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  • Rhinoplasty Before & After

    April 13th, 2018


    This 25 year old patient was unhappy with the appearance of her nose due to a prominent nasal bump. Rhinoplasty was performed to correct her nasal bump and de-project and lift the nasal tip. After photo shows patient 3 years after surgery.

    Rhinoplasty Before & After

    November 2nd, 2017

    Rhinoplasty Before and After: 18 yo male - left side view


    This is a patient who sustained a nose fracture and underwent Rhinoplasty to straighten the nose shown one year postoperatively.

    Dr. Sam Rizk presents on the understanding and creation of facial beauty through plastic surgery. Over the years, refinement of the human body resulted in ideal formulas, ratios, angles and proportions to strive for. Though these mathematical structures of the face may yield good results, it will not be extraordinary. Every face is different, therefore requires an unique approach. It is important to tailor each facial plastic surgery for the patient. For a rhinoplasty procedure, Dr. Sam Rizk pays attention to each intricate detail of the surgery to create the perfect nose for the patient. Any mishap can lead to lesser results or even deformity. In the case of a facelift procedure, Dr. Sam Rizk points out the importance of using the correct skin tension and precise vector pull.

    New York City facial plastic surgeon, Dr. Sam Rizk performs nasal dehumping during an endoscopic assisted rhinoplasty or nose reshaping surgery. Using a telescope endoscopic tool, Dr. Sam Rizk can perform more accurate and efficient rhinoplasty procedures. During this nasal dehumping you can see clearly into the nasal cavity. With a clear view of the nasal structure, Dr. Rizk can perform rhinoplasty surgery with smaller incision therefore resulting in faster results and recovery. Visit his Manhattan practice to learn more about his pioneered 3d Telescopic rhinoplasty.

    Dr. Rizk is featured in the article “Does Rhinoplasty Last Forever?”

    American Health & Beauty: Does Rhinoplasty Last Forever?

    This female ethnic rhinoplasty patient has always felt self-conscious about her large nose and nasal hump. After extensive research on the best rhinoplasty surgeon in New York City, Jennifer decided to schedule a consultation with Dr. Sam Rizk at his Park Avenue private practice. Watch the video below to follow her nose job journey and see her results.

    Este paciente rinoplastia étnica femenina siempre ha sentido acomplejado por su gran nariz y la joroba nasal. Después de una amplia investigación sobre el mejor cirujano rinoplastia en la ciudad de Nueva York, Jennifer decidió programar una consulta con el Dr. Sam Rizk en su práctica privada de Park Avenue. Mira el vídeo a continuación para seguir su viaje de nariz y ver sus resultados.

    Before and After photo - Rhinoplasty |female, front view|

    For many people, having a rhinoplasty is the culmination of years of thought, research, and financial planning. Having come to the decision to undergo a nose job and locating a surgeon they like and trust, some nonetheless find themselves nervous and scared about undergoing cosmetic surgery. This is perfectly normal.

    Preparing yourself mentally before surgery is an important part of the rhinoplasty process. Taking steps to lower stress, boost confidence, and calm nerves can make the experience much smoother. We’ve included five tried and true pre-surgery suggestions:


    1. Relaxation Techniques

    Prior to having rhinoplasty, many patients feel anxious. Stress and fear may lead to sleepless nights and irritability. Finding a way to feel calm is important for both mental and physical health. Some relaxation practices my patients have successfully used include:

    • Meditation
    • Deep Breathing Exercises
    • Yoga
    • Tai Chi
    • Hypnosis
    • Massage
    • Visualization
    • Acupuncture

    Maintaining a positive mental attitude throughout the process is key to a quick recovery and ultimate satisfaction with your experience. Organize a support network of friends and family to help you in the days following your surgery. Develop a post-surgery recovery plan to ensure that you rest post procedure. Knowing that you have a safe space prepared with everything you will need will help minimize anxiety.


    2. Visualization

    One of the most important relaxation techniques listed above is Visualization. Visualization in this case means imagining the procedure you are about to undergo.

