Rhinoplasty Surgery, New York City

Rhinoplasty Before & After

NYC Rhinoplasty Surgery

Rhinoplasty is a cosmetic surgery procedure for reshaping the nose. Also referred to as a “nose job” or “nasal reshaping surgery”. Rhinoplasty is a very popular procedure that can make profound differences not only in the balance of facial features, but also in a person’s self-esteem. Dr. Bennett uses the most advanced surgical techniques to make aesthetic improvements that include decreasing or increasing the size of the nose, changing its overall shape, altering the nose’s tip or bridge, and narrowing or changing the shape of the nostrils. He can remove a bump, change the angle between the nose and the mouth, and correct injuries or other concerns that affect breathing, such as a deviated septum or a sinus condition.

Health Improvements: Rhinoplasty

The ability to breathe comfortably can promote a better night’s sleep and is an important part of a healthy lifestyle. Dr. Bennett treats many patients referred by other surgeons with complex breathing issues or when previous surgery has uncovered breathing concerns that patients had not recognized before the procedure. He is well-known for his revision rhinoplasty method, which restores the patients’ ability to breathe and improves the appearance of the nose by rebuilding previously removed cartilage or bone.

Your Consultation: Dr. Bennett individualizes every patient’s care. A minimum of half an hour is needed to fully understand your expectations and to get a complete history and evaluation of the inside and outside of your nose. Knowing what to expect will make the entire experience more pleasant and increase your satisfaction with the surgical results. Dr. Bennett will discuss the cosmetic and functional expectations of your rhinoplasty in detail to make sure all of your questions are answered. We will make sure you understand all the costs associated to a rhinoplasty. Depending on whether you have functional/breathing issues insurance may cover part of your surgery.

Computer Imaging:  Reviewing photographs of your nose from several different angles gives you the opportunity say what you like or dislike about your nose, and what you would like to change. Computer imaging provides an additional step where we can agree on a final goal for the procedure. Computer imaging is not a guarantee of outcome and individual results may vary.

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Computer Imaging


The Procedure: 
Knowing what to expect will make for a smoother and more enjoyable experience. Dr. Bennett performs the procedure at Lenox Hill Hospital or at the Gramercy Surgery Center, a state-of-the-art East Side ambulatory facility. You will need to arrive – with a chaperone – two hours before your procedure is scheduled to begin. You will speak with the nurse about your medical history and what to expect during the procedure and then change into a surgical gown. Dr. Bennett will discuss your treatment and goals before you receive any medications. You will then receive some medicine to relax you, followed most times by a general anesthetic. Dr. Bennett will come to speak with you again after you have awakened. He will have already spoken to the person taking you home. You will leave the ambulatory center with your chaperone about an hour after surgery. Dr. Bennett places a small plastic splint over the healing nose for protection but rarely finds it necessary to pack the nose. Dr. Bennett’s techniques minimize the recovery period and allow most patients to return to a normal routine the week after surgery.

The Week after the Procedure:  Post rhinoplasty surgery it is normal to have a mild headache for a day or two. You will be given some pain medicine, although most patients take only one or two doses and then switch to an over the counter pain medication. If you see scant, reddish fluid draining from the nose, you should place a dressing under the nostrils to avoid sniffling. You will probably feel a lot of congestion, although some people can breathe very well immediately after surgery. You may have bruising and swelling around the nose and eyes. This will start to resolve within a few days. Most swelling will go down after a couple of weeks, but changes in the nose can continue  for a year or more. You will return to the office one week after surgery to have the nasal dressing removed, then return as needed to have the nose checked. Avoid strenuous exercise for three weeks. Avoid wearing glasses for six weeks.

Click here for a full Rhinoplasty Post Surgery Timeline

Techniques: Dr. Bennett employs both the closed (endonasal) and open (external) surgical techniques to sculpt an attractive and natural-looking nose with minimal incisions and rapid recovery time. When performing a rhinoplasty, Dr. Bennett emphasizes preservation of nasal breathing and structural support. A natural-looking nose is also very important. These concepts are the basis for an excellent long-term outcome.

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Closed Rhinoplasty

 

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Open Rhinoplasty

To see the results of some of Dr. Bennett’s rhinoplasty(NYC Nose Job) procedures, please visit the photo gallery. To see more detail on the 4 major techniques of rhinoplasty including Closed, Open, Filler, and Revision Rhinoplasty, visit here.

Conditions Rhinoplasty Can Treat

The following is a list of some of the conditions for which rhinoplasty may be an appropriate treatment option. Diagrams are provided for reference.

