Rhinoplasty

Rhinoplasty and revision rhinoplasty are a focus of Masri Clinic for Laser and Cosmetic Surgery in Birmingham and Dearborn, Michigan. We perform both cosmetic rhinoplasty and reconstructive nasal airway surgery, sometimes combining these techniques to improve both the appearance of the nose and the patient’s ability to breathe. The chosen rhinoplasty technique will determine the approach and potential results of the procedure.

The nose is our most prominent facial feature, making it one of the first things we notice about one another. Unfortunately, many people are dissatisfied with the appearance of their noses or suffer from poor quality of life due to breathing problems from an issue within the nasal structures.

Rhinoplasty, often known as a “nose job,” is a popular cosmetic surgery that can improve the shape and/or function of the nose, creating improved facial harmony, balance, and boosting overall facial aesthetics.

What is Rhinoplasty?

Cosmetic nose surgery is commonly known as a “nose job.” It is a complex and challenging plastic surgery procedure as it involves modifying the size and shape of the nose to suit the patient’s face while maintaining or improving their ability to breathe.

A person’s nose must be customized to fit their other facial features, their goals, and their personality. The surgeons at Masri Clinic for Laser and Cosmetic Surgery consider all of these factors when they perform rhinoplasty.

Nasal anatomy and the healing process for each individual patient are different and can affect the final rhinoplasty results, and though overall results may vary, a skilled plastic surgeon will have years of experience in creating consistently excellent results for patients of all backgrounds.

Why Choose Rhinoplasty?

A rhinoplasty can offer patients a number of cosmetic or functional benefits. Patients usually choose rhinoplasty because they are unhappy with the way their nose looks or they want to boost their quality of life by addressing a breathing problem.

A cosmetic rhinoplasty improves facial harmony and balance between the facial features by making changes that may include raising or refining the nasal tip, removing dips or bumps in the bridge of the nose, narrowing the nasal bridge, and/or modifying the size or position of nostrils that are excessively wide or upturned. Most patients who undergo a cosmetic rhinoplasty procedure find that they feel more confident and social in their everyday lives because they feel better about the way they look.

Patients with breathing problems caused by a blocked nasal passage or abnormalities within the nasal structures (such as a deviated septum) may find relief through a functional rhinoplasty procedure.

Good Candidates for Rhinoplasty

Men and women who are in good general health and hope to improve the size or shape of their nose are ideal candidates for rhinoplasty in Michigan. Those with breathing challenges or certain birth defects may benefit from rhinoplasty as well, with improved breathing and sleeping.

In most cases, patients see Dr. Masri for a rhinoplasty because they are bothered by a nose that’s too large, too wide, too small, broken and poorly healed, crooked, or bent. A candidate for rhinoplasty may also be displeased by the size of their nostrils or a hump on the bridge of the nose.

Rhinoplasty patients should be at least 15 years of age to allow their noses to finish maturing. Waiting until at least the age of 18 is preferable, to ensure that any further development does not compromise the results. In addition, patients should be non-smokers or those who are willing to quit as smoking can complicate the healing process. Finally, rhinoplasty patients should have realistic expectations for the results of the procedure.

Is Rhinoplasty Right for Me?

Benefits of Rhinoplasty

Aside from the obvious nose correction, some of the benefits of rhinoplasty include:

  • Confidence
  • Career and Social Improvements
  • Bullying Issues
  • Facial Symmetry
  • Snoring and Breathing Issues
  • Broken Nose Corrections
  • Birth Defect Corrections
  • Previous Procedure Revision

The Different Types of Noses – Which Type Are You?

Different nose types demand different procedures. In a 2011 study published in the Journal of Craniofacial Surgery, researchers identified the most common nose types, describing the appearance of each type. Understanding your nose type can help you better understand the modifications you may request for your rhinoplasty:

Appearance

Rarity

Famous Example

Common Rhinoplasty Procedure

Turned-Up Nose

Also known as the celestial nose, this nose is small with a protruding tip. The short bridge may have a subtle dent in the middle

Around 13% of the population

Emma Stone

Many patients request to look like Emma Stone, with the subtle dent along the bridge

Roman Nose

In which the nose prominently extends from the face with a pronounced beard, which may or may not have a slight curve

Around 9% of the population

Ryan Gosling

While generally an attractive nose shape, some patients ask to have the size reduced or narrowed

Bumpy Nose

In which the nose is bumpy and sometimes not straight. The tip has a downward curve

Around 9% of the population

Owen Wilson

Common patients for rhinoplasty, with requests to straighten and slim the nose, and smooth any bumps