    To do this, find a quiet, comfortable place where you can be alone with your thoughts. Many people visualize in their bed before they sleep or after they wake up. Any place you feel comfortable is fine. Close your eyes, relax your body and do the following:

    In your mind’s eye, see yourself successfully preparing yourself for surgery both mentally and physically. Imagine the day of the surgery. See yourself feeling calm and confident. Picture the surgery itself. Watch as the surgeon completes all of the steps perfectly. Experience the recovery process unfolding without complications. See the perfect outcomes in the mirror a few weeks down the road.

    Going through these steps in your mind will help prepare you for your big day. Studies have shown that people who visualize success in this manner experience less stress and feel emotionally better the day of surgery than those who do not.

    Part of good visualization is knowing exactly what is going to happen before, during, and after surgery. This leads us to an important part of your mental preparation – education.


    3. Educate Yourself About the Process

    In my office, we put an emphasis on patient education. I have found that well-educated, well-prepared clients have less concerns the day of the procedure, recover faster, and are ultimately happier with their end results. Our staff will ensure that you have all the information you need about your rhinoplasty. Please do not be shy about asking questions. I am always available and happy to talk with my patients about their concerns, no matter how large or small they may be.

    I also encourage my patients to educate themselves by going on the Internet and researching rhinoplasty. As with any topic online, there are good websites on the subject, and bad. Make sure you are getting your information from reputable websites. In addition to my own website, sites you might consider referring to include aafprs.org, realself.com, entnet.org, and the National Institutes of Health’s MedlinePlus website.


    4. Understand What a Plastic Surgeon Can and Cannot Do

    It is important to have realistic expectations about your rhinoplasty. Studies have shown that among cosmetic surgery patients that are unhappy with the results of their procedures, the most common characteristic is that they simply had unrealistic expectations. While a rhinoplasty may certainly improve one’s appearance, it is not reasonable to expect a magical or miraculous transformation. In addition, plastic surgery cannot cure depression or other psychological conditions. Often, a successful rhinoplasty can boost one’s self-confidence, but this cannot be guaranteed for everyone.

    It is very important to me that my patients are choosing to have rhinoplasty for the right reasons. No one should undergo a procedure if they are seeking to look like someone else, or if they hope it will completely change their lives. Rhinoplasty can certainly improve one’s appearance, but it cannot fix all of life’s problems.


    5. Understand the Recovery Process

    The first thing to remember is that the recovery process takes time. It may take up to two years for your nose to completely reach its final form. Every patient heals differently and at her own pace.

    Your nose will be swollen following rhinoplasty, and it will take time for the swelling to go down. Most swelling will go away within two weeks. After a month it will be almost all gone, but it may take up to a year for swelling to totally disappear.

    Immediately following surgery, your face will be puffy. You may possibly have black eyes, though I take special precautions to minimize this and other bruising. Many patients experience bouts of nausea during the day following their operation.

    Cold compresses will be used to help reduce swelling. In some instances pain medications will be dispensed to ease discomfort. Homeopathic herbal remedies like arnica montana can help you recover as well. Your head should remain elevated for a few days, and in some cases should not be moved at all. It may be several weeks before you can resume vigorous physical activity, including contact sports. You may have to sleep on your back for several weeks. You probably won’t be able to wear glasses for three weeks. Most patients are able to go back to work within ten days.

    My patients usually receive a packet of remedies to speed and aid the recovery process. This packet can include herbal supplements, vitamins, and the anti-inflammatory steroid Medrol. Other medicines designed to speed recovery may be given as well.

    To learn more about preparing for rhinoplasty, contact my office today.

    Do you want to find the best rhinoplasty surgeon to perform your nose job? Well, our New York based double-board certified facial plastic surgeon Dr. Sam Rizk is well known around the world as one of the most skilled surgeons and a rhinoplasty expert. If you are interested in a rhinoplasty, read more about how our doctor honed his talents in performing rhinoplasty, ethnic rhinoplasty and facelifts.

    The techniques used to perform rhinoplasty on Middle Eastern patients often differ from those used on other patients.

    Many Middle Eastern noses have a droopy nasal tip that can make the nose appear elongated. This is because Middle Eastern patients often have insufficient cartilage support in the tip. As a result, Middle Eastern nose jobs often focus on lifting the nasal tip.

