Rhinoplasty


Rhinoplasty, more commonly known as nose surgery, is a procedure designed to enhance your nose by reshaping it into a more aesthetically pleasing contour, while also repairing any functional issues you may have. The shape and size of your nose can be modified or corrected by removing tissue, adding cartilage grafts, rearranging existing cartilage and skin, or the precise placement of supportive internal sutures. No matter the technique used, in the hands of a skilled and experienced facial plastic surgeon like Dr. Marotta, after your rhinoplasty you can expect a beautiful, more proportional nose and improved functionality.

Ideal Candidates for Rhinoplasty

When it comes to rhinoplasty, there are several options to choose from, each of which has a specific purpose. Overall, rhinoplasty is ideal for patients looking to:

  • Enhance the shape of their nose
  • Correct a deviated septum
  • Repair damage to the nose
  • Improve upon a previous procedure

While it is important that you achieve the look you want after rhinoplasty, you should also keep in mind that realistic goals and expectations are essential. The best rhinoplasty results are those that look natural, where your nose matches the proportions of your other facial features, so Dr. Marotta will create a plan to ensure that your aesthetic goals are a realistic combination of your desires as well as your gender, anatomy and ethnicity.

Types of Rhinoplasty Surgery

As a double board-certified facial plastic surgeon, Dr. Marotta not only has extensive knowledge and training in rhinoplasty, but it is one of his specialties. He will examine you and talk to you about your goals and expectations for your surgery, and will recommend the type of rhinoplasty he believes will offer the best result. Types of rhinoplasty include:

  • Traditional Rhinoplasty – Most commonly a patient will undergo traditional rhinoplasty to improve the shape or proportions of the nose, bringing it into alignment with the rest of his or her facial structure. It can also be used to correct nasal deformities and correct breathing issues by rebuilding nasal passages, or correct the appearance and/or function of the nose following an injury.
  • Revision Rhinoplasty – this surgery is used to repair undesirable effects from a previous nose job. Not all plastic surgery procedures provide the results you desire, whether because the surgeon is inexperienced or unforeseen complications may arise. Revision rhinoplasty works to correct these undesired effects as much as possible, sometimes by grafting ear or rib cartilage if there isn’t enough septal cartilage present to support the nasal structure. Revision rhinoplasty can be very complex – depending on the amount of scar tissue present and the preservation of the original nasal structure – and can last up to five hours. The risk of needing revision rhinoplasty is significantly reduced by seeing a board-certified facial plastic surgeon in the first place, so it is vital that you do your due diligence when choosing your surgeon.
  • Septoplasty – This type of rhinoplasty focuses specifically on the correction of deviated septums. It is the most commonly prescribed procedure for those who have difficulty breathing through one or both nostrils. A consultation with Dr. Marotta is required in order to determine if septoplasty will correct your breathing issues, or if your symptoms are due to another cause, such as a nasal valve collapse or other problems that will need to be addressed with functional rhinoplasty surgery. Often, a patient is diagnosed with a deviated septum when the problem is actually much more complex than that, which is why it is vital to have a thorough examination by a specialist to ensure that septoplasty is the appropriate procedure for your needs. Septoplasty is often covered by insurance, unlike other forms of rhinoplasty.
  • Functional Rhinoplasty – this surgery is typically used to correct problems with breathing that are caused by trauma (such as a fracture) or are congenital or developmental. A broken nose can negatively affect breathing, and sometimes requires plastic surgery to correct the damage and restore function. Functional rhinoplasty usually involves widening or supporting the nasal valves, which can collapse when damaged. Often, spreader grafts or alar batten grafts from septal cartilage are used to provide this support. Ear or rib cartilage can be used when enough septal cartilage isn’t present to correct the issues.

Depending on the type of rhinoplasty and level of correction needed, Dr. Marotta will utilize one of two techniques for your surgery. Closed rhinoplasty involves incisions that are hidden inside your nose, while an open rhinoplasty involves an incision across your columella, which is the bridge between your nostrils. Both techniques are equally effective, and leave you with improved function and proportion.

In order to ensure you’re getting the right rhinoplasty procedure for your aesthetic or medical needs, download our new
E-Guide to learn more about the four different types of rhinoplasty and the specific purpose of each one. Afterward, schedule a consultation with board certified facial plastic surgeon Dr. James Marotta to discuss your rhinoplasty options in greater detail and ensure this is the right procedure for you.

Fill out this form to download our E-Guide.




What to Expect After Rhinoplasty Surgery

Following your rhinoplasty surgery, you will most likely leave the hospital with a splint on the outside or inside of your nose, packing inside your nose, and a bandage. It is crucial to protect and support the delicate structures of your new nose as it heals, so while it may seem like a lot of “stuff” on and in your nose after surgery, it is necessary to help ensure a good result. Dr. Marotta will provide you with detailed instructions on caring for your post-surgery nose, as well as schedule follow-up appointments to check on the healing process. You will need to rest and recover for the first couple of weeks, keeping your activity to a minimum, and it will be a couple of months before you are allowed to return to high impact activities or exercise.

You will experience significant bruising and swelling around your eyes and nose for the first couple of weeks after surgery, but they will gradually subside. Depending on the type of rhinoplasty you had, you may see some immediate results, but it will take some time for your nose to settle into its new shape. While the most visible swelling will dissipate within a few weeks, it may take up to a year for all of the residual swelling to completely subside, leaving you with dramatic final results. Rhinoplasty is considered permanent, so once your healing is complete, you can enjoy your natural, beautiful new contour and restored functionality for years to come.

If you are considering rhinoplasty surgery, call Marotta Plastic Surgery Specialists today at 631-419-3164 to schedule a consultation. Our double board-certified facial plastic surgeon Dr. James Marotta will take the time to discuss your rhinoplasty options in greater detail and ensure this is the right procedure for you.


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