Rhinoplasty FAQs (Part 1)

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Rhinoplasty FAQs (Part 1)

Dr. Azhar Ali is a prominent board certified plastic surgeon in the West Bloomfield, Michigan area, with decades of experience and a host of satisfied patients. With over 20 years of experience and extensive training, Dr. Ali is a Fellow in the American College of Surgeons, and has been rated Top Doc by Hour Detroit Magazine multiple years in a row.

In this three-part article, Dr. Ali answers patients most frequently asked questions about rhinoplasty – discussing rhinoplasty from start to finish, including what it is, how it’s done, and what you should consider before having the procedure.

What is rhinoplasty?

Rhinoplasty, sometimes called a “nose job,” is a surgical procedure that reshapes the nose. It may be performed either for cosmetic reasons or to correct functional problems with the nose. Rhinoplasty is one of the more complicated facial surgeries, because it can include reshaping or removing portions of the bone or cartilage, reshaping or narrowing the bridge of the nose, re-sculpting the tip of the nose, or altering and improving the overall appearance of the nostrils.

What should I look for in a rhinoplasty surgeon?

As mentioned above, rhinoplasties are extremely complex in terms of facial surgeries. Each procedure must be customized to the individual – one nose does not fit all. You will want to find a plastic surgeon with high level skills and considerable experience in performing rhinoplasties. If the nose job is not done well, your nose could end up to be crooked or misshapen, the structure of the nose could actually collapse, and a host of other issues.

There is a lot to consider when reshaping a nose. Of course, the overall function is most important. But the appearance is important as well. You will want the result to be balanced with your unique facial features, rather than just picking someone else’s nose that you like from a magazine photo. Dr. Ali takes all of these factors into consideration, as well as your goals. That’s one of the many reasons he is considered one of the top rhinoplasty surgeons in the West Bloomfield, Michigan area.

Will insurance cover a rhinoplasty procedure?

It depends. If your rhinoplasty is intended to correct breathing dysfunction, most insurances will pay at least for a portion of the surgery. However, if you are having a nose job purely for cosmetic reasons, health insurance plans will not pay for it.

Can rhinoplasty fix the shape of my nose?

Rhinoplasty can correct virtually any structural issue concerning the nose, including crooked noses, noses with a bulbous or droopy tip, one that is too pointy or not pointy enough, lumps, humps or bumps on the bridge, a flattened bridge, misshapen nostrils, or a nose that has been broken or damaged in an accident.

How old do you have to be to get rhinoplasty?

Rhinoplasty should not be performed on a nose that is still growing. Generally around the age of fourteen for girls and slightly older for boys, nose growth has stopped. Beyond that factor, there are no age restrictions for getting a nose job.

What happens during a rhinoplasty consultation?

Dr. Ali will want to be sure you are healthy enough to undergo facial surgery – some physical conditions or illnesses can increase the risk of complications. A complete health history is taken, including whether you have sustained any type of injury to the nose, what medications you are taking, and what illnesses or health conditions you may have, including allergies.

Then, Dr. Ali will perform a complete examination of your nose, its structure, your facial features and proportions. He will take digital photographs of your face in order to assist him to evaluate what alterations will be most attractive and enhance your unique facial characteristics.

He will spend time answering all of your questions and concerns about the surgery and recovery time, and will provide you with materials to help you understand what to expect.

CLICK HERE FOR PART 2 OF RHINOPLASTY FAQS

 

Top Rhinoplasty Surgeon – West Bloomfield Area

Even small changes to your nose can make a large difference in how your nose looks, how it works, and how you feel about your overall appearance. West Bloomfield area board certified rhinoplasty surgeon Dr. Ali is committed to working closely with you from start to finish to get the results that you will love.

When planning your nose job, Dr. Ali can evaluate your other facial features and help you understand how changes to your nose could enhance or affect your overall appearance. He will then work with you to customize a rhinoplasty surgical plan that will best meet your appearance goals.

West Bloomfield Area Rhinoplasty Consultation: 248-335-7200

 

Rhinoplasty FAQs (Part 2)

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Rhinoplasty FAQs (Part 2)

Dr. Azhar Ali is a prominent board certified plastic surgeon in the West Bloomfield, Michigan area, with decades of experience and a host of satisfied patients. Dr. Ali is a Fellow in the American College of Surgeons, and has been rated Top Doc by Hour Detroit Magazine multiple years in a row.

In this second section of a two-part article, Dr. Ali further discusses questions you may have about a rhinoplasty procedure, including what you might expect in terms of preparation and recovery.

CLICK HERE FOR PART 1 OF RHINOPLASTY FAQS

While this article answers some questions, no doubt you have more. Rhinoplasty is complicated, and the results will be evident for all to see. Therefore, it is important to select a surgeon in whom you have confidence, who will take the time needed to put you at ease, and with whom you feel completely comfortable. If you are in the greater West Bloomfield, Michigan area and are considering rhinoplasty, schedule a consultation with Dr. Ali to discuss your unique situation.

