It’s More than a Nose Job When Your Surgeon Knows the Job

The French like to say “A big nose never spoiled a handsome face.” But it certainly doesn’t make it any better! An ideal nose is perfectly present without ever drawing attention to itself. Some may sit as a fine feminine feature to accent the scent of a woman. On men, it swoops in to support a strong chin with refined lines that never clownishly undermine a sense of strength, alertness and masculine seriousness. Rhinoplasty, like any art, is about promoting the invisible symmetry between your nose and the other facial features. That’s why your nose job is best handled by a practiced professional, like Dr. Brian Arslanian, MD, FACS, the best plastic surgeon in Atlanta, Georgia.   

Contact our office to schedule a consultation and learn more. You can call (678) 894-9200 to speak with one of our helpful representatives. Or, if you prefer, we offer SKYPE consultations, as well. 

About the Procedure

nose job

Rhinoplasty is a complex procedure commonly referred to as a “nose job.” Rhinoplasty requires attention to detail and an understanding of the nuances and proportions of the face as a whole. The nose is in the center of the face and therefore commands significant attention. A change in one’s nose can have a large impact on one’s psyche, both positively and negatively. Dr. Arslanian performs rhinoplasty for both cosmetic and functional reasons.

Dr. Arlsanian’s Instagram alter ego is Drhotlanta®. Follow him for the latest on his cosmetic adventures. You can also read our blog

Benefits of a Nose Job

Rhinoplasty is typically performed for cosmetic, functional or reconstructive reasons. It may also be a combination of these factors.

Cosmetic

This is usually the most common reason why patients seek out a plastic surgeon.[1] Many patients may be unhappy with the overall appearance of their nose. The first thing Dr. Arslanian will ask you during your consultation is to describe, in detail, what it is you do not like about your nose. To some, it might be too wide or too narrow, too long or too short, too bulbous or too pointy. Or maybe there is a hump or an asymmetry. Some patients are not happy with their nose but want to maintain their ethnic appearance. This often requires more investigation and planning to ensure we can improve on the parts of your nose you do not like, and enhance other parts to maintain your cultural identity.

Functional

Patients will often complain of breathing difficulties, chronic sinusitis, allergy problems or a crooked nose. This type of surgery is sometimes covered by insurance. It requires similar surgical maneuvers as the cosmetic procedure to achieve its intended results: improved airway patency.

Reconstructive

This type of Rhinoplasty may be done after skin cancer excision on the nose, or secondary to a previous cleft lip/nose deformity from childhood. These special cases may require several operations to achieve an adequate reconstructive outcome.

Combination

These patients may complain of breathing problems. They also might not like the appearance of their nose. In these cases, the insurance company may agree to pay a portion of the cost if deemed medically necessary. Cosmetic procedures are not covered by insurance. 

Ideal Candidates

Dr. Arslanian’s ideal candidate is one in good health without significant medical problems. They should have reasonable expectations for the outcomes and understand any potential complications that may occur. Patients should be able to clearly articulate what it is that bothers them about their nose and how they would like to correct it. 

Your Consultation With Drhotlanta®

Dr. Brian Arslanian, MD, FACS, is Drhotlanta® and he can’t wait to meet you. During your consultation, you will meet with Dr. Arslanian to discuss your aesthetic goals. Dr. Arslanian will take a detailed history as he performs a complete examination of your face and nose. He may also take photos. If you qualify for the procedure, he will discuss your options and make sure you are happy with your decision. 

Get a sense of what to expect from your office visit by viewing our videos on our media page. If you must see results, then simply read our reams of rave reviews for a stunning summation of Dr. Arslanian’s surgical skill.  

Preparation

Prior to surgery, Dr. Arslanian will instruct you on the day, time and location of your procedure. He will provide prescriptions and necessary paperwork, including consent forms, that you must sign and return. In some cases, you may need to obtain medical clearance from your physician or specialist. You might also meet with the anesthesiologist and undergo additional lab work, depending on your medical issues and personal situation.