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Bone and Cartilage of the Nose


Twisted Nose:
There are many causes for a crooked nose and diagnosis of the causes is very important. The bones or cartilage of the nose may have grown at different rates, or there may be a history of trauma. Previous surgery may have uncovered a twisted nose or the nose can change shape as it heals. A deviated septum frequently causes changes in the outside shape of the nose. If you nose shape bothers your then a deviated septum repair or nasal bones straightening may help.

Tip is too large or uneven: A bulbous or irregular tip can be corrected by conservative removal of the top edge of the lower lateral cartilage, and by bringing the left and right lower lateral cartilages together.

The Nose Seems Too Big: Reduction in the size of the nose can be done by conservative removal of some of the bone and upper and lower cartilages of the nose. The skin and soft tissue of the nose will conform to the new shape quickly.

A Hump on the Nose: A dorsal hump can be treated by removal of the bone and cartilage that is extending from the bridge of the nose. The nasal bones are then brought together to give a more natural shape to the outside of the nose.

Depressed Bridge of the Nose (“Saddle Nose” or Ski-Jump”): If the middle of the nose is flattened, it can be elevated by building it up with nose or ear cartilage or rib grafts.

Wide Nostrils: The nostrils can be narrowed by removing small wedges of skin at the nostril base. This is done at the end of surgery, and can be done in the office if necessary.


What surgeries can be combined with a rhinoplasty?

Many surgeries can be performed at the same time as a rhinoplasty. In fact, multiple procedures done together require only one healing period instead of more than one recovery. Cost can also be decreased as the first operative hour is the most expensive, and insurance can help with functional problems of the nose. Common nasal procedures combined with rhinoplasty are listed below.

Deviated Septum Surgery

A septum that is bent may need to be straightened by reshaping or removing the septal cartilage and bone. If the outside of the nose is made smaller, a deviated septum may affect breathing quality. A deviated septum can be straightened during a rhinoplasty procedure. Insurance will generally pay for a deviated septum repair.

Sinus Surgery

Dr. Bennett can address causes of recurrent acute sinusitis or chronic sinus infections during a rhinoplasty. Recover is similar with or without sinus surgery. Insurance will generally pay for the functional portion of any surgery.

Revision Surgery

Even in the best of hands, about ten percent of patients will eventually have something about the nose that they would like changed. The septal cartilage has “memory” and can move after repair or the dorsum may have a residual bump. A revision surgery refers to any subsequent rhinoplasty.


What is a Rhinoplasty?

Medical terms used for nasal surgery can be confusing. For instance, a “rhinoplasty” is the same as a “nose job” or “nasal reshaping surgery”. Patients often think they had a septoplasty when they actually had a rhinoplasty. The following list is an attempt to clarify some of these terms.

How are Rhinoplasty and Septoplasty different?

Rhinoplasty is surgery to change the structure of the nose. Rhinoplasty can improve the appearance of the nose, improve breathing, or both. Septoplasty involves straightening the nasal septum (cartilage and bone that divide the inside of the nose) to improve breathing. If the nasal septum is twisted near the outside of the nose then septoplasty can actually change the shape of the tip and nasal dorsum. Septorhinoplasty is a procedure to both change the structure of the nose and straighten the nasal septum. Inferior Turbinoplasty involves reducing the size of the turbinates (lateral, tissue-covered bony structures on both sides of the nasal cavity) to improve breathing.

What is the difference between a closed and open rhinoplasty?

With a Closed Rhinoplasty, the surgeon makes incisions inside the nostrils to provide access to the internal structures of the nose. With an Open Rhinoplasty, the surgeon makes incisions across the underside of the nose and inside the nostrils to provide access to the same internal nasal structures. An open rhinoplasty has better visibility for more complex noses but tends to have more swelling and a longer healing period.

What is the difference between a primary rhinoplasty and a revision rhinoplasty?

A Primary Rhinoplasty is the patient’s first surgery to change the structure of the nose. When there has been no previous surgery inside the nose and structures are intact, there is a better chance for a successful outcome. A Revision Rhinoplasty is any additional surgery to change the structure of the nose, whether for breathing or appearance.

What is the difference between a cosmetic rhinoplasty and a functional rhinoplasty?

A Cosmetic Rhinoplasty is performed for the purpose of improving the appearance of the nose. A Functional Rhinoplasty is performed to improve breathing. A rhinoplasty can also be cosmetic and functional at the same time. There are many additional terms that have been coined for rhinoplasty, but the main objective of any nose surgery is to have a nose that you find attractive, with breathing functioning as well as or better than before surgery. Doctors with Ear, Nose and Throat (ENT) training have specialized knowledge of both the function and appearance of the nose. Facial Plastic Surgeons are ENT doctors with additional training in facial plastic surgery. About ten percent of rhinoplasties will eventually require a revision. The best chance for patient satisfaction with both breathing and appearance is during the primary rhinoplasty.

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Meet Dr. Garrett Bennett

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