What do I need to do to prepare for rhinoplasty surgery?

In an extensive appointment before your rhinoplasty procedure, Dr. Ali will discuss in detail exactly what you can expect from your surgery. He will tell you what he believes will be the best methods that will most likely give you the results you desire. He will then tell you exactly what to do to prepare for your surgery. Some common instructions include the following:

Some medications such as aspirin and ibuprofen inhibit blood clotting or increase the risk of postoperative bleeding. You will need to stop taking these prior to the surgery.
If you are a smoker, you will need to stop at least a month before your surgery and plan on remaining smoke-free until at least a month afterward. Smoking can inhibit the healing process, which lengthens your recovery time. In fact, you might consider using your rhinoplasty procedure as an excuse to quit smoking altogether.

What can I expect during rhinoplasty recovery period?

Before you leave the facility, Dr. Ali will provide you with clear, detailed aftercare instructions for you to follow, covering such things as wound care and pain management. It is important to follow the instructions carefully and completely.

Surprisingly, the normal recovery period is not as hard as you might think. Most patients describe feeling like they have a stuffy nose or sinus headache. You should expect some swelling of your nose underneath your bandages, and perhaps some bruising under your eyes. These usually disappear within a week or so.

What happens during the rhinoplasty procedure?

You will be placed under either a local anesthesia and intravenous sedation or a general anesthesia. Depending upon the extent of the procedure, Dr. Ali will either make an incision within your nostrils (closed rhinoplasty) or in the strip of cartilage and tissue that is located between your nostrils (the columella). This is called an open rhinoplasty, and provides greater access to the inner structures of the nose. Once the incision is healed, it is virtually invisible.

Dr. Ali will then remove excess cartilage, restructure the nasal bone, and correct any defects that are present that interfere with nasal function (such as a deviated septum). If your nostrils need to be reshaped, Dr. Ali will take care of it during the same procedure. Depending on the complexity, the surgery will usually take about three to four hours from start to finish.

What will my first few days at home after rhinoplasty be like?

You will need to have someone drive you home from your surgery since you will have been under anesthesia. You may experience some drowsiness and lightheadedness.

While you’re at it, see if your friend or family member can stay with you for the first night or so. You will likely be very tired and will just want to rest. So having someone help with meals and taking care of the children if you have them is extremely helpful.

For the couple of weeks, you’ll want to keep your head elevated, including during sleep. This helps the healing process. And of course, it is important to avoid any contact with your nose so it can heal properly.

And speaking of children, if you do have them, it’s important that they keep their distance – since you will be out of commission for a while, it’s natural for them to want hugs and reassurance. But be careful – you don’t want your nose to be jarred or bumped!

CLICK HERE FOR PART 3 OF RHINOPLASTY FAQS

Rhinoplasty Surgery – West Bloomfield Area

Even small changes to your nose, when done by an experienced, skilled and artistic rhinoplasty surgeon,  can make a large difference in how you look – as well as how your nose works, and how you feel about your overall appearance. West Bloomfield area board certified plastic surgeon Dr. Ali is committed to working closely with you from start to finish to get the life-changing results that you will be thrilled with.

When planning your rhinoplasty surgery, West Bloomfield area surgeon Dr. Ali can evaluate your other facial features and tell you how any changes to your nose could enhance or affect your overall appearance. He will then work with you to customize a surgical plan that will best meet your appearance goals – for a better, more beautiful version of you!

West Bloomfield Area Rhinoplasty Consultation: 248-335-7200

Rhinoplasty FAQs (Part 3)

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Rhinoplasty FAQs (Part 3)

Dr. Azhar Ali is a prominent Oakland County board certified plastic surgeon, with decades of experience and more than a thousand of satisfied patients.

In this third section of a three-part article, Dr. Ali further discusses questions you may have about a rhinoplasty procedure, including what you might expect in terms of recovery.

While this article answers some questions, no doubt you have more. Rhinoplasty is complicated, and the results will be evident for all to see. Therefore, it is important to select a surgeon in whom you have confidence, who will take the time needed to put you at ease, and with whom you feel completely comfortable. If you are in the Macomb or Oakland County area and are considering rhinoplasty, schedule a consultation with Dr. Ali to discuss your unique situation.

CLICK HERE FOR PART 2 OF RHINOPLASTY FAQS

What follow-up care can I expect after my rhinoplasty?

A follow-up appointment will be scheduled for you for about a week after the surgery. Dr. Ali will evaluate your nose to ensure that it is healing properly. Assuming everything is as expected, your stitches will be removed at that time.

