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Top Cosmetic and Medical Reasons for Rhinoplasty

There is no facial feature that has a more significant impact on your first impression with others than your nose. If it is in the right proportion to your other facial features, then it will most probably go unnoticed, giving way to the rest of your facial attributes. But if it is too small or too large, misshapen or crooked, or has some other aesthetic issue like a hump or flared nostrils, then the nose can detract from your appearance. It’s no wonder rhinoplasty ranks as one of the top five cosmetic procedures in the United States year after year. 

Cosmetic dissatisfaction isn’t the only reason Americans seek rhinoplasty. Functional issues impacting sleep health, energy, and quality of life also fill the rhinoplasty specialist’s schedule. With the advances in nasal corrective surgery available today, there is no reason to struggle with sleep apnea, labored breathing, dry mouth, or chronic sinusitis or headache pain.  

Cosmetic Improvements with Rhinoplasty 

Cosmetic correction through a nose job can help change the shape, size, and appearance of the nose. Many of our patients seek help with the appearance of their nose to:  

  • Widen or narrow nostrils
  • Reshape a “bulbous” nose tip
  • Flatten a “dorsal hump”
  • Change the angle between their nose and upper lip
  • Narrow their nose bridge
  • Straighten a crooked nose

In many cases, Dr. Herschcovitch can hide the incisions he uses to recontour the nose from the inside.  Or, he can perform discreet incisions outside the nose where they will go unnoticed.

The nose should complement the face, not distract from the other features. When the nose is inconspicuous, it allows your other facial features to shine. 

When a patient has cosmetic issues with their nose it can affect their confidence and self-esteem. When a dedicated, board-certified facial plastic surgeon delivers the results possible with rhinoplasty, it will have a positive influence on your life by boosting your self-assurance. 

Medical Reasons to Have Rhinoplasty

While the nose is the most prominent feature on our face, it is also a critical pathway for breathing. There are multiple benefits that breathing freely through our nose can deliver.  A clear airway helps us breathe with less effort which in turn provides our body a higher rate of oxygen absorption. Sufficient oxygen leads to more energy and clearer thinking, something we all need in this go-go era.  

Deviated Septum

A deviated septum is when a cartilaginous barrier separates the right nasal cavity from the left. If the septum is crooked, it makes one passage smaller and constricts the airflow necessary for breathing. This deviation may be from trauma or can be present since birth.  

Nasal congestion is the most common symptom attributed to a deviated septum. Other side-effects include:

  • Snoring
  • Runny nose
  • Headaches
  • Facial pain
  • Nosebleeds

Rhinoplasty will realign the septum and resolve all of these annoying symptoms. 

Snoring and Sleep Apnea

We highlight this symptom because this issue not only affects the patient with a deviated septum but also the person they sleep with, causing both the inability to get a good night’s sleep. A constricted airflow can lead to sleep apnea and snoring. Because rhinoplasty can resolve a constricted nasal passage it can help the patient develop healthy sleep patterns. 

To learn how you can not only look better with a nose job but increase your lifestyle by increasing your breathing capacity, contact us today to learn more. 

Call us at one of our two convenient locations: West Hills: 818-888-7878, Westlake: 805-371-0004  or schedule a consultation

Three Reasons Why Summer is the Ideal Time for Rhinoplasty

Cosmetic surgery for nose appearance is more typical with teenagers than with any other age group. The reason? Because aesthetic nose surgery is best done when you’re young, and when you’re young, it’s essential to look your best. But when is the best time for most patients to plan for rhinoplasty? Given the schedule of high school and college students, a summer procedure is the most likely answer. Here are three reasons why: 

1. It’s the Time for New Beginnings

Graduation from high school or college is the end of an era for many young people. What better time for correcting facial appearance than before embarking on another phase in your life. If you are in high school, starting college may be approaching; if you are in college, a career is likely in your future. Nothing breeds confidence more than looking great, and with the nose being the center of your most visible feature, rhinoplasty is a great way to trigger success. 

Rhinoplasty during the summer months can deliver optimal results which will improve self-esteem and in some cases, nose function. By opening the airflow through nasal passages, the increase in oxygen levels will also provide more energy for what will soon be a busier lifestyle.  

