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Primary Rhinoplasty Manhattan, NY

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What Is A Primary Rhinoplasty?

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A primary rhinoplasty is a surgical procedure designed to reshape or refine the nose for both cosmetic and functional purposes. It may be performed to correct nasal deformities, enhance facial harmony, or address structural issues that cause breathing difficulties. This procedure is often sought by individuals who wish to improve their nose’s appearance while maintaining a natural look that complements their facial features.
 
The surgery is carried out under general anesthesia and can take anywhere from one to three hours, depending on the complexity of the case. During the operation, the surgeon will create incisions either inside the nostrils (closed rhinoplasty) or along the columella, which is the thin strip of tissue separating the nostrils (open rhinoplasty). These incisions allow access to the underlying bone and cartilage, which can then be sculpted or adjusted as needed.
 
Once the nasal framework is exposed, the surgeon reshapes the bone and cartilage to achieve the desired outcome. This step may include trimming or repositioning cartilage, refining nasal bridges, or adding grafts to improve structural integrity and balance. The surgeon works carefully to ensure that both the form and function of the nose are enhanced without compromising its stability.
 
After the reshaping is completed, the skin and soft tissue are repositioned over the newly contoured structure, and the incisions are sutured. A nasal splint is usually applied to protect and support the nose during the early stages of healing, ensuring that the new shape sets properly.
 
Recovery time can vary between patients, but most individuals resume light daily activities within one to two weeks. Bruising and swelling are expected during this period and may take several weeks to diminish completely. Occasionally, a follow-up or revision procedure may be necessary to refine subtle imperfections or achieve the ideal balance.
 
As with any surgical operation, primary rhinoplasty carries certain risks, including infection, bleeding, or anesthesia-related complications. Your surgeon will provide a detailed explanation of these risks, along with post-operative care instructions to promote a smooth recovery.
 
Patience is vital after surgery, as the final appearance of the nose may take months to become fully visible once the swelling subsides. Having clear and realistic expectations will help ensure satisfaction with the final results.

Who Performs A Primary Rhinoplasty?

Rhinoplasty is most often performed by a plastic surgeon who has undergone extensive training and holds specialized expertise in facial plastic surgery. These surgeons typically possess certification from respected medical boards such as the American Board of Plastic Surgery or the American Board of Facial Plastic Surgery, ensuring that they meet the highest standards of professional competence and safety. Their background in both reconstructive and aesthetic procedures allows them to deliver results that are functional, natural, and aesthetically balanced.
 
In some cases, rhinoplasty can also be performed by an otolaryngologist, commonly known as an ear, nose, and throat specialist. When these physicians receive additional training in facial plastic and reconstructive surgery, they are referred to as Facial Plastic Surgeons. Their dual expertise in both nasal function and facial anatomy makes them particularly well-suited for performing rhinoplasty procedures that not only improve appearance but also enhance breathing efficiency.
 
Selecting the right surgeon is a critical step when considering rhinoplasty. Because it is a highly intricate procedure requiring precision and artistry, it’s essential to choose someone with considerable experience and a proven track record of successful outcomes. You should feel comfortable communicating your aesthetic goals, asking questions about the procedure, and expressing any concerns you may have. The ideal surgeon will listen attentively and ensure you feel confident in their ability to achieve the results you envision.
 
It’s also important to remember that rhinoplasty results are long-lasting and the quality of the outcome is directly influenced by the surgeon’s skill and technique. A well-qualified and experienced surgeon can help ensure that your final appearance is both natural-looking and harmonious with your facial features, giving you results that endure over time.
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What Is A Septoplasty, and Do I Need One With A Rhinoplasty?

A septoplasty is a surgical procedure performed to correct a deviated septum, a condition in which the thin wall of bone and cartilage dividing the nasal cavity is misaligned or crooked. When the septum deviates from the center, it can lead to nasal obstruction, breathing difficulties, frequent sinus infections, or chronic congestion. By straightening the septum, septoplasty restores proper airflow through the nose and can significantly improve a patient’s quality of life.
 