    It is also common for a Middle Eastern nose to have a high dorsum or hump. If so, the rhinoplasty techniques used may focus on reducing the bridge.

    In some cases the rhinoplasty surgeon may narrow the nostrils.

    The thickness of the nasal skin is also an important factor in determining which techniques to perform on Middle Eastern Patients.

    Dr. Rizk assesses each patient to determine what role each of these anatomical features plays in the overall aesthetic harmony of the facial features. Ultimately, he will want to alter the nose as needed to sharpen the patient’s features in such a way that it preserves the patient’s unique ethnic characteristics.

    Dr. Sam Rizk in WOW WOW
    Dr. Sam Rizk is featured in WOW NOW where he talks about the most challenging facial plastic surgery procedure he performs, his 3D High-Definition rhinoplasty technique and how he develops a surgical plan for rhinolasty. As one of the best rhinoplasty surgeons in New York, Dr. Rizk takes into account patients bone structure, skin type, age and ethnic background for each nose job procedure.

    To achieve natural looking results, it is very important that Middle Eastern patients locate a rhinoplasty surgeon with extensive experience performing ethnic rhinoplasty — specifically ethnic rhinoplasty. This is because the Middle Eastern nose differs from other noses in several ways.

    Many Middle Eastern noses have a high dorsum and droopy nasal tip that makes the nose appear longer. To achieve natural looking results, it is often necessary to reduce a nasal hump, lift the nasal tip, correct the droopiness in the tip and/or narrow the nostrils.

    One of the primary goals of a Middle Eastern nose job is often to give the nose a more aesthetically pleasing profile. The goal of all rhinoplasty procedures is to create symmetry and harmony with the other facial features. With Middle Eastern and other non-Caucasian patients this means changing the shape of the nose in a way that refines and preserves their unique ethnic characteristics.

    Contact Dr. Rizk today to learn how he achieves natural results in Middle Eastern patients.

    Medical tourism is a growing trend, and this includes aesthetic medical tourism. Thanks to Dr. Rizk’s reputation as a skilled ethnic rhinoplasty specialist, many people travel from the Middle East and other areas to get a nose job. In fact, foreign patients make up a significant percentage of Dr. Rizk’s patient base.

    The Internet has made it easy and convenient to accomplish many of the preliminary tasks that need to be completed when traveling from the Middle East to the U.S. for nose surgery. The “Out of Town” section of Dr. Rizk’s website contains a wealth of information on accommodations, care after surgery, concierge services and more.

    Patients can also fill out their medical history form on Dr. Rizk’s website. Once Dr. Rizk has assessed a patient’s medical history, he asks them to send photographs of their nose via email. Then, an initial consultation can be conducted via Skype, iChat or other programs.

    Dr. Rizk’s staff can help patients connect with travel agents and arrange for assistance from trained plastic surgery nurses during the first few days after surgery. They can also help with limousine transfers and luxury accommodations just minutes from his office.

    Dr. Rizk recommends that patients traveling to see him from the Middle East plan to stay in New York for at least seven days after their rhinoplasty procedure so that he can check in on them to assess the progress of their recovery. He also follows up with his Middle Eastern patients via Skype or iChat once they have returned home.

    For more information on traveling from the Middle East for a nose job, contact Dr. Rizk’s office today – (212) 452-3362.

    While a patient’s recovery from rhinoplasty can depend on many individual factors, ethnicity is not one of them. Middle Eastern patients face the same rhinoplasty recovery process as any other patient.

    Following nose surgery, all patients, including Middle Eastern patients, can expect some swelling and bruising around the nose. Though New York City Facial Plastic Surgeon Sam Rizk, MD, FACS, is renowned for his pioneering “rapid recovery” techniques that minimize these issues, all patients will experience some swelling.

    As a result, Dr. Rizk typically prescribes some pain medication and provides his patients with a kit containing remedies to reduce swelling; this may include vitamin K, Medrol, cold compresses as well as a natural remedy called arnica montana. It is also a good idea to keep the head elevated for a few days to reduce the swelling.

    Most patients wear a small splint on the nose to protect it and keep it stable for a week or longer.