2. Great Time for Downtime

With school behind you and no looming deadlines calling for all-nighters for the next several weeks, there is time to rest and recover so you can heal up after your operation. Also, there is plenty of time on your calendar left for travel or intern options. Two weeks is a suitable time frame for recovery, a great time to catch up on your binge-watching your favorite or a new show.

This advantage does come with a caveat. Your surgeon will advise that you stay out of the direct sunlight and limit your exposure for about six weeks. Make sure you have a good supply of sunscreen available after your recovery is complete. 

3. Discretion, Because No One Needs to Know

Summer is a good time for transition, putting to bed what’s in the past and looking forward to what is to come. If you prefer that new friends or colleagues don’t know about your nose correction, it’s as simple as don’t tell them. As far as they will know, your new appearance is not new at all, but how you’ve always looked. 

Recover Tips

Summer is a great time to schedule rhinoplasty. However, each season brings a different set of recovery challenges. For a quick and successful healing process, here are a few tips we recommend after your operation:

Avoid the Sun

Avoiding direct sunlight to the incision areas are crucial for a successful result. You should stay out of the sun for at least six weeks after surgery. If you need to go outside, make sure you wear a wide-brimmed hat and sunscreen. 

Do Not Wear Sunglasses

The nosepiece of the sunglasses may apply too much weight or pinch the bridge of the nose, causing interference with your nose healing correctly. You should also limit wearing your prescription glasses for the same reason. It may be best to switch to contacts for the first few weeks after surgery. 

No Contact Sports or Swimming

Avoid any activities which may risk having any trauma to your nose area. Also, don’t swim because saltwater and chlorine have adverse effects on your nose, increasing the risk of infection. 

Plenty of Rest

Take this time to lay back and rest. You’ve been busy in school for the last few years, and you’ve got more ahead of you. Recovery is a great time to take a break and recharge. 

Learn More

Double board-certified, Dr. Matt Hershcovitch offers facial plastic surgery including rhinoplasty in the Calabasas, West Hills area. If you are considering rhinoplasty or any facial plastic surgery, we are here to provide you with the information you need. 

Contact us today or visit us in the West Hills or Westgate area.

What Does Thick Skin Mean for Your Rhinoplasty Results?

What Does Thick Skin Mean for Your Rhinoplasty Results?

Rhinoplasty, or nose surgery, is one of the most complicated procedures a plastic surgeon can perform. Due to the variety of nasal tissues and structures and the varying results desired by the patient, rhinoplasty must be performed by an experienced and talented surgeon such as Dr. Hershcovitch. Among the many factors that can make a rhinoplasty procedure more complicated, thick skin is one of the most common and can often cause complications if the surgeon performing the surgery is not familiar with how this affects the procedure. If you have thick skin, here is what you need to know about what it will mean for your rhinoplasty results.

 

What Groups Tend to Have Thicker Skin?

 Thicker skin is often associated with ethnic rhinoplasty. While most Caucasians have thin nasal skin, those of Hispanic, Asian, and African descent tend to have thicker skin in this area. When performing an ethnic rhinoplasty, the surgeon must be careful to maintain the ethnic identity and facial balance while still achieving the desired results. Surgeons who receive advanced training in ethnic and advanced rhinoplasty are the best options for those who have thicker skin. In addition to these ethnicities, men tend to have thicker and oilier skin than women.

 

The Challenges of Thick Skin

 If you have thick nasal skin, you may wonder how this applies to your rhinoplasty. In short, the skin forms a sort of blanket over the skin, cartilage, and bone that make up the shape of your nose. If that blanket is thicker, it can mask the underlying features and make the nose appear to have less definition. If this is not addressed during rhinoplasty, the underlying changes that are made to the nose may not be as visible. In addition, the weight of thicker skin can also pull the tip of the nose down, and an experienced surgeon will recognize this as the cause and address it during surgery. The final consideration for those with thicker skin is how it affects the healing process. Not only does thicker skin have more of a tendency to scar, but it also takes longer for swelling to subside.