Fleshy Nose

In which the nose possesses an engorged, protruding appearance. In some cases, these noses are petite with a fatty look

Over 24% of the population

Albert Einstein

Patients ask to have the nose slimmed down, removing part of the flesh

Hawk Nose

In which the nose can resemble the beak of a hawk; large, long, with a bump down the bridge and a tip that points downward

Around 4.9% of the population

Adrian Brody

Straightening to remove the bump and the downward-pointed tip

Snub Nose

Thin, pointed, with a tip that subtly points upward

Around 5% of the population

Helen Mirren

To have the nose enlarged with a more pointed tip

Greek Nose

Also known as the straight nose, this nose has a straight bridge with no curves

Around 3% of the population

Jennifer Aniston

Straight noses are sometimes too big, and patients ask for size reductions

East Asian Nose

In which the nose is flat and slim, with a short tip that doesn’t extend far from the face

The most common nose shape in East Asia

Lucy Liu

An ethnic rhinoplasty request for widening procedures

Nubian Nose

Also known as the wide nose, the Nubian nose is wide without being long

The most common nose shape for those of African descent

Beyoncé

Narrowing procedures

Bulbous Nose

In which the nose is large and is tipped with a curved, circular tip, creating a bulbous appearance

Less than 0.5% of the population

Former US President Bill Clinton

Patients often ask to have the fleshy tips significantly reduced

Nixon Nose

In which the nose has a prominent straight bridge, curving and widening out at the tip

Less than 1% of the population

Former US President Richard Nixon

Nose reshaping and shortening procedures

Combo Nose

A unique nose shape with no definable characteristics besides having qualities from various nose types

Barbra Streisand

Combo noses are unique, with patients possibly asking for any kind of modifications

Turned-Up Nose

Roman Nose

Bumpy Nose

Fleshy Nose

Hawk Nose

Snub Nose

Greek Nose

East Asian Nose

Nubian Nose

Bulbous Nose

Nixon Nose

Combo Nose

Appearance

Also known as the celestial nose, this nose is small with a protruding tip. The short bridge may have a subtle dent in the middle

Rarity

Around 13% of the population

Famous Example

Emma Stone

Common Rhinoplasty Procedure

Many patients request to look like Emma Stone, with the subtle dent along the bridge

Appearance

In which the nose prominently extends from the face with a pronounced beard, which may or may not have a slight curve

Rarity

Around 9% of the population

Famous Example

Ryan Gosling

Common Rhinoplasty Procedure

While generally an attractive nose shape, some patients ask to have the size reduced or narrowed

Appearance

In which the nose is bumpy and sometimes not straight. The tip has a downward curve

Rarity

Around 9% of the population

Famous Example

Owen Wilson

Common Rhinoplasty Procedure

Common patients for rhinoplasty, with requests to straighten and slim the nose, and smooth any bumps

Appearance

In which the nose possesses an engorged, protruding appearance. In some cases, these noses are petite with a fatty look

Rarity

Over 24% of the population

Famous Example

Albert Einstein

Common Rhinoplasty Procedure

Patients ask to have the nose slimmed down, removing part of the flesh

Appearance

In which the nose can resemble the beak of a hawk; large, long, with a bump down the bridge and a tip that points downward

Rarity

Around 4.9% of the population

Famous Example

Adrian Brody

Common Rhinoplasty Procedure

Straightening to remove the bump and the downward-pointed tip

Appearance

Thin, pointed, with a tip that subtly points upward

Rarity

Around 5% of the population

Famous Example

Helen Mirren

Common Rhinoplasty Procedure

To have the nose enlarged with a more pointed tip

Appearance

Also known as the straight nose, this nose has a straight bridge with no curves

Rarity

Around 3% of the population

Famous Example

Jennifer Aniston

Common Rhinoplasty Procedure

Straight noses are sometimes too big, and patients ask for size reductions

Appearance

In which the nose is flat and slim, with a short tip that doesn’t extend far from the face

Rarity

The most common nose shape in East Asia

Famous Example

Lucy Liu

Common Rhinoplasty Procedure

An ethnic rhinoplasty request for widening procedures

Appearance

Also known as the wide nose, the Nubian nose is wide without being long

Rarity

The most common nose shape for those of African descent

Famous Example

Beyoncé

Common Rhinoplasty Procedure

Narrowing procedures

Appearance

In which the nose is large and is tipped with a curved, circular tip, creating a bulbous appearance

Rarity

Less than 0.5% of the population

Famous Example

Former US President Bill Clinton

Common Rhinoplasty Procedure

Patients often ask to have the fleshy tips significantly reduced

Appearance

In which the nose has a prominent straight bridge, curving and widening out at the tip

Rarity

Less than 1% of the population

Famous Example

Former US President Richard Nixon

Common Rhinoplasty Procedure

Nose reshaping and shortening procedures

Appearance

A unique nose shape with no definable characteristics besides having qualities from various nose types

Famous Example

Barbra Streisand

Common Rhinoplasty Procedure

Combo noses are unique, with patients possibly asking for any kind of modifications

The Numbers Behind Rhinoplasty

If you are still considering whether a rhinoplasty is right for you, it may help to learn the general popularity and growth of rhinoplasty around the world.

