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Rhinoplasty

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RHINOPLASTY: IMPROVING APPEARANCE AND FUNCTION OF MIAMI, FL NOSES

It is said that eyes are windows to the soul, and most of us are readily smitten by a lovely smile. Yet no matter how beautiful the top and bottom portions of your face are, a disproportionate or misshapen nose greatly impacts overall attractiveness. Dr. Nirmal Nathan suggests rhinoplasty (nose surgery) as a predictable solution for male and female patients in Miami, FL.

THE IMPORTANCE OF THE NOSE

If you have a normal, healthy nose, you probably don’t think about it very often. The nose, however, serves many aesthetic and vital purposes:

  • Focal point of appearance

    – Your nose is prominent, in person and in photographs, from the front or either side.

  • Ethnicity signature

    – The size and shape of your nose carries characteristics uniquely handed down from your ancestors.

  • Breathing

    – Exterior and interior structures of the nose provide the primary path for air to enter and exit lungs. While the mouth provides a larger airway, the delicate architecture of the nose is more efficient (think about how miserable you feel when your nose is congested, and you are forced to mouth-breathe). Elite athletes know that the nasal-pulmonary reflex causes lungs to expand and close up in accordance with the nose, for improved performance compared to gasping through the mouth.

  • Air “conditioning”

    – Nasal passages contain complex layers called turbinates that moisturize air. The nose also regulates the air temperature. Both functions are kind to the throat and lungs.

  • Cleansing

    – Air contains more than oxygen. It is full of allergens, environmental pollutants, bacteria, viruses, and worse. Cilia, fine hair-like appendages in the nose, help to trap those elements and flush them from the body in mucous.

  • Protection

    – A large number of nerve cells in the nose detect scents. That certainly helps you enjoy eating. It also lets you avoid spoiled foods and toxic gases in the environment.

  • Communication

    – The nose, with its direct connection to sinuses, plays a big role in how sounds produced by vocal cords resonate – essential to pleasant speaking and singing. The nose also contains a vomeronasal organ, sometimes referred to as a sixth sense. The VNO may detect pheromones, contributing to non-vocal chemical communication.

WHEN TO CONSIDER COSMETIC RHINOPLASTY IN MIAMI, FL

Now that you have a greater understanding and tremendous appreciation for the nose, it simply makes sense to have this elegant organ look as appealing as possible.

The golden ratio is a mathematical formula found throughout art, architecture, nature, and human physiology. This divine proportion determines the necessary relationships of parts of the face, for maximum attractiveness to the human eye. The nose plays a central role in the golden ratio, impacting the appearance of every feature above and below it.

HERE ARE JUST A FEW EXAMPLES OF AESTHETIC CORRELATIONS (THERE ARE MANY MORE) BASED ON IDEAL PHI PROPORTIONS:

  • Alignment of the inner corner of the eye to the outmost edge of the nostril.
  • Horizontal distance from the centerline of the nose to the outer corner of the eye.
  • Distance from pupils to tip of the nose.
  • Distance from bottom of the nose to top of upper lip.
  • Tip of nose to center of the ear.

Proportions of the nose are in large part a genetic factor, but shape and size may also be distorted by injury or previous surgeries.

Dr. Nathan applies a wealth of specialized training (he is Board-certified in plastic surgery) and a naturally artistic eye to restore the facial golden ratio with rhinoplasty.

IN HIS EXPERIENCED HANDS, RHINOPLASTY CAN CORRECT OR IMPROVE:

  • Size of the nose in relation to overall face shape and size of other features.
  • Width at the bridge.
  • Bumps or depressions on the bridge, for a smoother profile.
  • Size and position of nostrils (while maintaining ethnic characteristics to the extent you desire).
  • Upturned, downturned, hooked, or bulbous nasal tip.
  • Asymmetry – in central placement of the entire nose, or in specific left-to-right or top-to-bottom elements.

Most patients are happily satisfied with the aesthetic outcome of rhinoplasty. Initial swelling subsides in a few weeks, and nasal contours continue to refine over the course of perhaps a year. While facial changes that occur through the aging process have some influence on the appearance of the nose, rhinoplasty enhancement is generally lifelong.

RHINOPLASTY FOR FUNCTIONAL IMPROVEMENT

The nasal septum is a thin structure that separates the right and left airway chambers of the nose. The outermost cartilage and soft tissue tip are somewhat mobile, but becomes more rigid with hyaline cartilage and bone toward the skull.

When this dividing wall becomes displaced, it can partially or completely obstruct airflow through one nostril. The condition may trigger dryness and nosebleeds, facial pain, and snoring or sleep disordered breathing (sleep apnea). A deviated septum may affect the sound of your voice, contribute to recurring sinus infections, and keep you from sleeping comfortably on either side.

While deviated septum can be present at birth, it is usually caused by facial injury from a fall, fight, vehicle accident, or unprotected contact sports. The problem may be evident with a visibly crooked nose, or the defect can be largely internal. Regardless, a deviated septum is easily corrected with rhinoplasty.

The procedure to alleviate an obstructed airway is a bit more invasive than cosmetic rhinoplasty, but the success rate is excellent. Most patients experience significant improvement in breathing, with adjustment and alignment of the nasal septum. Medical insurance may cover all or a portion of nose surgery cost for this condition.

THE RHINOPLASTY PROCEDURE

Rhinoplasty is performed as an outpatient procedure in the surgical operatory at The Nathan Clinic, with intravenous sedation or general anesthesia. Depending on your situation, Dr. Nathan may be able to use a closed procedure, with incisions created inside the nose to eliminate risk of scarring. An open procedure may be appropriate for more extensive cases. A fine incision is made across the columella, a band of tissue that separates nostrils. If the size of nostrils is to be altered, additional incisions may be made in the natural creases.