 

During a rhinoplasty procedure, the changes made to the bone and cartilage can ultimately weaken the structural integrity of the nose. While this is usually not an issue for those with thinner skin, it can pose a problem for those with heavier, thicker skin. If not taken into consideration, this could cause an issue with future respiration and can also pose a problem if the patient ever wants to get other surgeries performed on their nose.

 

Of course, having thicker skin on the nose also has its benefits. Thicker skin can hide more imperfections than thinner skin, so some with this skin type can avoid surgery altogether if they have minor bumps or hollows. Thicker, oiler skin also tends to age slower than thinner, drier skin, and can often tolerate the sun with less visible damage.

 

Performing Rhinoplasty on Those with Thicker Skin

When Dr. Hershcovitch performs rhinoplasty on those with thicker skin, he always makes sure to thoroughly explain the procedure and its possible complications during the consultation. He explains what their thicker skin could mean for their results and also addresses any ethnic concerns that apply. He tells patients that their recovery time may be longer due to their skin type and that they may not see full results for up to 18 months after surgery as it can often take this amount of time for their swelling to entirely dissipate. The doctor will also explain how he intends to preserve the structural integrity of the nose and how this also may affect their final results.

 

Scheduling Your Rhinoplasty Consultation with Dr. Hershcovitch

 If you have thick skin or are of Asian, African, or Hispanic descent and are considering rhinoplasty, it’s imperative that you choose a surgeon such as Dr. Hershcovitch to perform your procedure. When you meet with Dr. Hershcovitch, he will fully explain the surgery as well as the special considerations that will be taken for your unique situation. At this time, you can ask any questions and find out the full extent of your recovery time.

 

When you work with an experienced professional like Dr. Hershcovitch, you can be assured that your rhinoplasty will be a success no matter what type of skin you have. Schedule your consultation today!

Why Are Revision Rhinoplasty Surgeries More Complicated than Regular Procedures?

Everyone wants to believe that having nose surgery, known as rhinoplasty, will result in aesthetically and functionally pleasing results. However, since rhinoplasty is one of the most sophisticated types of plastic surgery, there are many different ways it can go wrong. Whether it’s due to a plastic surgeon who did not have the proper training or experience, surgery that was done to achieve unrealistic expectations, or another reason, many find they are not happy with the results and want to know what can be done to correct it. That’s where revision rhinoplasty comes into play.

What is Revision Rhinoplasty?

Revision rhinoplasty is a surgical procedure that is undertaken to correct a cosmetic or functional rhinoplasty that was not performed correctly and has compromised either the patient’s appearance or ability to breathe. Some plastic surgeons take on nose surgery without having the experience or skill to deal with issues such as thin or flimsy cartilage or they compromise either functionality or aesthetics to achieve an unrealistic result that was expected by the patient. There are hundreds of different factors that go into a successful rhinoplasty surgery and it takes a high level of experience and expertise to achieve a good result.

Why Might Revision Rhinoplasty Be Necessary?

If a patient is any way unsatisfied with their rhinoplasty surgery, revision surgery may be warranted. Cosmetic reasons for revision surgery include a nose that looks too bony or angular, a nasal tip that looks pinched or droops, an asymmetrical nose, a nose that did not fit their natural features, extreme sloping, thin nasal skin, or changes that were not dramatic enough. Functional reasons for revision surgery are almost always centered around compromised breathing. Some surgeons will sacrifice function for cosmetic results and it’s not until months or years later that the patient realizes their surgery is affecting their wellness.

Good candidates for revision rhinoplasty are those who have fully healed from their initial surgery, which usually takes about a year, and who are unhappy with their final results. Some may realize almost immediately that their surgery was not performed well while others will not experience problems for years until the aging process reveals issues.

Why Is Revision Rhinoplasty More Complicated Than Normal Rhinoplasty?

Performing surgery on an area that has already been surgically altered involves many special considerations. Before surgery can even begin, the surgeon must have a thorough consultation with the patient to find out why the initial surgery was done, who it was done by, and why the results now need to be corrected. In some cases, the consultation becomes an educational meeting as the surgeon attempts to show the patient why his initial expectations for surgery were unrealistic and how that resulted in his or her current need for a revision.