This procedure is often combined with rhinoplasty, particularly when the patient’s septal deviation also impacts the external appearance or symmetry of the nose. Since rhinoplasty primarily reshapes the outer structure and septoplasty corrects internal alignment, performing them together allows the surgeon to address both aesthetic and functional concerns in a single surgery. A deviated septum, if left uncorrected, may also affect the final outcome of a rhinoplasty.
 
During septoplasty, the surgeon creates small incisions inside the nasal passages to gain access to the septum. Portions of cartilage and bone that are causing the deviation are then carefully trimmed, repositioned, or reshaped to achieve a straighter alignment. Once the septum is corrected, the incisions are closed, and soft internal splints may be placed to help maintain the new structure during the healing process.
 
Recovery typically takes several weeks, though many patients resume light daily activities within one to two weeks after the operation. Temporary symptoms such as mild swelling, bruising, and nasal congestion are common and can be managed with prescribed medication. However, strenuous exercise and heavy lifting should be avoided for several weeks to prevent complications.
 
It is essential to discuss with your surgeon whether septoplasty is recommended as part of your treatment plan. During the consultation, the surgeon will carefully evaluate your nasal structure, breathing function, and aesthetic goals to determine if correcting the septum will contribute to improved airflow and better surgical results.
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Who Are The Ideal Candidates For A Rhinoplasty in Manhattan?

Aesthetic Complaints

Patients in Manhattan who are unhappy with the outward appearance of their nose may be excellent candidates for a primary rhinoplasty. Common aesthetic concerns include a crooked or deviated nose, prominent dorsal humps, drooping or bulbous nasal tips, enlarged nostrils, or an overall size or shape that feels out of balance with the rest of the face. Many of these individuals breathe normally but wish to make cosmetic improvements that enhance facial harmony and confidence. Before undergoing surgery, it is crucial to have a detailed consultation with your surgeon to clearly express what specific aspects of your nose you wish to improve and to ensure that your goals are fully understood.
 
When modifying the external shape of the nose, there is always a possibility of affecting its internal structures. Because the nose plays a key role in breathing, your surgeon must have the expertise to make the desired cosmetic refinements while preserving optimal nasal function. A skilled and experienced rhinoplasty surgeon will take care to maintain proper airflow, ensuring that the final result is both visually pleasing and functionally sound.

Functional Complaints

Some patients experience difficulty breathing through one or both sides of their nose, which can be caused by several underlying factors. In many cases, this issue stems from a past injury or trauma to the nose, whether recent or from years ago, that has affected the internal structure. Additionally, the natural aging process can lead to changes both inside and outside the nose. Over time, the cartilage and bones that provide nasal support may weaken, causing the nasal passages to narrow. In some instances, continued cartilage growth with age can occur in a crooked or uneven manner, further restricting airflow. Conditions such as chronic allergies, repeated sinus infections, or other medical issues can also contribute to breathing difficulties and nasal obstruction.
 
It is crucial to have an open and thorough discussion with your surgeon about all potential causes of your nasal symptoms. This allows for a clear understanding of which problems may be best treated through surgery and which can be managed with medications or lifestyle adjustments. For patients who experience both breathing issues and cosmetic concerns, these can often be addressed simultaneously during the same surgical procedure, ensuring both functional improvement and aesthetic enhancement.

History of Rhinoplasty with Poor Results

Patients who have previously undergone rhinoplasty may later experience a combination of functional and aesthetic concerns. Depending on what was performed during the initial surgery, both the internal and external structures of the nose can be affected over time. Scar tissue formation is one of the most common causes of post-surgical changes. As this tissue develops and thickens, it can gradually distort the shape of the nose and even contribute to breathing difficulties by narrowing the nasal passages.
 
Earlier surgical methods, especially those that involved excessive cartilage removal or “cartilage cutting” techniques, often lead to problems as time goes on. When essential structural components are removed, the nasal framework can weaken, resulting in collapse, asymmetry, or an unnatural appearance. Some patients also seek revision simply because they were never fully satisfied with the results of their first rhinoplasty and desire subtle improvements or corrections.
 
