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What is Rhinoplasty?

Rhinoplasty, commonly referred to as a nose job, is any surgery performed to change the shape of the nose. The goal of this surgery is to create an improved nasal contour that is in harmony with the rest of the face while maintaining or improving nasal breathing. Because the nose has a prominent central location on the face, the cosmetic changes made with our Main Line nose job can make a dramatic difference in a person’s appearance and lead to a great increase in self-esteem and self-confidence.


Benefits Of Rhinoplasty

Improved Tip Or Bridge

Aesthetic rhinoplasty can meet many needs. The shape of the nose can be changed depending on the thickness of the cartilage and skin. Often, a bump on the bridge is removed during rhinoplasty. Noses are typically made smaller, but occasionally, an overly small nose is enlarged. The bridge can also be narrowed or widened to create more pleasing proportions, and the tip can be manipulated in width, height, projection, angle, and many other attributes.

Change in the Size or Shape of the Nostrils

The nostrils can be made smaller in patients with excessively long, wide, or flaring nostrils. Overly arched nostrils can also be lowered. Whatever your need, Dr. Pontell can provide a customized solution for you.

Why Choose Dr. Pontell For Rhinoplasty In Philadelphia?

Dr. Jonathan Pontell has created a cosmetic haven for those seeking subtle enhancements of the face.

His practice, The Aesthetic Facial Plastic Surgery Center, is a boutique center that provides a high-touch, personalized experience for his patients. When it comes to Philadelphia rhinoplasty, there are few physicians in the area that have his level of experience and his consistency of results.

From the moment you walk in the door, you will be received by a luxurious, spa-like office that is 100% attentive to your needs and comfort. Every detail of your experience is met with professional expertise that only highlights the caliber of Dr. Pontell’s cosmetic results. Dr. Pontell performs all rhinoplasty procedures himself, both surgical and non-surgical, leaving no room for compromise in your facial enhancement.


What Does Rhinoplasty Entail?

Rhinoplasty Procedure

Since our Main Line nose job is such a highly individualized procedure, the surgical process varies greatly from patient to patient. Dr. Pontell frequently performs rhinoplasty using the open technique because it uses a small incision on the columella (the skin between the nostrils) to allow greater exposure and access to the internal structures. This improved exposure allows for more sophisticated ways of altering the nasal anatomy, which leads to better results and improved symmetry. In the open technique, the resultant scar is virtually invisible.

The alternative option is a closed rhinoplasty, which uses incisions inside the nose to view the nasal structures. Grafts of cartilage from the nasal septum or ear may be used during surgery. Synthetic materials are occasionally used to augment the nasal bridge. All options will be thoroughly discussed and decided on prior to surgery.

Rhinoplasty Philadelphia

Recovery

Patients will wake up from surgery with a cast on their nose. Dr. Pontell’s suturing technique makes nasal packing unnecessary. Swelling and bruising around the eyes may be present after surgery and may increase within the first two days. The cast and most stitches will be removed approximately one week after surgery.

Most patients feel comfortable going out in public by the ninth day. Patients can return to work within one to two weeks and can resume more strenuous physical activity after two weeks. Swelling will continue to subside, and the shape of the nose will refine over the following months. It may take up to a year for all residual swelling to resolve.

Scars

The scar from rhinoplasty surgery is extremely minimal. With open rhinoplasty, the scar will span across the columella, which is the area of skin between the nostrils. When the incision is closed correctly, the scar is not noticeable at all. With a closed rhinoplasty, there are no outer incisions and, therefore, no visible scars.

Pain

Although you will have some discomfort after surgery, most patients agree that the pain is minimal. Any pain that patients feel can be controlled with prescription medications.

Rhinoplasty FAQ's

Who Is An Ideal Candidate For Rhinoplasty?

Men and women who are in good physical health and would like to improve the appearance or function of their nose may be good candidates for rhinoplasty. Female patients should be at least 15 or 16 years old, and males should be at least 16 or 17 years old, at which point the vast majority of nasal growth has been completed. Nasal surgery undergone prior to the completion of nasal growth may result in developmental abnormalities of the nose.

Will I Look Like Another Person After Rhinoplasty?

Rhinoplasty will not give you the exact nose of a celebrity or another particular person; the procedure will refine or enhance the nose you already have. No person has the exact skin thickness, amount of cartilage, and bone structure as another person, so it is not possible to make an exact copy of another person’s nose. Dr. Pontell will review your desires and your anatomy to determine how he can provide the best result. The purpose is to simply refine your own facial appearance through subtle changes of the nose.

Where Is Rhinoplasty Performed?

Dr. Pontell performs rhinoplasty in fully accredited hospitals and surgery centers that are equipped with the latest surgical technologies. Dr. Pontell may perform smaller, limited rhinoplasties in his private office operating room using only local anesthesia.

Can I Combine Rhinoplasty With Another Facial Plastic Surgery Procedure?

Yes. Patients often combine rhinoplasty with other procedures such as chin augmentation, cheek augmentation, or chin reduction. During your consultation, Dr. Pontell may recommend an additional procedure if it will help you achieve better facial harmony.

What Are The Risks Associated With Rhinoplasty?

As with any surgical procedure, there are a few risks associated with rhinoplasty, but these are minimal for healthy patients. These include infection, bleeding, and an adverse reaction to medication. Poor healing, excess scar tissue, nasal contour irregularities, and nasal breathing problems are also possible occurrences, but these are all treatable complications.

When delivered by a double board-certified facial plastic surgeon such as Dr. Pontell, these risks are minimized due to his surgical expertise and diligence in safety protocol.

How much does a nose job cost?

The cost of rhinoplasty surgery varies person to person. The average cost is usually around $4,500 but depending on the extent of the corrections needed to the nose structure, the cost can be up to $10,000 or more.

What is post-op like?

After surgery, most patients report mild discomfort, most of which is experienced in the first week. There will be some bruising and swelling, which is normal. You will need to sleep with your head elevated, and in the early stages, will be unable to breathe through your nose. As the swelling diminishes and breathing is restored, most people say that the recovery was easier than expected.

What is a deviated septum?

A deviated septum is when the bone and cartilage dividing the nasal structure is off-center, leading to breathing problems. Rhinoplasty can be performed to correct this problem for equal airflow through each nostril and healthier breathing.

What is nose cartilage?

Nose cartilage is a flexible type of body tissue which is firmer than either skin or muscle. Cartilage creates the shape and support to your nose structure, over the nasal bones.

What is considered a big nose?

A “big nose” may be associated with an overlarge hump on the bridge of the nose, a bulbous or hanging nose tip, a nose shape that is oversized, or overly wide, large, or long nostrils. If you feel you have a “big nose,” the structure of your nose is probably out of balance with your other features, drawing attention.

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