    During the rhinoplasty recovery process it is important to avoid contact sports, or any activities that may put you at risk of bumping your nose, for several weeks. Patients should be able to return to work within about 10 days.

    Most of the swelling and other symptoms should subside within a couple of weeks, but it can take months or even up to a year to see final results. It is very important that you follow Dr. Rizk’s postoperative instructions throughout this time for optimal results.

    The best candidates for Asian rhinoplasty share many things in common with other patients. However there are also things that can distinguish them from other patients.

    Anyone considering rhinoplasty, including Asian rhinoplasty, should:

    • Be in good physical and emotional health
    • Have a fully developed nose (15 or 16 years of age in girls; 17 or 18 in boys)
    • Have realistic expectations of the procedure’s outcome
    • Understand the possible risks and complications
    • Understand postoperative responsibilities, as outlined by Dr. Rizk

    There are also factors specific to Asian rhinoplasty that may make a person a good candidate. These may include certain anatomical differences that often apply to Asian rhinoplasty candidates, such as a flat bridge with little definition, wider nostrils, and/or a small nasal tip. Asian nose jobs often focuses on reducing, rather than augmenting, the nasal structures.
    Many Asian candidates seek to enhance nose symmetry, create a more defined tip and bridge, and/or narrow the nostrils. If any of this sounds familiar, you may be a good candidate for Asian rhinoplasty.

    Contact Dr. Rizk to learn more about Asian rhinoplasty.

    Nasal obstruction can be caused by many things, including a deviated septum, enlarged nasal turbinates, nasal polyps and nasal valve collapse. Dr. Sam Rizk’s treatment of the condition depends on the cause.

    Deviated Septum. If your nasal obstruction is caused by a deviated septum, Dr. Rizk may attempt to straighten it through a septoplasty procedure. In this procedure, internal incisions are made and the bone and cartilage causing the obstruction are removed.

    Enlarged Nasal Turbinates. The nasal turbinates are three structures made of soft tissue and bone that line the sides of the nasal cavity. Sometimes they swell and enlarge enough to cause nasal obstruction. Treatment usually begins with steroid-based allergy sprays. If this doesn’t work, Dr. Rizk may advise you to undergo surgery to reduce the turbinates.

    Nasal Polyps. Polyps refer to inflammatory tissue growing in the sinuses and nasal cavity. They often affect people with allergies or asthma. Like nasal turbinates, they are treated with steroid sprays and/or endoscopic nasal surgery.

    Nasal Valve Collapse. This refers to narrowness or weakness of the narrowest portion of the nasal airway: the nasal valve. It can be caused by prior rhinoplasties, trauma to the nose and other causes. Treatment depends on whether the collapse is internal or external and may range from special nasal strips and other non-invasive methods to various surgical approaches.

    Nasal obstruction can lead to breathing problems or sinus disease, so it must be treated. To learn more, contact Dr. Rizk’s practice today.

    Dr. Rizk’s use of a 3D telescope helps with rapid recovery by allowing Dr. Rizk to view the interior of the nose better, so that he can avoid disturbing certain blood vessels and tissues. This high-definition, computer-assisted technology projects a picture of the nasal bridge onto a TV screen, where Dr. Rizk can get a close-up view of the area to be treated.

    The 3D telescope lets Dr. Rizk see a blood-free area called the sub-Smas plane. This helps Dr. Rizk to make smaller incisions and perform precise excision of the nasal cartilage and bone, in turn leading to less bleeding and less tissue damage, because the soft tissue envelope is left intact. The result is reduced swelling and bruising, better healing and more natural outcomes.

    Rhinoplasty patients also benefit from Dr. Rizk’s use of the 3D telescope because it leads to shorter recovery times. Dr. Rizk’s patients are typically up and about in about five days, as opposed to the standard two weeks.

    For more information on Dr. Rizk’s use of the 3D telescope for rapid recovery rhinoplasty, contact his office today.

    Dr. Rizk’s rhinoplasty regimen consists of numerous treatments and medications, intraoperative techniques and postoperative treatments and medications.