In either case, skin is gently lifted, allowing Dr. Nathan to access and reshape underlying cartilage and bone. The procedure may involve removal of some tissues to reduce the size of the nose, or cartilage grafting or implants to augment size and shape. If correction of a deviated septum is needed, it can be performed in the same procedure as cosmetic enhancement.

Dr. Nirmal Nathan is a skilled plastic surgeon in Miami, Florida. He received his medical degree through the Honors Program in Medicine at the University of Miami. Dr. Nathan is among the most sought after plastic surgeons in Miami due to his expansive knowledge, skill and method of treating patients. In his practice, The Nathan Clinic Plastic Surgery and Aesthetics, he provides the excellence that comes from experience.

When the doctor is satisfied that the nose is sculpted to the shape you desire, skin is re-draped. Incisions are closed with a specialized plastic surgery technique that creates minimal scarring.

The nose is protected for a few days with a splint and gauze packing to aid in healing. The surgical team provides thorough instruction for wound care and follow-up. Meanwhile, rhinoplasty patients are encouraged to move around the night of surgery, and may shower after two days. Expect to take five to seven days off work, and refrain from swimming or heavy lifting for six weeks.

Your nose deserves the care of a highly-qualified plastic surgeon. Call The Nathan Clinic in Miami, FL at (305) 530-8880 to schedule a rhinoplasty consultation with Dr. Nathan.

 
 
 
 

Miami Rhinoplasty Specialist Dr. Nathan

Rhinoplasty is the medical term for nose-reshaping surgery, nose surgery, nose-correction surgery or, in laymen terms, a nose job. During nose-correction surgery in Miami, Dr. Nirmal Nathan changes the shape, size or proportion of a patient’s nose. As an experienced, Board-certified plastic surgeon, Dr. Nathan uses his skill and artistic vision to improve the appearance and function of a patient’s nose.

What Are the Benefits of Having a Rhinoplasty in Miami?

With a rhinoplasty procedure, an experienced plastic surgeon creates facial harmony, which can enhance all the facial features. After surgery, most patients no longer feel self-conscious about their nose, which helps them feel more confident.

With nose-reshaping surgery, a plastic surgeon can:

  • Fix a broken nose.
  • Increase the size of the nose.
  • Decrease the size of the nose.
  • Reshape the nostrils.
  • Reduce the bridge and nasal tip of the nose.
  • Create balance between the nose and other facial features.
  • Address nasal deformities.
  • Correct birth defects (e.g., lumps, masses, underdevelopment).
  • Restore facial symmetry by correcting a variety of issues including a misshapen nose, bulbous tip or crooked nose.

The Nose is Much More Than a Prominent Facial Feature

The majority of people do not realize the importance of the nose. Besides serving as the most prominent facial feature, the nose is also a vital aspect of the respiratory system. In addition, the smell receptors inside the nose enhance the flavor of foods and beverages.

Functional purposes of the nose include:

Allowing an Individual to Breathe Efficiently

The structures of the nose serve as the primary pathway for air to enter and then exit the lungs. Although the mouth does provide a larger airway, the structural design of the nose offers a more efficient pathway. It is the nasal-pulmonary reflex that makes breathing through the nose the most efficient. This reflex causes the lungs to expand and contract in accordance with the actions of the nose.

Cleansing the Air During the Inhalation Process

Air contains oxygen, but it is also full of viruses, bacteria, allergens and many other environmental pollutants. The cilia in the nose trap these potentially harmful elements in mucus. Whenever an individual blows his or her nose, these elements are flushed from the body.

Humidifying and Regulating the Temperature of the Air as it is Inhaled

There are complex layers (i.e., turbinates) within the nasal passages. These turbinates moisten the air as it is breathed in. In addition, the nose regulates the temperature of the air being inhaled, which is beneficial for the lungs and the throat.

Highly Sensitive Smell Receptors

Within the nose, there are millions of highly sensitive smell receptors. These receptors are cells that detect odor molecules. The ability to smell helps prevent an individual from consuming spoiled foods. In addition, this keen sense of smell allows individuals to recognize when toxic gas is present in the environment.

Making Eating and Drinking More Enjoyable

The nerve cells within the nose are highly sensitive, which is why they can detect so many different scents. This ability to smell heightens the flavors of foods and beverages; thus, making these activities more enjoyable.

Contributing to the Tone of an Individual’s Voice

Since the nose is directly connected to the sinuses, it contributes to the way the sounds produced by the vocal cords resonate. Therefore, the nose plays an important role in the ability to speak and sing pleasantly.

Detecting Pheromones

The nose has a vomeronasal organ (VNO). Some refer to the VNO as the sixth sense because this organ may be able to detect pheromones.

Pheromones are the chemicals similar to hormones. When an individual secretes pheromones, these chemicals can trigger a social response from individuals who are within the same vicinity. If the vomeronasal organ participates in the process of pheromone detection, then the nose also contributes to non-vocal, chemical communication.

Why Would Someone Choose to Have a Rhinoplasty in Miami?

Men and women in the Miami area who would like to change the shape, size or proportion of their nose frequently choose to have nose-reshaping surgery at The Nathan Clinic. During nose-reshaping surgery, Dr. Nathan can enhance facial harmony and address nose irregularities.

