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Rhinoplasty

Nose Reshaping Surgery/Rhinoplasty in Manhattan (NYC)

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Overview

Rhinoplasty is one of the most challenging and complex plastic surgery procedures. It requires a keen sense of surgical skill, extensive experience, and an understanding to how the various nasal structures and tissues respond to surgical intervention. New York rhinoplasty specialist, Dr. Sherrell J. Aston, has written textbook chapters and lectured on rhinoplasty to plastic surgeons from around the world. While rhinoplasty is primarily performed to change the cosmetic appearance of the nose, it is also performed to help improve nasal function. His focus on balancing the features of the nose with the entire face and maintaining the support and function of the nose lead to beautiful, long-lasting results. The vast majority of nasal surgeries are performed in teenagers and young adults, but an increasing number of patients from their 30s to their 60s are having the procedure. Today’s advanced rhinoplasty procedures produce natural, gorgeous results with a shorter healing time. Dr. Aston's skill has also made him a member of The Rhinoplasty Society, a nonprofit organization of the world's top nose surgeons.

Surgical Technique

There are several techniques used for rhinoplasty. The approach taken will be based on the complexity of the surgical case and the overall goal of the patient. In the consultation with Dr. Aston, he will listen carefully to your concerns about your nose and arrive at the plan that is consistent with your desires and nasal anatomy. Dr. Aston will explain the specifics of your anatomy and the procedure he will perform to best give you a nose that is has an “unoperated” natural appearance, functions well for breathing, and gives you the shortest recovery period possible.

OPEN RHINOPLASTY

Open rhinoplasty requires an incision across the columella. In Dr. Aston’s opinion, an open rhinoplasty is only indicated when the anatomy of the nose is extremely complex, regardless whether it is a primary rhinoplasty or a secondary rhinoplasty. In the majority of rhinoplasty cases that Dr. Aston performs, the closed rhinoplasty approach is used.

CLOSED RHINOPLASTY

Dr. Aston prefers closed rhinoplasty in almost all rhinoplasty cases. With this procedure, incisions are made inside the nose to release the nose from its architectural framework, so that he can work on the tip cartilages, the cartilage in the mid-vault of the nose, the nasal bones, and the septum. Dr. Aston has performed several thousand rhinoplasties using the closed technique. The closed rhinoplasty technique requires excellent 3D thinking and understanding of nasal anatomy with an appreciation of how the changes that are made in the nasal structures will look after surgery. Dr. Aston’s rhinoplasty technique maintains the architectural integrity of the nose over time. Many of the rhinoplasties that were performed thirty years ago looked good after the first year, but they do not all look good today because less attention was paid to preserving architectural integrity of the nose. Preserving the architectural integrity of the nose is the state of the art principle in rhinoplasty. It is important to maintain architectural integrity in both the bony and the cartilaginous framework of the nose. This preserves the function of the nose as well as contributes to a very natural looking nose.

When the original anatomy of the nose is lacking in architectural integrity, Dr. Aston will rebuild the nose in order to establish proper function and improve appearance.

NONSURGICAL RHINOPLASTY

Dr. Aston also uses injectable fillers for minor reshaping. Fillers, as well as a fat transfer, can be utilized to fill in imperfections such as small deformations, bumps, or a bony appearance. It is important for patients to have realistic expectations and understand that fillers can only do so much in the reshaping process. While it is a nice way to view changes in the nose without having surgery, for a permanent result, surgery is the better option.

During/After Surgery

Dr. Aston performs rhinoplasties in his own modern surgical facility and also at Manhattan, Eye, Ear & Throat Hospital. A rhinoplasty procedure is performed in an accredited surgical facility under general anesthesia. The procedure lasts up to 2 hours and is considered outpatient. After surgery, there will be swelling and soreness around the nose area. Bruising may or may not occur. The nose will be covered by a splint to reduce swelling. The splint is removed on the 5th post-operative day. Patients will be able to see their results immediately; however, it may take several months for the full results to appear. Most patients can usually return to school or work 1 week following surgery. Full athletic activities, except for contact sports, can usually be resumed in 3 weeks.

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Rhinoplasty FAQs

IS IT RISKY?

All surgical procedures carry some form of risk. These risks can be greatly minimized if an experienced nose surgeon is chosen to perform the surgery. While rhinoplasty is one of the most commonly performed procedures in the U.S., surgeon skill is critical so that a beautiful, satisfactory outcome can result.

SURGICAL OR NONSURGICAL?

This depends on the patient’s nose structure and what aesthetic result is trying to be achieved. For significant reshaping, the surgical approach will be performed as this allows the surgeon to manipulate the cartridges and bones. If the patient is looking for a subtle improvement, adding volume may suffice.

* All information subject to change.