    Prior to surgery, Dr. Rizk suggests his patients take Vitamin C. Preparing for surgery is actually more a matter of avoiding certain supplements and medications. These include Motrin, Advil, Aleve, Excedrin, Bufferin and any other medications and supplements that can thin the blood. Such medications can lead to increased bleeding, and should therefore be avoided for two weeks before surgery.

    Dr. Rizk also recommends that his patients avoid alcohol for 48 hours before surgery, and that they stop taking herbal supplements and teas one week before surgery. Smokers should quit smoking a minimum of one month before surgery.

    Dr. Rizk uses a unique combination of techniques during surgery (i.e., intraoperative techniques). For example, he uses special tissue glues and dissolvable sutures that eliminate the need for nasal packing and speed up wound healing. For patients with crooked septums, he may use plastic splints. He is also well known for his use of partially closed sutures during rhinoplasty, which allow fluid to drain and lead to less swelling. Finally, Dr. Rizk uses a high-definition 3D telescope to avoid small blood vessels and sensitive tissues, thereby diminishing swelling and bruising.

    Postoperatively, Dr. Rizk often prescribes pain-killers and recommends that his patients use herbal supplements such as arnica montana, which may reduce swelling. He also provides rhinoplasty patients with a Vitamin K and medrol dose pack, as well as Bactroban ointment. In some cases he recommends manual lymphatic draining for his rhinoplasty patients.

    Dr. Rizk uses a number of special surgical technologies and techniques that promote rapid recovery. The combination of these methods is unique to Dr. Rizk.

    One of the keys to the rapid recovery experienced by Dr. Rizk’s patients is his use of a high-definition 3D telescope. This allows for smaller incisions and greater precision. By using the 3D telescope Dr. Rizk is able to get a better view of small blood vessels and tissues that when disturbed may cause bruising and swelling.

    Another element that makes Dr. Rizk’s rapid recovery regimen unique is his use of special tissue glues and dissolvable sutures inside the nose. These aid the healing process by eliminating the need for nasal packing, which can disturb nasal tissues and lead to prolonged swelling. Dr. Rizk pioneered a technique whereby he only partially closes the incisions. This revolutionary method, which allows for natural drainage and prevents blood and fluid from collecting under the skin, is unique to Dr. Rizk’s rapid recovery program. The incisions self-seal within about five days.

    Dr. Rizk also uses a unique sculpting technique that contributes to rapid recovery. Dr. Rizk’s technique for removing a bump is unique because he does not use traditional large non-powered rasps which creates significant skin bruising and swelling by its back/forth movement. Dr. Rizk uses instead powered-circular micro-rasps which are much more accurate and due to its circular motion do not traumatize the overlying skin. Specifically, Dr. Rizk sculpts at a layer below the muscle layer directly on bone and cartilage-a layer with less blood vessels and less bleeding. This “clean plane” approach reduces bruising. Moreover, sculpting at this deep muscle layer that is above the cartilage and bone eliminates harsh edges and softens the nose’s shape, resulting in a more natural look.

    Amazingly, patients who undergo rhinoplasty with Dr. Rizk’s unique rapid recovery program typically look presentable within five days.

    Dr. Rizk is able to achieve a rapid recovery after rhinoplasty thanks to a combination of instructions given to his patients, the techniques he performs and the medications and remedies he prescribes.

    Prior to surgery, Dr. Rizk instructs his patients to avoid anything that might thin out the blood — which can increase the chance of excessive bleeding and prolonged recovery — for two weeks prior to and following surgery. This includes but is not limited to aspirin, Motrin, Advil, garlic, fish oil, and herbal teas and remedies such as gingko biloba and St. John’s wort. Let Dr. Rizk know if you are taking any prescription or over-the-counter medications so he can advise you.

    Dr. Rizk also asks his patients to avoid alcohol for 48 hours before surgery, as it too can increase the risk of bleeding, as well as swelling. Finally, he insists that smoking be avoided for any number of reasons, but one of them is that it interferes with healing and therefore can prolong the recovery period. Dr. Rizk recommends that his patients use arnica montana (a natural plant extract) prior to surgery to help reduce swelling.

