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About rhinoplasty

Scottsdale Rhinoplasty is an aesthetic surgery performed to change the look of the nose. Rhinoplasty can also help repair a functional or breathing issue in some patients. Although rhinoplasty consists of subtle changes, the results can be quite dramatic. The surgical techniques for rhinoplasty surgery are among the most complex and detailed out of all facial and neck procedures. For best results, it is important to find a Facial Plastic Surgeon who specializes in rhinoplasty procedures.

Ideal candidates for rhinoplasty

Adults and teenagers over 16 years of age can be candidates for rhinoplasty. Facial growth and maturity must also be complete, and this will be addressed during your consultation, especially for adolescents. If you find yourself frustrated with the appearance of your nose and have distinct issues you hope to improve, enhance, or correct, this procedure may be the right course of action. It is important that realistic expectations are discussed as your nose and facial profile will be changed.

Before & After

Why choose Dr. Starkman for rhinoplasty?

Expertise in rhinoplasty in Scottsdale requires training, experience, anatomical knowledge, and excellent technical skill. As a Fellowship-trained Facial Plastic Surgeon who specializes in rhinoplasty, Dr. Starkman is widely recognized as one of the finest rhinoplasty surgeons in the region. He has exceptional qualifications and has based his career upon delivering consistently excellent results in complicated rhinoplasty cases.

Rhinoplasty Scottdale

He is a regular invited guest speaker at Plastic Surgery meetings on advanced topics in Scottsdale rhinoplasty surgery. He is known for individualizing his surgical plans for every patient and for artistry in the operating room. From the pre-operative appointments to the surgical procedure, Dr. Starkman is devoted to giving as much time as is necessary to meet and exceed all of his patients’ expectations.

Types of Rhinoplasty

Primary Rhinoplasty

Primary rhinoplasty refers to the original (or first-time) rhinoplasty. As rhinoplasty is a complex and detailed procedure with every patient having unique anatomy, the best opportunity for perfect results is during primary rhinoplasty. In subsequent (or revision) rhinoplasty surgery, the scar tissue and work done during previous surgery significantly complicates the procedure. When selecting a surgeon for your primary rhinoplasty, it is very important to find a rhinoplasty specialist to minimize the risk of poor results that may require revision rhinoplasty in the future.

Revision Rhinoplasty

A revision rhinoplasty is when surgery is performed to correct subpar results from prior rhinoplasty. This procedure is significantly more complex due to several reasons. The unique anatomy of every patient’s nose is now distorted by scar tissue and surgical manipulation from the prior procedure. Additionally, additional support grafts are usually required to stabilize the nose following this revision. Cartilage material from support grafts can be taken from the ear (conchal grafts) or from the rib (chondral grafts). Dr. Starkman specializes in revision rhinoplasty surgery and is one of the only rhinoplasty specialists in Arizona who performs rib cartilage grafting for major revision rhinoplasty cases.

Cosmetic Rhinoplasty

Rhinoplasty is commonly performed to correct issues such as a crooked nose, prominent hump, widened nose, large or small tip, or many other issues. When surgery is done to correct aesthetic issues in the absence of trauma or breathing issues, it is called a cosmetic rhinoplasty. During the preparation for surgery, a detailed plan is made identifying every individual cosmetic concern and the different technique to correct it. There are dozens of different techniques that can be performed during any cosmetic rhinoplasty, and an individualized approach is necessary to achieve beautiful results.

Functional Rhinoplasty

Oftentimes, a patient may present with nose issues regarding breathing or trauma. When a patient undergoes rhinoplasty with a history of problems with breathing or due to injury to the nose, it is considered a functional rhinoplasty. When a cosmetic rhinoplasty is performed on someone with functional issues (such as breathing), some insurance plans may cover the functional portion of the procedure.

Ethnic Rhinoplasty

Ethnic Rhinoplasty is regularly performed on patients of many ethnicities, with the goal of reshaping their nose to be in harmony with their face but without losing their ethnic heritage. Pre-operative imaging during treatment planning is critical to creating a focused and visible goal that is shared between the patient and Dr. Starkman.

Non-Surgical Rhinoplasty

Some patients desire minor changes to the nose without the desire for a surgical procedure. In select cases, a non-surgical rhinoplasty may be an option. This technique uses facial filler, such as Restylane or Juvederm, to smooth any contour irregularities or camouflage a droopy tip or bulbous hump. A non-surgical rhinoplasty is not an appropriate treatment for patients who desire the results of a surgical rhinoplasty, and Dr. Starkman will provide a full discussion of reasonable expectations.

