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Rhinoplasty

Nose Reshaping Surgery/Rhinoplasty in Manhattan (NYC)

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Overview

Rhinoplasty (also known as nose re-shaping surgery or a nose job) is one of the most challenging and complex plastic surgery procedures. To get the best results, nose surgery requires that the surgeon has a keen sense of artistic proportions, advanced surgical skills, and extensive experience with the way various nasal structures and tissues respond to surgical intervention, both immediately and with the passage of time. Double board-certified plastic surgeon Dr. Sherrell Aston in New York City has written textbook chapters and lectured on rhinoplasty to plastic surgeons based on his years of experience and perfected nose surgery technique. 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. Dr. Aston's skill has also made him a member of The Rhinoplasty Society, a non-profit organization of the world's top nose surgeons.

Nose plastic surgery is primarily performed to change the cosmetic appearance of the nose, but it may also be performed to improve breathing and other functions of the nose. The vast majority of nasal surgeries are performed in teenagers and young adults, but an increasing number of patients in their 30’s to their 60’s are having the procedure. Thanks to today’s advanced rhinoplasty techniques, nose reshaping surgery produces more natural results and require a shorter healing time that make it more appealing to anyone who has ever wanted to change the appearance of their nose. By adjusting the size, shape, angle, alignment, Dr. Aston brings the nose into balance and harmony with the rest of the face for significant improvements to the patient's overall appearance.

Surgical Technique

There are two basic types of rhinoplasty procedures: Closed and Open Rhinoplasty. Dr. Aston performs almost exclusively Closed Rhinoplasty. Dr. Aston has performed several thousand rhinoplasty procedures using the closed technique. The closed rhinoplasty technique takes advantage of Dr. Aston's excellent 3-dimensional thinking and understanding of nasal anatomy, plus his appreciation of how the changes that are made in the nasal structures will looks after surgery. Dr. Aston’s rhinoplasty technique maintains the architectural integrity of the nose over time for long-term function and appearance. For a closed rhinoplasty procedure, incisions are made inside the nose, to release the nose from its architectural framework, so that he can work on the tip cartilage, the cartilage in the mid-vault of the nose, the nasal bones, and the septum. 

The second rhinoplasty technique is called an Open Rhinoplasty, which requires and incision across an incision across the columella. In Dr. Aston’s opinion, an open rhinoplasty is only the better technique when the anatomy of the nose is extremely complex, regardless whether it is a primary rhinoplasty or a secondary rhinoplasty. During the patient's initial consultation, Dr. Aston can go into more detail about the open and closed rhinoplasty techniques and which is best based on the patient's concerns, goals, and the current state of the nose.

During/After Surgery

Rhinoplasty 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 around the nose, especially under the eyes, is also a side effect of surgery. The nose will be placed in a splint for additional support. The healing period following modern nose surgery is significantly shorter than older rhinoplasty techniques. Dr. Aston's patients have their cast removed the 4th or 5th day following surgery. The nose will look significantly improved when the bandage is removed although there will be swelling and possibly some bruising. Most patients return to school or work 1 week following surgery. Full athletic activities except for contact sports can be resumed in 3 weeks.

For more specifics on nasal surgery please click here for Dr. Aston's Mednet interview.

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Nose Surgery FAQs

Why Dr. Aston?

Preserving the architectural integrity of the nose is the state of the art principle in rhinoplasty. Many of the nose reshaping surgeries 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. Dr. Aston knows that it is important to maintain support of the nose in both the bony and the cartilaginous framework. This preserves the function of the nose and contributes to a very natural looking nose. Imagine if you renovated your home by removing supporting walls and columns. It might look like you want it, but the house will begin to collapse and leave you with a pile of rubble in a few years. When the original anatomy of the nose is lacking in architectural integrity, either from a congenital condition, trauma, or previous nose surgery, Dr. Aston will use his extensive knowledge of nasal architecture to rebuild the nose in order to establish proper function and improve appearance.

Your Initial Consultation?

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 in details the specifics of your anatomy and the procedure he will perform to best give you a nose that has an “un-operated,” natural appearance, functions well for breathing, and gives you the shortest recovery period possible. The policy of our office is to preserve patient confidentiality, but during your consultation, you will be able to view pre-operative and post-operative photographs of patients who have given us permission to show their photographs. It is also possible to morph photographs of you to give an indication of your post-operative result using imaging software.

Types of Rhinoplasty?

Nose reshaping surgery is a general term, but in order to give each patient their best results, Dr. Aston is experienced in many types of rhinoplasty. There is primary rhinoplasty, which is surgery to alter the appearance of a nose from the natural state. Revision rhinoplasty, also known as secondary rhinoplasty, is used to complete a primary rhinoplasty if the surgery needed to be performed in two or more stages. Revision rhinoplasty is also performed to make subtle or dramatic changes after a primary rhinoplasty creates unsatisfactory results.Choosing an experienced surgeon like Dr. Aston for revision rhinoplasty is very important since the altered state requires the surgeon to be more delicate and aware of the nasal support and framework. Another popular type of nose surgery is ethnic rhinoplasty (also called African American rhinoplasty, Asian rhinoplasty, and Hispanic rhinoplasty), which improves the appearance of the nose while preserving the heredity features that are important to the patient. Functional nasal surgery, like septoplasty (septum repair) and turbinectomy (turbinate reduction), may alter the appearance of the nose, but they are focused on improving the patient's breathing and nasal functions. This may correct a deviated septum or open the sinuses to stop snoring and sleep apnea.

Common Nose Concerns?

  • Nose size (too large or small)
  • Nose width ( too wide or too narrow at the bridge or nostrils)
  • Nose profile (visible humps or depressions)
  • Nose tip (enlarged/bulbous, drooping, upturned, hooked)
  • Nostrils (too wide, too large, upturned)
  • Nasal asymmetry
  • Facial balance

* All information subject to change.