Rhinoplasty

If you’ve ever felt unhappy with the look or function of your nose, then you might be a good candidate for rhinoplasty or nose reshaping surgery. At Plastic Surgery Institute of Miami, we are proud to offer advanced rhinoplasty in Miami, FL, Coral Gables and all of South Florida to patients who want to be able to look in the mirror and see a nose they can be proud of.

What is Rhinoplasty?

Many people in South Florida, throughout the country and the world, are unhappy with the appearance of their nose. Your nose is one of your most prominent features. Because of this, it’s often one of the first things people notice about you when they first meet you. If you feel self-conscious about the way your nose looks, your self-esteem and other areas of your life could be negatively affected.

This explains why rhinoplasty (also called a “nose job”) is one of the most common plastic surgery procedures performed today. Tens of thousands of rhinoplasty surgeries are performed each year in the United States alone.

A rhinoplasty or nose job is a plastic surgery procedure that is performed to change the shape and appearance of the nose and/or enhance its function for better breathing.

Cosmetic rhinoplasty can address a wide range of aesthetic concerns related to the nose, including:

• A nose that’s too large or too small
• A nasal “hump” or bump on the bridge of the nose
• Crookedness or asymmetry
• Wide nasal tips that lack definition
• Droopy or downward pointing nasal tips
• Poor facial balance

Rhinoplasty happens to be Dr. Ghersi’s specialty. As a world leader in nasal care, he performs rhinoplasty on a daily basis not only for cosmetic, but also for functional concerns. The following issues can be successfully treated with functional rhinoplasty

• Deviated septum
• Internal nasal stenosis
• Hypertrophy of turbinates
• External valve collapse
• Breathing problems
• Snoring
• Damage caused by a broken nose or previous unsuccessful rhinoplasty

Nose jobs by Dr. Ghersi at PSI Miami are highly customized since there is no “one-size-fits-all” approach that creates good results for all patients. Dr. Ghersi must take several different factors into consideration, including facial balance and harmony, nasal function, and the patient’s specific goals when performing rhinoplasty.

Why People Choose Nose Jobs in Miami, FL

Our PSI Miami patients choose rhinoplasty in Miami, FL for a variety of reasons. Many patients have disliked their nose for years and want to improve their appearance overall by enhancing the shape or size of the nose or improving their facial balance and aesthetics with a nose job. Others have breathing issues that are compromising their quality of life.

Many patients choose the surgery for a combination of reasons—they may want to improve their appearance and boost their confidence while fixing a deviated septum or another breathing issue that is affecting their lives.

If you are interested in consulting with Dr. Ghersi, it’s a good idea to get an idea of what rhinoplasty can and can’t accomplish before you make an appointment at our Coral Gables office. Looking at the before and after photos of real rhinoplasty patients of Dr. Ghersi can help you set your expectations and determine whether or not this cosmetic surgery will help you reach your aesthetic goals.

Are you a Candidate for Rhinoplasty

We recommend nose jobs in Miami to patients in good health who are unhappy with how their nose looks or functions. Revision rhinoplasty may also be appropriate for patients who have experienced a poor outcome from prior nose reshaping surgery. Only a board-certified plastic surgeon with extensive experience can assess an individual’s candidacy, which will be determined during the initial consultation. Patients should have realistic expectations for their results and aim for improvement over perfection. Before you schedule your consultation, it’s important to understand that there is no such thing as a perfect nose. There is always going to be something ‘wrong’. With that said, rhinoplasty can produce dramatic improvement while retaining the characteristics that make you unique.

How Much Does Rhinoplasty Cost at PSI Miami?

The cost of nose surgery in Miami plays an important role in deciding whether or not to move forward with plastic surgery. Every patient wants an affordable rhinoplasty. Keep in mind, however, that the safety of the surgery and the results after nose surgery procedures are more important than the cost. No matter what, taking the experience and the expertise of the surgeon into account should be your top priority. If you’re asking how to get a cheap nose job, then you may be asking the wrong question. Nose surgery prices are important, but cost should not the most important factor when choosing a plastic surgeon. Low-cost rhinoplasty can indicate some serious risks. The potential for safety risks and poor results increases with an inexperienced (and often cheaper) surgeon. Choosing nose surgery based on the lowest price might ultimately be the most expensive choice. Your “cheap rhinoplasty” may not end up being so cheap if you experience complications and need revision surgery.