Good candidates for rhinoplasty procedures in Miami include men and women who:

  • Have completely grown facial features.
  • Are physically healthy.
  • Do not have any chronic conditions or illnesses that could negatively affect the healing process.
  • Do not use products that contain nicotine (e.g., chewing tobacco, e-cigarettes, traditional cigarettes) or are willing to discontinue using these products for at least two weeks before and two weeks after surgery. Following this recommendation is crucial because nicotine causes the blood vessels to contract, which negatively affects the body’s ability to heal. Individuals who use these products are at an increased risk for experiencing complications related to healing (e.g., open wounds, infection).
  • Feel optimistic about what Dr. Nathan can accomplish with a rhinoplasty, yet have realistic goals, understanding the limitations of nose-reshaping surgery.

A Consultation in Miami for a Rhinoplasty

Once an individual determines that nose-reshaping surgery can accomplish what he or she desires, it is time to schedule an initial consultation with Dr. Nirmal Nathan by calling 305-530-8880.

The initial consultation is vital to any plastic surgery process. During this consultation, patients provide Dr. Nathan with the information he needs to determine if nose-reshaping surgery can accomplish what the patient desires. The patient receives information about the nose-reshaping procedure.

Information Dr. Nirmal Nathan collects during the initial consultation in Miami:

  • Patients need to provide Dr. Nathan with detailed information related to their medical history (e.g., surgical procedures, treatments).
  • If a patient has a chronic condition, such as diabetes, heart disease or hypertension, for safety’s sake, Dr. Nirmal Nathan needs to know.
  • Patients, who use products that contain nicotine, regularly consume alcoholic beverages or participate in recreational drug use need to be candid about these practices with Dr. Nathan. This information is vital because it can dictate the type and amount of medication the patient receives during surgery and while recovering.
  • Patients must provide information related to their daily use of herbal supplements and vitamins, as well as medications, both prescription and over-the-counter.
  • Patients with medication allergies and those who have a sensitivity to latex need to let Dr. Nathan know about these issues during this initial consultation.

After understanding what the patient would like to accomplish with a rhinoplasty, and discussing his or her concerns, Dr. Nirmal Nathan performs a thorough nasal examination.

While performing this examination, if Dr. Nathan notices the patient has a dislocated septum (i.e., a deviated septum), he may recommend a combination procedure, nose-reshaping surgery with a functional rhinoplasty (i.e., a septoplasty).

If Dr. Nathan determines that the patient is a good candidate for nose-reshaping surgery, and the patient decides to move forward with the surgery, a staff member takes multiple photos of the patient’s nose, from various angles.

Cosmetic Surgery is an Individualized Process Requiring Personalized Treatment Plans

During their initial consultation, patients need to tell Dr. Nathan why they are interested in changing certain characteristics of their nose.

Some common reasons people choose to have a rhinoplasty include to:

  • Balance the size of their nose with their face to create facial harmony.
  • Change the width of their nose or nostrils.
  • Improve the way their nose looks from the side (i.e., its profile).
  • Change the shape of their nose or nostrils.
  • Address visible changes resulting from an injury.

Individuals who are experiencing breathing difficulties may need to have a functional rhinoplasty as well. Dr. Nathan performs these two procedures during the same surgical session.

Creating a Personalized Rhinoplasty Treatment Plan

To provide each patient with optimal results, Dr. Nathan uses the mathematical formula referred to as the Golden ratio. The Greek letter Φ (Phi) represents the Golden ratio. Phi proportions are evident throughout structural design, in art, human physiology and even in the environment.

How the Golden Ratio Relates to Plastic Surgery

This divine proportion defines the relationship that is necessary between each part of the face to attain maximum attractiveness. As Dr. Nirmal Nathan performs plastic surgery procedures, to maximize each patient’s attractiveness, he considers the aesthetic correlations of the Golden ratio.

The Golden Ratio and the Nose

Due to its location, the nose plays an important role in the Golden ratio. The nose affects the appearance of each facial feature that is above it and below it.

Aesthetic correlations based on the ideal Phi proportions include the:

  • Distance from a patient’s pupil to the tip of his or her nose.
  • Tip of the patient’s nose to the center of his or her ear.
  • Position of the inside corner of a patient’s eye with the outermost edge of the corresponding nostril.
  • Distance between the base of the nose and the upper lip.
  • Horizontal distance between the outer corner of a patient’s eye and the centerline of his or her nose.

These are only a few of the aesthetic correlations that Dr. Nathan considers while preparing a patient’s plastic surgery plan and then during his or her surgery.

What Issues Can Dr. Nirmal Nathan Address During a Rhinoplasty in Miami?

As a highly experienced plastic surgeon, Dr. Nathan can improve or correct a variety of issues during nose-reshaping surgery.

Issues Dr. Nathan improves or corrects with nose-reshaping surgery include:

  • Bridge width.
  • Depressions or bumps on the bridge of the nose. Addressing these irregularities provides the patient with a smoother-looking profile.
  • The size of the patient’s nose as it relates to his or her other facial features.
  • With nose-reshaping surgery, Dr. Nathan can create facial harmony.
  • A bulbous, hooked, upturned or down turned nasal tip.
  • The position and the size of the nostrils.
  • Ethnic characteristics. Dr. Nathan will only modify ethnic characteristics at the patient’s request. Furthermore, he only modifies these characteristics to the extent the patient desires.
  • An asymmetrical nose. This asymmetry may affect the central placement of the nose, the specific top-to-bottom or left-to-right elements.

