Long Island Rhinoplasty (Nose Job)
Patients in the greater New York metropolitan area who want to improve their appearance through rhinoplasty soon hear about the remarkable work of Brian D. Cohen, MD. For nearly a decade, Dr. Cohen has been performing successful nose jobs for patients grateful to find an excellent plastic surgeon whose artistry and skill are matched by his personal concern.
Out of his offices in Manhattan and Great Neck, Dr. Cohen customizes his procedures to meet the needs of each individual patient. No matter what your age, ethnicity, or reason for wanting a nose job, his in-depth understanding of the purpose and process of rhinoplasty will serve you well.
Reasons for Rhinoplasty
In some cases, a rhinoplasty is performed to correct a congenital defect or repair an injury that may, in addition to being unsightly, interfere with proper nasal function. In many cases, however, nose jobs are performed for purely cosmetic purposes. Because the nose is a prominent feature, if it is overly large in proportion to the face, or if it is hooked, droopy or bulbous, it may detract from other attractive features, such as beautiful eyes or a captivating smile.
If your nose is outsized or unappealing, it may have caused you embarrassment or made you the target of jokes or teasing. The pain of such awful experiences is intense and long-lasting. You may have decided that this is the time to take the step that will liberate you from your misbegotten nose once and for all. If this is true, now is the time to get in touch with Dr. Brian D. Cohen and discuss your options. You will find him friendly and easy to talk to, willing to listen to your concerns and answer your questions as well as provide you with necessary information.
Improving Your Self-Image Through Rhinoplasty
The ability to have your nose resized and reshaped in keeping with your wishes may seem like a dream come true. With Dr. Cohen performing your rhinoplasty, the following may be possible:
- Altering the size of your nose so it is proportionate with your other features
- Altering the width of the bridge of your nose
- Changing the width and shape of your nostrils (to correct flaring or pinching)
- Removing humps or depressions to improve your nasal profile
- Reshaping a nasal tip that is too large, boxy, hooked, bulbous, drooping or upturned
- Correcting asymmetry of your nose
- Altering the angle between your nose and your mouth
Note that a rhinoplasty may involve augmenting nasal tissue as well as reducing it. In most cases, when extra cartilage is needed, Dr. Cohen will harvest it from your own nasal septum (the internal division between the nostrils). This autogenous tissue has the advantage of lessening the risk of infection or inflammation because it comes from your own body. If there is insufficient autogenous tissue available, Dr. Cohen is able to use synthetic implants or allografts (tissues obtained from cadavers) to augment your nasal tissue.
Good Candidates for Rhinoplasty
While people of all ages may be appropriate candidates for nose jobs, unless a deformity that affects breathing is present, it is customary to wait until the patient is at least 13 years of age and has finished the process of facial growth. Also, in order to be a good candidate for rhinoplasty, you should be:
- In general good health
- A non-smoker
- Seeking the procedure for personal reasons (not under pressure from others)
- Have realistic goals for the procedure
The last two items on the above list are extremely important. If you do not feel comfortable making a dramatic change to your appearance or if you have unrealistic expectations about how you will look after surgery or how it will transform your life, then surgery is likely to have a negative impact on you psychologically.
What a Nose Job Can and Can’t Accomplish
As anyone who has undergone a successful rhinoplasty will tell you, a nose job can be a highly gratifying experience, resulting in increased self-esteem. It may make you more relaxed in social and professional situations.
What rhinoplasty won’t do is turn you into a great beauty or a celebrity, make you the most popular person at the party or in the workplace, or find you the mate of your dreams. You will come away with the same personality and life circumstances you had before, though hopefully happier and with greater self-acceptance.
There are two basic methods for performing a rhinoplasty: open and closed. Both are typically performed as outpatient procedures, either under IV sedation or general anesthesia. The difference is that in a closed rhinoplasty, incisions are made within the nostrils, while in an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils.
In either case, Dr. Cohen gently lifts the soft tissues covering the nose and sculpts the bone and cartilage to the desired shape. If necessary, he will augment nasal tissue and adjust a deviated septum to promote improved breathing, usually finishing the surgery by any necessary reshaping of the nostrils. Once the sculpting to reshape your nose is complete, Dr. Cohen will re-drape the tissues and stitch the site closed.
Recovery from Rhinoplasty
After your surgery, you can expect to feel puffiness and aching in the nasal region, and possibly a dull headache. Some swelling, bruising, bleeding or stuffiness is entirely normal. Within a few days, you should feel back to yourself; most patients are able to return to their normal routines in about a week.
Although minimal swelling may persist for 6 months, as the days pass, most swelling will subside and you will look better and better. Whatever minor swelling you have during the weeks after surgery is typically more noticeable in the morning and diminishes during the day. You will be able to wear contact lenses immediately, but glasses may need to be taped to your forehead or propped on your cheeks for several weeks so as not to interfere with healing.
Risks of Rhinoplasty
Rhinoplasty is a very safe procedure. Rare complications may include infection, bleeding and minor contour irregularities. Results are somewhat variable, depending on your age, bone and cartilage structure, facial shape and the thickness and elasticity of your skin.
Other Nasal Procedures Dr. Cohen Performs
Dr. Cohen is a master of two other kinds of nasal surgery: septoplasty and revision (secondary) rhinoplasty. Septoplasty is a procedure to correct defects or deformities of the septum. It is performed for functional, rather than aesthetic purposes: to improve the structural support of the nose, to improve airflow, and/or to support mucous membranes.
Revision or secondary rhinoplasty, on the other hand, is performed to correct deformities caused by an unsuccessful previous rhinoplasty. Dr. Cohen is well-known for his expertise in repairing irregularities or deformities caused by a failed previous nasal operation. Though a secondary rhinoplasty is more difficult to perform than a primary rhinoplasty, due to a scarcity of cartilage available, scarring, and possible tissue contracture (tightening), Dr. Cohen is well up to the task.
Don’t Let Your Nose Stand in Your Way — Contact Brian D. Cohen, MD
Rhinoplasty is one of the most common types of cosmetic surgery, yet it clearly requires a plastic surgeon of uncommon talent. Dr. Brian D. Cohen is that rhinoplasty surgeon. Give yourself a gift you deserve by getting in touch with him soon.
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