Information about rhinoplasty procedures in New York
Rhinoplasty New York – As a world-renowned specialist in rhinoplasty (nose job) surgery, Dr. Jacono has been featured on Good Morning America. Watch to see him discuss trends in rhinoplasty surgery.
What Is a Rhinoplasty?
Every year, over half a million people consult a facial plastic surgeon to surgically improve the shape, width, and length of their nose. This particular procedure is called a rhinoplasty. Because the nose is the face’s most defining feature, even slight alterations can significantly improve a patient’s appearance.
Dr. Jacono prefers to give his patients a natural rhinoplasty result that is at once subtle and aesthetically balanced. Often, his clients request celebrity noses, like Kim Kardashian’s, but he works with each and every patient individually and uses digital morphing technology to deliver their desired outcomes. Unlike many other aesthetic surgeons, Dr. Jacono does not believe in “cookie-cutter” approaches to facial plastic surgical procedures.
If you look at many plastic surgeons’ rhinoplasty before and after pictures, all the noses will look the same after surgery. Dr. Jacono creates a unique nose for every patient that not only fits their desires but also fits their unique facial features,
What is the Difference Between a Rhinoplasty and a Nose Job?
Rhinoplasty Before and After Patient 1: – This 25-year-old patient wanted a smaller, more feminine nose. Her after photograph was taken 7 months following surgery. To accomplish her goals, Dr. Jacono performed a closed rhinoplasty procedure, reducing the patient’s nasal hump (dorsal hump), defining her nasal tip, and slightly rotating her tip. Her new nose has brought out her natural beauty; her chin and cheekbones look significantly more balanced.
“Rhinoplasty” is the technical—or medical—term for what most people refer to as a “nose job.” The goal of any rhinoplasty is to refine the nose’s internal structures in hopes of improving its external aesthetics.
What Are the Various Types of Rhinoplasties?
While there are many rhinoplasty techniques, the two most common are “open” and “closed” rhinoplasties. Both approaches deliver excellent results but are suited to different kinds of patients.
What is an Open Rhinoplasty?
Open rhinoplasty is considered to be a more invasive surgery that is better suited to those with larger noses, as well as to those with severely asymmetrical or crooked nasal bridges and nasal tips. During this procedure, an incision is made across the columella—the thin strip of tissue that connects the nasal tip to the base of the nose—before the nose’s skin is lifted off the underlying bone and cartilage. Next, precise amounts of bone and cartilage are either removed from the nasal bridge and tip or rearranged to create a newly shaped structure. Sometimes cartilage grafting is required to support the nasal tip or create a definition in the tip where none existed.
The skin is then re-draped over the fresh framework, and the incisions are closed.
What is a Closed Rhinoplasty?
Closed rhinoplasty, on the other hand, is better suited to patients with smaller, more symmetrical noses; typically, “closed” rhinoplasties reshape the tip of the nose, shorten the nose’s length, and shave down the dorsal humps (Hump on the nasal bridge). Unlike open rhinoplasty, closed rhinoplasty hides all incisions within the nostrils. Through these internal incisions, the nose can be tactfully reshaped.
Why Choose Dr. Jacono
New York Facial Plastic Surgeon Dr Andrew Jacono is a member of The Rhinoplasty Society and considered one of the best rhinoplasty surgeons by his patients and his peers. Dr. Jacono is honored to be one of only 139 members in this elite international society.
Dr. Jacono, an expert in both open and closed rhinoplasty surgery, has patented a Quick Recovery Rhinoplasty™ technique that minimizes the visibility of rhinoplasty incision lines, does not require the nose to be broken, and reshapes cartilage rather than cuts it away.
Dr. Jacono also uses 3-D high-definition telescopes to increase surgical precision. Also to speed up healing and minimize bruising, he uses vitamin supplementation and homeopathic therapies.
Dr. Jacono also notably specializes in revision rhinoplasty, using your body’s own cartilage and bone to reshape the nose. Typically, he takes cartilage grafts from the nasal septum to restructure noses that have twisted and collapsed. If these cartilage grafts are not readily available, Dr. Jacono instead uses cartilage from the ears or ribs; in more severe cases, he harvests a portion of calvarial bone from the skull and uses it to restructure a completely collapsed “saddle” nose.
Which Rhinoplasty is Best?
Both open and closed rhinoplasties have their benefits and drawbacks.
Open Rhinoplasty Benefits:
- Gives the surgeon greater access to the nose’s internal structures
- More significantly reshapes the nose
- Can provide more accurate post-surgical results
Open Rhinoplasty Drawbacks:
- Causes more swelling
- Has a longer recovery time
- Can leave behind a minor scar
Closed Rhinoplasty Benefits:
- Offers less post-operative swelling
- Provides better nasal tip support
- Leaves no visible scars
- Has a shorter recovery time
Closed Rhinoplasty Drawbacks:
- Better suited for smaller, more symmetrical noses
- Cannot resolve major structural issues as reliably
- Offers more limited aesthetic results
What is the Best Age to Get a Rhinoplasty?
