Introduction to Rhinoplasty

Nasal plastic surgery can serve a variety of purposes. While most patients will turn to this procedure to improve the appearance of the nose, Rhinoplasty is commonly utilized to help patients breathe better if they are suffering from a deviated septum. At the practice of Vickram Tandon, MD, we offer our Boston patients a better quality of life with more self-confidence and improvement from almost any kind of nasal deformity. If you are interested in how this surgery can help you, please continue reading the information we have provided below.

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What is a Rhinoplasty?

Often called a “nose job”, cosmetic nose surgery can include a variety of aesthetic and reconstructive techniques to improve breathing and the appearance of the nose, as well as improve your facial features. The procedure can be performed as a closed rhinoplasty or an open rhinoplasty. Patients who seek smaller changes in their nose, like correcting a drooping tip or dorsal bumps, can be treated with a closed technique (ie. incisions limited to the inside of the nostrils), but when patients need larger or more complicated changes, open rhinoplasty is used.

Using either technique during your nose reshaping, the skin is elevated and the nasal bones and cartilage are altered. Rhinoplasty often includes septoplasty, turbinate reduction, and removal of deviated bone from the inside of your nose.

Types of Rhinoplasty

Cosmetic Rhinoplasty

The centralized location of the nose accounts for why this one structure plays such a pivotal role in determining facial attractiveness. A malformed or unbalanced nose can skew the symmetry of the entire face. which is why rhinoplasty (a.k.a. nasal reshaping surgery or “nose job”) is often performed for cosmetic purposes to surgically enhance the shape and size of the nose, thereby improving the patient’s overall facial aesthetics and desirability.

Dr. Tandon’s cosmetic rhinoplasty patients generally seek out his vast nasal reshaping expertise to enhance their nose by correcting one or more of the following nasal aesthetic problems:

  • A nose that is too small, too wide, too narrow, or large
  • Asymmetrical, crooked, or off-center nose
  • Bump or depression on the bridge of the nose
  • Drooping, upturned, or undefined nasal tip
  • Misshapen or broken nose after trauma or injury
  • Nostrils that are flared, upturned, or too wide

Functional Rhinoplasty

Functional nose surgery is a reconstructive surgery that is used when obstructions in our nasal passages cause turbulent airflow which dries out our nose and causes nasal breathing problems. The most common cause of turbulent airflow is a deviated septum.

When a patient’s nose has partial or complete obstructions in their nasal passages (whether they are aware of it or not), it can be a lifelong problem. A deviated septum can affect anyone with varying degrees of deviation and could create secondary consequences such as:

  • Deviation of the vomer and anterior ethmoids
  • Enlargement of the turbinates
  • Maxillary, ethmoid, or frontal sinus disease

Functional rhinoplasty performed in Boston is often a series of techniques that opens up the nasal function and returns nasal airflow to normal.

Revision Rhinoplasty

Revision procedures can be utilized for numerous reasons. Some patients may feel that their previous rhinoplasty did not bring their aesthetic goals to fruition, while others are still struggling with structural breathing complications or facial asymmetry because of improper rhinoplasty techniques from their plastic surgeons during their initial surgery. Many of our patients request Dr. Tandon’s assistance to address and resolve one or more of the potential rhinoplasty complications listed below:

  • The size of the nose appears disproportionate to the adjacent facial features, thus skewing the balance and symmetry of the entire face.
  • The nasal shape appears misaligned or has an unnatural shape.
  • The primary rhinoplasty surgeon employed standardized, archaic surgical techniques, causing a build-up of nasal scar tissue that distorted the outcome, resulting in a “botched nose job”.
  • The patient is experiencing unexpected breathing problems after their surgery.

Revision Rhinoplasty is a complex procedure because it is virtually impossible to understand the degree of residual scarring from a primary rhinoplasty procedure or to determine the structural integrity of the supporting nasal structures. Missing pieces of the nasal structural framework and the development of post-surgical scar tissue are two of the main reasons why a secondary rhinoplasty is often a lengthier and more complicated surgery than primary rhinoplasty.

The exact surgical techniques involved in revision surgery can vary significantly among many patients because every individual has a unique nasal structure and specific cosmetic/functional nasal reshaping goals that must be taken into consideration. In addition to renovating the existing structural framework of the nose, your secondary rhinoplasty surgery often involves cartilage grafting, which entails harvesting cartilage from the rib (or another site on the patient’s own body) to support the structural integrity of the newly shaped nose.

What are the benefits of a Rhinoplasty?

Our nose job patients have discovered many wonderful benefits from their Rhinoplasty surgery, some of which include:

  • Adjusts a crooked nose
  • Creates better facial harmony
  • Corrects problems associated with a deviated septum
  • Enhance or reduce your nasal bridge
  • Gives your nostrils a new shape
  • Improve breathing
  • Increases or decreases your nose’s size
  • Reduces your nasal tip and/or bridge

Who are the best candidates for a Rhinoplasty?

At the practice of Vickram Tandon, MD, we believe good candidates for Rhinoplasty in Boston are patients who:

  • Can pause alcohol consumption before surgery
  • Don’t smoke
  • Facial growth is complete
  • Has a positive outlook and realistic expectations for the outcome of the surgery
  • Overall physically healthy
  • The nose has completed most of its growth (13 or 14 years old in girls, 14 or 15 years old in boys)

What’s the first step?