One of the most important things that we do is to carefully monitor the healing progress of each and every one of our patients. If you have any concerns at all as you recover, we are always available to answer questions.

How soon can I go back to work after my rhinoplasty surgery?

For at least the first week after your procedure, your job is to rest and relax in order to minimize bruising and swelling, and to encourage a speedy healing process. If you have a desk job or something fairly sedentary, you could return to work after the bandages are removed (usually a week after surgery).

However, if your job requires any type of physical exertion, you may need a minimum of two to three additional weeks of recovery. Whatever job you have, you should avoid exercise or physical exertion for at least a month after the procedure. Physical exertion tends to increase swelling, and thus makes the road to full recovery longer.

In terms of planning though, most patients feel comfortable returning to work after one to two weeks. Of course, every case is different, and everyone heals at a different rate. So it’s best to plan on the longer period of time just in case.

How long will it be before my nose is completely normal?

Complete healing takes time, and patience is required. For the most part, your nose will appear to be “normal” after a few weeks. However, it is not uncommon for some swelling to continue up to a year or even longer.

This residual swelling is caused by your body’s natural response to the surgery, and is called edema, where watery fluid collects in the tissues. This generally resolves itself in the first month, and in almost all cases it is resolved in about six months. The good news is, you are likely the only one who will notice the residual swelling should it occur.

One of the most gratifying comments we receive at our Oakland County plastic surgery practice is how much better our patients feel about themselves after rhinoplasty. They report increased self-confidence and enjoy the image they see in the mirror to a much greater extent.

Many report improved breathing function, and even that they sleep better now that their breathing is less constricted. In short, a rhinoplasty can be life changing. If you live in Oakland County or the greater Detroit area and are considering rhinoplasty, give us a call to schedule an appointment with Dr. Ali to discuss what options may be available to you.

Top Rhinoplasty Surgeon – Oakland County

Even small changes to your nose can make a large difference in how your nose looks, how it works, and how you feel about your overall appearance. Oakland County area board certified plastic surgeon Dr. Ali is committed to working closely with you from start to finish to get the results that you will be satisfied with.

When planning your nose job, Dr. Ali can evaluate your other facial features and tell you how any changes to your nose could enhance or affect your overall appearance. He will then work with you to customize a surgical plan that will best meet your appearance goals.

Oakland County Rhinoplasty Consultation: 248-335-7200

 

nose job surgery troy mi

Nose Job Surgery from Start to Finish

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Nose Job Surgery from Start to Finish

Top Troy, MI area board certified plastic surgeon Dr. Ali has helped hundreds of men and women get the nose they have always dreamed of with nose job surgery. In this article he explains the nose job (“rhinoplasty”) surgical process from start to finish.

Anesthetic Used for Nose Jobs

Rhinoplasty will be performed under either a local anesthesia with sedation or general anesthesia, depending on the complexity of your surgery and the preference of your surgeon.

A local anesthesia with sedation is usually used in an outpatient setting. Your doctor injects a pain-numbing medication into your nasal tissues, and sedates you with medication that is injected intravenously. You will be groggy, but may not be fully asleep.

If your surgery is more extensive, Dr. Ali may elect to place you under a general anesthetic. The anesthetic is generally given intravenously, and will affect your entire body. You will be unconscious during the surgery, and may be given a breathing tube.

Types of Nose Job Surgery

Nose jobs can be done in one of two ways: using either an “open” surgical procedure, or a “closed” surgical procedure. Both of these methods involve an incision made inside the nostril.

In addition to the internal incision, the open rhinoplasty approach adds an additional, small incision on the undersurface of the tissue that divides the nostrils. The skin of the nose is then “undraped,” or peeled back to expose the inner structures of the nose. This method allows the surgeon to do major changes to the nose more readily when major reconstruction is necessary. It is usually preferred if your nose has been previously operated on, or if it has a more difficult anatomy. There will be a slight yet permanent scar in an open rhinoplasty.

With closed rhinoplasty, on the other hand, all of the incisions are made inside the nose, which means there are no external cuts and no risk of scarring. The nose is shaped and sculpted through these internal incisions and is therefore only suitable for more subtle changes.

The Nose Job Surgery

During the operation, the surgeon will reshape the inner bone and cartilage to produce the results you and he have discussed. For small changes, he may use cartilage taken from deeper inside your nose or from your ear. For larger changes, cartilage may be taken from a rib or bone from another part of your body.

If the septum (wall) between the nostrils is bent or crooked (deviated), Dr. Ali will also perform the necessary alterations to improve your ability to breathe.

After the desired changes have been made, Dr. Ali places the nose’s skin and tissue back where they belong, and stitches them in place. He will place a splint to your nose for protection and support, and will place internal dressings inside your nose that will remain in place for a few days after the surgery.

