What Is a rhinoplasty?
Rhinoplasty is a type of plastic surgery that changes the size, shape, and structure of your nose.
Commonly called a nose job, the surgical procedure can reduce a prominent bump, narrow a wide tip, straighten a crooked bridge, or make your nose more proportional to the rest of your facial features. It can also help you breathe more easily.
Who is a good candidate?
is Rhinoplasty Painful
As any surgical procedure rhinoplasty is performed using a general anesthesia. The technique Dr. Kallman uses is “open” for 99% of his patients. It allows for visibility and precision. The tiny columella scar created during rhinoplasty or ethnic rhinoplasty procedure is extremely faint, and well hidden under the nose. It’s sometimes impossible to see after just a couple of months!
Is Rhinoplasty Painful?
Dr. Kallman, one of the best rhinoplasty surgeons in Miami uses a local anesthetic and general anesthesia to provide long-lasting pain relief, and very precise, atraumatic techniques reduce pain and swelling. The fact that he doesn’t use nasal packing also dramatically limits discomfort.
Every patient is advised to apply ice packs and keep their head elevated for some time after the nose job. They avoid bending over or strenuous activity that could increase swelling. Patients report minimal discomfort and often don’t require the pain medication provided!
Am I a good candidate for Rhinoplasty?
There can be several reasons why a person might want to consider nose job to be done. The most common will be if they are unhappy with the size of the nose or the shape of the nose. It is important to remember that the nose is the centerpiece of your face, but here at FaceMiami, we don’t anyone to notice your nose. It is supposed to be another piece in the symphony called “ Your Face”. Primarily it is changed to improve the aesthetics of your face. Other cosmetic reasons can include problems that arose at a later stage, such as a flat bridge or hump that may have been due to a previous injury. There is a number of frequently asked questions about the person that would be an ideal candidate for Rhinoplasty if they fit the following categories:
If a patient believes that their nose is too large for their face or doesn’t compliment the face, they might want to consider the facial plastic surgery. Rhinoplasty may correct the shape of the nose and nasal tip, so it suits the face better and compliments the rest of the facial features.
Problems associated with the nostrils
If a person believes that the nose’s general shape is suitable; however, the nostrils are too large, wide or long, Rhinoplasty may be the perfect solution. Many patients may choose to undergo nose surgery because they can be custom altered, so they are more in sync with your nose and not prominent. Misshapen nostrils can also cause breathing difficulties for patients. Thus, Rhinoplasty can correct the size of both the nostrils so the patient can breathe adequately.
Correcting inherited features
Most people have inherited features, such as a crooked or droopy nose, a pinched or bulbous nasal tip. These features can also be changed with a rhinoplasty procedure. The cartilage of the nose may be transformed to make their nose look more attractive and balanced compared with the entire face.
Any hindrance to the nose bridge
One might also consider this nose surgery if they have a bump or hump on the nose’s bridge. There are many different combinations of this, such as a bump caused by a bone and cartilage, or a combination. Thus, smoothing out the nose bridge can be accomplished and also help sort out the patients’ breathing problems.
Other problems associated with the nose
Many custom rhinoplasty procedures can also be done based on the problem faced by the patient. A rhinoplasty surgeons’ skill and his level of experience and expertise, will determine which techniques he uses, as he will choose the techniques best suited to your type of skin and your configuration of cartilage and bone. If the bridge of the nose requires more volume or the nose is asymmetrical, thick nose, a custom plan can be built to target the problem area. It will help improve the overall aesthetics of the nose. Rhinoplasty can also correct many other cosmetic issues concerning the nose.
FIRST CLASS FACILITIES FOR RHINOPLASTY
BOARD CERTIFIED SURGEON IN MIAMI
Face Miami’s very own Dr. Kallman specializes in Aesthetic Surgical procedures. These include Rhinoplasty, facial rejuvenation, eyelid and eyebrow lift surgeries, fat transfers and more. Watch the video to learn more!
