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Mini-Documentary: An Actual Patient's Journey
to The Perfect Nose

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NYC Rhinoplasty Specialist

Rhinoplasty is Dr. Morin’s greatest passion. He is very experienced in techniques that aim to best match your nose to other facial features while avoiding an unnatural look. He often operates on patients who fly to his NYC office from other states and countries for nose surgery.

Dr. Morin recently introduced Ultrasound Rhinoplasty to his practice. This method involves sculpting the nasal bones using ultrasonic tools, as opposed to conventional methods of breaking the nose’s natural structure which can lead to complications such as secondary fractures and nasal irregularities. Additional benefits to this procedure include: shorter recovery time, diminished bruising and precise asymmetry correction.

Dr. Morin Featured on the Dr. Oz show

Rhinoplasty is arguably the most challenging, but also one of the most effective and life-altering procedures in plastic surgery. A properly performed rhinoplasty has the ability to improve a person’s facial harmony and to correct deformities.

In NYC, rhinoplasty is often performed for both functional and cosmetic concerns. Function is always analyzed during your initial consultation with Dr. Morin and if nasal airway problems are detected, they can be corrected during surgery. One of the most common causes of nasal airway obstruction is a deviated septum, which can be corrected by performing a septoplasty.

Common cosmetic concerns include nasal bumps, large nasal tips, large or wide noses and crooked or deviated noses. The following photographs of actual patients demonstrate these common cosmetic concerns and the postoperative photographs show the result Dr. Morin was able to achieve by performing a variety of rhinoplasty techniques.

 

before - iconFront view female patient before nose surgery
after - iconFront view female patient after nose surgery

Surgical correction of her long deviated nose, dorsal hump and hanging columella was performed.

before - iconPhoto female patient before nose surgery
after - iconPhoto female patient after nose surgery

Complete Rhinoplasty

Most people have a combination of deformities that contribute to a distracting nose. In these two patients almost all of the deformities that will be discussed below in detail can be seen. In these cases, a complete rhinoplasty is necessary in order to create an aesthetically pleasing nose.
These pictures demonstrate how powerful a properly performed rhinoplasty can be when attempting to improve the cosmetic appearance of one’s face.

before - iconImage female patient before rhinoplasty
after - iconImage female patient after rhinoplasty

Surgical correction of her dorsal hump, hanging columella and bulbous tip was performed.

Nasal tip surgery (tip definition)

The tip of the nose is made up of several different cartilage structures that provide shape and support. Many different deformities can exist in the nasal tip. The most common deformity results from an excess of cartilage that creates a large ball-like appearance known as a bulbous tip. Removal of this excess cartilage is usually combined with different suture techniques to create a smaller and better defined tip. Flat nasal tips can be lifted by adding support and projection from below. Nasal tip deformities and asymmetries can be corrected with suture techniques or by placing cartilage grafts beneath the nasal tip skin. All of these techniques are used to create a more attractive nose.

before - iconPhoto female patient before nose job
after - iconPhoto female patient after nose job

Surgical correction of her bulbous tip, wide nasal dorsum and dorsal hump was performed.

Nasal width reduction (narrowing rhinoplasty)

The nose can be narrowed in several ways. By removing excess cartilage and properly defining the tip, the lower part of the nose can be narrowed. In order to narrow the upper part of the nose, the nasal bones must be repositioned closer together. As you can see in these before and after pictures, the combination of these techniques can have an impressive result.

before - iconSide view male patient before rhinoplasty
after - iconSide view male patient after rhinoplasty

This patient’s nasal airway was opened by straightening his severely deviated septum.

Nasal bump surgery (dorsal hump reduction)

One of the most common reasons people decide to undergo nasal surgery is in order to reduce the bump on the top of their nose. This bump is made up of both bone and cartilage. In order to smooth out the bump, both bone and cartilage must be removed. Once these structures are surgically lowered to the correct level, the top of the nose becomes flat and smooth.

before - iconFemale patient - photo before rhinoplasty
after - iconFemale patient - photo after rhinoplasty

This patient had a severe septal deformity. An open rhinoplasty and an extracorporeal septoplasty was performed.