After the surgery, you will be taken to the recovery room, where you will be monitored carefully until you have fully awakened. Nose jobs surgery is almost always done on an outpatient basis, which means there is no overnight stay.

Top Nose Job Surgery – Troy, MI Area

Even small changes to your nose can make a large difference in how your nose looks, how it works, and how you feel about your overall appearance. Dr. Ali is committed to working closely with you from start to finish to get the results that both of you will be satisfied with.

When planning your nose job, Dr. Ali can evaluate your other facial features and tell you how any changes to your nose could enhance or affect your overall appearance. He will then work with you to customize a surgical plan that will best meet your appearance goals.

Troy, Mi Area Nose Job Surgery Consultation:248-335-7200

nose job surgery

What to Expect Before and After a Nose Job

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What to Expect Before and After a Nose Job

Top Macomb County board certified plastic surgeon Dr. Ali has helped hundreds of men and women get the nose they have always dreamed of with nose job surgery. In this article he explains what to expect before and after getting a nose job.

The Consultation Prior to Scheduling Your Nose Job

The first step in the rhinoplasty process for prospective patients begins in the office of an experienced and qualified plastic surgeon for a thorough consultation. Dr. Ali is a board certified plastic surgeon in Macomb County, a member of the American Society of Plastic Surgeons, and a Fellow in the American College of Surgeons, with extensive experience performing cosmetic and reconstructive surgeries, including hundreds of nose jobs.

At your initial consultation, photographs will be taken, and you will have a chance to discuss any concerns you have and exactly what issues you would like the surgery to address. Dr. Ali will also examine your nasal structure for breathing issues. You may be shown a variety of before and after photos for noses that are similar in size and shape to yours, to give you a realistic idea of what is possible.

Preparing Before your Nose Job

Once you have decided and a surgical date is set, it’s time to begin preparations. Like any surgical procedure, preparation is vital to ensure a smooth surgery and recovery. Generally, you will be advised to avoid caffeine, alcohol, certain medications and smoking for up to one month prior to surgery. You may also be given prescriptions for medications that will help decrease post-operative bruising and pain. Because aspirin and ibuprofen can increase bleeding, you should avoid taking any product containing these products for at least two weeks prior to, and two weeks following your surgery.

Arranging for Help Following your Nose Job

Rhinoplasty is usually performed on an outpatient basis, which means you will go home after a short stay in recovery. You will need to have someone available who can drive you home after your surgery, and it is a good idea for you to arrange for someone to stay with you at least for the first night. Many patients experience minor, short term memory lapses, slowed reaction time and impaired judgment for the first day after the surgery. That’s why it’s helpful to have someone assist you with personal care tasks for the first day or so, until you begin to get back to normal.

Recovery & Downtime After Your Nose Job

After the surgery, you will need to rest in bed with your head elevated higher than your chest, to help reduce bleeding and swelling. You may notice that your nose feels congested because of the swelling, and the splints that you received during surgery may be uncomfortable. It is common to have some slight bleeding and drainage for a few days after the surgery or after removing the dressing.

You should plan on taking at least a week off of work, and depending on the extent of the surgery, possibly even more. You will be sent home with a splint that will be removed after around five to six days, and at that point, you will likely feel comfortable going out in public. During that first week, you will feel progressively better, and usually after the first week, people usually feel pretty much like themselves again. Your actual recovery will depend largely on the type of surgery you have.

Side Effects of a Nose Job

Temporary black-and-blue discoloration of your eyelids may or may not occur for the first week or two following nasal surgery. Everyone bruises and heals differently – and some no jobs are more extensive than others – so individual bruising (if any) varies from patient to patient. After the first few days, any bruising can generally be covered successfully with concealer if desired.

Some swelling will also likely occur. Many patients find that limiting dietary sodium will help the swelling to resolve more quickly. Although there will likely be at least some amount of swelling and bruising after the surgery, pain following rhinoplasty varies from patient to patient. Many patents find that any discomfort can be managed very well with over-the-counter-medications – however Dr. Ali will prescribe stronger medications if necessary to make your recovery as pain-free as possible.

You will be given thorough post-operative instructions. Following these carefully will ensure that your recovery period progresses as quickly and comfortably as possible.

Continued Recovery Following your Nose Job

Though the visible effects of surgery disappear fairly quickly, healing on the inside takes quite a while longer. As a matter of fact, depending on the type and extent of rhinoplasty surgery you have, internal healing can continue for a year or eve longer. This is because the skin has to shrink to fit the new framework. It can take up to a year for the inside of the bridge to heal, and even longer for the tip.

You may be told to avoid strenuous activities for a period of time after surgery. Dr. Ali will tell you when it’s safe to resume activities such as swimming, aerobics or jogging. Take this time to explore another form of exercise that is less strenuous, such as yoga or Pilates, or simply taking walks.