Procedure

rhinoplasty procedure

Dr. Arslanian performs the procedure on an outpatient basis, under general anesthesia, in an accredited surgery center. A board-certified anesthesiologist is present to ensure the safest conditions possible. Dr. Arlasnian will make medical markings with a felt tip pen the morning of your surgery.

Once the anesthesia has taken effect, Dr. Arslanian starts with an incision under the nose. He usually prefers the open rhinoplasty technique so that he can completely address the entire nose and achieve the best result possible. He will then proceed, gently lifting back the skin to determine what problems are present. 

Next, he may harvest cartilage from the septum, the ear or even your ribs depending on what is required. He will then use grafts and other techniques to shape the nose and improve breathing, if that is a concern.[2] 

Finally, he closes his incisions. Sometimes the nasal bones will need to be fractured and repositioned. A splint will then be placed over the nose. Sometimes, Dr. Arslanian will place internal splints, as well. 

Your rhinoplasty concludes when you are awakened and moved to the recovery room.

Recovery

You will be released on the same day of surgery to go home and rest. Dr. Arlanian will provide pain medication to help you through the first week. You will likely be swollen and have some black-and-blue bruising around and under the eyes. 

rhinoplasty procedure recovery

At one week, Dr. Arslanian shall personally remove your splint and sutures. You should keep your head elevated and iced, as needed, to minimize swelling. Swelling can take about four to six weeks to resolve. 

Even then, it can take up to one year for all the swelling to completely fade. Watch for your scar tissue to soften and the grafts to take their final shape and position. Patience is very important in this procedure as results can continue to change over the course of several seasons.

Results

Patients can expect their nose to continue to change for up to a year. The procedure can be dramatic and challenging for some patients, given the central importance of the nose in the facial profile. It will take several months, in many cases, for patients to be used to their new and improved appearance. That is why strong emotional health is just as important as physical well-being.

Complementary Procedures

You may consider additional procedures to augment your outcomes or non-surgical alternatives to approximate the effect of true rhinoplasty.

Chin Augmentation

Chin Augmentation

The chin and nose are a critical pairing. The two help to set the frame of the face, both in profile and from the front. Many times, patients may have a larger nose with a hump, but also a very weak chin. In these cases, Dr. Arslanian may recommend a Chin Augmentation to improve the size, shape and projection of the chin. This can be done surgically or non-surgically, according to the patient’s situation and individual taste. Rest assured, all of Dr. Arslanian’s recommended actions are attempts to avoid a disproportionate-looking facial profile.

Non-Surgical Rhinoplasty

Non-Surgical Rhinoplasty

In some cases, if there are only minor areas of concern, you may be able to temporarily correct your nose with our non-surgical techniques, such as dermal fillers and volumizers. Dr. Arslanian is an experienced injector who can reshape your nose without any surgery at all. We will require a consultation to determine if you are a good candidate. It is important to keep in mind that the results are a temporary alternative to undergoing more extensive surgery.

What Does Rhinoplasty Cost in Atlanta?

The cost of rhinoplasty can vary depending on the conditions that will be treated. You may also consider additional or alternative procedures for enhanced effects. In some cases, insurance may cover a portion of the cost or all of the procedure. Financing options are available. Watch our specials page for exclusive opportunities to save.  

Schedule a consultation with Dr. Arslanian to receive a price quote. If you prefer, we offer SKYPE consultations, as well. 

References 

  1. Arima, L. M., Velasco, L. C., & Tiago, R. S. (2011). Crooked nose: Outcome evaluations in rhinoplasty. Brazilian Journal of Otorhinolaryngology, 77(4), 510-515. doi:10.1590/s1808-86942011000400016
  2. Sajjadian, A., Rubinstein, R., & Naghshineh, N. (2010). Current Status of Grafts and Implants in Rhinoplasty: Part I. Autologous Grafts. Plastic and Reconstructive Surgery, 125(2). doi:10.1097/prs.0b013e3181c82f12