A surgeon with a steady hand and experience in performing revision procedures is required to correct any damage that has been done and create a final result that is both aesthetically pleasing and functional. The surgeon must decide if the desired results can be achieved through a closed procedure, where incisions are only made inside the nose, or whether an open procedure is needed to achieve the desired results. He must also ensure that correcting the previous damage done does not compromise either aesthetics or functionality and that the patient’s issues with the first surgery are not repeated.

Choosing the Right Surgeon for Your Revision Rhinoplasty

Most patients choose to go to a different surgeon from the one they originally went to for their revision rhinoplasty. The reasons for this are obvious: if the first surgeon performed an unsatisfactory surgery, the patient believes a different surgeon will be needed to correct it. When choosing a new surgeon, it’s important that patients not only look for an expert in rhinoplasty but also one who is skilled and experienced in revision rhinoplasty as this is more complicated and requires greater expertise. Dr. Hershcovitch is a double board certified plastic surgeon who is an expert in both rhinoplasty and revision rhinoplasty. He is knowledgeable in the most advanced methods of surgery and knows how to achieve the right balance between cosmetic and functional results.

If you are unhappy with your rhinoplasty surgery for any reason, you do not have to live with the results. Schedule a consultation with Dr. Hershcovitch today to find out more about revision rhinoplasty.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reasons to Schedule Your Rhinoplasty Consultation with Dr. Hershcovitch in 2019

Your nose is an important part of your appearance and often becomes a focal point when you meet new people. If you feel self-conscious about your nose because of genetics or due to an injury that has misshapen it, it can harm your self-esteem and affect the way you interact with others. Having a nose surgery known as rhinoplasty to reshape and/or repair your nose is the perfect way to address these concerns and restore your confidence. If you live in the West Hills or Westlake Village areas, you should consider scheduling a rhinoplasty consultation with Dr. Matt Hershcovitch. Here’s why.

You’re Ready to Look and Feel Better in the New Year

The new year is the perfect time to make positive changes to your life that will help boost your confidence and address concerns that may have been bothering you for many years. Dr. Hershcovitch is committed to matching his patients’ outer beauty to their inner beauty and knows that refinement to the facial structure can often bring out the inner light of those who have dealt with self-doubt their entire lives. When you schedule your rhinoplasty consultation with Dr. Hershcovitch, you will be taking the steps to ensure that 2019 is the most exciting and fulfilling year yet!

You Have Questions About the Procedure

It’s understandable that you would have numerous questions regarding your nose surgery. You may wonder how much pain you will experience, what the recovery time is like, and what will happen if you aren’t satisfied with the results. Your consultation with Dr. Hershcovitch will answer all of these questions and put your mind at ease before you schedule your surgery. The doctor always takes the time to listen to his patients’ backgrounds, concerns, questions, and needs before moving forward with any type of procedure. His caring and compassion will put you at ease and reassure you that you are working with someone who truly cares about you.

You Want to Work with a True Professional

 If you are ready to have nose surgery, you want to make sure you have a true professional performing your procedure. Dr. Hershcovitch is an expert in ENT surgery as well as in plastic surgery. That means that he will not only focus on creating a natural and attractive result, but he will also address concerns such as snoring, breathing problems, or other health issues related to your nasal passage. Common types of nose surgery that Dr. Hershcovitch performs include bony hump removal, narrowing of the width of the nose, and nose tip reshaping. He can do this in a closed or open procedure depending on the extent of reshaping you desire and what areas of the nose will be involved in the procedure. When you consult with a professional such as Dr. Hershcovitch, you know that you are working with someone who will ensure they perform the surgery that is just right for you.

You Want an Experienced Surgeon Performing Your Procedure

It’s comforting to know that your plastic surgeon has experience in the type of procedure you are undergoing. Dr. Hershcovitch has extensive experience with challenging surgeries such as ethnic nose reshaping and will put you at ease if you have a complicated surgery you need to be performed. The doctor is sensitive to the needs and wants of those from different ethnicities and always takes the time to understand your goals and background before scheduling your rhinoplasty.