Top Nose Job Surgery – Macomb County

Even small changes to your nose can make a large difference in how your nose looks, how it works, and how you feel about your overall appearance. Dr. Ali is committed to working closely with you from start to finish to get the results that you will be 100% satisfied with.

When planning your nose job, Dr. Ali can evaluate your other facial features and tell you how any changes to your nose could enhance or affect your overall appearance. He will then work with you to customize a surgical plan that will best meet your appearance goals.

Macomb County Nose Job Surgery Consultation:248-335-7200

nose job surgery detroit

What You Need to Know About Nose Job Surgery

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What You Need to Know About Nose Job Surgery –

A nose job – medically called rhinoplasty – is a common and safe surgery performed by a board certified plastic surgeon to alter the size or shape of the nose, or to improve its function.

Board certified Macomb County plastic surgeon Dr. Ali has performed rhinoplasty on hundreds of women and men with outstanding results. In this article Dr. Ali explains rhinoplasty surgery from start to finish – and breaks down everything you’ve ever wanted to know about a nose job.

What is a Nose Job?

If you are thinking about a permanent way to transform the shape, size, or appearance of your nose, you have plenty of company. In fact, according to a 2017 report issued by the American Society of Plastic Surgeons, rhinoplasty is the third most popular cosmetic surgery, with over 200,000 recipients. Nose jobs can be for medical reasons, such as to correct breathing problems related to the nose or to correct disfigurement that results from birth defects or birth trauma. Or, nose jobs can be performed purely for cosmetic reasons.

Who Might Benefit from a Nose Job?

There are several conditions that might prompt someone to consider a nose job, such as:

  • The presence of a dorsal hump: A bump at the bridge of the nose
  • The width of the nose: A nose that is either too wide or too narrow
  • Asymmetry: A nose that is twisted or deviated
  • Prominent nasal tip: A nasal tip that is not in proportion to the rest of the face, that may be rounded or bulbous in appearance.
  • “Drooping” nasal tip: The end of the nose dips so that the angle between the upper lip and the end of the nose is less than 90 degrees
  • Post-traumatic deformities: The shape of the nose was altered after injury, such as a broken nose
  • Nasal airway issues: Internal valve collapse or deviated septum

The ideal rhinoplasty patient will be someone who has generally stopped growing (usually 15 years of age or older), who is emotionally mature enough to understand the implications, risks and purpose of the surgery, and who has realistic expectations of what rhinoplasty can (and can’t) do. You should be in good general health, and ideally, a nonsmoker (or willing and able to give up smoking for a period of time prior to and after the surgery).

Is a Nose Job Right for Me?

Rhinoplasty is major surgery. With any major surgery, there are risks that need to be balanced out against the benefits. Your initial consultation with Dr. Ali will include a discussion of your general health history, exactly what methods he recommends for your surgery, the potential risks associated with nose jobs and surgery in general, and what you can expect in terms of results. He will also let you know what the recovery time will likely be, and the overall costs involved.

The time spent in the initial consultation is extremely valuable to Dr. Ali in terms of getting to know you, your health history, and your goals. It is equally important to you, so that you can fully understand the process, risks, advantages and limitations of a nose job.

Will Insurance Cover My Nose Job?

Insurance may or may not cover your nose job. surgery. Some nose jobs will be covered, or partially covered, by insurance. Some will not. Generally, if you are getting a nose job simply for cosmetic reasons, insurance will decline coverage. It is a good idea to contact your insurance carrier well in advance of the surgery so you know what is covered and what you will need to pay for out of pocket.

Top Nose Job Surgery – Oakland & Macomb County

Of course, there is no such thing as the perfect nose. Every person’s nose is unique to their genetics and their ethnicity. The ideal nose for you will be vastly different than someone else’s – and should fit your face and be in proportion to your other features. When planning your nose job, Dr. Ali can evaluate your other facial features and tell you how any changes to your nose could enhance or affect your overall appearance. He will then work with you to customize a surgical plan that will best meet your appearance goals.

 Oakland & Macomb County Nose Job Consultation: 248-335-7200

Rhinoplasty Before and After Photos

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Rhinoplasty Before & After Photos –

Rhinoplasty – also called nose reshaping surgery or a “nose job” – is the third-most popular plastic surgery in the United States. Dr. ALi has helped hundreds of men and women improve their appearance and feel more attractrive and confident with nose job surgery.

About Nose Jobs

The nose is the focal point of our face – giving us character and symmetry – and is a distinguishing characteristic. However, for those dissatisfied with their noses, there are several plastic surgery options available. Early nose job techniques and technologies were far from perfect – but today’s modern nose reshaping procedures are safe and comfortable – and result in beautiful, natural looking noses.

For people who are dissatisfied with their current nasal shape, rhinoplasty can modify: the bridge of the nose; bumps or hooks on the nose; the tip of the nose; the angle and shape of the tip; the size or width of the nostrils; and the overall nose size or shape.

