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Primary rhinoplasty

Face the world with confidence

Am I a good candidate for primary rhinoplasty?

Aesthetic beauty is a complex collection of angles and contours that must work together to create balance, harmony and symmetry. When this delicate formula is observed in the human face, the eye is naturally drawn to the eyes and the smile. The nose can either complement these features, or become a focal point itself through defects such as an overly large hump, a bulbous tip or a bridge that is too wide. In all cases, the key with cosmetic surgery is not to create the “perfect” nose, but rather to reshape it in a way that promotes a natural and holistic attractiveness. In other words, the result should be that we do not notice the nose; it simply seems to “fit” with the rest of the patient’s face.

Primary rhinoplasty, a procedure to refine, and in some cases functionally restructure the nose, is undertaken by patients for a variety of reasons. Some are unhappy with a nose that is too large, while others wish to improve a weak profile with augmentation. Some patients seek out an ethnic rhinoplasty, opting to correct flaws that are unique to their culture, while other patients are looking for a nose job because of an injury or hereditary defect. Regardless of motivation, rhinoplasty is one of the most popular and effective procedures for improving one’s overall appearance, and even subtle changes can have a significant impact on self-esteem.

Choosing the best surgeon for your primary rhinoplasty

Nose surgery clients should take care to search for a doctor that specializes in facial plastic surgery. A physician whose main focus is breast augmentation, for instance, may do a few rhinoplasty procedures here and there, but he or she is hardly a substitute for a surgeon who has performed thousands of nose jobs and whose sole focus is on this area of the body. Manhattan facial plastic surgeon Dr. Edward Kwak is double certified as a facial plastic surgeon and a head and neck surgeon, and has spent the bulk of his practice perfecting and honing his ability to achieve natural rhinoplasty outcomes that adhere to expectations.

Dr. Kwak is adamant about getting to know each patient, as this is the best way to ensure a nose job that is highly customized and tailored to the person’s one-of-a-kind anatomy, medical history and aesthetic preferences. Dr. Kwak takes an uncommon amount of time during the consultation to answer questions, address concerns, review before and after photos, and truly comprehend the desired results. This highly individualized approach is what sets the ESK practice apart.

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What to expect from the rhinoplasty procedure

Rhinoplasty generally involves restructuring the nasal bones and cartilage to improve the nose shape. Sometimes the doctor will opt to use grafts in order to remodel the nasal bridge. If the chin shape is affecting the appearance of the nose or contributing to an unattractive profile, the doctor will in some cases recommend chin augmentation or reduction in conjunction with a primary rhinoplasty. The functioning of the nose in terms of breathing may also be improved during rhinoplasty, although the main focus is reshaping for cosmetic purposes. Surgery is usually performed under general anesthesia, administered by a board-certified anesthesiologist.

Closed rhinoplasty

With closed rhinoplasty, or an endonasal nose job, incisions are made inside the nostrils and remain invisible after the surgery is complete. This approach is viable when only very limited access is required to the inner structures of the nose, or when the changes needed are relatively uncomplicated.

Open rhinoplasty

During an open rhinoplasty, a 4-5 mm “trans-columellar” incision is made at the base of the nostrils, allowing the skin to be easily lifted over the nose. The benefit of this approach is that it gives the surgeon unimpeded access to the entire nasal structure, facilitating more detailed, precise and demanding renovations. During your consultation in his New York office, Dr. Kwak will determine the best approach and review of the patient’s goals as well as their anatomy.

Recovery from rhinoplasty

Each of Dr. Kwak’s clients will heal at a different rate depending on the nature of their procedure, but most will experience a recovery time of around 2 weeks with minor to moderate bruising, swelling or discomfort. Nasal splints and stitches will usually be removed after the first week, and light activities can be resumed by week two. Dr. Kwak suggests outfitting the patient’s home with a humidifier to keep the nose and throat well hydrated. As always, Dr. Kwak and his attentive staff of RN’s will be on call to administer medication, answer questions and guide you towards a successful recovery.

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