You Want to be Taken Care of After Your Surgery is Complete

 Though rhinoplasty is an outpatient surgery and should have no complications, you still want to know that your doctor will take care of you if you need anything once the surgery is complete. Dr. Hershcovitch is very invested in your recovery and makes sure to monitor each patient when they wake up from anesthesia before allowing them to go home. He also opts to give patients casts and nasal splints instead of packing the nose after surgery to provide a more comfortable recovery. If you have any questions after surgery or during your recovery, Dr. Hershcovitch and his caring staff are always there to help.

 Now is the time to improve the shape of your nose and boost your self-image! Schedule a consultation with Dr. Hershcovitch today.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How Do You Know if You Need a Second Rhinoplasty?

Are you unsatisfied with your rhinoplasty results? It may be time to consider revision rhinoplasty. A second rhinoplasty procedure from a skilled and experienced plastic surgeon can give you the nose you always wanted. Read our infographic below to find out if you need one.

If you’re interested in revision rhinoplasty, contact us today.

Nose Gone Wrong: Revision Rhinoplasty Explained

Rhinoplasty is one of the most popular plastic surgery procedures performed every year. In 2017 alone, there were 218,924 rhinoplasty procedures performed in the United States. However, rhinoplasty requires a high degree of both artistry and surgical precision; it’s considered to be one of the most complex plastic surgery procedures.

As a result, it’s common for patients to seek secondary or revision rhinoplasty after their initial nose reshaping procedure. Below, we’ll be exploring why revision rhinoplasty is sometimes necessary, and how this procedure can help you achieve the results you deserve.

Common Reasons for Seeking Revision Rhinoplasty

Nasal Bridge Collapse

Cartilage forms an important part of the nose’s internal structure and foundation. When too much cartilage is removed during the initial rhinoplasty procedure, this can cause certain parts of the nose to collapse. This is usually a gradual process, with areas like the middle of the nose eventually collapsing and possibly creating a nasal obstruction.

When the patient lacks adequate cartilage, Dr. Hershcovitch can perform a cartilage grafting procedure to help build up the structure of the nose. This reinforces the nasal structure to help restore a more natural appearance to the nose. This technique can also be used in a primary rhinoplasty when the patient lacks cartilage and wants their nasal bridge to look more elevated.

Overcorrected Nasal Tip

Some patients are unhappy with the results of their nose surgery due to an overcorrected nasal tip. This usually results in an over-rotated and upturned nose, or an under-rotated, droopy nasal tip.

Over-rotation typically occurs when too much of the supporting elements of the nasal tip are removed. Without adequate support, the tip essentially falls backward, causing an upturned appearance. This can also be caused by the contracture of scar tissue, which pulls the tip of the nose. To address these issues, Dr. Hershcovitch can rebuild the structure of the nose and release the scar tissue, if needed.

In some cases, overcorrection of the nasal tip may lead to the opposite problem: a drooping nose. When the nose lacks proper structure, the nasal tip may droop downward. By rebuilding the underlying support system, Dr. Hershcovitch can correct these cosmetic irregularities through revision rhinoplasty.

Asymmetrical Nostrils

The nose is made up of many intricate and delicate components; even a slight overcorrection can significantly affect the aesthetic outcome. While most noses have a slight degree of asymmetry, complications from rhinoplasty can make the nostrils looks unnaturally asymmetrical.

When patients have uneven nostrils after rhinoplasty, it is frequently caused by removing too much of the pieces of cartilage that support the nasal tip. The weakened points basically buckle, causing one side of the nose to project into the other side. When correcting this type of complication, Dr. Hershcovitch works to restructure the nasal tip and strengthen its foundation to prevent further cosmetic irregularities from developing.

Avoid Rhinoplasty Complications by Choosing an Expert

While the above complications can occur, you can increase your chances of an optimal outcome by choosing a surgeon who specializes in rhinoplasty. Dr. Matt Hershcovitch is a double board-certified facial plastic surgeon who is renowned for his ability to create natural-looking results. Whether you’d like to correct irregularities left by your first nose surgery, or you’re seeking rhinoplasty for the first time, he can help you attain facial harmony. To take the next step, contact him today to schedule your personal consultation.

