Put your best face forward
Put your best face forward
Important factors in facial aesthetics include symmetry and harmony between the facial features. For some men and women, an overly large, long, crooked, or ball-like nose may detract from their appearance and affect self-confidence. For this reason, rhinoplasty (or nose surgery) has been and remains among the most popular procedures to which patients turn to enhance their appearance. Rhinoplasty typically lands in the top 5 most popular plastic surgery procedures year after year, and on average, 220,000 Americans undergo rhinoplasty annually.
At Aviva Plastic Surgery, we believe that looking beautiful can be done without compromising the features that make you unique. A facial plastic surgery specialist, Dr. Fishman is among the few plastic surgeons in the United States to offer both traditional and “preservation” rhinoplasty – a modern approach to the ever-popular nose job that offers less invasive surgery, faster recovery, and more natural-looking results. Learn how either the traditional nose job or preservation rhinoplasty can help you feel more confident.
Like traditional rhinoplasty, preservation nose surgery is a highly personalized treatment designed to improve the overall shape and size of the nose while ultimately improving overall facial aesthetics. However, the methodology and technique behind traditional and preservation rhinoplasty differ.
Traditional rhinoplasty relies on reducing undesirable volume of the nose by removing excess cartilage and/ or bone. Excess cartilage is typically resected with scissors or a scalpel, while excess bone is typically “filed down” with rasps. These reductive techniques can disrupt critical connections between the structures of the nose, leading to less support and even some degree of nose collapse over time. While it is a very effective solution to reshaping the nose, traditional rhinoplasty can have complications—such as prolonged swelling and undesirable scarring—which can negatively impact the shape of the nose.
Preservation rhinoplasty offers patients a less invasive approach to nose jobs. Relying on reshaping tissues more than removing it. Instead of filing down the dorsal hump like during traditional rhinoplasty, this conservative approach uses incisions into the nasal bone to lower the entire bridge as a single unit. During preservation rhinoplasty, our facial plastic surgeon, selectively removes a thin strip of bone and cartilage from under the bridge of the nose, thus keeping intact important connections between the structures of the nose. In practicing preservation rhinoplasty techniques preserves more of the cartilage and bone, leading to less swelling and a more natural-appearing nose contour.
For the best results, preservation rhinoplasty is recommended for the following individuals:
While preservation rhinoplasty can be an excellent option for some individuals, not all patients may enjoy the same results.
Preservation rhinoplasty has some significant benefits that help hesitant patients feel more comfortable with the rhinoplasty. These include:
While rhinoplasty is consistently among the top requested plastic surgeries, its initial recovery can last up to two weeks, with swelling taking several months to resolve completely. Because preservation rhinoplasty preserves the patient’s original nasal anatomy, it reduces how much swelling or bruising patients experience during recovery and shortens the recovery process.
Preservation rhinoplasty techniques help Dr. Fishman preserve the natural support structures of the nose, which are important both for nose aesthetics and function, specifically breathing. Nasal preservation techniques can even enhance airflow by widening the internal air passage.
Preserving the nasal bridge can yield more natural-looking results with greater longevity. When too much tissue is removed, the nose can become structurally unsound and lose its support over time. Aesthetically, this can leave patients with an “operated” and unnatural appearance post-surgery, including a poorly supported nasal bridge and potentially misshapen tip. Medically, changes in the shape of nasal passages required by more invasive surgery put airflow passages at risk. In contrast, preservation rhinoplasty removes excess tissue from the base of the nasal bridge, lowering the entire bridge as a single piece, thus allowing the nose to retain its structural integrity.
Recovery after surgery–especially after facial surgery–is understandably a common and significant concern for most men and women pondering aesthetic treatments. Facial Plastic Surgeon Dr. Inessa Fishman and the Aviva team strive to ensure both great treatment outcomes and a smooth recovery for our patients. Thorough preparation and appropriate expectations for recovery are important to lessen anxiety and help with post-surgery recovery.
This 19-year-old woman is recovering well 1 week after preservation rhinoplasty to treat her dorsal bump (or bump at the nose bridge) and refine her nasal tip. Her thin skin shows minimal swelling, and her bruising is a faint yellow tinge under the eyes. The nasal tip is a bit over-rotated due to swelling. While she is comfortable returning to work and social obligations, her final results will appear in a few months as her nasal appearance refines.
I went to Dr. Fishman for a rhinoplasty. She was a 10/10 experience. She is incredibly talented and gives you photos of what you will look like after surgery. They say there is no such thing as perfection but she is as close as it gets! 5 stars!
– Merrie, Rhinoplasty Patient; Atlanta, GA
Rhinoplasty finds it place in the top five plastic surgery procedures year after year for good reason. When carried out by a qualified surgeon with facial plastic surgery expertise, rhinoplasty can treat multiple structural and aesthetic concerns. With traditional rhinoplasty, Dr. Fishman can:
I am so, deeply happy about both my results and my experience. I have always been curious about a “liquid nose job” and due to the doctor’s experience with rhinoplasty as well as fillers, I knew she would be an expert.
– Deming, Liquid Rhinoplasty Patient; Atlanta, GA
While rhinoplasty has long been a popular procedure for decades, the treatment has at times drawn criticism for erasing ethnic features in favor of more Caucasian features. In recent years, ethnic rhinoplasty has become a popular approach to creating personalized, natural-looking results that are inclusive of diverse patient backgrounds. Dr. Fishman uses both traditional and preservation rhinoplasty techniques to get best results in ethnic rhinoplasty.
Ethnic rhinoplasty is tailored to help patients retain and even emphasize their ethnic heritage while adding symmetry and harmony to their appearance. Correctly performing this procedure involves not only in-depth anatomical knowledge of the nose, but also an understanding and appreciation for different standards of beauty found across different cultures and ethnicities.
Dr. Fishman brings unique experience and international training to the rhinoplasty treatment development process. She has traveled across the globe to train with renowned rhinoplasty surgeons, attend specialized surgical conferences, and learn about the different standards of beauty unique to different parts of the world. Dr. Fishman’s aesthetic sense and training offer unparalleled ethnic rhinoplasty expertise to her patients.
This 31-year-old woman wanted to improve the dorsal bump (or excessive fulness along the bridge of her nose) as well as the drooping nose tip. She is recovering well 1 month after preservation rhinoplasty, and while she still has several months of healing ahead, the features of her new nasal shape are already becoming apparent.
This patient’s nose surgery was done via a closed approach, which keeps the incisions and scars hidden inside the nostrils. The preservation rhinoplasty approach allowed Dr. Fishman to keep the natural stability within the patient’s nose bones and cartilage, preventing the risk of unsightly scarring and visible deformities in the future. Dr. Fishman used the patient’s own septal cartilage to support her nasal tip, putting it into a more aesthetic position and preventing it from the common age-related drooping which occurs both in noses previously treated with surgery and not treated at all.
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