Dr. Kallman is Board Certified by the American Board of Plastic Surgery. He re-certified his Plastic Surgery Board Certification in April 2005 and 2015- one of the first doctors in South Florida with this recertification.
An active member of the American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgery, and The Greater Miami Society of Plastic and Reconstructive Surgeons, he’s in an elite class.
Because of this wealth of knowledge and passion for cosmetic surgery, he has lectured extensively around the world- particularly on the intricacies of primary and secondary rhinoplasty.
An avid researcher, he continues to study innovations in lip augmentation, brow lifts, state of the art blepharoplasty, fat transfer surgery, breast surgery, nasal reconstruction, and anti-aging therapeutics.
What types of rhinoplasty does Dr. Kallman specialize in?
Types of Rhinoplasty
Contrary to popular belief, rhinoplasty surgery can serve many purposes. Although Rhinoplasty’s nose job is used for cosmetic purposes, it can be a vital nose surgery to improve breathing difficulties, adjust inherited nose problems, and even correct nasal structures after an accident or injury. The types of Rhinoplasty fall into five broad categories:
This is the wider known type of nose surgery that involves altering the nose’s shape, size, and structure, nasal tip to make it more aesthetically pleasing. This will balance the nose with the rest of the facial features. Some surgical procedures that are done with cosmetic surgery include smoothing out a nasal hump or bump, shaping large nostrils and even adding volume to a flat nose bridge.
Functional Rhinoplasty is when the shape and size, or other nose features constrict the patient’s healthy breathing. In most cases, to improve breathing, the nose’s shape or size is altered, allowing for cosmetic benefits as well as, the benefits from functional facial plastic surgery to be realized. But often, functional plastic surgery isn’t noticed on the outside.
Not all rhinoplasty procedures may require to have a surgical approach. If the problem is minor, dermal fillers can be used to solve the problems. A minute depression in the nose, a subtle nose lift or smoothing out a small hump can sometimes be done easily, without an invasive surgery by going through the dermal filler approach.
There are times when an incorrect surgery was done, or the surgery was performed poorly. In those cases, corrective surgery or revisions may be needed. Some people also have their nose structures collapse within one year to few years of plastic surgery. They might also feel that too little was corrected, or the rhinoplasty results were not to their liking, because some individual results may vary, which is why they may consider revision surgery. Revision rhinoplasty surgery should only be done by an expert in nasal surgery and always get a second opinion when seeking a revision. Also if your first plastic surgeons are going to do a revision, go ahead and get another opinion just to be on the safe side.
What can you expect from Miami's Best Rhinoplasty Surgeon?
Miami’s Best Rhinoplasty Plastic Surgeon, Dr. Kallman has always been ahead of trends in digital imaging for cosmetic surgery consultation. Now more than ever, in the wake of Covid-19, his advanced digital skills mean your virtual experience is just as informative, interactive and accurate as meeting in person!
If you choose to have your initial rhinoplasty consultation online, we’ll walk you through the process step by step. That includes providing a video of photo instructions. Additionally, we’ll use Mirror digital morphing simulation to show you a variety of personalized rhinoplasty options.
Once you’re scheduled for plastic surgery, we’ll arrange for you to visit with us safely and privately. At that time, you’ll receive professional photos, detailed procedure information and other preparatory paperwork. We require certain medical conditions, including bloodwork, to be completed before plastic surgery as well.
Closed Vs. OPEN RHINOPLASTY
As you might guess, there are multiple surgical techniques, and even some non-surgical ones used to reshape and refine the appaerance of the nose (closed rhinoplasty and open rhinoplasty).
Open vs. Closed Rhinoplasty. Rhinoplasty surgery is usually classified as either “open rhinoplasty” or “closed.” These are the techniques of Miami’s best rhinoplasty plastic surgeons use to access structures under the skin and create the desired contour changes.
Closed Rhinoplasty Miami (Closed Approach)
Closed rhinoplasty, also called endonasal rhinoplasty, this approach is less invasive but less common too. The closed rhinoplasty surgeon in Miami makes small incisions inside the patient’s nostrils, where they are entirely hidden.
