Process:

The first part of the process is defining whether you are a candidate. Rhinoplasty is accomplished on people of all ages, the age criteria for younger candidates is based on when someone has reached certain stages of physical maturity, since the nose completes growth during puberty.

Consult: Besides the actual procedure, the consult is probably the most important part of the process. This is the best opportunity to communicate your thoughts on what you don’t like about your feature, express your desires as well as any concerns. The surgeon should communicate to you how they view your nose and make you feel comfortable with them as a doctor and as a person. Details such as what internal structures will be treated and what can you expect as an outcome should be thoroughly discussed. You should not feel rushed during this process.


Before and after photos:
It is extremely important to view before and after photos of the outcomes from any surgeon you are considering. Often patterns will emerge, such as all the noses appear the same, or operated upon, or the opposite, different faces have different cosmetic results and all the noses appear natural regardless of the initial appearance. A surgeon who does rhinoplasties regularly should be able to show you many different outcomes that are similar to your cosmetic issues; as well as outcomes that may not be your situation, but illustrate their ability to do many types of noses. This will form a basis of communication between you and surgeon and provide valuable information.

Our practice does not publish before and after photographs on the internet for a number of reasons. The main reason is privacy. Photographs on the internet can be used by people for other non-authorized purposes and no one can control this behavior. We cater to the high-end consumer and appreciate that many allow us to use their photographs, so in respect for that privilege, we will not publish photographs when we cannot control who has access to them and their ultimate use. In addition, sophisticated rhinoplasty is individually designed and before and after results shown on most web sites are not necessarily reflective of your specific type of nose or the outcome you could expect. The consult environment is best to view other patients’ results in direct relation to your specific anatomy, goals and desires.


Computer Imaging:
We chose not to use computer imaging because it is not real. It does not predict how your nose will behave or that you will receive the image as a real outcome. We always want to focus on what actually occurs and viewing your surgeon’s cosmetic outcomes is the most predictive of what result you can expect.


Commitment: Rhinoplasty is an elective procedure so there is no timetable for someone to commit. Successful surgeons want potential patients to take their time and feel comfortable in their decision. Most patients will be both excited and nervous during the entire before period. Once someone decides to move forward they select a date and schedule another pre-procedure appointment. Patients who are traveling to us can often have this appointment virtually or by phone. During this appointment logistical issues will be discussed as well as what you will experience throughout the process. Every patient will speak to the surgeon at least twice and, in addition, to patient coordinators, departments of nursing and anesthesia prior to any procedure.


Procedure:
The majority of procedures are done at New England Surgical Center, a private, state-of-the-art, state licensed, fully accredited outpatient surgical facility at The Retreat at Split Rock. Since the facility specializes in plastic surgery, infections are prevented and comfort and privacy expertly provided.


Aftercare:
Since we do not pack noses (place 6 feet of gauze inside each nostril), rarely are noses perceived as painful. The most common description is the “feeling like I have a bad head cold”. Uncomfortable rather than painful. Appropriate comfort medication is used as needed. Follow- up office visits are scheduled for after day 4 and 7. The external splint is removed at the after day 7 visit and the majority of patients can be back to social or professional commitments in the immediate period after this appointment. Further after care is defined by the type of nose you have and logistics. Nasal taping, exercises and massage are some of the individual treatments; these can be done regardless of your location. All patients are invited to follow up visits for as long as they desire.