Rhinoplasty Surgery with Eric M. Joseph, M.D. – tips for achieving high satisfaction after your nose job.

September 4, 2015

  • Your comprehensive Rhinoplasty consultation is the first step to help us determine whether surgery will be right for you.

At your rhinoplasty consultation, we will help you determine whether undergoing rhinoplasty surgery in our practice would be a suitable. We will listen to your concerns, and help you decide what might be best for you moving forward. It may be helpful to come with a list of your questions or concerns, and what you are looking to achieve after rhinoplasty. Your consultation will be professional, honest, and thoughtful – so we could see what might be best for you. We need to determine compatibility and suitability for a long-lasting and positive doctor-patient relationship, to optimize your experience and ultimate satisfaction.

A gentle examination of your nose will be performed to determine the quality of your skin, and underlying cartilage and bone. We will also check you for functional, breathing problems, like a deviated septum or enlarged turbinates, that may be corrected at the time of your rhinoplasty surgery. Near the end of your consultation, computer imaging may be helpful for you to see what to expect after surgery. We will show you examples how other patients look and feel as they have progressed through the healing process. We will answer all of your questions, and our lines of communication will remain open. If we feel you may benefit from rhinoplasty, your consultation will conclude with a questionnaire, and you will leave with a written quote, and copies of your morphed photos.

  • Further questions will be answered at your Rhinoplasty pre-op visit.

If you decide to give us the privilege of operating on you, your next visit will be a comprehensive pre-op visit so you will feel comfortable with what to expect after your rhinoplasty. You will receive your prescriptions, and a list of written instructions for both before and after surgery. We will take new photos, and review the computer imaging, and solidify our surgical plan.

  • Your rhinoplasty surgery will require general anesthetic, and a week of house-rest.

Your next visit will be at one of our accredited surgicenters. We typically operate Monday and Friday mornings, and we will see each other the morning of your surgery to alleviate any concerns, and to place ink markings on your nose. Rhinoplasty surgery takes around two hours, and your recovery should be with minimal pain. We do not routinely use nasal packing after rhinoplasty surgery. When you’re completely awake after your surgery, you will have some food, go to the bathroom, and be discharged, with a responsible adult, if all is well. Your dressing will be removed six to eight days post-op, and we will show you how to cleanse your skin and apply artful concealer, so normal social activities may be resumed at that time. You should restrain from strenuous activities for three weeks after rhinoplasty, at which time you may resume unrestricted physical activity. There are scheduled visits one month, three months, six months, and then one year after your surgery. You will be encouraged to see us anytime in between if you have any concerns.

  • Rhinoplasty Surgery may be helpful for achieving a smaller, straighter, and less distracting nasal appearance.

Many of our happiest patients that underwent rhinoplasty in our practice have been women with large, distracting, masculine nasal appearances. It is a blessing to witness the elation of an attractive woman who sees her nose without a bump for the first time when the dressing is removed, around one week after rhinoplasty surgery. With artful concealer, most of our patients resume normal social activities one week post-op. When a woman with a large masculine nose requests rhinoplasty, we try to establish a “cute feminine nose” as an outcome. The goal of rhinoplasty is to allow your nose to blend in, and not call attention to itself – it is common to see a favorable improvement as soon as your dressing is removed.
Raising the height of a nasal bridge during rhinoplasty surgery may be considered in ethnic patients with broad, flat noses – this is one of the few examples where making your nose larger may lead to a more desirable nasal appearance.

  • Rhinoplasty Surgery may be helpful for lessening strong feelings of dissatisfaction with your nasal appearance.

Rhinoplasty surgery is the surgery of millimeters, so the more you dislike your nasal appearance, the more likely you are to be happy with your rhinoplasty surgery. During your rhinoplasty consultation, you may be asked – “How much do you dislike your nose from 0-10, with 10 being the worst nose possible?”
An answer like: ” I have hated my nose since middle school”, is a good indication of postoperative satisfaction after rhinoplasty surgery in our practice.
In general, we may not recommend rhinoplasty surgery if you have a dissatisfaction score less than 6/10, or if you “like” your nose on occasion.

  • Microdroplet Silikon-1000 injections may be helpful for improving your results after rhinoplasty surgery, if they become necessary.

Silikon-1000 is an off-label, permanent filler that has a long track record of safety for non-surgical-rhinoplasty treatments. My retired rhinoplasty teacher, Dr Alvin Glasgold, taught the art of microdroplet silicone injections for the permanent correction of minor irregularities, asymmetries, or indentations that may occur following rhinoplasty surgery. We use microdroplet silicone injections, when necessary, in around 20% of our rhinoplasty patients to permanently improve our patients’ outcomes and satisfaction – and to minimize the necessity of revision rhinoplasty. Over the span of sixteen years, our personal revision rhinoplasty rate is under 2%.

  • It may be best to keep your rhinoplasty surgeon close to home.

There are five planned post-op visits the first year after your rhinoplasty surgery, and we encourage our patients to follow up anytime if there are any concerns. We have found that small issues may be magnified by long distance. We accept out-of-town patients, but an in-person consultation is required before scheduling rhinoplasty surgery.

Thank you.

Dr Joseph



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