With endoscopic tools, visibility inside the nose is possible and tissue can be altered or removed. Once tissue reshaping is done, the incisions are closed with dissolvable sutures. A septoplasty or a deviated septum repair can be done via this method, and the deviated septum procedures may take anywhere between 1-3 hours.
The Open Rhinoplasty Approach (Open Approach)
As an opposite to the closed rhinoplasty. Open approach, also known as external rhinoplasty, there are good reasons that 99% of Dr. Kallman’s patients have this method. Open approach in rhinoplasty allows the surgeon to clear visualization and access to the entire nasal structure and tissues, including skin, muscle, cartilage, and bone.
The open approach procedure begins with making a small incision under the centre of the nose where it meets the upper lip. This spot is called the columella…
FIRST WEEK AFTER YOUR RHINOPLASTY
Rhinoplasty is performed using a general anesthesia. Patients return home with a friend or family member the same day after the nose job. They’ll be advised to apply a soft ice pack for 20-minute intervals, which keeps swelling and bruising to a minimum. Miranda, our patient care coordinator, checks in with patients before and after surgery, and we’re only a call away. Dr. Kallman also provides patients with his cell phone number, just in case.
Pain relief medication is provided but rarely needed as atraumatic techniques ensure minimal discomfort. Dr. Kallman’s patients appreciate that he doesn’t use nasal packing, which often accounts for facial pressure or discomfort post-operatively.
We apply a custom-formed, waterproof cast over the nasal bridge which stays in place and protects the nose for the first week. Patients can shower regularly and even wear glasses over the cast. Rhino
POST OPERATIVE PROCESS
On day 6, after the nose job, patients visit the clinic to have 2 small sutures and the cast removed. Sutures inside the nose are dissolvable and gradually disintegrate or fall out on their own. It’s painless to remove the cast and sutures!
It may take one to two weeks, and usually sooner, when patients are free to go out confidently in public with minimal swelling or bruising to give away their procedure. They can keep in touch with us at the clinic via email and phone, and we’ll be happy to answer any questions that arise.
By week 4-6, most people can return to the gym and play sports. We always err on the side of caution for individual cases to ensure results you’ll love for a lifetime.
We’ll schedule your second follow up appointment for 2 weeks after rhinoplasty. It’s up to you when you visit us in the future! Sometimes our patients are so busy loving life and their new look that we don’t see them for post-op photos until one year to years down the road.
rhinoplasty recovery process tips
Recovery period after rhinoplasty in Miami can be a breeze. You’ll need to take some time off and relax while you heal, but we provide our patients with plenty of advice and support to help speed up the recovery and make it as comfortable as possible.
You’ll likely be excited an a little nervous when the day of your procedure comes. Miranda is our patient care coordinator, and she’ll check in with you before and after your surgery. Plus, Miami’s best Rhinoplasty Plastic Surgeon, Dr. Kallman provides patients with his cellphone number if needed.
You’re in excellent hands, and in the meantime, we’ve shared ten of our favourite rhinoplasty recovery tips below. Plan to follow these, and don’t hesitate to ask us any questions you have!
After Rhinoplasty, Use Frozen Peas Or An Icepack For Facial Swelling. Dr. Kallman will apply a waterproof cast over the bridge of your nose. It stays in place the first week to protect you when showering, wearing glasses, or applying icepacks to your eyes and cheeks for 20-minute intervals.
In the first three days, you’ll notice swelling and bruising appear, and you may look like you have black eyes, but rest-assured, we will make sure this fades quickly after the first week. The ice packs will help blood vessels to constrict and reduce swelling faster.
We’ll provide pain relief medication, but due to atraumatic techniques and no nasal packing, Dr. Kallman’s patients don’t tend to complain of discomfort or pressure in the nose after rhinoplasty.
Go For Light Walks. We’ll advise you to take it easy, but you won’t be bedridden after your Miami rhinoplasty. Taking short, gentle walks in the hours and days following surgery has a few benefits for you.