Open vs Closed Rhinoplasty

Rhinoplasty is performed with the patient under twilight sedation and is an outpatient procedure. This treatment can be performed using different surgical techniques, depending on your concerns and problems. Dr. Starkman performs nose surgery with either an open or closed (endonasal) approach.

Open

Open Rhinoplasty uses a tiny incision that is placed under nose, between the two nostril openings. This incision is approximately 5-6 mm wide but allows the skin and soft tissue of the nose to be lifted off of the underlying cartilage and bone, “opening” the nose. This technique is appropriate for major rhinoplasty operations, as it offers a complete view of all of the structures that will be modified during a rhinoplasty. This is the technique that Dr. Starkman uses in the majority of his rhinoplasty surgeries, as it offers the best exposure for precise results and very low risk of errors that will require correction later on. While several patients may have concern about a scar from an incision, proper placement of an open rhinoplasty incision typically results in a scar that is “completely” unnoticeable once it is healed.

Closed

Some patients desire a closed or “scarless” rhinoplasty. This is a technique where a rhinoplasty can be performed using only incisions that are made inside of the nose, without any external incisions in the skin. While this technique may be appropriate for very minor rhinoplasty surgeries, the closed technique does limit visibility for full rhinoplasty procedures.

Dr. Starkman will discuss during your consultation if you are a candidate for a closed rhinoplasty. If you are a candidate for a full rhinoplasty, you will experience a quicker resolution of the swelling in your nose and you will not have the small incision between your nostrils. To receive one of the best Rhinoplasty Scottsdale has to offer. 

What to expect following rhinoplasty

The recovery process for a rhinoplasty takes longer than other facial plastic surgery procedures and occurs in a series of different periods. There is an early one to two-week post-operative recovery period, followed by an intermediate 3-month interval for healing. For full results to be appreciated, it almost always takes 1 full year for the nose to become fully refined and healed from swelling.

Surgery Day: Your surgical day will begin with arriving at our private surgical center in the morning for check-in. Upon completion of your nose surgery, you will have a small cast placed on the outside of your nose. You will then rest comfortably in the recovery area until you are released to heal at home with a responsible friend or family member. Cold compresses to the eyes, elevation of the head, and rest/relaxation are important for the evening of surgery.

1 Day Later: The areas around your nose may or may not have some swelling or bruising. Most patients describe minimal to no pain, and control any soreness with Tylenol (although a small amount of prescription pain medication is prescribed in case a patient has a minimal amount of pain). Patients are encouraged to have a leisurely week without exertion, and to use frequent saline spray inside their nostrils.


1 Week Later: Your post-op check-up with Dr. Starkman will take place at 1 week, and the cast and the tiny stitches between your nostils will be removed. At this point, the majority of patients are healed to the point where they can resume normal social and work activities. It is normal for the mild congestion and swelling inside of the nose to simulate the feeling of a head cold.

2 Weeks Later: At this point, any of your swelling or bruising is almost entirely gone and the incision under the nose has healed to the point where it is difficult to notice unless actively sought. There is a small amount of overall swelling to the entire area of the nose.


1 Month Later: The post-surgical period is almost over, and the detailed post-operative results are starting to become more apparent. There is still residual swelling on the nose, and this will change from day to day. Some days, the nose will look better than others, as the swelling continues goes up and down.

3 Months Later: The residual swelling is starting to decrease from top to bottom. The top of the nose (bridge) is looking more refined. At this point, you have gotten used to the new facial aesthetic that your rhinoplasty has given you.


6 Months Later: Your nose is now mostly healed. Typically, the tip of the nose is the final area to fully heal, and there is likely a small amount of residual swelling in this area.

1 Year Later: Your nose is fully healed by now. The swelling has resolved and you have the rhinoplasty result that you have discussed over a year ago. The incision site is essentially unnoticeable by now.

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FAQ

How do I choose the right rhinoplasty surgeon?

Choosing your rhinoplasty surgeon is the first and most important step to achieving your desired outcome. Rhinoplasty specialization requires training, experience, skill, and certification. Many plastic surgeons perform the occasional rhinoplasty surgery in addition to other abdomen, breast, extremity, and face procedures. To ensure adequate expertise, it is important to find a Facial Plastic Surgeon who performs surgery exclusively on the face and neck, and further specializes in rhinoplasty surgery. Your rhinoplasty surgeon should have performed at least hundreds, if not thousands, of rhinoplasty procedures. Also, you should be able to see some of the surgeon’s results via their patient gallery and online reviews.

What are the risks with rhinoplasty?