Preparing for Nose-Reshaping Surgery

During a rhinoplasty in Miami, patients receive anesthesia and following anesthesia use, patients must refrain from driving for at least 24 hours. This restriction is a safety precaution because following sedation, it takes longer for an individual to react, which could result in an automobile accident. Therefore, on the day of surgery, patients need to bring a driver with them. In addition, patients need to ask someone that they can trust to care for them the night following their nose-reshaping surgery in Miami.

For the two weeks leading up to surgery and the two weeks after surgery, patients need to avoid taking non-steroidal anti-inflammatory drugs (NSAIDs) ibuprofen and aspirin. These products can increase bleeding. If the patient needs to take medication during these times, Tylenol is a safe option.

Patients who receive prescriptions for medications to take after their nose-reshaping surgery should fill these prescriptions ahead of time. Filling them before surgery ensures that the patient can head straight home after the procedure.

Schedule five to seven days off work or school.

After surgery, patients need to avoid wearing eyeglasses and sunglasses for six weeks. Therefore, patients who wear eyeglasses need to either purchase contacts to wear as their nose heals or, for those who would prefer to continue wearing their eyeglasses, purchase a nose-eyeglasses holder. These holders keep eyeglasses and sunglasses off the nose. Keeping glasses from resting on the nose is vital to ensuring that the weight of the glasses does not affect the rhinoplasty results.

For-Hire Transportation Following Surgery: What Patients Need to Know

At The Nathan Clinic in Miami, each patient’s safety is always the first concern. For this reason, The Nathan Clinic has a policy against patients using for-hire transportation following procedures that require sedation. This policy protects Dr. Nathan’s patients from being taken advantage of while they are in a potentially vulnerable state. In keeping with this policy, patients who arrive for their rhinoplasty without a driver will be rescheduled.

A Rhinoplasty Procedure in Miami

Nose-reshaping surgery is an outpatient procedure that Dr. Nirmal Nathan performs in the surgical operatory at his clinic in Miami.

The length of time an individual’s nose-reshaping surgery in Miami takes depends on the extent of the surgery. An individual who needs minimal changes usually remains in surgery for about an hour and a half. However, patients requiring more intense changes can remain in surgery for three or four hours. Please keep in mind, patients who choose to have a combination of procedures are likely to remain in the surgical operatory longer.

Dr. Nathan requests that his patients arrive about 15 minutes before their scheduled surgery.

One of The Nathan Clinic’s staff members takes the patient to the presurgical area, which is where staff members help the patient prepare for surgery.

Dr. Nathan usually visits his rhinoplasty patients in pre-op and, while making specific markings on the patient’s nose that he uses as a guide during surgery, answers any last-minute questions the patient has.

After preparing the patient for surgery, a member of Dr. Nathan’s surgical staff moves the patient into the surgical operatory.

Anesthesia

The patient may receive general anesthesia, which places the patient in a deep sleep, or twilight anesthesia (i.e., intravenous sedation), which places the patient in a lighter sleep. The type of anesthesia a patient receives depends on the extent of his or her nose-reshaping procedure.

Dr. Nathan Performs Open and Closed Rhinoplasty Procedures

The type of nose-reshaping surgery Dr. Nathan performs depends on how extensive the patient’s surgery needs to be.

A closed rhinoplasty is ideal for individuals who only need minor corrections. When more extensive changes are necessary, Dr. Nathan uses the open-rhinoplasty technique.

During a closed rhinoplasty, Dr. Nirmal Nathan creates the incisions inside the nose.

While performing an open nose-reshaping procedure, he creates a fine incision across the columella. The columella is the band of tissue in between the nostrils. Although Dr. Nathan creates this incision externally, it is under the nose and in between the nostrils; therefore, the resulting scar is barely noticeable. As time passes, the scar lightens more and more.

If a patient is also having his or her nostrils altered, Dr. Nathan needs to create additional incisions; however, by creating these incisions within natural creases, he ensures they remain well hidden.

Despite the technique he uses, Dr. Nathan gently lifts the skin, which allows him to access the underlying bone and cartilage.

The remaining steps depend on the patient’s unique surgical plan. A general overview of these potential steps:

  • After lifting the skin, Dr. Nathan may reshape the underlying bone and cartilage.
  • He can use implants or grafted cartilage to change the size and the shape of the nose.
  • To reduce the size of a patient’s nose, Dr. Nirmal Nathan may remove some tissue.
  • During a cosmetic rhinoplasty, Dr. Nathan can also address functional issues like a deviated septum with a septoplasty.
  • Once Dr. Nathan is satisfied that the changes he made reflect the patient’s requests, he re-drapes the skin.
  • Using very fine sutures and a specific, highly specialized plastic surgery technique, Dr. Nirmal Nathan closes the incisions. Since he uses such fine sutures and the specialized suture closing technique, Dr. Nathan’s patients have minimal scarring.

What to Expect After Nose-Reshaping Surgery in Miami

Dr. Nathan uses gauze packing and a splint to protect the nose, as well as to aid in the healing process.

Patients receive detailed instructions from the surgical team about caring for their wounds and their follow-up visits with Dr. Nathan.

Upon returning home, patients should walk around periodically. This is especially important for those who had general anesthesia because remaining active helps prevent the formation of blood clots.

Two days after surgery, patients can shower.

For the first few days following surgery, patients should expect to experience some discomfort. Most patients describe this discomfort as a feeling of soreness. Although Dr. Nathan usually provides prescription pain medication to his patients, some patients prefer to use Extra Strength Tylenol instead.

Dr. Nathan usually removes the splint and sutures at the patient’s one-week appointment. To help reduce inflammation, Dr. Nathan may place tape across the nose.