In this article we share with you some of our most recent “before and after” Nose Job photos of actual clients – so you can see for yourself the amazing results you can acheive with rhininoplasty!

Rhinoplasty Before & After Photos

Rhinoplasty Patient 1

rhinoplasty doctor birmingham

Rhinoplasty Patient 2

rhinoplasty doctor birmingham

Rhinoplasty Patient 3

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Rhinoplasty Patient 4

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Birmingham’s Best Rhinoplasty Surgeon

Whatever your appearance goals are, Dr. Ali will offer you a consultation so you can can understand what the best surgical options are for you so that you can achieve the nose you’ve always dreamed of.

Dr. M. Azhar Ali is a board-certified, Detroit area plastic surgeon who has performed more than 7,000 plastic surgery procedures. He and his team are experienced and knowledgeable aesthetic care professionals, who are highly skilled in rhinoplasty surgery. The skilled team at  Dr. Ali’s Plastic Surgery Center offers state-of-the-art technologies and surgical techniques – coupled with comfortable & compassionate care – to all of their valued patients.

Schedule a Birmingham Rhinoplasty Consultation: 248-335-7200

Nose Job Frequently Asked Questions

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Detroit Surgeon Dr. Ali Answers Your Nose Job FAQs

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Why do People Get Nose Jobs?

The most obvious reason for considering a nose job is that it can improve your appearance. Nasal restructuring can make your nose more in balance with your other features, as well as make it smaller, straighter, less wide, more defined, etc. 

But a rhinoplasty can also help you live a better and healthier life.  A nose job not only improves the look of the nose, it can improve its function, too. In many cases people undergo nose jobs to correct breathing, sleeping or snoring problems. 

How Old do You have to be to Get a Nose Job?

From a technical standpoint, rhinoplasty can be performed any time after the nose’s growth is complete. Everybody is different, but nasal growth is typically complete in girls by age 15 and in boys by age 16.

A person’s nose remains child-like until puberty when their adolescent growth spurt generates growth of the nasal skeleton. Usually no later than age 17, skeletal growth is complete and the nose will reaches its final adult shape. Dr. Ali will assess a young patient’s nose and determine if they have finished developing before scheduling a nose job.

What is the Recovery Period for a Nose Job?

You will go home the same day after your nose job  typically with a small, aluminum frame to cover your nose. This will ensure your nose is protected adequately during the first week of recovery.

Swelling will occur after surgery, so you can expect to feel congested for a while after. However, splints can prevent complete blockage. To ease this congestion, you can take an over-the-counter decongestant (with your physician’s approval). To reduce swelling, keep your head elevated higher than your heart.

Bruising varies with how extensive your nasal procedure was. Some people may have slight “black eyes” but many patients do not. Bruising and swelling are usually worse on the second day after your surgery, but will improve after that. For about 48 hours after your nose job, you will have nasal discharge and will have to keep a drip pad under your nose. 

Any external sutures used will be removed about a week after your surgery. If splints were used, they will be removed when your cast is removed. After 1 week the pain and discomfort should have subsided substantially.

You may experience some numbness in your nose, and/or some temporary loss of smell. Over the weeks following surgery, all sensation should return to normal.

How Painful Is a Nose Job?

Recovery from any medical procedure is a very personal experience and can greatly differ from person to person. But a nose job is among the least painful surgeries – because it primarily only involves manipulation of the cartilage and does not impact muscles, bones or deeper tissue.

Use of long-term anesthetic during your nose job procedure means you will not feel a thing. And medication prescribed afterwards will fully manage any pain or discomfort after the surgery.

Depending upon how extensive the procedure, some patients even report experiencing very little pain following surgery. And all of our patients unanimously agree that any short term discomfort was well worth having a beautiful nose on their face for the rest of their lives.

I Had a Nose Job from Another Doctor, but I’m Dissatisfied! Can Dr. Ali Fix it?

Revision surgery is sometimes appropriate to touch up or repair a problem or imperfection from a previous nose job. However,  a second nose job is considerably more complicated and more costly.  If, however, your nose is truly misshapen or you are breathing poorly from a “botched” nose job, Dr. Ali will offer you a consultation to assess the integrity of your nasal structures to ensure they can withstand a second surgery.

Detroit Area’s Best Nose Job Surgeon

If you are considering a nose job, and have questions, the best idea is to schedule a consultation with double board certified plastic surgeon Dr. Ali. He has helped thousands of men and women in the Detroit area get the nose they love. He will explain which procedures are right for your unique goals.