Nasal straightening (correction of nasal deviation)

Straitening a crooked or deviated nose can be challenging. Several techniques exist and the technique used depends on the cause of the deformity. At times, the only way to properly straighten a nose is to remove the entire septum, straighten it, and then replace it in its proper anatomic position. This procedure is called an extracorporeal septoplasty and Dr. Morin is one of the few surgeons in the world who performs this highly complex procedure. The patient in the photographs above had an extracorporeal septoplasty in order to correct her severely deviated nose.

When choosing a rhinoplasty surgeon it is important to keep several things in mind. First, your surgeon should be board certified by the American Board of Plastic Surgery. Second, your surgeon should have an artistic eye and thoroughly understand nasal anatomy and function. He or she should also be capable of critical analysis of nasal deformities and have the ability to create a logical operative plan that will satisfy your goals and desires. Finally, your surgeon should have a significant amount of experience operating on the nose. Dr. Morin has all of these characteristics and would be happy to discuss how he can help you in either his Manhattan NYC office or his Hackensack New Jersey office.

Rhinoplasty

How to find the best rhinoplasty surgeon in NYC?

The word “best” is at best subjective and at worst misleading. The reason is, there is no way to universally define “the best” of anything. This is especially true when it comes to healthcare, specifically doctors and surgeons. People like to say that they know the best doctor for whatever problem you are looking to address, but how did they come to that conclusion. In addition, magazines like to define doctors as “the best,” but if you look closely at how they come to their conclusions, you will find that their methods are severely flawed. So that leaves you with the question, “how do I find the best rhinoplasty surgeon for me in NYC?”

Here are a few suggestions to help you find the best rhinoplasty surgeon for you in New York City. The absolute best way to find a rhinoplasty surgeon is to speak with a trusted friend or family member that had a successful rhinoplasty experience with a board certified plastic surgeon. That, however, is not always an option. So if you’re doing research on your own, here is some advice. Start with an internet search. Surgeons whose practices focus on rhinoplasty will have relevant content that Google will discover. Once you have identified a number of surgeons who perform rhinoplasty, look at their websites and specifically look at their before and after pictures. Do you like their results? If you do, then dig deeper. Are they board certified by the American Board of Plastic Surgery? And equally important, are they a member of the Rhinoplasty Society? The Rhinoplasty Society has strict criteria for membership. Therefore, only board certified surgeons who perform many rhinoplasties every year can be members. You should only consider surgeons who do many rhinoplasties per year. Rhinoplasty is arguably the most difficult surgery in plastic surgery. Therefore, if a surgeon does not perform rhinoplasty all the time, you should go to someone who does.

Finally, select three surgeon you like based on what you see on the internet and meet with them in person. Talk to them about your concerns and ask them questions. For example, don’t be afraid to ask them “how many rhinoplasty surgeries do you perform every year?” After meeting with three surgeons, decide who you feel the most comfortable with and move forward with that surgeon. Remember, rhinoplasty surgery is difficult and you only want to do it once. Be smart about choosing who you trust to help you with your nose concerns. And seriously question people and magazines when they make statements about “the best rhinoplasty surgeon in NYC.” You will be surprised when you find out the method they used to come to that conclusion.”

What can rhinoplasty do for me?

Rhinoplasty is an excellent procedure for achieving the following:

  • Balance the size of the nose with the rest of the face
  • Modify the width of the nose
  • Improve the nasal profile, including removing humps or depressions
  • Improve the appearance of a nasal tip that is too large, “boxy,” drooping or upturned
  • Change the angle between the nose and the mouth
  • Narrow and reshape the nostrils
  • Correct asymmetries or deviation

Am I a good candidate for rhinoplasty?