These cases fall under a procedure known as revision rhinoplasty. It is crucial to select a surgeon with advanced expertise in this complex area. Revision rhinoplasty presents unique challenges, as it involves operating on tissues that have already been modified and scarred. The risks, such as bleeding, infection, and skin compromise, tend to be higher than in primary surgeries. Additionally, depending on how much cartilage was removed or altered previously, the surgeon may need to reconstruct parts of the nose using free grafts or rib grafts to restore both structure and balance. For these reasons, it’s essential to understand the potential limitations of revision rhinoplasty and entrust your care to a surgeon who specializes in these intricate corrective procedures.

Preparation For A Primary Rhinoplasty

When you meet with Dr. Mourad, he dedicates about an hour to thoroughly discussing every aspect of your nose concerns. During this time, he carefully evaluates your situation and designs a tailored care plan built specifically around your needs. The consultation allows Dr. Mourad to identify the underlying causes of your symptoms and may include prescribing medications to assist with your nasal issues.
 
You’ll also have the opportunity to clearly show and explain what aspects of your nose you’d like improved. Dr. Mourad may perform a quick, painless in-office nasal examination using a small camera to visualize the internal structures of your nose. This step helps him develop a precise and effective surgical plan. Once your customized plan is finalized, Dr. Mourad and his team will guide you through every step to ensure your procedure goes as smoothly as possible.
 
Dr. Mourad considers caring for his patients a true privilege. He takes time to understand each person’s unique goals and concerns. His office provides a boutique-like atmosphere, warm, calm, and inviting, offering a Perfect Fit Guarantee in the overall experience and attention you receive.

How Is A Rhinoplasty Performed?

Depending on the specific type of procedure, surgery is typically performed under general anesthesia at a certified surgical center. Most patients return home the same day following the operation. On the morning of your surgery, you’ll meet Dr. Mourad in the pre-operative area, where he’ll greet you and your accompanying friends or family. He’ll answer any last-minute questions, review the procedure details, and confirm the surgical plan you previously discussed. This final review ensures you feel confident and fully informed before surgery.
 
Once it’s time, you’ll say goodbye to your loved ones and be escorted to the operating room. You’ll drift off into a brief, comfortable sleep under anesthesia and later awaken in the recovery area. Dr. Mourad will check in with you, explaining how the procedure went and addressing any immediate questions or concerns. You’ll remain in recovery for a short period to ensure smooth breathing, pain control, and overall stability.
 
Before you’re discharged, the anesthesiologist will confirm you’re ready to go home. Dr. Mourad will then provide a recovery “goodie bag” stocked with nasal sprays, ointments, and creams, everything you’ll need for a comfortable and successful healing process.

Open Rhinoplasty

This surgical technique is performed through a small incision made along the undersurface of the nose, allowing the surgeon to gently lift the nasal skin and fully expose the underlying framework. By gaining this complete visibility, the surgeon is able to access all internal structures of the nose, including the nasal tip, bridge, and bones. Because this approach offers such comprehensive access, it is considered the most detailed and extensive form of nasal surgery, permitting a wide range of refinements and structural modifications.
 
Depending on the patient’s individual needs, whether related to appearance or breathing, this method is best suited for cases that require significant correction. Individuals who have noses that are crooked, overly large, asymmetrical, or otherwise deformed tend to achieve the greatest benefit from this open approach. Similarly, patients experiencing serious breathing difficulties due to internal obstructions or structural collapse often find this procedure the most effective solution for restoring both proper nasal function and balanced appearance.
Open-Rhinoplasty

Closed Rhinoplasty

In this procedure, all incisions are carefully placed inside the nostrils, keeping them completely hidden from view. This method allows the surgeon to make subtle and precise modifications to the structure of the nose without external scarring. It is particularly useful for refining delicate areas such as the nasal tip. Through this approach, adjustments can be made to the projection, rotation, and overall shape of the tip to create a more balanced and natural appearance.
 