    Actions Dr. Rizk takes during the rhinoplasty procedure also play a role in his patients’ rapid recovery. For example, he uses certain tissue glues as well as dissolvable sutures in order to avoid the need for packing, which can cause undue bruising and swelling. He has also pioneered a suturing technique in which the sutures are not fully closed; this allows fluid to drain between the stitches, reducing the severity of swelling and leading to far more rapid recovery than with tightly closed incisions. It also eliminates the need for drains that can prolong recovery.

    In addition, Dr. Rizk’s use of a high-definition 3D telescope helps his patients achieve rapid recovery following rhinoplasty. The scope allows Dr. Rizk to avoid disturbing small blood vessels and sensitive tissues, which might lead to increased swelling and bruising.

    Dr. Rizk takes a number of postoperative measures to ensure rapid recovery. He advises his patients to continue taking arnica montana pills, and he gives them a Vitamin K and Medrol dose pack, as well as a kit with several medicines that can help speed up their recovery. In some cases, Dr. Rizk recommends manual lymphatic drainage massage to help his patients recover more rapidly. He always advises his patients that they must avoid smoking at all costs.

    It is important to follow all of Dr. Rizk’s postoperative instructions carefully to achieve a rapid recovery.

    This depends on the patient and on how the drug use affected him or her, particularly his or her nose. Intranasal use of certain drugs – namely cocaine – can cause major damage to the nose. However, many former drug users who have not suffered this type of damage are suitable candidates for rhinoplasty.

    Intranasal drug use decreases the supply of blood to nasal tissues, which can lead to the destruction of septal cartilage, and sometimes, septal perforation (holes in the septum). This in turn can compromise the nasal bridge support. When this occurs, a septal perforation repair may be necessary, which is not always successful due to diminished blood supply. Additionally, the lack of support creates a cartilaginous saddle nose deformity which requires repair with a rhinoplasty with grafts. The repair of saddle nose has a high success rate.

    Intranasal drug use can also thin or scar the mucosa that covers the septum; in some cases this makes septoplasty inadvisable, due to increased risk of tearing the septum and creating a septal perforation.

    If you are a former drug user, it is very important that you tell the surgeon evaluating you so that he or she can make the right determination regarding your potential surgery.

    Also, it goes without saying that continued intranasal drug use is a bad idea, especially during the healing period, which can last up to a year. Taking drugs intra-nasally during the recovery period could have a catastrophic effect on your results.

    Rhinoplasty surgeons use a variety of methods to determine the correct shape of a patient’s nose. They often start by analyzing a patient’s facial proportions and facial symmetry, and by looking at the airway to determine if it is properly positioned. Rhinoplasty specialists also rely on mathematical formulas and on medical studies; there are a number of published rhinoplasty studies that have assessed thousands of patients from various ethnic backgrounds.

    In fact, ethnicity is one of the most important factors in determining the correct shape of a patient’s nose. Noses vary greatly by ethnic group. For example, a Caucasian nose usually does not look good on a non-Caucasian face. So if you look more like J.Lo, you shouldn’t be asking for Angelina’s nose. If you are considering rhinoplasty, your surgeon will consider your preferences, but make sure to listen closely to your surgeon’s advice.

    Rhinoplasty is a complex, invasive surgery that requires tremendous skill and knowledge. It is extremely important that you choose a rhinoplasty specialist with extensive experience and proven success performing rhinoplasty on people of your ethnic group, and on people who look like you. Ask your prospective rhinoplasty surgeon for before and after photos, and look for patients that look like you. Do you like the results? Does it look like the surgeon chose the correct nasal shape? If not, you may need to consider another surgeon.

    The reason it may take a full year to see final rhinoplasty results is swelling. All rhinoplasty patients experience swelling, and this can take up to a year to subside. The tip of the nose is usually the area where swelling lasts the longest.

    The degree of swelling depends on the techniques used during your rhinoplasty procedure, and on the resulting trauma to your nasal tissues and structure. If bones need to be broken or if large amounts of tissue are excised and/or lifted, you are likely to experience more swelling, bruising and other postoperative symptoms. The “open” rhinoplasty technique, whereby an incision is made in the skin at the base of the nose between the nostrils (the columella), is associated with more swelling and other postoperative symptoms than the “closed” procedure.