The best candidates for rhinoplasty:

  • Are at least 15 years old;
  • Are generally healthy;
  • Do not smoke;
  • Are seeking rhinoplasty for personal reasons, not pressure from others; and
  • Have realistic goals for the procedure.

Ideal Candidate For A Nose Job

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How is the procedure performed?

A rhinoplasty is performed under general anesthesia in an outpatient setting. The procedure lasts between one and three hours depending on the complexity of the deformity.

Plastic surgeons use one of two general techniques when performing a rhinoplasty. The procedure can either be performed “open” or “closed.” In an open rhinoplasty, an incision is made across the columella, the tissue between the nostrils. In a closed rhinoplasty, incisions are made only within the nostrils, not on the skin. In both methods, the surgeon gently elevates the soft tissue covering the nose. The surgeon then sculpts both the bone and cartilage in order to create a more ideal shape. There is much debate concerning which technique is better. Dr. Morin believes that both techniques are useful in different situations and will discuss which technique is best for you based on your anatomy and personal preference.

What is the recovery from nose surgery like?

After surgery, patients may experience mild pain, swelling and bruising. The pain and bruising subside relatively quickly. The swelling, however, can last a while. Depending on whether an open or a closed procedure was performed, a small amount of swelling can last approximately six months.

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Will I like the results of my nose surgery?

Patients with realistic goals for rhinoplasty are generally very happy with the new shape of their nose. The exact results depend on many factors including the nasal bone and cartilage structure, facial shape, skin thickness and age.

What are the possible risks of rhinoplasty?

Complications are rare but they can occur. The most common complications include bleeding, infection and minor contour irregularities.

What is revision rhinoplasty?

A revision or secondary rhinoplasty corrects deformities either caused by or acquired since a previous operation on the nose. It is a more difficult procedure to perform than a primary rhinoplasty because there is usually less cartilage to work with and the soft tissue is no longer normal. However, skilled plastic surgeons can usually improve both the appearance and function of the most complicated noses.

Click here to view this procedure in the Photo Gallery »

FAQS

What is rhinoplasty?

Rhinoplasty, which is also referred to as a nose job, is a plastic surgery procedure that improves the shape of the nose by correcting and restructuring the underlying nasal structures. The surgery may also correct nasal breathing difficulties. Rhinoplasty is most often performed by a plastic surgeon who specializes in surgeries of the nose, an otolaryngologist or a maxillofacial surgeon.

Rhinoplasty can be performed on individuals who are unhappy with the appearance of their nose or those who have suffered from trauma or injury (e.g. car accidents, skin cancer) that requires reconstruction of the nose to restore normal appearance. Rhinoplasty also plays an important role in treating patients who suffer from congenital defects such as cleft palate.

What can be achieved through rhinoplasty?

Rhinoplasty is one of the most commonly performed plastic surgeries in the United States today. It can be used to address a wide variety of nasal complaints and defects. Some of the most popular reasons people seek a rhinoplasty are to:

  • Eliminate or reduce a nasal hump
  • Correct a drooping nasal tip
  • Correct over-rotation of the nasal tip
  • Address asymmetries
  • Smooth out bumps and lumps
  • Change the size or shape of the nostrils
What is the difference between open and closed rhinoplasty?

During rhinoplasty, the surgeon can access the underlying nasal framework in two ways – through the nostrils (a closed rhinoplasty) or by separating the nasal skin from the underlying structures (an open rhinoplasty). Neither method in itself is superior, but some doctors have a preference towards an open or closed approach. In most cases, when major changes are being made, an open rhinoplasty provides the doctor with better access to the nasal structures and a clearer view.

Will there be a visible scar after my rhinoplasty?

There is no risk of scarring associated with a closed rhinoplasty. In an open rhinoplasty, a tiny incision is made across the columella, the strip of skin that separates the two nostrils. In most cases, the scar left from this incision is barely visible to the naked eye, especially when a skilled surgeon performs the procedure.

Can rhinoplasty correct breathing problems?