With that in mind, finding surgeons who offer affordable nose jobs involves evaluating the overall value, not simply cost. You’ll want to find a surgeon who charges a fair price while maintaining the highest standards for quality, safety, and patient satisfaction. At PSI Miami, we offer this value and peace of mind to our rhinoplasty patients. Dr. Ghersi performs over 400 rhinoplasties per year, making him one of the national leaders in nasal care. This experience gives him the ability to provide exceptional surgical results at fair costs.

Financing and Loans

Financing and loans for your treatment plan are available through private finance companies. You can also ask us about the nose surgery financing options that we offer in-house as well. Often, our clients simply pay for their nose surgery using a credit card, but this may not be the most cost-effective option depending on your situation. We are experienced in helping patients who are in different situations and can almost always find a way to get you the results you deserve.

A Consultation with Dr. Ghersi

If you are thinking of getting a nose job, the first step is to discuss your goals with our rhinoplasty expert, Dr. Ghersi. During this initial meeting at our office, you will tell us what bothers you most about your nose and what your expectations are for rhinoplasty. Also at your consultation, you can expect Dr. Ghersi to cover the following topics:

• Your candidacy and health
• Your goals and expectations
• A preliminary treatment plan
• Risks
• Recovery time
• Preparing for rhinoplasty
• Cost
• Questions/concerns

After your consultation, you should have all the information you need to make a decision about whether or not you want to move forward with a Ghersi rhinoplasty.

Preparing for a Rhinoplasty with Dr. Ghersi

In the weeks before your procedure, you may need to make a few changes to your normal routine to prepare for surgery. If you smoke, you will need to quit at least four weeks before your rhinoplasty appointment in order to reduce complication risks and to encourage proper healing. Depending on the medications and supplements you take, you may need to adjust or eliminate certain prescription and over-the-counter products, including aspirin and vitamin E. Our staff will give you a complete list. These should be eliminated two weeks before surgery to reduce bleeding during surgery.

On the night before the surgery, you will need to refrain from eating or drinking after midnight if you will be receiving general anesthesia. This is for your safety and comfort.

What to Eat Before a Rhinoplasty

Although you should always attempt to maintain a healthy diet rich in nutrients, it’s even more important in the weeks leading up to your rhinoplasty procedure. The right diet will help you heal more quickly and enjoy optimal results. If you’re wondering what to eat before rhinoplasty, start by focusing on unprocessed, nutrient-dense options. Lean meats, fish rich in omega-3s, vegetables, and a moderate amount of fruits, seeds, and nuts will help your body prepare for surgery and the recovery period. You should drink plenty of water and keep sugary drinks and alcohol to a bare minimum.

On your “rhinoplasty diet,” you should avoid processed, high-sugar, high-salt, and simple carbohydrates like those found in white bread. Your body will be working hard after surgery to help you heal, and it’s important to fuel it with plenty of high-quality nutrients. After surgery, you won’t have to change your diet. The best foods to eat after rhinoplasty are fresh, unprocessed, and nutritious. Just make sure to avoid overly salty or spicy food after rhinoplasty to keep swelling, discomfort, and inflammation down. You’ll also want to avoid food that requires a lot of chewing in the first few days after the procedure, as vigorous chewing might be uncomfortable while the incisions heal.

Preparing your Home

For the first week or two after surgery, you won’t be any condition to cook, clean, or complete other household tasks. You will need to refrain from bending, lifting, and strenuous activity and should make rest a priority.

Preparing for your recovery might include making sure you have healthy meals stocked in the fridge and freezer, ice packs chilled, prescriptions filled, and a comfortable area with a recliner and extra pillows to prop you up. You will also need to arrange for a ride to and from your procedure. If possible, it’s a good idea to have a friend or family member stay with you during the first few days of your recovery.

Rhinoplasty with Dr. Ghersi

Rhinoplasty is typically an outpatient procedure, meaning that patients can go home after their surgery, without needing to spend the night in a hospital or surgical facility. Most of PSI Miami’s nose jobs are performed with the patient under general anesthesia. This is a relatively in-depth plastic surgery and it is safer for patients to be under general anesthesia or deeply sedated. Primary rhinoplasties usually take between 2-3 hours of operative time, whereas revisions may take 1-2 more hours.

Primary versus Revision Rhinoplasty

Rhinoplasty surgery can be decided into two types: primary and revision cases. Primary cases are those in which involve the first time a nose is operated on. These are typically simpler, more predictable with quicker recovery and a higher rate of patient satisfaction.