This surgical technique is generally recommended for patients who have minor cosmetic concerns or small structural irregularities that do not require major reconstruction. It is also ideal for individuals who experience only slight breathing difficulties or minimal asymmetries. The closed approach provides a refined, conservative solution while maintaining the nose’s natural anatomy and appearance.
Open-Rhinoplasty

Non-Surgical Rhinoplasty

This form of rhinoplasty utilizes injectable fillers to alter or enhance the shape of the nose without the need for surgery. These fillers are designed to add volume, smooth out irregularities, and improve contour temporarily. However, the results from such procedures are not permanent, as the materials used naturally break down over time and require repeated treatments to maintain the desired appearance.
 
Although Dr. Mourad is fully trained and knowledgeable in performing these non-surgical methods, he does not recommend or endorse their use. These injectable treatments carry potential risks such as local inflammatory reactions, tissue damage, or even necrosis in severe cases. In addition, undergoing such temporary procedures can complicate future surgical interventions, making long-term corrective or reconstructive rhinoplasty more difficult and less predictable.

After Surgery and Recovery

The type of nasal surgery performed will determine whether nasal packing or splints are placed inside your nose. These are inserted by Dr. Mourad to ensure that the internal structures of the nose heal correctly, functioning much like an internal cast that keeps everything aligned during the early recovery phase. Typically, these are removed at your first postoperative appointment, which occurs approximately one week after surgery. You will also have a small cast on the exterior of the nose, which plays an important role in controlling swelling and maintaining shape. This external cast usually remains in place for about one week as well.
 
When it comes to returning to normal activities, Dr. Mourad generally advises taking at least three full days off from work to rest and allow for proper healing. Patients are strongly encouraged to avoid heavy lifting or any strenuous physical activity, as such exertion can strain the delicate nasal structures and interfere with their recovery. For individuals who wear glasses, special accommodations may be needed to avoid direct pressure on the nasal bridge while healing takes place. Dr. Mourad will also provide pain relief medications, topical ointments, and nasal sprays designed to support healing and enhance the surgical results.
 
At your one-week postoperative appointment, Dr. Mourad will remove the nasal splints and cast. Mild to moderate swelling is expected, and patients should not be alarmed if the nose appears puffy or uneven at first. The nose is a small and sensitive structure, and swelling is a natural part of the healing process that improves over time. Most patients experience noticeable reduction in swelling within two to three weeks, although in some cases it may take up to two months for complete resolution. To aid in this process, Dr. Mourad often reapplies medical tape to the nose, which acts as a gentle compression dressing that helps minimize residual swelling.
 
At your second follow-up visit, all tape will be removed. Dr. Mourad will continue to monitor your recovery during visits scheduled two weeks later and again after one month. He values maintaining a long-term relationship with his patients, providing ongoing care and follow-up for years after surgery to ensure that every result continues to look and feel its best.

Will Dr. Mourad Perform A Rhinoplasty On A Teenager or Child?

Primary rhinoplasty is generally not recommended for individuals younger than 16 years old. The reason for this is that the nose continues to develop and grow well into adolescence and even adulthood. During youth, the nasal bones, cartilage, and soft tissues are still evolving, and performing a surgical alteration during this period can interfere with normal growth patterns. When surgery is done too early, it can lead to deformities or uneven development as the facial structure matures. The nose functions much like a tent, supported by both internal and external frameworks. If those crucial support elements are altered or removed prematurely, the overall structure may weaken over time, much like a tent collapsing when its poles are disturbed.
 
However, in certain special circumstances, some children or teenagers may be appropriate candidates for primary rhinoplasty. These are typically cases involving significant functional breathing problems or noticeable structural abnormalities that affect quality of life. It is essential to fully understand the limitations and potential challenges involved in performing nasal surgery on a younger patient. Consulting with a skilled and experienced specialist is vital to ensure both safety and a healthy long-term outcome. Dr. Mourad has extensive experience in evaluating and treating younger patients. He provides thoughtful, family-centered guidance throughout the entire process, ensuring that each decision is made carefully and with the child’s long-term wellbeing in mind.
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