About Primary Rhinoplasty

When the nose is imbalanced or asymmetrical, it can pull focus from the rest of your facial features. If you’re dissatisfied with the shape, size, or symmetry of your nose, you can undergo a rhinoplasty procedure, also known as a nose job. Besides addressing cosmetic issues related to the nose, a rhinoplasty can also address functional problems, such as a deviated septum. Dr. Lisiecki performs a highly personalized rhinoplasty procedure according to your unique anatomy and goals to ensure optimal results.

What is primary rhinoplasty?

Rhinoplasty is a surgical procedure that improves and refines the shape, size, and proportions of the nose. It involves making strategic adjustments to the internal structures of the nose to adjust its shape and size, ensuring optimal harmony with other facial features. The term “primary rhinoplasty” refers to the first rhinoplasty procedure the individual undergoes, i.e., when the nose hasn’t had any other surgeries or work. Dr. Lisiecki has worked with almost all kinds of nasal shapes, and he ensures your rhinoplasty procedure is personalized for you.

A rhinoplasty can correct the following:

  • Overly large or small nostrils
  • Disproportionately sized nose
  • Extremely wide or narrow nose
  • Bump on the bridge of the nose
  • Drooping nasal tip
  • Large, upturned, or bulbous nasal tip
  • Extremely flared nostrils
  • Crooked nose
  • Off-center nose
  • Issues with asymmetry
  • Breathing issues because the nose structure

Candidates for a primary rhinoplasty:

  • Are over 15 years of age
  • Have a fully developed nose
  • Are dissatisfied with the shape, size, or proportions of their nose
  • Experience breathing problems because of the structure of the nose
  • Have realistic expectations from the rhinoplasty procedure
  • Are in generally good physical and mental health
  • Are nonsmokers or willing to stop smoking before the surgery

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Dr. Lisiecki’s personalized rhinoplasty technique

Dr. Lisiecki will discuss your unique goals and examine your nose to identify the ideal rhinoplasty technique for you. Depending on your condition, the surgeon may have to perform closed rhinoplasty with incisions inside your nostrils or an open rhinoplasty, which involves making an incision on the underside of the nose. The scar will be virtually undetectable because it will be placed underneath the nose, so it will be hidden from plain view.

After making the incision, the surgeon will reshape the nasal bone and cartilage and re-sculpt the nose into the desired shape and size. The specific techniques will depend on your unique condition. The surgeon may build up the cartilage and bone or place cartilage grafts from other parts of the body, or they may reshape excess soft tissues, thereby reshaping the nasal structure. The entire procedure should conclude within 1 to 3 hours on an outpatient basis.

Types of rhinoplasty techniques

Revision Rhinoplasty

Revision rhinoplasty refers to all nose jobs performed after the first rhinoplasty, i.e., the second, third, or other nose jobs. You may undergo a revision rhinoplasty to address the cosmetic or functional problems arising due to the primary rhinoplasty if you are suffering from complications because of a botched nose job or to simply modify the nose job’s results.

Functional Rhinoplasty

Functional rhinoplasty refers to the rhinoplasty procedures that aim to correct functional issues, such as trouble breathing or sleeping because of a deviated septum. If you can’t breathe properly through both nostrils, the plastic surgeon may change the structures of the nose to restore functionality. This procedure may improve the appearance, but that’s not the goal.

Ethnic Rhinoplasty

Ethnic rhinoplasty refers to a rhinoplasty procedure that enhances the shape and size of your nostrils without erasing the marks of your cultural heritage. The procedure is personalized according to your unique expectations but with the intention to preserve your ethnic markers of identity. Please talk to your plastic surgeon to explore your ethnic rhinoplasty options.

Preservation Rhinoplasty

Preservation rhinoplasty is a unique rhinoplasty technique that addresses the cosmetic and functional issues while preserving certain aspects of the anatomy. This can minimize swelling after the surgery. The results can be extremely natural.

Closed Rhinoplasty

Closed rhinoplasty is a surgical technique that involves altering the appearance of the nose via minimal incisions. The surgeon makes extremely small incisions inside the nose to make small adjustments to the internal structures of the nose, ensuring minimal swelling and scarring. This procedure is suitable for patients seeking mild changes to the nose shape and size.

Open Rhinoplasty

Open rhinoplasty is a surgical technique that involves making a small incision on the underside of the nose between the nostrils. The surgeon pulls back the outside of the nose to access the internal bone and soft tissues. This surgical technique allows the surgeon to make larger adjustments to the internal shape and structure of the nose.

Septoplasty

Septoplasty is a surgical technique that involves extracting, fixing, and replacing a deviated septum to restore optimal breathing. A deviated septum can obstruct the airway and cause breathing problems. As such, a septoplasty can fix the deviated septum, allowing you to breathe and sleep comfortably without obstructions.

Liquid Rhinoplasty

Liquid rhinoplasty is a non-surgical rhinoplasty technique performed using specialized cosmetic injectables. The plastic surgeon injects a unique combination of dermal fillers, such as Restylane, in and around the nose to add volume in targeted areas. A liquid rhinoplasty can address minor cosmetic issues without incisions or surgeries.

Recovery after your rhinoplasty surgery

You may have to wear nasal splints outside or inside your nose for a few days to stabilize the nose. The nasal splints might be removed after a week. You may experience swelling, bruising, and discomfort around the nose for a few days, but most of the bruising should dissipate within 2 weeks. Most patients can resume their daily activities and work within 7 to 10 days, but strenuous physical activities should be avoided for at least 4 weeks.

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Schedule a consultation with Dr. Lisiecki

Dr. Jeffrey Lisiecki is an acclaimed rhinoplasty surgeon with specialized training in the latest rhinoplasty techniques. He is the recipient of the Rollin K. Daniel Resident Paper Competition Award from the Rhinoplasty Society, and he has been highly trained in primary and revision rhinoplasties. Instead of following a cookie-cutter plan, Dr. Lisiecki tailors the treatment according to each patient’s unique needs, ensuring safe and natural results. Please schedule a consultation to explore your rhinoplasty treatment options in New York.

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737 Park Ave, Suite 1C
New York, NY 10021