Revision rhinoplasty involves surgically revising a nose that has already been operated on. This can be a very simple or a very complex procedure. Dr. Ghersi may need to use, in addition to tissues surrounding the nose, cartilage or tissue from your ear, rib, or even a cadaveric graft. A detailed explanation of the surgical plan will be given to you before the surgery is carried out.

Although most patients are happy with their surgical results, we encounter patients from time to time who feel their rhinoplasty did not meet their expectations or needs. Sometimes patients feel a surgeon did not go far enough or went too far and over-corrected the nose. Because nose jobs can be complex, they require extensive training, experience, artistry, and sophisticated surgical skills to perform correctly.

Some patients have also experienced complications such as unwanted scarring, nasal implant failure, or other issues that directly resulted from prior rhinoplasty surgery. When this occurs, patients may require revision rhinoplasty surgery, a much more complex procedure. Although patients are often reluctant to seek out additional surgery after a bad experience, a revision rhinoplasty by Dr. Ghersi in Miami, FL, can improve the specific concerns patients have with their initial results. Revisions are usually longer and more extensive than primary procedures but can produce significantly improved results.

As nasal surgery is becoming more popular, unfortunately, so are unwanted results. Rhinoplasty is one of the most difficult operations in plastic surgery, and difficult cases require true specialists. Regardless of the reasons for their discontent, any patient who is not fully satisfied with the results of their rhinoplasty procedure should seek a consultation with Dr. Ghersi to discuss other treatment options.

Ultrasonic Open Structural Rhinoplasty

This is the most common approach to rhinoplasty. It involves the latest techniques and equipment to achieve the desired goals during surgery. The approach calls for making a small incision in the skin between the nostrils. This leaves a tiny scar that typically fades well. This approach is essential for more complex procedures, including revisions and difficult primary cases, since it allows the surgeon better visibility and access to the tissues within the nose. Dr. Ghersi uses Piezoelectric™ Ultrasonic equipment for his structural rhinoplasties, in order to achieve the best and most natural results.

Preservation and Endonasal Rhinoplasty

A new way of approaching rhinoplasty which involves less visible incisions and less surgical dissection of the noses. There are many ways in which preservation will be done. When appropriate, Dr. Ghersi will choose the a specific preservation approach that best matches the patient’s needs. With this technique, the hope is to get longer lasting natural results.

Sculpting the Nose

Once the incisions have been made, Dr. Ghersi can get to work on shaping the nose using advanced techniques. These may include cartilage grafts, cutting and resetting the nasal bones, and techniques to create specific refinements to the shape, length, and form of the nose. Rhinoplasty is a complex process that can take several hours to complete. Once the surgery is complete, sutures will be placed and a splint will be taped to the nose to support the new contours during healing. Patients can be driven home after their PSI Miami rhinoplasty by a friend or family member soon after the procedure is complete.

Recovering from Rhinoplasty

As with any surgical procedure, there will be some minor discomfort and inconvenience for patients in the first few days after the rhinoplasty operation. However, any discomfort can usually be controlled with prescribed medications, ice, and by following all postoperative instructions.
Until your external splint comes off, you won’t be able to see the preliminary results of your rhinoplasty and you’ll want to stay home and rest, as it will be evident that you have had surgery. Splints can be removed anywhere from 5-10 days after surgery at your post-operative appointment.

If your nasal bones have been reshaped you will probably have some degree of periorbital bruising (black eyes) that will take a week or two to resolve. Unless you will wear makeup to camouflage your bruising, others will be able to tell you have had surgery and you may want to restrict social outings for about a week after surgery (or two). Ideally, you should stay home and rest for 10-14 days before you go back to work and other activities. Strenuous exercise will need to be postponed for several more weeks.

Rhinoplasty Post Surgery Care

After you cast and sutures are removed, you will begin a prolonged recovery process. Dr. Ghersi will instruct you to tape the nose for a specific period of time. He may also recommend adjective therapies and treatments such as glycolic acid applications, facial cleanings, or even isotretinoin therapy by a dermatologist.  Final results will take several months to emerge as the swelling subsides gradually, and will be affected greatly by your ability to follow the prescribed post surgery care.

Dr. Ghersi’s rhinoplasty patients are typically very happy with the results of their nose jobs in Miami. He has listed many before and after pictures of his  work on our website and our social media channels, as well as numerous testimonials from our former patients who have changed their lives for the better with a Ghersi rhinoplasty in Miami, FL. Before you choose a surgeon, it is important to see examples of their work to ensure that you share their aesthetics and to help you find a surgeon with exceptional skill.