Walking keeps circulation flowing in your body and reduces the risk of blood clots. It also helps relieve constipation.
Aside from medical benefits, you might feel bored and restless cooped up inside. Take the opportunity to move around and get some fresh air when you can.
We recommend you stay out of direct sunlight and, of course, don’t break a sweat- this is not meant to be aerobic exercise.
By 3-4 weeks, most patients safely return to cardiovascular activity. By 4-6 weeks, the bones in your nose will be stable so you can resume weightlifting and wearing glasses.
Take It Easy For Roughly 10 Days. Many busy professionals have a hard time winding down and taking the week or two they need off work.
The care you take to heal well in these early days could help the rest of your recovery to go smoothly.
Playing sports, swimming, and strenuous exercise increases blood pressure in your face, risk of injury and infection.
This is a great time to work from home, ask for extra help with children and pets, and let the housework wait a while.
Avoid Overheating.You may like to sweat and bake in the sun, take long hot showers, or relax in the sauna. Even heating things up with hot foods and liquids may cause facial tissue to swell more.We advise that you eat room-temperature foods, avoid hot soup, and stay cool for the first few weeks to reduce your nasal inflammation faster.
Avoid Sun Exposure On Your Face.Speaking of heat, there’s another reason to avoid basking in the sun while you recover. With sunny Miami weather calling, you may be tempted to stay out in the sun during recovery.It’s always recommended that you use quality UV protection. However, while your skin is swollen and incisions are going through the healing process, tanning may cause skin discolouration, darkened scars, and increased swelling.
Avoid Nicotine. Your board certified plastic surgeon will ask you to avoid smoking and using nicotine products before and after rhinoplasty surgery because nicotine constricts blood flow in the skin. You need all the healthy blood circulation possible to heal fast and avoid complications. Try to avoid even second-hand smoke if you can.
Prepare To Be Patient For Rhinoplasty Results! Miami rhinoplasty patients are delighted to see rapid changes and a new look within just weeks of rhinoplasty surgery. However, the residual swelling that lingers in soft tissue – especially nasal tip – can take several months to resolve.
Skill & Experience
Call the office in Miami Fl today to schedule a consultation with Dr. Kallman come see what the possibilities are
Alternative to rhinoplasty
What are the alternatives to surgical rhinoplasty?
Some people opt for a temporary nonsurgical nose job—also called a liquid nose job—with hyaluronic acid–based injectable fillers, like Juvéderm Voluma or Restylane Lyft. This minimally invasive procedure can camouflage bumps, create more symmetry, or lift and build up the tip of your nose.
A nonsurgical nose job takes less than 20 minutes and has zero downtime. Fillers can last anywhere from 6–18 months, depending on the type used, and cost roughly $1,000.
However, this option is not without real risks. A liquid nose job should be done only by a skilled plastic or facial plastic surgeon with extensive knowledge of facial anatomy, using only hyaluronic acid–based fillers. Misplaced filler can cut off blood flow and cause skin necrosis (tissue death). If it’s caught quickly, the hyaluronic acid filler can be dissolved by a doctor, using an injection of hyaluronidase. But because this risk is serious, fillers have not been approved by the U.S. Food and Drug Administration for use in the nose.
DR. BRANDON KALLMAN, Miami's Best Rhinoplasty Surgeon
Face Miami’s Dr. Brandon Kallman, MD. is Miami’s best rhinoplasty surgeon. He brings over 27 years of experience as an Aesthetic, Cosmetic, and Board-Certified Plastic Surgeon to his prestigious practice. Miami men and women trust his extensive expertise in a diverse range of facial cosmetic procedures, and he’s renowned as a rhinoplasty specialist.
When choosing a board certified surgeon, it is important to select a doctor with skill and experience. Dr. Brandon Kallman is rated 5 stars on ratemd, healthgrade, vitals, and real self, can help you create a result that fits in with your other features and looks natural. He can also help you understand the benefits and limitations of your chosen procedure, so that you can make the decision that is right for you.