5 Medical Conditions Rhinoplasty Can Fix

Rhinoplasty is one of the most common cosmetic procedures worldwide, accounting for 218,924 cosmetic procedures in the U.S. in 2017. While this solution is often valued for its efficacy in improving facial symmetry and appearance, nose surgery also offers a critical, nearly irreplaceable option for many common medical conditions.

Rhinoplasty: Beyond Cosmetic Appeal

Often, patients forget the medically important functions of the nose. From facilitating breathing to feeding sensory information to the brain, a functional nose helps ensure patients live life to the fullest. When this functionality or structure is compromised, the individual’s quality of life also decreases.

Common medical conditions often addressed through functional rhinoplasty include:

1. Corrects a Deviated Septum

Whether the result of trauma or simply a feature from birth, a deviated septum is the result of the septum developing away from the cartilage or bone. This narrows the nostrils, causing them to become crooked or off-center. While slight misalignment may not be noticeable or simply visibly unappealing, higher degrees of misalignment can compromise an individual’s ability to breathe correctly.

Functional rhinoplasty, also known as septoplasty, corrects the deviation by straightening the crooked cartilage or bone that is causing the septum to deviate. Ultimately, this treatment improves breathing as well as facial symmetry.

2. Improves Sleep Apnea Treatment Efficacy

Characterized by snoring and frequent pauses in breathing during sleep, obstructive sleep apnea is common among middle aged men and women. Not only does the condition cause patients to lose out on a good night’s rest, sleep apnea can adversely affect their overall health. Common side effects of the condition include fatigue, mood change, increased risk of heart disease and death in more serious cases.

While the cause of sleep apnea is often attributed to the obstruction of air flow by soft tissue in the mouth, narrow nasal passages and chronic nasal congestion can be the source of blockage. For these individuals, functional rhinoplasty may be the next treatment option when CPAP and night guards prove ineffective. In certain instances of severe sleep apnea, rhinoplasty may be part of a larger treatment initiative to help the patient regain a restful night’s sleep.

3. Addresses Sinus Problems

Crowded nasal passages caused by a moderately to severely deviated septum can also increase an individual’s likelihood of developing frequent sinus infections and experiencing regular sinus pain. Dr. Hershcovitch specializes in both ENT and facial plastic surgery, allowing him to provide highly-tailored treatment strategies to patients suffering from these issues.

4. Assists Facial Reconstruction

As part of a larger facial reconstructive treatment strategy, functional rhinoplasty plays an important role in restoring a patient’s overall sensory functions and appearance. Trauma such as nasal fracture or nasal valve collapse can require comprehensive reconstruction and reinforcement to restore full breathing capacity. Functional rhinoplasty addresses the patient’s critical needs and creates a long-lasting solution.

5. Nasal Polyp Removal

In patients with severe allergies, benign nasal polyps can develop. While smaller polyps may be unnoticeable, larger growths may block the nasal passage and lead to difficulty breathing, deprecation of an individual’s sense of smell and inflammation. Less invasive endoscopic functional rhinoplasties can address this problem with minimal downtime and maximum results.

Explore the Advantages of Functional Rhinoplasty

Functional rhinoplasties are one of many ways Dr. Matt Hershcovitch helps patients regain control of their lives and enjoy a higher quality of life. Contact our team today to schedule a consultation and learn more about the advantages offered by this comprehensive treatment.

5 Reasons to Choose Rhinoplasty

Rhinoplasty is one of the most popular plastic surgery procedures in the world because it delivers beautiful results that allow a patient’s natural beauty to shine through. Many patients also enjoy a boost of self-esteem and confidence after their procedure. If you are considering rhinoplasty, we’ve outlined five reasons to finally make the first move:

  • You desire a nose that is proportionate to your face.
  • You want your nose to be a more aesthetically pleasing shape.
  • You are looking to straighten your nose and eliminate visible bumps.
  • You would like to reduce or enlarge the size of your nostrils.
  • You are looking to correct breathing problems due to your nasal structure.

Ready to schedule your consultation? Contact us here. We look forward to meeting you!