Yes. It is quite common for a plastic surgeon to correct problems in the underlying nasal framework in order to restore proper nasal function. In some cases, a problem in the nasal structure is responsible for both a physical and functional defect.

Will my health insurance cover my rhinoplasty?

Rhinoplasty that is performed to address solely cosmetic complaints is rarely covered by insurance; however, insurance may cover a portion of the surgery if it is performed to correct a breathing problem.

How old must I be to undergo rhinoplasty?

Rhinoplasty can be performed on teenagers after their noses have reached full adult size. This usually occurs around the age of 16 in females and around 18 in males. It is also important that the patient is emotionally mature enough to handle the demands of the surgery and recovery period.

How much does rhinoplasty cost?

The cost of rhinoplasty varies based upon the type of rhinoplasty being performed, extent of revisions required, experience and skill level of the surgeon, and the geographical location of the practice. Dr. Morin is able to provide his patients with a detailed quote after their initial consultation.

How should I prepare for rhinoplasty?

Dr. Morin provides his patients with detailed instructions to follow in the weeks and days leading up to their surgery. This includes the cessation of any medications that are known to increase bleeding. Patients who smoke cigarcigarettes will need to quit before their surgery. Most patients will need to undergo certain blood tests as well. We recommend that patients maintain a healthy lifestyle and get plenty of rest before surgery to support the recovery process.

How long does the surgery last?

On average, the surgery takes about two to three hours to perform. Depending on the changes being made, it can take more or less time.

What type of anesthesia is used during rhinoplasty?

Rhinoplasty is typically performed under general anesthesia. An anesthesiologist administers the drugs and stays the patient throughout the surgery to monitor his or her well-being.

Will I need to stay in the hospital overnight?

Rhinoplasty is usually performed as an outpatient surgery, so you should be able to return home on the same day as your surgery.

What should I expect during the recovery from rhinoplasty?

You will leave the surgical center with a splint on your nose. This remains in place for one week and protects the nose during the initial recovery phase. Most patients report that their recovery from rhinoplasty is uncomfortable, rather than painful. It is important that you give your body the time it needs to heal properly, so you should expect to spend the first week recovering at home and taking it easy. Office workers are usually able to return to work after one week, but those with more strenuous jobs may need to wait another week or two before returning.

Dr. Morin provides his patients with detailed instructions to follow during their recovery period. You can help ensure a satisfactory outcome and comfortable recovery by adhering to your post-operative care instructions.

How long will bruising and swelling last? When can I go out in public?

About half of all rhinoplasty patients have some amount of bruising after rhinoplasty and nearly all patients experience swelling. Within the first week, most of the swelling and bruising will have dissipated and you should be able to cover any lingering bruising with makeup; however, it can take up to one year for swelling to completely disappear and for the nose to take on its final shape and position. Most of our patients are comfortable appearing in public within one week to show off their new nose.

How does ethnic rhinoplasty differ from traditional rhinoplasty?

Ethnic rhinoplasty refers to a rhinoplasty performed on people of non-Caucasian descent. Surgeons who perform ethnic rhinoplasty must take the patient’s unique heritage into account to shape a nose that looks natural on their face. Not all surgeons are able to perform ethnic rhinoplasty, so it is important to find a surgeon who is experienced in performing rhinoplasty of patients who are similar to you.

What is septoplasty?

Septoplasty is the name of the surgery performed to correct a deviated septum and thereby restore proper nasal function.

Can cosmetic alterations be made during septoplasty?

Yes. In some cases, patients wish to make cosmetic changes to their nose while a deviated septum is being corrected. The name of this surgery is septorhinoplasty.

Does health insurance cover septoplasty?

Most insurance policies cover septoplasty, provided that a doctor has deemed the surgery medically necessary. Patients who choose to undergo septorhinoplasty can expect to have a portion of their surgery paid for by insurance, but will likely need to cover the cost of any cosmetic changes being made.

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