Ear, Nose and Throat (Otolaryngology) – Head and Neck Surgery

Nose Surgery (Rhinoplasty)

The nose is a defining feature of one’s face. Its shape and size influence facial aesthetics and distinction. Along with its prominent role in facial beauty, its function importance in breathing cannot be overstated. Rhinoplasty or a “nose job” is one of the most common aesthetic surgeries performed in the United States. It is often performed to change the size and shape of the nose, improve facial balance and/or improve nasal breathing. In specific circumstances rhinoplasty is performed to reconstruct previously injured or disfigured noses from accidents or the treatment of nasal disease. 

Types of Rhinoplasty/Nose Jobs

Rhinoplasty typically addresses both the inside of the nose (the septum) and the outside (the nasal framework or skeleton). Most rhinoplasties are performed from incisions inside the nose. This is known as a “closed rhinoplasty.” Occasionally, a small incision is added at the base of the nose to allow for wider exposure. This is referred to as an “open rhinoplasty.” Rhinoplasty performed for the first time to address cosmetic concerns and/or nasal breathing is called “primary rhinoplasty.” Rhinoplasty performed to address concerns or deformities resulting from prior nose surgeries is referred to as a “revision rhinoplasty”. 

Chin Implants with Rhinoplasty

For patients seeking cosmetic improvements, a chin implant link to new page may be recommended in specific cases to improve facial balance. For patients with specific concerns related to their nasal breathing, nasal allergies, sinus disease or deformity after cancer treatments, we work closely with Mount Sinai’s experts in Nasal Sinus and Allergy Disorders and Mount Sinai’s Center for Head and Neck Cancer. We can even do combined surgeries when appropriate. 

Before and After Surgery Care

Rhinoplasty surgery is usually done on an outpatient basis under general anesthesia or a combination of local anesthesia and sedation. Prior to surgery patients are given instructions regarding medications and how to prepare for their recovery. After surgery, patients are usually given a short course of antibiotics and mild pain medication as some mild discomfort may persist for the first few days. The majority of swelling subsides within the first two weeks although it may take up to a year for all the swelling to fully fade. Patients should expect to return to work or school within one to two weeks after surgery. We do ask that patients avoid strenuous activities for two weeks after surgery.

While cost is always a concern, insurance may cover surgery performed to improve breathing, but it does not generally cover surgery or treatment that is done purely for cosmetic reasons. We provide patients with expected costs prior to any intervention.