Jesse E. Smith, M.D., F.A.C.S
Dr. Smith is Board Certified by the American Board of Facial Plastic and Reconstructive Surgery. He is one of a small group of surgeons that has achieved Dual Board Certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery.
What is Rhinoplasty (“Nose Job”)?Types of RhinoplastyRhinoplasty Before & AfterHow Does Rhinoplasty Work?Rhinoplasty CostNon-Surgical RhinoplastyReconstructive RhinoplastyEthnic RhinoplastyRevision RhinoplastyRhinoplasty RecoveryFrequently Asked Rhinoplasty Questions (FARQs)
A Dallas-Fort Worth Rhinoplasty specialist, Jesse E Smith, MD, FACS, is not your average plastic surgeon. He is specially trained in facial plastic surgery, a rigorous additional course of study focusing only on cosmetic surgery of the face. He is double board certified in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Smith has performed hundreds of rhinoplasty procedures.
What is Rhinoplasty (“Nose Job”)?
Rhinoplasty, aka a Nose Job, is a surgical procedure to correct the form and/or function of the nose.
The word “Rhinoplasty” comes from ancient Greek:
– rhino – of or relating to the nose
– plasty – to form or shape
Types of Rhinoplasty
Patients consult with Dr. Smith about rhinoplasty for many reasons.
We usually divide the nose into horizontal thirds. The upper, middle, and lower third. These areas can all be adjusted with rhinoplasty. Common adjustments include nasal humps, low upper thirds, nasal tip, and the nostrils.
Each of these areas requires a unique approach and considerations which will be influenced by the other features of your face. During your consultation, you and Dr. Smith will discuss each of these factors and make a plan to achieve your goals.
Dr. Smith has performed thousands of rhinoplasty procedures. Here are a few examples.
How Does Rhinoplasty Work?
There are two broad approaches to rhinoplasty surgery: an open procedure or a closed one.
Open Rhinoplasty: In an an open rhinoplasty, a small incision is made in the columella, the area between the two nostrils, allowing the surgeon access to the nasal cavity.
Closed Rhinoplasty: In a closed rhinoplasty, the entire procedure is performed through the nostrils.
The average rhinoplasty costs $5,000 to 7,500. Additional fees may be incurred for facility fees and anesthesia fees.
Non-Surgical rhinoplasty is an excellent option for minor asymmetries and small defects of the nose such as minor sidewall, hump, upper third, and tip refinement. Non-surgical rhinoplasty is completed with fillers that can give dramatic and immediate results with little to no down-time.
Different ethnicities may have different appearances and anatomical variations to their nose and face. Dr. Smith can work to change those variations, or work on keeping those variations while increasing your ability to breath.
Revision rhinoplasty can be a difficult operation. Dr Smith has done hundreds of revision cases. Many times an open approach is needed to ensure that the underlying anatomy is in the correct position, and that all measurements are correct. Occasionally, rib or ear cartilage grafting may be necessary if all existing nasal septal cartilage has been utilized by other surgeons during previous surgeries.
Dr. Smith’s number one rule after surgery is, act like you have had surgery. The first two weeks are crucial for healing, so you should avoid heavy lifting and strenuous activities.
Keep all pets and children at arms length, as head butts are more common after surgery than you might imagine.
Saline is used every 2 hours while awake after surgery to allow the internal nasal mucosa to heal quickly.
The first three days are the maximal swelling days. Sleeping in a recliner and keeping the nose above the level of the heart greatly assist with this edema. Most of the initial swelling is gone within the first 2-3 weeks. Residual swelling may remain for 3-12 months, depending on the extent of the procedure and the types of incisions made.
Most people take 7-10 days off from work.
The nose is kept dry for the 7-14 days in order to allow the external cast to remain intact. The cast helps shape the nose and resists swelling.
Does Rhinoplasty Hurt?
People tolerate rhinoplasty quite well. While there is pain involved with every surgery, the nose is usually slightly uncomfortable. Pain medicine is prescribed after the operation to keep you comfortable.
Is Rhinoplasty Safe?
Rhinoplasty is safe in healthy individuals. As with all surgeries, the major risks are pain, infection, bleeding, need for further surgeries.
Will I Have Scars?
Scars are minimal for rhinoplasty. They are hidden in the shadows of the nose, or within the nostrils.
What About Rhinoplasty for Men?
Male rhinoplasty is usually done for asymmetric noses, large humps, or breathing issues. Aesthetic rhinoplasty is becoming more common, and can be a helpful adjunct in the overall appearance of the face.
What is the Right Age for Rhinoplasty?
Rhinoplasty can be done on children for some traumatic purposes or for resection and reconstruction of cancer. Otherwise we usually reserve rhinoplasty for those 17 and above. We have done rhinoplasties on people into their 90’s who were healthy.