The Most Frequently Asked Questions to Ask NYC Rhinoplasty Surgeon

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So you took the initiative and made the first step towards your facial transformation, your rhinoplasty consultation is booked! As it is understood, a rhinoplasty surgical procedure or alternative treatment is a very personal and customized process. Every patient needs to approach their potential rhinoplasty surgeon in NYC with realistic expectations and trust. Upon assessment, it is best you are prepared with questions and a basic knowledge of the journey you are about to embark on. Whether you are on a quest for more natural, subtle results vs. a dramatic change for aesthetic appeal, the most important aspect to consider is qualifying your board-certified, specialty facial plastic surgeon. Improving your appearance and boosting your confidence is the ultimate goal. You must be comfortable in the highly-skilled hands of the very best in the industry.

Here are some of the most frequently asked questions to ask your NYC rhinoplasty surgeon when choosing to find the best doctor for your nose job.

Are you board certified and if so, by what board?

The American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS) both are acceptable credentials. American Academy of Facial Plastic and Reconstructive Surgery (AAFRPS ) is the very best if you are seeking a surgeon for rhinoplasty. 

How experienced are you in performing rhinoplasties? (ie, how many have you done and for how many years have you done them?)

Rhinoplasty surgeons should have galleries of various types of before and after photos of their patients throughout the years. Each should be broken down by different techniques and specialty treatments to show the surgeon’s range and body of work.

What percentage of your practice is devoted to rhinoplasty? 

Due to the intensity of a potential rhinoplasty procedure it is important to check out the background and practice of the surgery center. Some practices only focus on rhinoplasty or overall facial rejuvenation/reconstruction, while others carry out a wide array of cosmetic enhancements or plastic surgery options.

What is your percentage of happy patients? Can I see before and after cases of noses similar to mine? Do you feel that you can create the type of nose that I have talked with you about? 

Again, successful results mean everything. You must inquire about testimonials and other visuals of satisfied clients who have undergone similar treatment plans.

How long do you spend performing a rhinoplasty like mine? 

Rhinoplasty takes about 2 hours to perform. However, there are certain cases that can take less or more time. This is based on the complexity of the case. Also, keep in mind each surgeon has a different operative tempo. The length of surgery depends on the experience of your surgeon, and the amount of work that may need to be performed. If rhinoplasty is combined with repair of the nasal valves, extensive grafting, or in conjunction with sinus surgery or other functional procedures, your proc dire may be longer. Revision rhinoplasty is nearly always longer due to the complex nature of revisional surgery.

What are potential complications and risks in a nose like mine? 

When considering any type of surgical procedure, it is important to understand the risks associated with the surgery. Rhinoplasty is one of the most common cosmetic surgeries performed each year, but it carries the same potential risks as all other operations. While achieving your aesthetic goals is ideal, maintaining your overall health should be the top priority of you and your surgeon. Although most rhinoplasty procedures are problem-free, patients should educate themselves on the potential side effects and risks of rhinoplasty, as well as their own personal risk factors. Discussing these risks with an experienced, board-certified surgeon is vital to ensuring a healthy outcome.

What type of rhinoplasty technique will you use for me? What percentage of your practice is open versus closed rhinoplasty? Can you use both techniques?

All rhinoplasty procedures are not created equal. This is to say that the procedure differs depending upon your needs as a patient. After the initial decision to undergo a rhinoplasty, the next step involves the help of your plastic surgeon to evaluate which type of rhinoplasty procedure is best for you.

There are five types of rhinoplasty procedures.

  • Closed Rhinoplasty
  • Open Rhinoplasty
  • Filler Rhinoplasty (Liquid)
  • Revision Rhinoplasty
  • Ethnic Rhinoplasty

What type of anesthesia do you use and why? 

Your options for anesthesia are:

1) Local:

You are fully awake and a local anesthetic is injected to numb the nose.

2) Local with sedation

You have been given a sedative in addition to the local anesthesia. Here you may wake up and fall back asleep at times during surgery, but you will not remember.

3) General

You are fully sedated such that your breathing has to be done for you via an endotracheal tube. You can choose any of these options based upon medical history, your comfort level, and your surgeon’s preference. Some aspects of rhinoplasty (such as cutting the nasal bones) can be uncomfortable for some patients. Know your pain/anxiety threshold! 

When should I expect to see the final result of the procedure?

Nearly all of our teen patients see a positive improvement the day of their “reveal”. Unrestricted physical activity may be resumed 21 days following your surgery. Follow up visits are then scheduled one month, three months, six months, and one year after your Rhinoplasty surgery. Around 80% of your swelling will dissipate the first month after your Rhinoplasty. The remaining 20% will resolve from the lower third of your nose over the course of a year

When can I resume exercise and physical activity?

Rhinoplasty surgery will be performed with general anesthetic, and your procedure will take around two hours. After recovering, you will be driven home and you will remain in your house, resting for a week. You
will not experience much pain after Rhinoplasty surgery: just congestion, bruising, swelling, and boredom. There is no nasal packing. This is a great week to catch up on studying, reading, movies, and music. Your first postoperative visit will be 7-8 days later, at which point your dressing will be removed, and normal social activities may be resumed with some artful concealer. Our staff will teach you how to camouflage bruising which will completely resolve within 3-4 weeks.

To schedule your rhinoplasty consultation in NYC with Dr. Philip Miller, please fill out the contact form to receive additional information. You may also call his office at (646) 791-3112 to speak to a Patient Advisor to learn more about a nose job procedure.

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