Incision Decision: Weighing Your Rhinoplasty Surgery Options

Rhinoplasty is a complex plastic surgery procedure designed to refine the nose. Although the ultimate goal of any rhinoplasty is to create a balanced and proportional nose, there’s no singular surgical method that is one-size-fits-all for every patient. Rather, surgeons employ a variety of techniques. They also use a variety of incisions to access the nasal structures and position soft tissue. Two methods of the procedure, the closed rhinoplasty, and the open rhinoplasty, are performed using different incision styles.

Dr. Hershcovitch believes that rhinoplasty surgery should be a collaboration between the surgeon and the patient. Rather than just dictating the best course of action for your case, he will explain what your options are and educate you on why each technique is different.

Of course, there’s no harm in coming into your consultation prepared. If you’d like to get a sense of which rhinoplasty technique may be appropriate for your case, we’ve put together a helpful guide to the differences between different rhinoplasty incisions.

Closed Rhinoplasty

A closed rhinoplasty, also known as the endonasal approach, is a technique where the surgeon creates the incisions inside the nostrils; any resulting scarring will be completely hidden.

What Closed Rhinoplasty Can Be Used for

Discretion is important to most of Dr. H’s patients and is one of the reasons why so many would prefer the closed rhinoplasty technique. Unfortunately, it’s not always appropriate. Because it doesn’t offer the best view of the nasal structures, closed rhinoplasties are mostly reserved for straightforward cases – for instance, if a patient merely needed to smooth out a bump on the nasal bridge.

Patients also prefer the closed rhinoplasty because it offers a quicker, milder recovery period.

Open Rhinoplasty

An open rhinoplasty is performed by creating a small incision on the columella, the narrow strip of tissue that divides the nostrils. One the incision is made, your surgeon will gently lift the skin and shape the bone and cartilage. The tissues are then gently repositioned onto the new nasal structure and the incision is closed.

An open rhinoplasty is typically reserved for cases when the surgeon needs in-depth visualization of the nasal structures. Because an open rhinoplasty is often used for extensive manipulation of nasal tissue, it often leads to a longer recovery than a closed rhinoplasty.

What Open Rhinoplasty Can Be Used for

An open rhinoplasty is ideal for cases that require extensive treatment. If patients need the tip of their nose reshaped, a second rhinoplasty, or to strengthen certain structures with grafts, an open rhinoplasty will most likely be used.

Scarring with Open Rhinoplasty

An open rhinoplasty technique will leave a small scar on the columella. Keep in mind – this scar is barely noticeable. The scar will really only be visible if someone is looking up directly at you from below.

As a facial plastic surgeon with extensive training with closing incisions, Dr. Hershcovitch makes sure there is as little tension as possible on the incision to prevent a noticeable scar from forming.

Miscellaneous Incisions

In the case that a patient requires a reduction in the size of their nostrils or narrowing of the width of their nose, we may need to create an incision where the nostrils meet the cheeks. By creating an incision along the natural contours of the nose, we can ensure that any resulting scar will blend seamlessly into your facial features.

What Can I Do to Reduce the Appearance of Scars?

You can do your part to prevent scarring by taking good care of your nose during the healing process. Protect your nose while it’s tender and healing. Make sure to keep your head elevated during the first week of your recovery to reduce swelling and tension on the incisions. Limit your sun exposure to ensure your scars fade as much as possible. You can even take supplements like arnica and bromelain to speed up the healing process.

With all this in mind, we should remind you that the technique isn’t the biggest factor in any rhinoplasty. What matters more is that you find a talented, compassionate surgeon that can help you attain your reasonable goals. Contact the office of Dr. Hershcovitch to learn more about how our experienced and friendly team can help you feel confident about your appearance.

Fact or Fiction? Debunking Rhinoplasty Myths

Fact or Fiction? Debunking Rhinoplasty Myths

Rhinoplasty is one of the most popular plastic surgery procedures performed every year. And being so popular means the internet abounds with information about this procedure – but not everything you read may be true.

If you’re researching your options for rhinoplasty, then you may be overwhelmed with the myths and rumors out there. In this blog, we’ll be exploring the most common misconceptions and sharing everything you need to know about rhinoplasty.