According to the most recent report from the International Society of Aesthetic Plastic Surgery. (2017), Rhinoplasty is one of the most popular cosmetic surgeries worldwide, ranking in the top 3 or 4 of cosmetic procedures in almost every country surveyed.

877,254 – Globally Trusted: 877,254 rhinoplasties were performed, or over 8% of total cosmetic surgical procedures.

74,470 – Brazilian: With 74,470 rhinoplasties performed in Brazil, Brazil ranks as the country with the most rhinoplasties.

Top 4 – USA: In the US, rhinoplasty was the fourth-most popular procedure, behind eyelid surgery, facelift, and facial fat grafting.

11% – Rising Yearly: Total surgical procedures increased by 4% in 2017, but rhinoplasties increased by 11%.

60% – Doctor Confidence: With ever-improving technology, advanced practices, and trusted results, 60% of all licensed plastic surgeons offered rhinoplasties to patients.

62.7% – Young Patients: Rhinoplasty patients were generally younger than patients of other cosmetic surgical procedure types, with 62.7% of all rhinoplasty patients falling between the ages of 19 and 34. 23.5% fell between 35 and 50, while 8.1% were 18 and younger.

The Rhinoplasty Experience

The Rhinoplasty Consultation

Nose job treatments can be tricky, but with Dr. Masri you are in experienced and trusted hands. During a rhinoplasty consultation Dr. Masri will evaluate the patient’s nose and face and assess their facial balance. If the patient is experiencing breathing problems, the internal nasal structures will be examined as well.

Dr. Masri will ask the patient about their goals for nostril or nasal surgery and discuss realistic changes that could help create the right nose for the patient’s face.

The consultation will also give Dr. Masri a chance to go over the patient’s health history and ensure that they are qualified rhinoplasty candidates. This is an excellent opportunity for patients to ask any questions they may have and get all the information they need to make a decision about whether or not to move forward with rhinoplasty.

Preparation for Rhinoplasty

For best results, the Masri Clinic suggests a cessation of tobacco use several weeks before and after the rhinoplasty in order to minimize the risk of complications. Prior to surgery, patients should stop using certain supplements and medications such as blood thinners as directed by the staff at the clinic. This is usually recommended about two weeks before the procedure.

As it is important for patients to rest after the procedure, it is a good idea to fill any prescriptions and prepare the patient’s home for recovery before the day of the surgery. Finally, patients will need to be driven to and from their surgical appointment at Masri Clinic for safety reasons.

The Rhinoplasty Procedure: Open vs Closed Rhinoplasty

Typically, rhinoplasty is performed under local anesthetic rather than general anesthesia and incisions are often placed inside the nose to hide them. A closed, or endonasal procedure, places all incisions within the nostrils to avoid visible scarring. Bone and cartilage are then shaved and shaped to achieve the desired look. The closed approach offers limited visibility and narrow surgical openings.

The open rhinoplasty approach also uses incisions inside the nostrils, along with another small incision at the base of the nose which allows for improved access and greater accuracy.

However, the open approach may potentially leave a 4-5 millimeter scar at the base of the nose after the patient’s ‘nose job’. This approach is used for correcting significant defects and trauma to the nose while continuing to provide the opportunity for aesthetic work.

Open Rhinoplasty

Closed Rhinoplasty

“External”: This is easier to perform as the doctor has more visibility and access to the nasal structure. Success rate and symmetry is higher as the doctor can observe the position of the nose’s components.

“Endonasal”: This procedure can be more difficult for less experienced doctors, as the access and visibility is significantly less than what they would have with an open procedure.

The incision or cut is done in between the nostrils, known as the columella.

The incision or cut is done inside of the nostrils. This means that there is no visible scar produced by the rhinoplasty, as the cuts are all inside the nostril

The incision is kept small to ensure that scarring is at a minimum

Lesser swelling when complete

Sutures are done on the outside

Shorter recovery time due to the type of incision

Options for augmenting the patient’s nose include adding cartilage. Autologous cartilage grafts taken from the nasal septum integrate best but grafts from ear or rib cartilage may also be used.