The recovery process following a rhinoplasty in Miami:

  • Heavy lifting must be avoided for at least six weeks.
  • Since increasing the heart rate raises blood pressure, patients must avoid participating in activities that cause these physical changes (e.g., running, exercising) for at least two weeks after surgery.
  • To protect their newly enhanced nose, patients must avoid swimming and submersing themselves in water for at least six weeks.
  • To keep inflammation down and prevent bleeding, patients need to elevate their head. This can be accomplished using extra pillows to prop oneself up while reading, watching television and sleeping.
  • Patients should not bend over or lift anything heavy. Both of these actions increase the amount of pressure in the nose.
  • Staying out of the sun or using a sunscreen with an SPF of at least 30 while in the sun is vital during the healing process. Exposure to UV rays could cause the incision to darken. This darkening is usually permanent, which means the scar will be more visible.
  • Alcohol increases inflammation; therefore, patients need to avoid drinking alcoholic beverages.
  • Patients need to stop using products that contain nicotine for at least two weeks after surgery. These products negatively affect the healing process.
  • Avoid making extreme facial expressions, laughing and smiling.

Results

The initial inflammation that is present following a rhinoplasty dissipates a few weeks after surgery. However, the healing process following nose-reshaping surgery is gradual because residual inflammation can remain for up to 12 months. Therefore, the changes Dr. Nathan makes to the contours of the patient’s nose during surgery may not become apparent for some time.

Rhinoplasty Results Last a Lifetime

Most of Dr. Nathan’s patients are pleased with the results achieved during their nose-reshaping surgery. Although the natural aging process does have some influence on the way an individual’s nose looks, the results achieved with nose-correction surgery usually last a lifetime.

Risks and Potential Complications Associated with a Rhinoplasty

As with all surgical procedures, nose-reshaping surgery carries risks and potential complications.

Typical surgical risks include:

  • Infection.
  • Bleeding.
  • An adverse reaction to the medications or products used during surgery.

Risks and potential complications associated with the rhinoplasty procedure:

  • Numbness in and around the nose.
  • Difficulty breathing through the nasal passages.
  • Pain.
  • Inflammation that persists longer than expected.
  • Discoloration.
  • Visible scarring.
  • A nose that looks uneven.
  • Septal perforation (i.e., a hole in the septum).
  • The need for another surgery.

The best way a patient can reduce the likelihood of experiencing a complication is to choose a seasoned, Board-certified plastic surgeon like Dr. Nirmal Nathan to perform the procedure.

How Much Does a Rhinoplasty in Miami Cost?

Since each patient receives a customized surgical plan, the only way that Dr. Nathan can determine how much a nose-reshaping procedure will cost is with a consultation.

Will Health Insurance Cover a Nose-Reshaping Procedure?

Since a rhinoplasty is a procedure designed to improve the cosmetic features of the nose, chances are, it is not covered by an individual’s health insurance company. Nonetheless, since a septoplasty is a surgical procedure that is designed to improve the ability of the nasal passages to drain and to address breathing difficulties, a septoplasty is considered a functional surgery, not a cosmetic one. Therefore, the patient’s health insurance company may agree to cover all or a portion of his or her septoplasty.

Dr. Nirmal Nathan is a highly qualified, Board-certified plastic surgeon with experience performing a variety of cosmetic procedures, including nose-enhancement surgeries like the rhinoplasty. If you are unhappy with certain aspects of your face, let Dr. Nathan help you attain the facial features you desire. To learn more about the facial enhancement and rejuvenation procedures available at The Nathan Clinic in Miami, contact the office today at 305-530-8880. The address for Dr. Nathan’s clinic is: 4770 Biscayne Boulevard, Suite 830.

 

Miami – Rhinoplasty

Rhinoplasty is the medical term for nose-reshaping surgery, nose surgery, nose-correction surgery or, in laymen terms, a nose job. During nose-correction surgery in Miami, Dr. Nirmal Nathan changes the shape, size or proportion of a patient’s nose. As an experienced, Board-certified plastic surgeon, Dr. Nathan uses his skill and artistic vision to improve the appearance and function of a patient’s nose.

What Are the Benefits of Having a Rhinoplasty in Miami?

With a rhinoplasty procedure, an experienced plastic surgeon creates facial harmony, which can enhance all the facial features. After surgery, most patients no longer feel self-conscious about their nose, which helps them feel more confident.

With nose-reshaping surgery, a plastic surgeon can:

  • Fix a broken nose.
  • Increase the size of the nose.
  • Decrease the size of the nose.
  • Reshape the nostrils.
  • Reduce the bridge and nasal tip of the nose.
  • Create balance between the nose and other facial features.
  • Address nasal deformities.
  • Correct birth defects (e.g., lumps, masses, underdevelopment).
  • Restore facial symmetry by correcting a variety of issues including a misshapen nose, bulbous tip or crooked nose.

The Nose is Much More Than a Prominent Facial Feature

The majority of people do not realize the importance of the nose. Besides serving as the most prominent facial feature, the nose is also a vital aspect of the respiratory system. In addition, the smell receptors inside the nose enhance the flavor of foods and beverages.

Functional purposes of the nose include:

Allowing an Individual to Breathe Efficiently

The structures of the nose serve as the primary pathway for air to enter and then exit the lungs. Although the mouth does provide a larger airway, the structural design of the nose offers a more efficient pathway. It is the nasal-pulmonary reflex that makes breathing through the nose the most efficient. This reflex causes the lungs to expand and contract in accordance with the actions of the nose.

Cleansing the Air During the Inhalation Process

Air contains oxygen, but it is also full of viruses, bacteria, allergens and many other environmental pollutants. The cilia in the nose trap these potentially harmful elements in mucus. Whenever an individual blows his or her nose, these elements are flushed from the body.

