What Is Rhinoplasty?

Rhinoplasty commonly referred to as a “nose job”, is one of the most popular cosmetic surgery procedures performed in the United States each year. Whether it is to reshape what nature provided, repair damage from an accident or injury, or alleviate structural issues that impede breathing, thousands of patients turn to rhinoplasty for relief every year.rhinoplasty-thumb

During a nose job procedure, nasal bones and cartilage are modified or removed and tissue is sometimes added, to reshape the structure of the nose. The skin of the nose remains unaltered. However, once the underlying bone structure is revised, the skin conforms to the new shape, resulting in an impressive final result.

What Does A Nose Job Procedure Involve?

As one of the premier rhinoplasty surgeons in New York City, Dr. Miller calls upon more than 20 years experience and incorporates a variety of techniques to achieve impeccable results that place the revised nose in harmony with the balance of the patient’s face. These include modifying nostril width, altering the angle between the nose and mouth, reshaping, reducing or enlarging the width of the nose, and reshaping the tip of the nose.

Every rhinoplasty patient is unique and so is the approach Dr. Miller takes in treating his nose job patients. Despite patient differences, rhinoplasty procedures follow a general format.

  • Initial Consultation

Every nose job starts with an initial office consultation with Dr. Miller. During this important first meeting, the patient’s concerns and expectations are fully discussed. Dr. Miller examines the patient’s nose and facial structure, and makes recommendations suitable for that patient. Dr. Miller also carefully explains any potential limitations suggested by the patient’s existing nasal structure and skin condition. Pre-operative photographs may also be taken at this time.

  • Virtual Surgery Session

During the initial consultation, Dr. Miller will digitally manipulate the patient’s photographs to demonstrate one or several post operative results. The goal of the virtual rhinoplasty surgery session in his NYC office is to create a unified vision of the intended results. This unified vision is a collaboration between the patient and Dr. Miller and dramatically increases the likelihood of patient satisfaction by clearly depicting visually both the patients’ and doctor’s goal.

  • The Prep

Approximately 10 days prior to the day of surgery, the patient returns to the office or engages in a video conference with the staff and Dr. Miller. During this time, the unified vision is once again confirmed, the preoperative plan established, medications prescribed, instructions provided, and all other administrative tasks accomplished. As such, on the day of surgery, the patient is free of all administrative tasks and can be as focused as possible on their recovery.

  • Day of Surgery

The patient arrives at Dr. Miller’s accredited, office-based surgical suite, and is prepped for the 1 to 2.5 hour outpatient procedure. The patient is sedated with either a general anesthesia or intravenous medication to ensure comfort throughout the procedure, and the procedure begins.

Depending on the shape and contours of the patient’s existing nose, Dr. Miller will perform either an open or closed rhinoplasty to access the interior nasal structure. In both open and closed rhinoplasties, incisions are hidden within the nostrils. In an open rhinoplasty, a small incision is also placed in the columella, the column between the nostrils.

Once the procedure is complete, the inside incisions are closed with dissolvable stitches, any outside incisions are closed with stitches finer than a strand of hair, nasal packing may be used to control bleeding, and a cast is placed on the nose to control swelling and provide support.

  • Post-Operative Care

Since a nose job is an outpatient procedure, patients can go home shortly after surgery. As moderate sedation or general anesthesia was administered, the patient cannot drive and must be accompanied by someone for the trip home and in the hours immediately following the procedure.

Even though there is usually not much post-operative pain associated with a nose job, pain medication will be prescribed and can be taken as needed. Swelling, stuffiness and bruising are typical in the first few days after surgery, but will clear up in a few weeks.

Patients usually return to work and daily activities within one week, but should refrain from rigorous physical activity for 3-4 weeks following the procedure. Throughout the recovery period, patients who wear glasses should avoid resting them on the bridge of the nose. Read post-op and recovery instructions offered by Dr. Miller.

What Are The Benefits Of Rhinoplasty?

No matter your reason for wanting a nose job, there are many benefits from rhinoplasty. Dr. Miller has helped thousands of patients improve their quality of life through rhinoplasty in NYC.

  • Get A Good Night’s Sleep

Your body needs 6-8 hours of restful sleep each night to maintain good health. Unfortunately, structural irregularities in your nasal cavity can cause excessive snoring, sleep apnea or other breathing difficulties, making a good night’s sleep just a dream. A nose job, combined with other procedures to reshape the inner nasal passageway, can help eliminate these common sleep problems.

  • Take A Breath of Fresh Air

For some people, the simple act of taking a deep breath through the nose is difficult or even impossible due to blockage in the nose, caused by a misshapen septum – the structure that separates the two nasal cavities. A qualified and skilled facial plastic surgeon can reshape the inner nose and correct these issues, allowing the patient to finally breathe normally.

  • Improve Your Self-Confidence

Your nose is the focal point of your face. If you are self-conscious about it, your overall confidence suffers. Getting a nose job can be the easiest way to boost your self-confidence and put your best face forward.

How Do I Know If a Nose Job Is Right For Me?

The decision to have a nose job is an important and very personal one. For patients who struggle with self-esteem or other difficulties due to the shape or size of their nose, rhinoplasty surgery can be a life-changing event.

The ideal rhinoplasty patient is healthy, at least 14 years of age and a non-smoker. More importantly, the ideal nose job candidate has realistic expectations about the final outcome. While rhinoplasty can improve one’s appearance in dramatic ways, there are still limitations. Open and clear communication between surgeon and patient, combined with a patient’s recognition of realistic outcomes, is the best combination to ensure satisfactory and appreciated results.

How Do I Find Out More About Rhinoplasty?
To learn more about rhinoplasty in NYC, please contact our office to set up your rhinoplasty consultation. You can fill out our convenient Contact Form or call us at (646) 791-3112. One of our Patient Advisers will be happy to get started on the road to a new you.

Additional resources:


Rhinoplasty GuideNose Plastic Surgery MenAsian Nose SurgeryNew Year ResolutionLiquid Rhinoplasty Treatment