Risks associated with rhinoplasty surgery include breathing difficulty, infection, scarring, nosebleeds, septal perforation, asymmetry, or poor cosmetic results. Always make sure to find a board-certified surgeon who specializes in rhinoplasty to minimize the risk of poor outcomes.

How much does rhinoplasty cost?

The cost of a nose job varies based on the technique used and the complexity of the procedure. Before estimating costs, Dr. Starkman will listen to your needs and goals to help create your custom treatment plan. Once this is done, he can go over the cost estimates more accurately. To get your best results, it's better to focus on choosing a facial plastic surgeon, like Dr. Starkman, instead of the cheapest cost. To help make your surgery easier to afford, Starkman Facial Plastic & Laser Surgery accepts many payment methods, and we can help you find low-interest financing. On average clients pay $8k - $11k for their Rhinoplasty surgery.

Will my insurance cover functional nose surgery?

While cosmetic rhinoplasty is not covered by insurance, medically necessary nose reshaping to improve your breathing may be partially covered by insurance. If you are considering using your insurance, please tell Dr. Starkman during your consultation. Our office will help you submit the needed paperwork and information to your insurance to process your claim.

Are there non-surgical options to change my nose?

To smooth lumps and bumps on your nose, a wrinkle filler (like Juvéderm or Restylane) may be an option. An injectable filler can temporarily correct minor imperfections on your nose, which may help you decide to proceed with rhinoplasty. Nose surgery is better for long-lasting results, larger changes, and to improve the internal structure for better function. During your consultation, Dr. Starkman will let you know if you may be a candidate for non-surgical nose reshaping.

What about ethnic rhinoplasty?

Ethnic rhinoplasty focuses on improving the nose while still maintaining your cultural identity. This may be a consideration if you are Asian, African-American, or Middle Eastern. During your consultation with Dr. Starkman, you can discuss what you like about your nose and what you would like to change. This will allow him to customize your treatment plan so you get your best results. Also, please see our Ethnic Rhinoplasty procedure page.

Can I combine nose surgery with other facial surgeries?

Many patients consider combining nose surgery with another procedure, like chin or cheek augmentation. Combining surgeries for a dramatic result can be discussed during your consultation with Dr. Starkman. Once he understands your goals, he can help you decide which procedures should be included in your treatment plan.

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Rhinoplasty at a glance

Average Cost: $7,000 to $10,000
Recovery Time: 1 – 2 Weeks
Average Procedure Time: 2 – 4 Hours
Post-op Follow-up: 1 Week
Procedure Recovery Type: Out-Patient

Love your profile at last

Rhinoplasty is a simple option to address the displeasure you may feel when looking at your facial profile. If you are dissatisfied with the size and shape of your nose, or if you suffer from breathing issues, rhinoplasty may help. Rhinoplasty is a popular cosmetic treatment with very high success rates. Dr. Starkman aims to reshape your nose so your whole face looks more proportionate and attractive. Even small tweaks can make a huge difference. We invite you to get in touch with Starkman Facial Plastic & Laser Surgery in Scottsdale, AZ and schedule a consultation.

A MESSAGE FROM DR. STARKMAN CONCERNING COVID-19

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A MESSAGE FROM DR. STARKMAN CONCERNING COVID-19

We are excited to announce that we have resumed seeing patients on a limited basis for select visits and procedures. The majority of our new patient consultations and follow-up checks will be done via telemedicine to minimize patient traffic to the office.

Patient safety has always been our number one priority, and we are implementing the following policies to meet and exceed safety standards for our patients. We greatly appreciate your compliance and understanding.

  1. Dr. Starkman and all clinical staff will wear N95 masks and eye protection for the entirety of each patient’s visit.
  2. Patient appointment confirmation must be completed 24 hours prior to the appointment.
  3. Patient screening will consist of a screening questionnaire and a temperature check. Any patient with risk factors or a fever will be rescheduled.
  4. We are instituting a “No Waiting in the Waiting Room” Policy. Patients will be immediately screened and escorted to their private exam room.
  5. Surgical-grade air recirculators have been installed in each patient room to recycle each room’s air every 4 minutes.
  6. Guests, children, or visitors other than the patient will be limited.
  7. Pre-operative COVID-19 testing will be obtained 4-5 days prior to any scheduled procedure.
  8. Patients will enter our main entrance and exit out of our side exit. The one-way flow of traffic will allow for a comprehensive cleaning of the waiting room prior to the next patient.

We appreciate the understanding and patience of all of you. We can’t wait to see you all again. Dr. Starkman and Staff

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