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NEW YORK CENTER for FACIAL PLASTIC & LASER SURGERY
ANDREW A JACONO, MD, FACS
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RHINOPLASTY / NOSE RESHAPING
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VIEW MORE PLASTIC SURGERY / RESULTS: Rhinoplasty / Nose Reshaping - Eyelid Lift - Mini-/Multiplanar Facelift - Endoscopic Brow / Midface Lift - Ear Reshaping - Lip Augmentation - Laser Resurfacing / Skin Peels - Chin Shaping / Neck Liposuction - Botox / Restylane - Fraxel Laser Resurfacing
 Rhinoplasty - Nose Job - Revision Rhinoplasty in New York - Quick Recovery Rhinoplasty™
Every year over half a million people will consult a facial plastic surgeon to improve the appearance of their nose, an operation called a Rhinoplasty, or nose plastic surgery. Since the nose is the most defining characteristic of the face, even a slight alteration can greatly improve one's appearance.
The definition of rhinoplasty is shaping the nose. First incisions are made and the skin of the nose is lifted off of the underlying bone and cartilage framework. The majority of incisions are made inside the nose and thus are invisible. Next precise amounts of underlying bone and cartilage are removed or rearranged to provide a newly shaped structure. For example,when there is a large hump on the nose in profile, the excess bone and cartilage is removed resulting in a straighter and flatter appearance. The skin is then redraped over the new framework,and the incisions are closed.
Doctor Jacono favors creating a natural rhinoplasty result, similar to Ashlee Simpson plastic surgery result. One that is aesthetically balanced to the face.
During your consultation Doctor Jacono will perform a thorough examination of your nose, taking into consideration all factors including skin type, ethnicity, age, degree of deformity, and degree of function of the nasal structures. After this Doctor Jacono uses digital photography and computer imaging software to simulate how you will look after surgery. Doctor Jacono feels that Digital morphing is crucial to help define how his patients want their nose to look. He does not "give everyone the same nose" and customizes the surgery to enhance your aesthetic balance.
The patient below is an actual result and not a computer generated image. Here a dorsal nasal hump was removed and tip definition and rotation was accomplished.
Doctor Jacono has published in the medical literature regarding cutting edge procedures in rhinoplasty surgery, including revision rhinoplasty. (Click Here to See Dr. Jacono's Publications).
He specializes in revision rhinoplasty, using your own bodies cartilage and bone for restructuring the nose instead of synthetic implants. Structural cartilage grafts are often required due to collapse of the nasal tip and twisting of the nose from overly aggressive or poorly executed rhinoplasty surgery. Revision rhinoplasty is often performed with cartilage from the nasal septum. When it is not available due to prior surgery, cartilage from the ears or ribs can be used. In the most severe cases calvarial bone from the skull can be harvested and used to re-structure a competely collapsed nose called a "saddle nose."
Rhinoplasty can be performed through an "open" or "closed" approach, with the "open" approach requiring a small incision across the base of the nose. Some surgeons only perform all rhinoplasty "open" and some perform all "closed." Doctor Jacono performs Rhinoplasty "open" and "closed", and chooses the approach depending upon the goals of the surgery.
Doctor Jacono has patented a Quick Recovery Rhinoplasty™ Technique that minimizes the incision lines for rhinoplasty, does not require the nose to be broken, and reshapes rather than cuts away cartilage. He combines this less invasive approach with vitamin supplementation and homeopathic therapies to enhance healing after surgery and minimize bruising. Research has shown that surgical results are improved when these regimens are part of your surgical treatment. He also does not pack the nose at surgery minimizing any discomfort.
The photographs above as well as those that follow are before and after photographs of some of Doctor Jacono's rhinoplasty patients. These are actual results and have not been altered for presentation here.
Rhinoplasty Patient 1: Correction Long Nose, Nasal Hump (dorsal Bump) and Drooping Nasal Tip.
| Before | After |  |  |
Rhinoplasty Patient 2: Correction Long Nose, Nasal Hump (dorsal Bump) and Drooping Nasal Tip.
| Before | After |  |  |
Rhinoplasty Patient 3: Correction of Long Nose, Reduction of Nasal Bridge, Roatation and Definition of Nasal Tip.
Rhinoplasty Patient 4: Correction of Short Nose, Reduction of Nasal Bridge, Increased Tip Length, Refinement of Tip, Nostril Shortening and Rotation of Tip.
Rhinoplasty Patient 5: Revision Rhinoplasty Requiring Tip Rotation, Nasal Bridge Reduction, and Tip Sculpting and Refinement.
Rhinoplasty Patient 6: Correction of Long Nose, Reduction of Nasal Bridge, Deprojection of Nasal Tip, Roatation and Definition of Nasal Tip.
Rhinoplasty Patient 7: Correction of Long Nose, Rotating, Lifting and Defining Nasal Tip. This patient also had a chin augmentation to bring aesthetic balance to the face.