    You can encourage faster healing by following your rhinoplasty surgeon’s postoperative instructions carefully, especially those pertaining to swelling. This may include the use of cold compresses, prescription and/or over-the-counter medications and natural remedies such as Bromelain or Arnica Montana. You should also take care to avoid bumping your nose, which can damage the results and prolong the healing process. Also avoid the sun for six weeks, as sun exposure can interfere with healing.

    Note that certain anatomical factors, such as thicker nasal skin, may make some patients more susceptible to prolonged swelling, and therefore a longer healing period.

    Talk to your rhinoplasty specialist for more information on the recovery process.

    So long as your rhinoplasty procedure goes well, the results should last for a lifetime. Aging should not affect the actual results in any way.

    However, your nose will continue to age, just like every other part of your face. This can manifest in a number of ways, including skin blemishes from sun damage, larger pores, and larger blood vessels at the corner of the nose. In addition, thanks to gravity, the tip of the nose can lose some degree of projection. This can make the nose look longer in elderly people, some of whom decide to have rhinoplasty surgery in order to correct it.

    In the past, older rhinoplasty procedures sometimes compromised the nasal structure, a factor that is very important for lasting results. With modern rhinoplasty techniques, this is no longer the case.

    Prior to surgery, some rhinoplasty patients are so focused on their noses that they fail to notice signs of aging elsewhere on the face. Following rhinoplasty, some of these patients begin to notice these signs of aging. However, this has nothing to do the results of their rhinoplasty procedures.

    To learn more about the aging process and cosmetic surgery, speak to your surgeon.

    The use of herbal remedies following rhinoplasty can be helpful or hurtful. It all depends on the specific herbal remedy and your unique circumstances. It is therefore imperative that you follow your surgeon’s instructions.

    Arnica Montana and Bromelain are two of the most popular herbal remedies used following rhinoplasty and other facial plastic procedures.

    Arnica Montana is a plant that may reduce swelling following a trauma or a surgery such as rhinoplasty. Many rhinoplasty surgeons, including Dr. Rizk, recommend that their patients use Arnica Montana before and after their nose surgery procedures.

    Some surgeons also advise their patients to use Bromelain, a pineapple extract used for the same purpose. However, Bromelain can cause complications in some patients, namely those with digestive conditions, so it is very important that you speak to your surgeon before using this remedy.

    Though products containing Arnica Montana and Bromelain may be appropriate for your situation, do not take this to mean that other supplements or herbal remedies are necessarily appropriate for rhinoplasty recovery. For example, Vitamin E, Ginkgo Biloba, fish oil and other supplements can cause issues with bleeding. That being said, there are some others that your facial plastic surgeon might recommend. Talk to your rhinoplasty specialist for more information on taking herbal remedies following nose surgery.

    Ethnic rhinoplasty generally refers to rhinoplasty performed on a patient who is not Caucasian. But because each ethnicity has its own set of nasal characteristics, performing nose surgery on a non-Caucasian patient isn’t a matter of taking the “normal” procedure and “balancing” it with ethnic features. Instead, in many cases the procedure is entirely different.

    “Ethnic” patients often have thicker skin, a flatter dorsum, a broader nasal base, a lower radix and shorter alar (lower lateral) cartilages. These cartilages are often “weak” as compared to the cartilage in Caucasian noses, and therefore must be treated differently.

    The goal of any rhinoplasty procedure is to create harmony, symmetry, and ultimately, beauty. In ethnic patients, this typically means altering the nose and other features in such a way that the results sharpen and define the patient’s features in accordance with his or her facial proportions while preserving the patient’s ethnic characteristics. This frequently entails altering the following characteristics:

    • Nasal pyramid
    • Dorsum
    • Tip
    • Pyriform area
    • Nasolabial angle
    • Alveolar ridges
    • Tip projection
    • Alar base

    Creating harmony between the nose and other features of the face must be undertaken on a case by case basis. Tools such as imaging software can be used to determine the right balance and harmony of an ethnic patient’s facial features.

    Talk to your facial plastic surgeon to learn more about how he or she balances ethnic features when performing rhinoplasty.

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