Rhinoplasty (Nose Job) in NYC

THE PROCEDURE

WHAT is Rhinoplasty?

Each year thousands of people undergo surgery of the nose. Nasal surgery may be performed for cosmetic purposes, or a combination procedure to improve both form and function. It also may alleviate or cure nasal breathing problems, correct deformities from birth or injury, or support an aging, drooping nose.

Patients who are considering nasal surgery for any reason should seek a doctor who is a specialist in nasal airway function, as well as plastic surgery. This will ensure that efficient breathing is as high a priority as appearance.

Can Cosmetic Nasal Surgery Create A “Perfect” Nose?

Aesthetic nasal surgery (rhinoplasty) refines the shape of the nose, bringing it into balance with the other features of the face. Because the nose is the most prominent facial feature, even a slight alteration can greatly improve appearance. (Some patients elect chin augmentation in conjunction with rhinoplasty to better balance their features.) Rhinoplasty alone cannot give you a perfect profile, make you look like someone else, or improve your personal life. Before surgery, it is very important that the patient have a clear, realistic understanding of what change is possible as well as the limitations and risks of the procedure.

Skin type, ethnic background, and age will be among the factors considered preoperatively by the surgeon. Except in cases of severe breathing impairment, young patients usually are not candidates until their noses are fully grown, typically at 15 or 16 years of age.

 

The Surgery

  • Incisions are made in the inside of the nose, where they are not visible. In some cases incisions may be made in the area of the skin separating the nostrils.

     

  • Underlying bone and cartilage are sculpted to create the nose’s new shape.

     

  • Skin is re-draped over the nose’s new frame and all incisions are closed.

     

  • After surgery is completed a small cast is placed on the nose to maintain the newly sculpted nasal framework in position. Dr. Zimm does not use nasal packing except in very rare circumstances. Large packs are not used. Small internal silicone splints may be applied for additional support and are usually removed after 7 days.

THE CHALLENGES

  • Rhinoplasty is a very detailed procedure. The ultimate result depends to a great extent on how your skin heals. Improvement, not perfection, is the goal.

     

  • How your skin heals.

Fellowship

Facial Plastic and Reconstructive Surgery
Peter A. Adamson, M.D., University of Toronto School of Medicine 2011-2012

THE DOWNTIME

  • Rhinoplasty takes between 2 to 3 hours to complete and is done at the hospital, typically under general anesthesia. 
  • Full daily activities can be resumed within 2 weeks of surgery, strenuous exercise, within 3 weeks and contact sports, diving or weight lifting after 6 weeks. Also, you can travel (even by airplane) by day 8 of your recovery, and eyeglasses can be worn on the bridge of the nose after 6 weeks.

     

  • Small residual swelling can persist for several weeks and the final refinement can take several months to a full year to settle depending on the thickness and quality of your skin.

The Goals

  • Rhinoplasty can reduce a nose that is too large, narrow a nose that is too wide, straighten a nose that is crooked, eliminate unsightly bumps, reshape the tip and improve the angle between the nose and the upper lip for a more youthful look.

     

  • In certain noses, such as in Asian or African American noses, rhinoplasty can provide a stronger bridge, enhance tip definition and narrow the base for a more defined look.

     

  • It can increase air flow where obstructions in the nose are causing breathing and sinus problems.

     

  • It also decreases concerns and renews one’s self-confidence once an undesirable feature has been corrected.

SPECIAL CONSIDERATioNS

  • The degree of nasal refinement desired.
  • The level of function of nasal structures.
  • The structure of the nose, both internally and externally.
  • How the shape of the nose relates to the overall contour of your face and specific facial features.
  • Whether chin augmentation or reduction, in addition to rhinoplasty, may benefit the overall profile.
  • Skin texture and thickness.
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MEET OUR RHINOPLASTY SURGEON

Why You Should Choose Dr. Joshua Zimm

Dr. Joshua Zimm is a double-board certified facial plastic surgeon with over 20 years of world-class care. Being dual board-certified in Ear, Nose, and Throat Surgery and Facial Plastic Reconstruction surgery provides Dr. Zimm with expert-level knowledge of all the intricacies of facial anatomy. His extensive training allows him to handle even the most complex of surgeries with ease and allows his patients the reassurance they are in the best hands. 

Often regarded as one of the best facial plastic surgeons in New York City, Dr. Zimm provides personalized care in a welcoming environment, allowing his patient to achieve their desired results. 

The complex nature of rhinoplasty surgery demands extensive experience and surgical skills to obtain the best results. As a member of the Rhinoplasty Society of Europe, Dr. Zimm works with top surgeons worldwide to develop and promote excellence in rhinoplasty surgeries. His dedication to continually advancing his skills has led to amazing results for his patients and provided them with a renewed sense of confidence. 

Dr. Zimm was selected as one of “America’s Top Physicians” by the Consumer Research Council of America in 2013, 2010, 2009, and 2007. He was inducted into Strathmore’s Who’s Who among top doctors as a lifetime member in 2004.

Joshua Zimm, M.D., P.C., is located in Manhattan’s Upper East Side to provide Manhattan and its surrounding communities with exceptional rhinoplasty surgeries.

REVIEWS

FEATURED testimonials

"After 20 years of disliking my nose, I finally decided to get rhinoplasty"

"After 20 years of disliking my nose, I finally decided to get rhinoplasty. I chose Dr. Zimm because he shared my vision and made me feel confident with his approach. Another major deciding factor for me was the staff! I did not have support at home during this process but the staff made me feel safe and genuinely cared for from my first consultation and throughout my recovery. I have thick skin but at 3 months post op I absolutely love the results. Dr. Zimm is the BEST!"
 