While there is no “best” age to undergo a rhinoplasty. After young women and men undergo their pubertal growth spurt, they are candidates for a rhinoplasty. For most young girls that age is 14 or 15, and most boys are between 16 and 17. This is because, by this time, patients have matured physically, and the nose will no longer grow.
What to Expect During Rhinoplasty Recovery?
After both open and closed rhinoplasty surgeries, patients’ noses will swell. While the amount of swelling depends on a number of factors—including health, age, and alcohol and tobacco use—patients who have undergone an open rhinoplasty can expect most of their swelling to resolve within 4 weeks.
Patients who have undergone a closed rhinoplasty can expect the majority of their swelling to resolve within 2-3 weeks.
During the first week of recovery, patients may feel congested from internal nasal swelling, though Dr. Jacono does not insert packing into the nose. He does, however, cover the nose in a cast that will remain on for the duration of the first-week post-surgery. Patients should avoid physical activity during this time, and should get as much rest as possible.
On the seventh day after surgery, Dr. Jacono will remove the hard cast from the nose and perform an examination to see how the nose is recovering. Bruising and swelling will have improved enough for the patient to be in public. Most patients can return to normal daily activities but should continue to avoid strenuous physical activities.
During the third and fourth weeks of recovery, patients should be able to return to all of their normal activities. They should, however, avoid bumping their nose. Patients will notice changes, as most of the nasal swelling will have resolved by now. Some patients may experience a slight loss of feeling in their nose and should use sunscreen whenever they are out in direct sunlight. Patients may continue to see subtle changes in their nose shape for up to a year.
Who is a Good Candidate for Rhinoplasty?
Anyone of any age who is unhappy with the shape of their nose is a good candidate for rhinoplasty. Those whose noses have significant structural issues that cause breathing problems can also benefit from surgery.
It is important for patients to be in good health (no serious medical conditions or illnesses), and to refrain from smoking or drinking excessive amounts of alcohol before and after surgery.
How to Choose the Best Rhinoplasty Surgeon
The best way to choose a rhinoplasty surgeon is to do your research. Peruse as many physicians’ websites as you can, evaluate their results, and schedule a consultation to see if the surgeon in question is a fit.
Dr. Jacono is a dual-board-certified facial plastic surgery expert and pioneer with over twenty years of experience in the field. He has extensive training in both rhinoplasty and revision rhinoplasty surgery and prides himself on delivering the most natural, comprehensive results possible.
To see if you are a candidate for rhinoplasty surgery with Dr. Jacono, please contact our offices in New York City or on Long Island.
Rhinoplasty Before-and-After Photos
The following photographs show some of Dr. Jacono’s before-and-after rhinoplasty results. These images have not been altered for presentation.
Rhinoplasty Before and After Patient 2: Dr. Jacono performed a closed rhinoplasty procedure on this 20-year-old patient, who wanted a smaller, more feminine nose. He reduced her nasal hump and created a more refined nasal tip.
Rhinoplasty Before and After Patient 3: This young woman was unhappy with her bulbous tip and large dorsal hump. Dr. Jacono performed a rhinoplasty, smoothing her nasal hump and reducing her nasal tip. Her nose now completely complements her other facial features.
Rhinoplasty Before and After Patient 4: This young lady wanted to reduce her dorsal hump and nasal tip. Dr. Jacono performed a closed rhinoplasty procedure to correct both issues. Her after photographs were taken just three weeks after surgery. She loves her new look, and is already posting pictures all over Instagram.
Rhinoplasty Before and After Patient 5: This patient was unhappy with her bumpy nasal bridge and downward-sloping tip. Dr. Jacono performed an open rhinoplasty to reduce her dorsal hump and refine her nasal tip.
Rhinoplasty Before and After Patient 6: This 20-year-old patient wanted a smaller, more feminine nose. Dr. Jacono reduced her dorsal hump and slightly lifted her nasal tip. He also performed an alar base reduction to make her nostrils smaller. The patient loves her new nose.
Rhinoplasty Before and After Patient 7: This patient underwent an open rhinoplasty with an alar base (nostril) reduction, which correct her over-projected nose, and droopy tip, and dorsal hump. After surgery, her face appears more feminine and aesthetically balanced.
Rhinoplasty Before and After Patient 8: Dr. Jacono performed a closed rhinoplasty on this young lady. He also performed a nasal tip plasty to reduce her long, bulbous nasal tip. Her new nose complements her other facial features.
Rhinoplasty Before and After Patient 9: This young woman wanted to refine her nasal bridge and lift her tip. Dr. Jacono performed a closed rhinoplasty, reducing her nasal bridge and building up her radix with a cartilage graft (the radix is the “root”, or uppermost part, of the nose).
Rhinoplasty Patient 10: This patient was unhappy with her wide nostrils and nasal hump. Dr. Jacono performed a closed rhinoplasty to address her concerns. She is extremely happy with her results.