My Nose Has to Be Broken During Rhinoplasty

One of the top rhinoplasty myths that often gets circulated is that your surgeon has to “break” your nose during surgery. This isn’t quite true; the procedure – called an osteotomy – is actually very precise and is only used in certain cases. While it may seem a bit extreme at first, it’s essentially just a controlled fracture of the nasal bones. And when performed by a board-certified facial plastic surgeon, this procedure can beautifully reshape the nose.

During the procedure, a specialized tool is used to expertly cut into the bone to create a more flattering and natural-looking nose shape. For instance, when a large dorsal bump is removed, sometimes a gap is left along the nasal bridge. To close this gap, the bone needs to be cut so that the nose can be reshaped. Osteotomies are also sometimes performed for patients who have crooked noses. During your consultation, your surgeon will let you know whether this step will be required for your rhinoplasty.

I Can Have Nose Surgery Without Any External Incisions

In some cases, you can have rhinoplasty without any external incisions. There are two general types of rhinoplasty procedures: an open approach and a closed approach. With a closed approach, all incisions are made inside of the nose. An open approach requires an additional incision that is made along the columella, which is the thin strip of tissue between the nostrils.

A closed approach is ideal for more straightforward procedures, like a bump reduction. Many patients are initially attracted to this approach because of the hidden incisions. However, it doesn’t offer optimal visualization of the nasal structures, especially if nasal tip work is needed.

With an open rhinoplasty, the nasal structures can be visualized in their entirety during surgery. This gives the surgeon a greater amount of control, and it allows for more extensive changes to the nose. And when it comes to scarring, the resultant scar is easily hidden. Both techniques can produce great results, and the right technique for you depends on your cosmetic goals and your anatomy.  Dr. Hershcovitch is facile with both approaches and can discuss which would be best for you during your consultation.

Rhinoplasty Will Give Me “Black Eyes”

Some people considering nose surgery might be intimidated by images they’ve seen of the stereotypical rhinoplasty patient, who usually has “black eye” bruising. It’s difficult to predict whether or not a patient will bruise after rhinoplasty, but it’s important to understand that any bruising that does occur is normal.

Bruising is just the body’s response to trauma or injury. To reduce bruising after your nose surgery, be sure to keep your head elevated (even when sleeping) and use cold compresses, when needed. Most patients find that their bruising resolves within a week or two.

Rhinoplasty Is Covered by Insurance

Some people seek nose surgery to correct a structural defect or a functional issue from an injury. In these cases, your procedure may be partially covered by insurance. But for elective cosmetic procedures, rhinoplasty is typically not covered. In general, breathing issues are covered by insurance, however reshaping the outside is considered cosmetic. It’s best to speak with your surgeon to confirm whether your particular nose surgery will be covered.

The Final Results from Rhinoplasty Won’t Be Seen for Months

This has some truth to it, but not to the extent that you might think. You will see an immediate and significant improvement in the appearance of your nose after rhinoplasty. However, swelling may obscure the full results for about a month. Sometimes, residual swelling may last up to a year, but in most cases this swelling is so minor that it will only be perceptible to you and your surgeon.

Any Plastic Surgeon Is Qualified to Perform Rhinoplasty

Rhinoplasty may seem straightforward, but it is one of the most challenging plastic surgery procedures to perform. It requires a keen sense of aesthetics and surgical precision, so it’s best to choose a qualified surgeon who you can trust.

In the United States, any physician with a medical license can legally perform plastic surgery, but this doesn’t mean that they’re the best person for the job. To ensure a successful outcome from rhinoplasty, you should choose a board-certified facial plastic surgeon like Dr. Matt Hershcovitch. Board-certified facial plastic surgeons must complete specialized training in plastic surgery, and they have to pass rigorous examinations to prove their mastery of the field. Dr. Hershcovitch is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, allowing him to produce exquisite results from rhinoplasty. His practice also provides a warm, welcoming environment where you can feel comfortable as you begin your journey toward a better you.

When it comes to rhinoplasty, don’t let the common myths and misconceptions stop you from pursuing this transformative procedure. If you’re ready to take the next step, contact Dr. Matt Hershcovitch to schedule your personal consultation.