"My breathing is significantly improved and the cosmetic portion was beautifully done."

"Dr. Zimm performed a revision rhinoplasty on me, and he truly did an incredible job. My old nose needed a lot of correction with asymmetry, deprojection, and a bulbous droopy tip, and he was able to accomplish all of those things and give me a nose that really fits my face. He is meticulous and caring, and gives each patient the full attention they need. Also, his office staff was extremely helpful and nice throughout the entire process. From start to finish, this was a smooth and positive experience that is life changing for me. I am so happy I chose Dr. Zimm for my procedure, because I do not think anyone else could have done such an incredible job. I am so beyond happy with my revision rhinoplasty results, and I would recommend him to anyone!"

"I am thrilled with the result of my rhinoplasty"

"Dr. Zimm was incredibly thorough, kind, and reassuring every step of the way. His expertise in the plastics field is truly unrivaled. I am thrilled with the result of my rhinoplasty. Everyone in the office is so pleasant, helpful, and responsive. Following through with this procedure at this office was the best decision I’ve ever made!"
 

"Would recommend Dr.Zimm over and over again!"

"Dr.Zimm and his entire team were simply amazing. After doing some research on finding a doctor for my rhinoplasty, Dr. Zimm was an easy choice. He made me feel so comfortable, was extremely transparent & honest throughout the entire process and I couldn't be happier with my end results. His staff was extremely communicative and helpful throughout the entire process from initial consultation to post-surgery and recovery. My results were absolutely fantastic and I couldn't thank Dr.Zimm and his team enough! Would recommend Dr.Zimm over and over again!"
 

"I could not be more pleased with the results of my nose surgery"

"I could not be more pleased with the results of my nose surgery. Dr. Zimm fixed some cosmetic and breathing issues that had bothered me my entire adult life and my only regret is that I didn't have this surgery sooner. I still look like me, but with a more beautifully balanced nose that fits my face perfectly. Dr. Zimm is kind, compassionate and a truly gifted surgeon - my entire experience, from initial consultation to final post-op visit, has been wonderful and I am so, so happy with my decision to go with Dr. Zimm on this journey to better breathing and a more attractive face. His office staff is fantastic as well - friendly, warm and professional to deal with. If I could give more than 5 stars I would!"
 

"Dr. Zimm has been the best through my entire rhinoplasty journey"

"Dr. Zimm has been the best through my entire rhinoplasty journey. When I initially started the process and searching for a surgeon I went on multiple consultations but didn’t feel comfortable with anyone like I did with Dr. Zimm. From the start he was understanding and listened to my concerns, he set realistic expectations and was clear about what was and wasn’t possible. My initial consultation was quite long which I appreciated, I didn’t feel like just another case or that he was rushing. He was extremely thorough and made sure we had a mutual understanding at all times. His entire team is also amazing and very helpful, they’ve answered every question from the start all the way to my recovery and always in a very timely manner. I was never anxious or unsure during this process thanks to everyone’s reassurance and help. Dr. Zimm and his team set you up for the easiest recovery, giving all the information you could need before and making sure you’re completely informed on what to expect. I felt like I was in good hands the entire time and never had any doubts, I was well taken care and it made this process a breeze."
 

FAQs

Frequently asked questions

While pain can vary from patient to patient, the majority of patients undergoing rhinoplasty in New York City will rate the pain as mild to moderate. As one of the least painful cosmetic surgeries, patients often rate their pain a 0 to 4 out of 10 on the first day after surgery. 

While pain is present after surgery, the most common complaints after rhinoplasty are facial swelling and nasal congestion.

A nose job in Manhattan can range in cost from $10,000 to $20,000 on average. Many different factors ultimately determine the overall cost of the procedure. The factors can include the degree of correction needed, the experience and expertise of the surgeon, and if any additional procedures are required.

A nose job in New York City is performed by altering the bone and cartilage structures of the nose. Once these are fully healed, the results from the procedure are permanent. Even as you age, the shape and contour of the rhinoplasty will remain unchanged providing long-lasting results.

Most patients have the impression that a tip rhinoplasty is cheaper than a full rhinoplasty, but this is not always the case. A tip rhinoplasty incorporates the most difficult part of a rhinoplasty and requires extensive knowledge and skill. Therefore, it is recommended to utilize a Manhattan rhinoplasty surgeon experienced in performing tip rhinoplasty procedures. 

There is no perfect age to undergo a rhinoplasty procedure. However, New York City nose job experts recommend waiting until at least 18 years of age to allow the nasal structures to completely mature. Overall, for healthy patients, a nose job can be performed at any age and should be determined by when you feel the time is best for you. 

Aging generally affects the collagen within the skin and not the nasal structures. Therefore, as one ages, it is possible to notice minor changes in the nose's appearance, but these are related to changes in the skin. The actual structure of the nose will remain unchanged and the shape created after a rhinoplasty will last a lifetime.

A rhinoplasty procedure is an outpatient procedure that can require general anesthesia. However, despite needing general anesthesia, patients can return home the same day of surgery. While even the best rhinoplasty surgeon in New York City can require a few hours to complete the procedure, there are typically no reasons a patient will require an overnight stay in the hospital.

Rhinoplasty specialists in New York City estimate that 5-10% of primary rhinoplasties fail. The chances of this occurring can be decreased by choosing the top rhinoplasty surgeon in Manhattan. Surgeons with experience and expertise will have few complications and surgeries requiring revision.

 

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