Humidifying and Regulating the Temperature of the Air as it is Inhaled

There are complex layers (i.e., turbinates) within the nasal passages. These turbinates moisten the air as it is breathed in. In addition, the nose regulates the temperature of the air being inhaled, which is beneficial for the lungs and the throat.

Highly Sensitive Smell Receptors

Within the nose, there are millions of highly sensitive smell receptors. These receptors are cells that detect odor molecules. The ability to smell helps prevent an individual from consuming spoiled foods. In addition, this keen sense of smell allows individuals to recognize when toxic gas is present in the environment.

Making Eating and Drinking More Enjoyable

The nerve cells within the nose are highly sensitive, which is why they can detect so many different scents. This ability to smell heightens the flavors of foods and beverages; thus, making these activities more enjoyable.

Contributing to the Tone of an Individual’s Voice

Since the nose is directly connected to the sinuses, it contributes to the way the sounds produced by the vocal cords resonate. Therefore, the nose plays an important role in the ability to speak and sing pleasantly.

Detecting Pheromones

The nose has a vomeronasal organ (VNO). Some refer to the VNO as the sixth sense because this organ may be able to detect pheromones.

Pheromones are the chemicals similar to hormones. When an individual secretes pheromones, these chemicals can trigger a social response from individuals who are within the same vicinity. If the vomeronasal organ participates in the process of pheromone detection, then the nose also contributes to non-vocal, chemical communication.

Why Would Someone Choose to Have a Rhinoplasty in Miami?

Men and women in the Miami area who would like to change the shape, size or proportion of their nose frequently choose to have nose-reshaping surgery at The Nathan Clinic. During nose-reshaping surgery, Dr. Nathan can enhance facial harmony and address nose irregularities.

Good candidates for rhinoplasty procedures in Miami include men and women who:

  • Have completely grown facial features.
  • Are physically healthy.
  • Do not have any chronic conditions or illnesses that could negatively affect the healing process.
  • Do not use products that contain nicotine (e.g., chewing tobacco, e-cigarettes, traditional cigarettes) or are willing to discontinue using these products for at least two weeks before and two weeks after surgery. Following this recommendation is crucial because nicotine causes the blood vessels to contract, which negatively affects the body’s ability to heal. Individuals who use these products are at an increased risk for experiencing complications related to healing (e.g., open wounds, infection).
  • Feel optimistic about what Dr. Nathan can accomplish with a rhinoplasty, yet have realistic goals, understanding the limitations of nose-reshaping surgery.

A Consultation in Miami for a Rhinoplasty

Once an individual determines that nose-reshaping surgery can accomplish what he or she desires, it is time to schedule an initial consultation with Dr. Nirmal Nathan by calling 305-530-8880.

The initial consultation is vital to any plastic surgery process. During this consultation, patients provide Dr. Nathan with the information he needs to determine if nose-reshaping surgery can accomplish what the patient desires. The patient receives information about the nose-reshaping procedure.

Information Dr. Nirmal Nathan collects during the initial consultation in Miami:

  • Patients need to provide Dr. Nathan with detailed information related to their medical history (e.g., surgical procedures, treatments).
  • If a patient has a chronic condition, such as diabetes, heart disease or hypertension, for safety’s sake, Dr. Nirmal Nathan needs to know.
  • Patients, who use products that contain nicotine, regularly consume alcoholic beverages or participate in recreational drug use need to be candid about these practices with Dr. Nathan. This information is vital because it can dictate the type and amount of medication the patient receives during surgery and while recovering.
  • Patients must provide information related to their daily use of herbal supplements and vitamins, as well as medications, both prescription and over-the-counter.
  • Patients with medication allergies and those who have a sensitivity to latex need to let Dr. Nathan know about these issues during this initial consultation.

After understanding what the patient would like to accomplish with a rhinoplasty, and discussing his or her concerns, Dr. Nirmal Nathan performs a thorough nasal examination.

While performing this examination, if Dr. Nathan notices the patient has a dislocated septum (i.e., a deviated septum), he may recommend a combination procedure, nose-reshaping surgery with a functional rhinoplasty (i.e., a septoplasty).

If Dr. Nathan determines that the patient is a good candidate for nose-reshaping surgery, and the patient decides to move forward with the surgery, a staff member takes multiple photos of the patient’s nose, from various angles.

Cosmetic Surgery is an Individualized Process Requiring Personalized Treatment Plans

During their initial consultation, patients need to tell Dr. Nathan why they are interested in changing certain characteristics of their nose.

Some common reasons people choose to have a rhinoplasty include to:

  • Balance the size of their nose with their face to create facial harmony.
  • Change the width of their nose or nostrils.
  • Improve the way their nose looks from the side (i.e., its profile).
  • Change the shape of their nose or nostrils.
  • Address visible changes resulting from an injury.

Individuals who are experiencing breathing difficulties may need to have a functional rhinoplasty as well. Dr. Nathan performs these two procedures during the same surgical session.

Creating a Personalized Rhinoplasty Treatment Plan

To provide each patient with optimal results, Dr. Nathan uses the mathematical formula referred to as the Golden ratio. The Greek letter Φ (Phi) represents the Golden ratio. Phi proportions are evident throughout structural design, in art, human physiology and even in the environment.

How the Golden Ratio Relates to Plastic Surgery

This divine proportion defines the relationship that is necessary between each part of the face to attain maximum attractiveness. As Dr. Nirmal Nathan performs plastic surgery procedures, to maximize each patient’s attractiveness, he considers the aesthetic correlations of the Golden ratio.

