Rhinoplasty is a complex procedure that can dramatically improve the appearance of your face by changing its central feature: The nose. Also called nose surgery, it is capable of removing humps and dips on the bridge of the nose, narrowing the width of the nostrils, reducing or augmenting a droopy or bulbous tip, and altering the shape and size of the nose itself. It can also correct related issues such as an unsatisfactory angle between the nose and the upper lip. A nose that better complements the rest of your facial structure can have a tremendous effect on the overall harmony and proportion of your face, which can greatly influence your self-image and social behavior. In addition to the aesthetic benefits, rhinoplasty can even improve your breathing by removing obstacles and correcting birth defects or damage from trauma. Rhinoplasty can be a good option for anyone who feels that their face lacks balance or aesthetic appeal due to the shape or size of the nose. Good candidates also include those who have structural problems with the nose that might cause congestion or restricted breathing but are in otherwise good health.
Revision rhinoplasty is nose surgery performed to correct a previous rhinoplasty that had unsatisfactory results. While rhinoplasty typically has very good results when performed by a skilled surgeon, patients often come seeking repairs to previous work. Problems may be both functional and aesthetic and can include asymmetry, unnatural edges, or a tip that is too short. In rare cases, the problem may be as severe as nasal obstruction due to collapse or a deviated septum. More commonly, patients merely wish to remedy an undercorrection such as a bridge that was not adequately narrowed. In either case, revision rhinoplasty can be a very complex operation that requires a skillful hand to reshape the nose and fix the problem while navigating around the existing scarring and the unknown work of another surgeon. Good candidates for revision rhinoplasty include anyone who is dissatisfied with the results of a previous nose surgery for either appearance or functional reasons. It’s a good option for those who are in good health and who can have realistic expectations for what can be surgically achieved.
As complex as a standard rhinoplasty is, African-American rhinoplasty presents a challenge that is ignored by many surgeons. Many African-American patients suffer from a nose that is out of harmony with the rest of their face by being incorrectly sized or shaped or by having oversize nostrils, poor tip definition, or asymmetry. Functional problems such as obstructions can also be an issue. While these issues can all be fixed through standard nose surgery, many African-Americans fear losing important ethnic characteristics to a surgery that does not take their original features into adequate consideration. In addition, the process is made more complex by the fact that African-Americans typically have thicker skin and a smaller amount of nose cartilage, which may require the extensive use of different types of augmentation than are used in other surgeries. The procedure therefore requires a skilled hand to correct these issues with an artistic eye toward retaining subtle ethnic qualities. African-American rhinoplasty is a good option for healthy patients who are seeking realistic results and an aesthetically-pleasing nose that brings good proportion and balance to their face.
Dr. Epstein has been afforded the opportunity to develop unique skills in addressing the Hispanic nose– a term that is somewhat broad in its scope of people it includes. By recognizing the fact that there is no standard of beauty, and that every individual has her/his own concepts of how “ethnic” she/he wishes to appear, Dr. Epstein is able to obtain the information needed from the patient to help achieve the desired results and create a nose that complements the individual’s facial features.
For the individual looking to improve the appearance of his/her nose, there is an option of whether the changes achieved are permanent- through rhinoplasty surgery- or temporary – through non-surgical rhinoplasty. While surgical rhinoplasty requires anesthesia and is typically a two to three hour surgery that involves the sculpting of cartilages, the resetting of nasal bones, and a seven to 10 day recovery period, non-surgical rhinoplasty is typically a 30 minute procedure involving the injection of fillers to build up certain elements of the nose and leaves patients presentable minutes later.