Joel B. Singer, M.D. - Nose Surgery

Nose Surgery

Rhinoplasty

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for FAQ's.

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Before and After photos

BEFORE

AFTER

BEFORE

AFTER

Facial balance and proportion are achieved with a rhinoplasty that reduced the hump and refined the tip slightly.

BEFORE

AFTER

BEFORE

AFTER

Removing hump and rotating nasal tip not only improved breathing but softened her profile and improved her facial balance.

Chin Augmentation

Click here to review before and after photos by Dr. Singer.

BEFORE

AFTER

BEFORE

AFTER

Facial balance was achieved with a chin implant, making the nose appear less prominent.

Patient Assessment

A nose which doesn't fit the face whether caused by birth, accident or disease.

A nose which if adjusted slightly would enhance overall facial appearance.

A breathing problem due to internal nasal deformity.

Some times a small chin implant may be needed to bring the nose and chin into proper proportion to all other facial features.

Procedure

For cosmetic reasons, incisions are generally made inside the nose. Occasionally, small external incisions are required. Through the incisions cartilage and /or bone are cut, trimmed and manipulated to reshape the nose and its external appearance.

If surgery is for a breathing problem, the nasal septum, turbinates or other obstruction is corrected at the time of cosmetic improvement.

If a chin implant is indicated, a small incision is made inside the mouth in the lower gum. The implant is placed and secured.

Recovery

After the surgical procedure is completed, the patient goes home wearing a splint holding the bone and cartilage in their new shape. This is removed in five to seven days.

There is minimal post-operative discomfort, easily controlled by medication.

Most swelling and discoloration will subside quickly over two weeks.

Minimal discomfort is associated with the chin implant.

Intended Result

A more natural-looking nose in proper proportion to all other facial features.

Improved breathing, with reconstructive nose surgery.

		F A Q's

Frequently Asked Questions

Can I use insurance to pay for my nose surgery?

Insurance coverage will vary greatly depending on your insurance plan. We will work with you to determine in advance if insurance coverage exists for the procedure you desire. We will use our knowledge and experience to assist you in collecting your maximum benefits. Ultimate responsibility for full payment of the account belongs to the patient. Medicare/Medicaid not accepted.

I've never been happy with the way my nose looks. I promised myself a long time ago that if I still hated my nose at 30, I'd get it "done." Well now I'm 30 and I'm beginning to plan my surgery. I've talked to a lot of people about their experiences with this procedure. Most of them are very happy with their results but a few of them now have noses with the tip turned up. How do you prevent this from happening? How can I feel confident that I will get the nose I've always wanted?

This is one of the most common concerns mentioned by patients during the initial consultation process. We use computer imaging to help patients visualize results; this has improved my discussions in consultation and allows me to understand a patient's desires more precisely. We review the imaged results together, enabling the patient and me to reach a meeting point merging their desires with what is surgically possible. Technically, to avoid the "turned up" nose result you mentioned, we are very careful not to shorten and over-rotate the tip

I wanted to get my nose done, but a plastic surgeon I spoke to recently said my real problem is a receding chin. Can this be true?

Yes, patients often come to me requesting a rhinoplasty to improve their profile when a chin implant would be most appropriate. Consulting with a Board Certified Plastic Surgeon who uses computer imaging would be very helpful in making sure you choose the right type of surgery.

My nose droops more as I get older. Can something be done to fix this? If so, will it take long to recover?

Yes. A tip rhinoplasty, the medical term for nose surgery, can elevate the tip. As we age, our noses often droop. I correct this by doing a cartilage graft to the columela (the fleshy bridge between the two nostrils). The incisions are made inside the nose, so there are no visible scars. Although recovery is quick (seven to ten days) it takes three to six months for the slight swelling in the tip to totally subside. The result is a lifted tip with no droop.

Just about everyone in my family inherited a large hump on the nose from my father. I would like to have mine removed without drastically changing the way I look. What can I do to be sure I get the look I want?

To reduce a prominent hump on the nose while preserving your family look demands skill and artistic judgment on the part of the surgeon. From inside the nostrils, a small amount of bone and cartilage can be removed and/or reshaped to bring your nose into balance with the rest of your face. I always aim for balance and harmony of all facial features. As such, I work to shape the nose so it complements the other facial features.

I'm an Asian male in my 30s. I don't like my nose because it is flat and wide with flaring nostrils. I want a nose that better suits my face: strong and not so wide. How would you accomplish this?

I recently performed a rhinoplasty on a case similar to yours. Your description and desires would lead me to believe that you want the bridge of your nose made taller, the base narrower and the tip to project more. To achieve a taller bridge, incisions are made inside the outer rim of the nostrils. Portions of cartilage are repositioned to build up the bridge and project the tip. If necessary, pieces of bone or cartilage from other areas such as the skull, rib, or ear can be used. Occasionally, I insert a special silicone implant in order to get better projection on the bridge. To narrow the base, wedges of skin are removed at the base of each nostril. The outer rims are attached closer to the center leaving minute scars where the edges were stitched together.

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