Take the first step with Vickram Tandon, MD Plastic Surgery

The first step in your journey towards achieving your ideal nose shape through Rhinoplasty in Boston, MA is to schedule a consultation with Vickram Tandon, MD. During this important consultation, you will have the opportunity to openly discuss your goals, concerns, and expectations. Dr. Tandon will carefully evaluate your nose, taking into account your unique facial anatomy.

During the consultation, Dr. Tandon will discuss various techniques for Rhinoplasty and help determine the best approach to achieve the desired cosmetic and functional outcomes for your nose. He will also address any questions or concerns you may have. Once you both have discussed and finalized the treatment plan, you will meet with our Patient Coordinator to schedule a surgery date that works efficiently with your schedule.

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What to expect on the day of Rhinoplasty?

On the day of your Rhinoplasty procedure, you will first be administered anesthesia to ensure your comfort during the surgery. Dr. Tandon will then perform the Rhinoplasty procedure, using the appropriate techniques based on your unique nasal contour and desired outcomes. This may involve making incisions on the columella or inside the nostrils to access the nasal structures and reshape the bone, cartilage, and tissue of your nose. Nasal packing and splints may be used to provide support and maintain the new shape of your nose.

If a closed procedure technique is utilized, the incisions will be hidden inside your nose, whereas an open procedure will require an incision to be made across the narrow strip of tissue that separates your nostrils, which is called the columella. The surgery can take anywhere between one and three hours, depending on the extent of correction required.

Rhinoplasty Recovery

Surgical Rhinoplasty is an outpatient procedure, which means our patients are able to rest and recover comfortably in their homes on the same day of their nose surgery.

You can expect your recovery to take between one and two weeks, with some bruising and swelling around the eyes and cheeks, along with some mild discomfort and stuffiness the first week. As you recover, it’s important to keep your head elevated to achieve the best results. Due to the swelling, patients may temporarily notice blocked nasal passages and congestion; this will diminish on its own as the nose begins to heal. Most visible swelling will fade over the first five to seven days, although residual swelling can last for 12 to 18 months.

Patients normally feel well enough to return to work in three or five days. You can gradually return to normal activities over the next 3 weeks, and return to more strenuous activities after four to six weeks. After 8 weeks, the nasal bones and cartilage will have knitted together, and you can return to unrestricted activities. During this time, you will notice improved nasal and facial contours as the postoperative swelling continues to fade. And eventually, the breathing will begin to improve. It will, however, take about a year for your nose to settle into its final contour as minor residual swelling resolves and the skin envelope continues to contract.

How much does Rhinoplasty cost in Boston, MA

The cost of Rhinoplasty in Boston will vary depending on many factors, including the procedure being performed, the complexity of the reconstruction, and the time needed for surgery. The best way to determine the cost of your surgery is to meet with Dr. Tandon and let him create your personalized surgical plan. Once this is done, our Patient Coordinator will be able to provide you with a complete breakdown of the cost of the procedures.

Why Choose Dr. Tandon?

Vickram Tandon, MD received his medical degree at Brown University and then went on to complete a highly competitive residency at the top-ranked University of Michigan in Plastic and Reconstructive Surgery. He was then selected to participate in a prestigious year-long fellowship program in Aesthetic Surgery through Harvard Plastic Surgery. In addition to being fully trained in both functional and cosmetic rhinoplasty, Dr. Tandon is known for his compassionate and caring approach to patient care. He takes the time to listen to each patient’s concerns and goals and works closely with them to create a personalized treatment plan that achieves the desired results.

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If you are in the Boston area and would like to improve your nasal appearance or address breathing difficulties, a Rhinoplasty from Dr. Vickram Tandon could be an excellent solution. To schedule your initial consultation, please contact our office or use our website to fill out a consultation request form. We look forward to taking the first step with you in achieving your desired nasal aesthetic.

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Rhinoplasty FAQs

I highly recommend him!

Dr. Tandon was truly one of the most personable and professional doctors I have been treated by! He took the time to carefully understand the procedure I wanted and what I felt my problem areas are, then adjusted to address those. He both asked insightful questions to understand my needs and answered all my questions with patience to make me feel comfortable and confident. My results demonstrated all of that care and I could not be more pleased. I highly recommend him!

Dr. Tandon understood exactly what I wanted

I saw Dr. Tandon for Botox and lip filler and couldn’t be happier with my results. I was looking for a skilled doctor who would give me a natural look, and Dr. Tandon understood exactly what I wanted. He took a lot of care and time with my consult, it’s very clear that he cares so much about the quality of his work. I was also happily surprised that procedure was practically painless. I highly recommend working with Dr. Tandon!

Dr. Tandon is the best

Dr. Tandon is the best and the only one I trust with my Botox. He’s very personable and listens to how I want to look (I like a bit of movement, not totally frozen). He also makes recommendations that are suited to my comfort and I trust his judgement. Couldn’t recommend Dr. Tandon more!

We were thrilled with the results

Dr. Vickram Tandon is a superstar surgeon in the world of facial aesthetics, as well as injectables. My wife received superior care in his hands, and he stands far above other Boston area, cosmetic, and facial plastic surgeons.

I would highly recommend Dr. Tandon to all!

I’m a first time filler patient and recently received lip filler from Dr. Tandon. He is phenomenal and I couldn’t be happier!

I am very pleased with my results

Dr. Tandon is a compassionate, personable, and highly skilled plastic surgeon. I recently had an appointment with Dr. Tandon to get Botox.

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