Today’s rhinoplasties are very routine, yielding exceptional outcomes with very little downtime or discomfort. And the results last a lifetime. So there’s no reason to wait to get the nose you’ve always wanted! If you live in the Detroit area, call all top rated, board certified plastic surgeon Dr. Ali for a consultation today.
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Schedule a Consultation with the Detroit Area’s Best Nose Job Surgeon: 248-335-7200

Understanding Nose Job Terminology

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Considering Rhinoplasty?
Here are Some Nose Job Terms You Should Know –

Dr. M. Azhar Ali is a double board-certified, Detroit area plastic surgeon who has performed more than 7,000 plastic surgery procedures. He and his team offer the highest standards in nose job technologies and rhinoplasty surgical techniques – coupled with comfortable & compassionate care – to all of our valued patients.

In this article we set forth some of the medical terms you may hear or read about when considering nose job surgery.

However, the best way to understand these terms – and how they apply to your situation – is to schedule a consultation with Dr, Ali in his state-of-the-art Detroit area Medical Facility.

Nose Job Terminology

Alar Base Reduction

The “alar base” is the area of the nose that forms the nostrils. An Alar Base Reduction is a procedure to make nostrils smaller.

Considering Rhinoplasty? Here are Some Nose Job Terms You Should Know

Alar Base Reduction

The “alar base” is the area of the nose that forms the nostrils. An Alar Base Reduction is a procedure to make nostrils smaller.

Alarplasty

Sometimes also called “tip-plasty”, alarplasty surgery improves the tip of the nose, usually narrowing and defining it.

Bulbous Tip

This refers to a wide, oversized nasal tip with large alar cartilage.

Closed Rhinoplasty

Also called “endonasal rhinoplasty”, this is a type of nose job technique in which all of the incisions are made inside the nose, which hides any scars.

Read More About Closed Rhinoplasty HERE.

Columella

This is the central column of the nose separating the left nostril from the right.

Dorsal Bump

Also sometimes called nasal or nose “humps” or “hooks” – these are one of the most common areas of dissatisfaction with nose shape. The dorsal bump is caused by large nasal bones, a large septum cartilage, or both.

Dorsal Aesthetic Lines (DAL)

These are the visual lines that run parallel down the bridge of the nose – ideally the DALs will create a straight, smooth, continuous line from the forehead or top of the nose to the tip of the nose.

Edema

Edema refers to swelling of soft tissue – and occurs in any type of surgery. Edema will vary with the extensiveness of the surgery, but in nose jobs it develops more in patients with thick skin.

Front Droop

Front Droop refers to a drooping tip – sometimes also called a hook nose – where the tip of the nose droops below the rest of the nose. This may resemble a hook shape from the profile view. The medical term a front droop is tip ptosis.

Hanging Columella

When the columella (above) extends too far below the outer edge of the nostril it is called a Hanging Columella – which is most easily seen from a profile view.

Nasal Dorsum

This is the medical term for what is commonly called the bridge of the nose. It is roughly the upper two-thirds of the nose, and connects the tip of the nose to the face. The upper half of the dorsum is made of nasal bones, and the lower half of the dorsum is cartilages.

Open Rhinoplasty

Also called external rhinoplasty, this is a more complex type of nose job than closed rhinoplasty. Open rhinoplasty surgery exposes the nasal skeleton by incision on the columella – and requires an external incision that leaves small, visible scar on the nose that typically heals well with time.

Read More About Open Rhinoplasty HERE.

“Pig Nose”

This unfortunate term refers to over-shortening and over-elevation of the nose, typically from a poorly performed rhinoplasty that now requires revision surgery. It is an insensitive term that we do not use in our office – but is still sometimes found in the plastic surgery industry.

Tip Rotation

Refers to over-shortening and/or over-elevation of the nose. Sometime this is intentional, and as the patient heals, the tissues will begin to relax and gravity will pull the nose down. In other cases this can be the result of a poorly performed rhinoplasty that now requires revision surgery.

Pinched Nose

A “pinched nose” has excessive narrowing of the nose bridge that disrupts the preferred look of straight parallel lines down the bridge of the nose.

Polly Beak or Parrots Beak

The technical term for this is “supratip fullness” – and it is a common problem during recovery from a poorly done nose job. In this condition, the tip of the nose curves down much like a parrot’s beak – and it can be the result of swelling, excess tip cartilage, scar tissue, or insufficient support of the tip.

Primary Nose Job or Rhinoplasty

The first nose job a patient has – or any rhinoplasty on a previously un-operated nose – is the primary nose job. These are safer and easier surgeries than secondary or revision rhinoplasties, because there is no previous surgical scarring or damage to the cartilage, tissue or bone.

Secondary or Revision Rhinoplasty

This is when a patient requires a second nose job to correct a previous unsuccessful nose surgery.

Spreader Grafts

These are pieces of cartilage – typically taken from the patient’s own septum, ear, or rib – used to support and contour the nose. Spreader grafts can be used to achieve the desired appearance as well as to provide added support – and is used for both cosmetic and functional rhinoplasty.