Rhinoplasty Patient 8: Correction of Crooked Nose, Long Nose, Reduction of Nasal Bridge, Roatation and Definition of Nasal Tip.
Rhinoplasty Patient 9: Correction of Long Nose, Reduction of Nasal Bridge, Deprojection of Nasal Tip, Roatation and Definition of Nasal Tip.
Rhinoplasty Patient 10: Correction of Long Nose, Reduction of Nasal Bridge, Rotation and Shortening of Nasal Tip.
Rhinoplasty Patient 11: Correction of Crooked Nose, Long Nose, Rotating, Lifting and Defining Nasal Tip.
Rhinoplasty Patient 12: Correction of Long Nose, Reduction of Nasal Bridge, Rotation and Definition of Nasal Tip.
Rhinoplasty Patient 13: Correction of Nasal Bridge with Bump Reduction and Cartilage Graft at Top of Bridge of Nose.
Rhinoplasty Patient 14: Revision Rhinoplasty for a "Saddle Nose" after severe facial trauma. Due to the loss of bone and cartilage, a split calvarial bone graft from the skull was required to reconstruct the bridge and build it up. The nasal tip was rebuilt with ear cartilage.
Rhinoplasty Patient 15: Correction of Long Over Projected Nose and Large Bulbous Nasal Tip. Rotating, Lifting and Defining Nasal Tip.
Rhinoplasty Patient 16: Correction of Long Nose and Large Bulbous Nasal Tip. Rotating, Lifting and Defining Nasal Tip.
Rhinoplasty Patient 17: Correction of Nasal Bridge, Reduction and Definitionof Nasal Tip.
Rhinoplasty Patient 18: Revision Rhinoplasty performed 4 Times Before with Other Surgeons Requiring Ear Cartilage Grafting to Build Up the Brudge, Increase Nasal Tip Projection. This Patient also had Submental Liposuction (Liposuction under the Neck).
| Before | After |  |  |
Rhinoplasty Patient 19: Revision Rhinoplasty performed 2 Times Before with Other Surgeon Requiring Ear Cartilage Grafting to Build Up the Brudge, Correct Nasal Tip Assymetry and Increase Nasal Tip Projection.
Rhinoplasty Patient 20: Correction of Long Nose, Dorsal Hump (Nasal Bump) Rotating, Lifting and Defining Nasal Tip.
Rhinoplasty Patient 21: Correction of Long Nose, Rotating, Lifting and Defining Nasal Tip. This patient also had a chin augmentation to bring aesthetic balance to the face.
Rhinoplasty Patient 22: Correction of Crooked Nose, Long Nose, Rotating, Lifting and Defining Nasal Tip.
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Rhinoplasty Patient 23: Aging Rhinoplasty. Correction Nasal Hump, Long Nose and Drooping Nasal Tip. (Notice how correction of the nose rejuvenates the face).
Rhinoplasty Patient 24: Correction Long Nose, Nasal Hump and Drooping Nasal Tip.
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Rhinoplasty Patient 25: Revision Nasal Surgery. Fourth Revision Rhinoplasty (First four surgeries performed by another suregon) with Cartilage Grafting.
Rhinoplasty Patient 26: Aging Rhinoplasty. Correction Nasal Hump, Long Nose and Drooping Nasal Tip. (Notice how correction of the nose rejuvenates the face).
| Before | After |  |  |
Rhinoplasty Patient 27: Correction of Long Nose, Rotating and Defining Nasal Tip.
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Rhinoplasty Patient 28: Correction of Nasal Hump, Rotating and Defining Nasal Tip.
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Rhinoplasty Patient 29: Nasal Hump Removal.
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Rhinoplasty Patient 30: Nasal Hump Removal with Nasal Tip Refinement.
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Rhinoplasty Patient 31: Large Nasal Hump Removal, Nasal Tip Rotation with Nasal Tip Refinement.
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Rhinoplasty Patient 32: Severely Misshapen Nose. Correction with Nasal Straightening, Nasal Tip Definition, and Structural Nasal Tip Support.
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Rhinoplasty Patient 33: Severely Traumatized Crooked Nose. Correction with Nasal Straightening.
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Rhinoplasty Patient 34: Bulbous Nasal Tip, Nasal Tip Rotation with Nasal Tip Definition.
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Rhinoplasty Patient 35: Poorly Defined Nasal Tip. Nasal Tip Projection and Refinement.
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VIEW MORE PLASTIC SURGERY / RESULTS: Rhinoplasty / Nose Reshaping - Eyelid Lift - Mini-/Multiplanar Facelift - Endoscopic Brow / Midface Lift - Ear Reshaping - Lip Augmentation - Laser Resurfacing / Skin Peels - Chin Shaping / Neck Liposuction - Botox / Restylane - Fraxel Laser Resurfacing
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