The Golden Ratio and the Nose

Due to its location, the nose plays an important role in the Golden ratio. The nose affects the appearance of each facial feature that is above it and below it.

Aesthetic correlations based on the ideal Phi proportions include the:

  • Distance from a patient’s pupil to the tip of his or her nose.
  • Tip of the patient’s nose to the center of his or her ear.
  • Position of the inside corner of a patient’s eye with the outermost edge of the corresponding nostril.
  • Distance between the base of the nose and the upper lip.
  • Horizontal distance between the outer corner of a patient’s eye and the centerline of his or her nose.

These are only a few of the aesthetic correlations that Dr. Nathan considers while preparing a patient’s plastic surgery plan and then during his or her surgery.

What Issues Can Dr. Nirmal Nathan Address During a Rhinoplasty in Miami?

As a highly experienced plastic surgeon, Dr. Nathan can improve or correct a variety of issues during nose-reshaping surgery.

Issues Dr. Nathan improves or corrects with nose-reshaping surgery include:

  • Bridge width.
  • Depressions or bumps on the bridge of the nose. Addressing these irregularities provides the patient with a smoother-looking profile.
  • The size of the patient’s nose as it relates to his or her other facial features.
  • With nose-reshaping surgery, Dr. Nathan can create facial harmony.
  • A bulbous, hooked, upturned or down turned nasal tip.
  • The position and the size of the nostrils.
  • Ethnic characteristics. Dr. Nathan will only modify ethnic characteristics at the patient’s request. Furthermore, he only modifies these characteristics to the extent the patient desires.
  • An asymmetrical nose. This asymmetry may affect the central placement of the nose, the specific top-to-bottom or left-to-right elements.

Preparing for Nose-Reshaping Surgery

During a rhinoplasty in Miami, patients receive anesthesia and following anesthesia use, patients must refrain from driving for at least 24 hours. This restriction is a safety precaution because following sedation, it takes longer for an individual to react, which could result in an automobile accident. Therefore, on the day of surgery, patients need to bring a driver with them. In addition, patients need to ask someone that they can trust to care for them the night following their nose-reshaping surgery in Miami.

For the two weeks leading up to surgery and the two weeks after surgery, patients need to avoid taking non-steroidal anti-inflammatory drugs (NSAIDs) ibuprofen and aspirin. These products can increase bleeding. If the patient needs to take medication during these times, Tylenol is a safe option.

Patients who receive prescriptions for medications to take after their nose-reshaping surgery should fill these prescriptions ahead of time. Filling them before surgery ensures that the patient can head straight home after the procedure.

Schedule five to seven days off work or school.

After surgery, patients need to avoid wearing eyeglasses and sunglasses for six weeks. Therefore, patients who wear eyeglasses need to either purchase contacts to wear as their nose heals or, for those who would prefer to continue wearing their eyeglasses, purchase a nose-eyeglasses holder. These holders keep eyeglasses and sunglasses off the nose. Keeping glasses from resting on the nose is vital to ensuring that the weight of the glasses does not affect the rhinoplasty results.

For-Hire Transportation Following Surgery: What Patients Need to Know

At The Nathan Clinic in Miami, each patient’s safety is always the first concern. For this reason, The Nathan Clinic has a policy against patients using for-hire transportation following procedures that require sedation. This policy protects Dr. Nathan’s patients from being taken advantage of while they are in a potentially vulnerable state. In keeping with this policy, patients who arrive for their rhinoplasty without a driver will be rescheduled.

A Rhinoplasty Procedure in Miami

Nose-reshaping surgery is an outpatient procedure that Dr. Nirmal Nathan performs in the surgical operatory at his clinic in Miami.

The length of time an individual’s nose-reshaping surgery in Miami takes depends on the extent of the surgery. An individual who needs minimal changes usually remains in surgery for about an hour and a half. However, patients requiring more intense changes can remain in surgery for three or four hours. Please keep in mind, patients who choose to have a combination of procedures are likely to remain in the surgical operatory longer.

Dr. Nathan requests that his patients arrive about 15 minutes before their scheduled surgery.

One of The Nathan Clinic’s staff members takes the patient to the presurgical area, which is where staff members help the patient prepare for surgery.

Dr. Nathan usually visits his rhinoplasty patients in pre-op and, while making specific markings on the patient’s nose that he uses as a guide during surgery, answers any last-minute questions the patient has.

After preparing the patient for surgery, a member of Dr. Nathan’s surgical staff moves the patient into the surgical operatory.

Anesthesia

The patient may receive general anesthesia, which places the patient in a deep sleep, or twilight anesthesia (i.e., intravenous sedation), which places the patient in a lighter sleep. The type of anesthesia a patient receives depends on the extent of his or her nose-reshaping procedure.

Dr. Nathan Performs Open and Closed Rhinoplasty Procedures

The type of nose-reshaping surgery Dr. Nathan performs depends on how extensive the patient’s surgery needs to be.

A closed rhinoplasty is ideal for individuals who only need minor corrections. When more extensive changes are necessary, Dr. Nathan uses the open-rhinoplasty technique.

During a closed rhinoplasty, Dr. Nirmal Nathan creates the incisions inside the nose.

While performing an open nose-reshaping procedure, he creates a fine incision across the columella. The columella is the band of tissue in between the nostrils. Although Dr. Nathan creates this incision externally, it is under the nose and in between the nostrils; therefore, the resulting scar is barely noticeable. As time passes, the scar lightens more and more.