Tip Projection

Tip projection is a measurement of far out the nose tip reaches from a line perpendicular to the face. A person can also have over or under tip projection.

It is typically considered ideal if (on side view) the tip of the nose is the high point of the nose and the nasal bones are lower than the tip. If the nasal tip is below the dorsal nasal profile it is an under-projecting or hanging tip. If the nasal tip is extended above the dorsal nasal profile it is an over-projecting tip.

Turbinate or Turbinal

These are the long, narrow, shell-like bones that run downward into the breathing passage of the nose.

Detroit Area’s Best Nose Job Surgeon

Dr. Ali will offer you a consultation so you can can understand what the best surgical options are for you. He will carefully explain all medical terms and make sure that you have an understanding of the best way to achieve the nose you’ve always dreamed of.

 

Schedule a Nose Job Consultation with a Detroit Area Rhinoplasty Surgeon: 248-335-7200

Who Can Get a Nose Job?

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Who is a Good Candidate for a Nose Job?

Good tissue and favorable healing responses are necessary for any surgery to be successful – including a rhinoplasty (nose job). A smooth clear complexion, firm nasal cartilage, elastic skin, and good general overall health make a person an ideal candidate for a nose job.

Who Can’t Get a Nose Job?

Certain hereditary conditions, however, can make an individual a less than ideal candidate for a nose job. Genetically weak cartilage or nasal bones, or skin that is too thin, too thick, or prone to scarring (such as keloids) can make a person a less than ideal rhinoplasty candidate.

Thick skin, for example, is difficult to shrink and sometimes doesn’t conform to the underlying framework of the new nasal shape – leading to limitations on what the surgeon can accomplish if the skin won’t contract.

Individuals taking immune suppressants, people with diabetes and/or bleeding disorders, and/or smokers typically do not heal as well and are more prone to infection and complications and should typically avoid elective surgeries.

Is there an Age Limit for a Nose Job?

There is not a specific age limit to have a nose job – but teens should not have rhinoplasty surgery until their nose has reached its adult size. This typically happens at about age 15 or 16 for girls. And, usually happens a year or so later for boys.

Dr. Ali will assess the patient’s nasal growth during a teen’s consultation to ensure the nose has stopped growing. Minors (under age 18) will, of course, need parental consent, as well.

Teenagers also need to have the emotional maturity to deal with the rigors of a somewhat difficult and painful surgical procedure – and the ability to fully comply with post-surgical care and recovery requirements.

They must be emotionally ready to deal with wearing the cast, a good week of nasal discharge and congestion, and the unsightly surgical swelling that can distort the nose for several months.

And teens must be willing and able to refrain from activities that could injure the nose while it is healing – including sports, bike riding, roughhousing, cheerleading, dance, etc.

That being said, for many young people the teenage years are an ideal time for a nose job. The young skin and body of a teenager heals quickly. And, for a teen who is extremely self-conscious about a misshapen or unattractive nose, a nose job can instill confidence in their appearance and help them enjoy the remainder of their high school or college years.

Can You Be Too Old For a Nose Job?

As with any surgery, good tissue, elastic/supple skin and favorable healing responses are necessary for a successful rhinoplasty. And as we age the skin becomes thinner and less elastic, and the bones and cartilage can become weakened.

So, for a nose job, there is not a set age that is “too old” – but rather the patients skin tone, cartilage strength and overall health must be assessed.

Also, while a nose job is a relatively minor procedure in terms of stress to the body – with any surgical procedure there is concern about the affect the surgery and the anesthesia, can have on the heart, lungs, or any underlying medical condition.

Can I Have a Second Nose Job?

Revision surgery is sometimes appropriate to touch up or repair a problem or imperfection from a previous nose job. However, in most cases, the risk of complex revision rhinoplasty is only justified for repairing a truly misshapen or poorly breathing nose.

A second nose job is considerably more complicated, far more costly, and often less effective than a first-time rhinoplasty — so your plastic surgeon will have to carefully assess the integrity of your nasal structures to ensure they can withstand a second surgery.

Best Detroit Area Nose Job Surgeon

Today’s nose job techniques are more advanced, safer, more accurate, and more effective than previous rhinoplasty surgeries. In the hands of a skilled board certified plastic surgeon like Dr. Ali, a nose job can successfully be performed on most people in good health with favorable tissue.

If you are considering a nose job, call Detroit area Board Certified Plastic Surgeon Dr. Ali for a rhinoplasty evaluation and consultation to see if you are good candidate.  He will assess your nasal structure, consider your appearance goals, and explain your surgical options  – to ensure that you achieve the best possible nose job results!

 

Schedule a Nose Job Consultation with Detroit area Plastic Surgeon Dr. Ali: 248-335-7200