Silicone as an option includes a higher risk of reacting poorly with existing tissues or of infection. Fillers or fat grafts are also an option to add volume in some areas, but not all of these solutions are permanent. Dr. Masri discusses the surgical plan in detail with patients before performing rhinoplasty.

Recovering and Recovery Time

A nasal splint will shield the patient’s nose from accidental bumps for the first week of healing. Surgical packing inside their nose will remain for several days to support the tissue while it heals in the new position.

Much of the swelling and bruising around the eyes will subside in three or four days during the rhinoplasty recovery. Any residual swelling will gradually disappear in the months following surgery. The nose will retain a small amount of swelling for up to a year. This swelling is minor and generally not noticeable. To help with swelling, it may be beneficial to use skin care products during this period.

The final result of a rhinoplasty is not fully apparent until about a year after surgery.

After a rhinoplasty, patients should be careful to avoid strenuous exercise for three to six weeks because elevated blood pressure associated with exercise will increase their swelling and bruising. They should be able to resume normal social activities within three weeks. Most patients return to work in 7-14 days.

Dr. Masri, Your Next Rhinoplasty Surgeon

Haitham Masri, MD is a board-certified facial plastic and reconstructive surgeon with additional board certifications in otolaryngology and sleep medicine. As one of the best rhinoplasty surgeons in Michigan, Dr. Masri has over 28 years of experience and takes particular pride in delivering excellent results for rhinoplasty patients who come to the Masri Clinic cosmetic and plastic surgery office.

Dr. Masri’s kind and caring demeanor combined with his skill and experience in treating patients with unique goals and concerns make him one of the top rhinoplasty surgeons in Michigan. For patients who are looking for an incredible rhinoplasty experience, there are no better options available in Michigan than Dr. Masri.

Frequently Asked Questions About Rhinoplasty

Does rhinoplasty leave visible scars?

With most patients, rhinoplasty scars are located inside of the nostrils and are not visible. The open rhinoplasty approach creates the possibility of a small scar at the base of their nose.

This scar normally heals well and is located in an unobtrusive spot; consequently, the small scar is almost unnoticeable. Rhinoplasty before and after images will demonstrate what prospective patients can expect in terms of scarring after their nose job procedure.

I’ve had a bad rhinoplasty with other cosmetic surgeons in the past. How long do I need to wait to correct it?

A revision rhinoplasty surgery will almost always improve a patient’s poor results. However, the tissues must settle before undergoing a rhinoplasty revision. Operating before the swelling settles makes it harder to evaluate the condition of the nose and to accurately improve the rhinoplasty results.

Additionally, the risk of bleeding, scarring, and other complications will be increased. Normally, it is suggested that patients wait twelve months before their rhinoplasty revision depending on how well they’re healing.

My nasal skin is thin. Will this interfere with a good result for this facial plastic surgery?

It’s more challenging to work with thinner skin. Thin skin does not hide small imperfections as well as thick skin. However, good results can still be achieved with a meticulous hand and patience.

What is the best age for rhinoplasty?

Nasal growth is typically complete by age 15 or 16. Late adolescence and early adulthood are considered good ages for optimal rhinoplasty results. Surgery is also possible for younger patients with structural defects or trauma to the nose and for older patients willing to accept a potentially longer recovery time.

What is the purpose of using grafts?

Grafts are often used in the nasal tip where the existing cartilage must typically be reinforced in order to avoid drooping and ensure an elegant result. Grafts are not necessary when the goal is simply to narrow the nasal bridge of the nose or reduce bumps.

Can you feel your nose after a nose job?

After a nose job or rhinoplasty, your nose will have a nasal splint for about a week. This will make it difficult to feel your nose, as there will also be some bruising and swelling around the nose area up to the eyes after the procedure. This bruising can last up to 1-2 weeks.

What’s the price or cost of rhinoplasty?

Rhinoplasty cost in Michigan varies from patient to patient and depends on the complexity of the procedure. It can be discussed at the consultation – we try to offer the most reasonable nose job cost Michigan can provide.

Other Procedures at Masri Clinic

Schedule Your Rhinoplasty Consultation Today

Dr. Haitham Masri, MD performs the rhinoplasty procedure at Masri Clinic for Laser and Cosmetic Surgery, which has locations in Dearborn and Birmingham, Michigan. If you are looking for the best provider of rhinoplasty Michigan can offer, schedule a consultation or ask for patient resources and patient forms by calling 866-487-3223.

Dr. Haitham Masri, your top rhinoplasty specialist in Michigan.

Click Here Now to Request an Appointment

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