working with me on a daily basis. This relationship between anesthesiologist and surgeon is very important in creating trust and results in a safer, more efficient operation and a more comfortable experience for the patients.

After repairing a narrow nose, how long is it until the swelling is reduced after surgery?
Whenever a rhinoplasty is performed it will result in swelling that takes many months, if not a year to go away.

When having my thin nose fixed, should I be concerned that it will no longer look right on my narrow face?
If a patient has a very narrow nose but also has a very thin face than it may be advisable to forego nasal surgery. This is a very important point, as the nose must balance with the other facial features. The nose does not float in space all by itself and it msut fit into context of the rest of the person.

I've already had one primary and two revision rhinoplasties. Am I still a candidate for surgery?
If someone has already had several rhinoplasties and they are still unhappy they may still be able to be fully corrected. This necessitates finding the right surgeon and allowing him/her to carefully examine you and create a surgical plan. There are cases that should be left alone but these are the rare onesin my experience I usually can improve on things and the post operative course is usually easier for these patients than their prior surgeries.

I've heard that the tip of the nose has many intricate things in it and that makes tip-plasty very complicated. Is that true?
Surgery that involves the nasal tip must be done with precision and foresight as to what the effects of healing will be. Wound healing and scar contraction often impacts the way the tip heals and, as such, these need to be considered when operating on the tip.

Does swelling of the tip really take longer to clear up?
Swelling post operatively often stays longer at the tip because it is the most dependent (lowest) part of the nose and also because the skin here is thicker. Additionally, I rely on the healing process to help create the desired tip shape and this process takes time.

I'm from out of town and will be traveling to you for my rhinoplasty. Do offer a travel discount?
My office has several arrangements with nearby hotels whereby we can get a discount for patients. These hotels are all nearby and at various price points.

How long will I need to plan on staying for my rhinoplasty if I'm traveling from out of town?
If a patient is traveling to me for surgery and will be flying then I advise they stay for 9 days. The reason for this is that the cabin pressure on the planes will cause swelling to occur and the nose will then take longer to get to it's desired shape. Rarely, this may impact the final result.  There is no medical risk to flying eearlier and often time patients do it and I have seen no ill effects thus far, but ideally I would have them wait.

What happens if I have problems after my rhinoplasty since I live in another state?
If a patient were to have any acute problems after rhinoplasty that need urgent attention, they would occur within the first week. Otherwise, the problems that develop over time are less in need of immediate attention and can be addressed by me at a later date or via the internet with correspondence.  If something were to require a medical visit, I would contact a colleague in the patient's vicinity and have them evaluated.

My nose is twisted on the bottom front part rather than the top. Can this be fixed?
If the nose is twisted at the lower part it implies that the cartilage is misshapen. This may be due to the septum or the tip cartilages and generally can be straightened with good results.

My nostrils are uneven because my nose is all twisted. Can both be fixed?
Nostril asymmetry is extremely difficult to fix, especially if it is due to congenital factors where the nostril attaches to the face. Asymmetries that result from tip cartilage variability are less difficult to repair.

Is there some way that you can make sure my nose won't look strange from the side when fixing it because it's upturned?
A good surgeon will take into account all of the views of the nose when operating so as to keep it looking natural and balanced.

I'm worried about my information. Who will have access to it?
All medical information is kept private and no unauthorized person is allowed access to it whatsoever.

How does a nose become twisted?
Noses become twisted from a variety of causes such as trauma or tumors. Often times the nose is injured when someone is very young or even at birth and only becomes curved as that person ages and the cartilage bends more and more. Cartilage has76.  memory and tends to distort more with age and the soft tissue support diminishes.  There are certain ethnic peoples that have larger nasal septums and occasionally these are just too large for the soft tissue envelope that encloses them and this results in a twisted or curved nose.

Are there any special considerations for my rhinoplasty because I'm African-American?
Black people generally have thicker skin, softer cartilage and less cartilage than white people. As a result Black noses usually appear flatter, wider and mushier at the tip. These elements require that rhinoplasty involving Black noses be done differently than those done on White noses. I usually use cartligae grafts to increase support and to push out on the overlying soft tissue. Building up these noses offers a greater chance of success than merely removing cartilage; unfortunately there are still many surgeons that routinely do the latter and the results are sub-optimal.

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