If a patient is also having his or her nostrils altered, Dr. Nathan needs to create additional incisions; however, by creating these incisions within natural creases, he ensures they remain well hidden.

Despite the technique he uses, Dr. Nathan gently lifts the skin, which allows him to access the underlying bone and cartilage.

The remaining steps depend on the patient’s unique surgical plan. A general overview of these potential steps:

  • After lifting the skin, Dr. Nathan may reshape the underlying bone and cartilage.
  • He can use implants or grafted cartilage to change the size and the shape of the nose.
  • To reduce the size of a patient’s nose, Dr. Nirmal Nathan may remove some tissue.
  • During a cosmetic rhinoplasty, Dr. Nathan can also address functional issues like a deviated septum with a septoplasty.
  • Once Dr. Nathan is satisfied that the changes he made reflect the patient’s requests, he re-drapes the skin.
  • Using very fine sutures and a specific, highly specialized plastic surgery technique, Dr. Nirmal Nathan closes the incisions. Since he uses such fine sutures and the specialized suture closing technique, Dr. Nathan’s patients have minimal scarring.

What to Expect After Nose-Reshaping Surgery in Miami

Dr. Nathan uses gauze packing and a splint to protect the nose, as well as to aid in the healing process.

Patients receive detailed instructions from the surgical team about caring for their wounds and their follow-up visits with Dr. Nathan.

Upon returning home, patients should walk around periodically. This is especially important for those who had general anesthesia because remaining active helps prevent the formation of blood clots.

Two days after surgery, patients can shower.

For the first few days following surgery, patients should expect to experience some discomfort. Most patients describe this discomfort as a feeling of soreness. Although Dr. Nathan usually provides prescription pain medication to his patients, some patients prefer to use Extra Strength Tylenol instead.

Dr. Nathan usually removes the splint and sutures at the patient’s one-week appointment. To help reduce inflammation, Dr. Nathan may place tape across the nose.

The recovery process following a rhinoplasty in Miami:

  • Heavy lifting must be avoided for at least six weeks.
  • Since increasing the heart rate raises blood pressure, patients must avoid participating in activities that cause these physical changes (e.g., running, exercising) for at least two weeks after surgery.
  • To protect their newly enhanced nose, patients must avoid swimming and submersing themselves in water for at least six weeks.
  • To keep inflammation down and prevent bleeding, patients need to elevate their head. This can be accomplished using extra pillows to prop oneself up while reading, watching television and sleeping.
  • Patients should not bend over or lift anything heavy. Both of these actions increase the amount of pressure in the nose.
  • Staying out of the sun or using a sunscreen with an SPF of at least 30 while in the sun is vital during the healing process. Exposure to UV rays could cause the incision to darken. This darkening is usually permanent, which means the scar will be more visible.
  • Alcohol increases inflammation; therefore, patients need to avoid drinking alcoholic beverages.
  • Patients need to stop using products that contain nicotine for at least two weeks after surgery. These products negatively affect the healing process.
  • Avoid making extreme facial expressions, laughing and smiling.

Results

The initial inflammation that is present following a rhinoplasty dissipates a few weeks after surgery. However, the healing process following nose-reshaping surgery is gradual because residual inflammation can remain for up to 12 months. Therefore, the changes Dr. Nathan makes to the contours of the patient’s nose during surgery may not become apparent for some time.

Rhinoplasty Results Last a Lifetime

Most of Dr. Nathan’s patients are pleased with the results achieved during their nose-reshaping surgery. Although the natural aging process does have some influence on the way an individual’s nose looks, the results achieved with nose-correction surgery usually last a lifetime.

Risks and Potential Complications Associated with a Rhinoplasty

As with all surgical procedures, nose-reshaping surgery carries risks and potential complications.

Typical surgical risks include:

  • Infection.
  • Bleeding.
  • An adverse reaction to the medications or products used during surgery.

Risks and potential complications associated with the rhinoplasty procedure:

  • Numbness in and around the nose.
  • Difficulty breathing through the nasal passages.
  • Pain.
  • Inflammation that persists longer than expected.
  • Discoloration.
  • Visible scarring.
  • A nose that looks uneven.
  • Septal perforation (i.e., a hole in the septum).
  • The need for another surgery.

The best way a patient can reduce the likelihood of experiencing a complication is to choose a seasoned, Board-certified plastic surgeon like Dr. Nirmal Nathan to perform the procedure.

How Much Does a Rhinoplasty in Miami Cost?

Since each patient receives a customized surgical plan, the only way that Dr. Nathan can determine how much a nose-reshaping procedure will cost is with a consultation.

Will Health Insurance Cover a Nose-Reshaping Procedure?

Since a rhinoplasty is a procedure designed to improve the cosmetic features of the nose, chances are, it is not covered by an individual’s health insurance company. Nonetheless, since a septoplasty is a surgical procedure that is designed to improve the ability of the nasal passages to drain and to address breathing difficulties, a septoplasty is considered a functional surgery, not a cosmetic one. Therefore, the patient’s health insurance company may agree to cover all or a portion of his or her septoplasty.

Dr. Nirmal Nathan is a highly qualified, Board-certified plastic surgeon with experience performing a variety of cosmetic procedures, including nose-enhancement surgeries like the rhinoplasty. If you are unhappy with certain aspects of your face, let Dr. Nathan help you attain the facial features you desire. To learn more about the facial enhancement and rejuvenation procedures available at The Nathan Clinic in Miami, contact the office today at 305-530-8880. The address for Dr. Nathan’s clinic is: 4770 Biscayne Boulevard, Suite 830.

 

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