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Top Four Reasons for Revision Rhinoplasty

Why Get a Revision Rhinoplasty?Revision rhinoplasty, also referred to as secondary rhinoplasty, is in essence surgery to correct a previous rhinoplasty — most often a nose job done by another surgeon. A combination of cosmetic and reconstructive surgery, revision rhinoplasty is one of the most delicate and demanding of all cosmetic surgery procedures.

A small but significant minority of first-time rhinoplasty patients — between 5 and 18 percent, according to industry estimates — will undergo revision.The reasons for doing so can be numerous and overlapping. In Dr. Naderi’s experience, they come down to four categories.

Poor Patient-Doctor Communication

If you don’t do computer imaging beforehand, and you really don’t know what a facial plastic surgeon has in mind for you, when the cast comes off the result may be a complete surprise. It could be a welcome surprise, or something else entirely. Even a beautiful nose may not be the nose you wanted. Clear, honest dialogue prior to any cosmetic procedure is crucial.

Bad Surgical Decision-making and Technique

Most plastic surgeons that operate on the nose —about 70 to 80 percent —don’t understand nasal anatomy as well as they do other areas of the face and body. The nose is a complicated, three-dimensional structure that’s unlike any other focus of plastic surgery, facial or otherwise. There’s no other operation in cosmetic surgery where fractions of millimeters make a big difference in the outcome. There’s no other operation where your results change at a week, at a month, at a year and longer —even five to 10 years out.

Doing rhinoplasties correctly, in a way that reduces the likelihood of a revision, takes intensive training, dedication and practice.

Rhinoplasty and revision rhinoplasty together account for 90 percent of Dr. Naderi’s practice. Some of Washington D.C.’s top plastic surgeons won’t touch noses, and will instead refer their patients to Dr. Naderi, who is widely recognized as a rhinoplasty specialist.


You can’t fully predict how the nose will heal. A surgeon does the best job he or she can in the initial procedure, and then, over time, scar tissue, healing and nature all take their course.

A picture-perfect nose job may, five years later, develop a small oddity or unwanted feature that resulted from how the nose healed, and which will therefore require revision.

It may be a fairly quick revision —an outpatient procedure lasting five to 10 minutes, versus the 90 minutes to two hours the patient spent undergoing the first surgery. But in about five percent of all rhinoplasties, these small lapses or setbacks related to healing occur. A revision can restore a nose job to its original good form, and even improve on the first procedure.

Chronic Unhappiness

Some patients will just never be satisfied with their noses. They may have had four, six, eight or 10rhinoplasties while seeking that perfect nose that just doesn’t exist.

Those patients have to be identified in pre-screening and consultation. Unfortunately, it’s too easy for surgeons to say, “Sure, we’ll do something,” take the money, perform another surgery and then punt that patient off to the next surgeon. At some point, the responsible surgeon has to stop and educate the patient and encourage him or her to reconsider.

Dr. Naderi has spent entire consultations trying to talk a patient out of plastic surgery. And about 20 to 25 percent of prospective patients, he will turn down. Not because their noses are complex —all noses are complex —but because it’s clear those patients are not psychologically ready for what a surgeon can realistically offer.

To learn more about revision rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at (703) 481-0002 in Virginia or (301) 222-2020 in Maryland for a consultation today.

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Getting Over the Hump With Rhinoplasty and Dorsal Reduction

Straightening out your noseA nasal hump is an outward curvature of the middle of the nose, not unlike the proverbial "bump in the road," and is most easily seen when a person is viewed in profile.

Dorsal humps, or bumps, occur below the root and the bridge, and above the tip. They are typically the product of an excess of bone and/or cartilage beneath the nasal skin. They’re common enough, and they’re often —but not always —characteristic of the noses of certain ethnicities.

While rhinoplasty tends to be a composite of different procedures to address, and harmonize, the complete nose in relation to the face, it’s not unusual for a patient to zero in on that one particular feature —the hump —and ask to have it removed.

In such cases, the rest of the nose is left untouched, or perhaps returned to at a later time depending on how the patient feels about his or her appearance after a dorsal hump reduction.

(The root, bridge, middle, tip, sidewalls and base of the nose, and the nostrils form a complex, interlocking set of structures. Changes to one can affect the look and proportion of another, in the same way that removing or altering one note in a musical sequence can change the character of the composition.)

The surgeon’s task is to determine how much of the hump is attributable to excess bone and how much to excess cartilage.

There are instances when the experienced rhinoplasty specialist will conclude that it’s only the nasal bone that needs to be rasped, or sanded —or, alternately, that it’s just a portion of the upper nasal cartilage closest to the bone that needs to be shaved down.

More often, the offending hump crosses the boundary between bone and cartilage, and the surgeon will need to employ both techniques, sanding bone and shaving cartilage, to create a smooth and straight profile line from bridge to tip.

In consultation with a patient, Dr. Naderi uses sophisticated computer imaging to simulate the look of the nose after a rhinoplasty procedure such as a dorsal hump reduction.

As a specialist in rhinoplasty, Dr. Naderi is versed in these techniques and able to choose from among them to help create an attractive and natural-looking nose that complements the whole face.

It is this mixture of art and science, developed over years of successful practice, that Dr. Naderi brings to the work of creating beautiful and natural-looking noses.

Visit our photo gallery, where you’ll see pictures of our clients before and after rhinoplasty. To learn more about rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at (703) 481-0002 in Virginia or (301) 222-2020 in Maryland for a consultation today.

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It’s on the Tip of Your Nose

nose job by naderiIt’s bulbous. It’s dented. It’s too upturned. It’s droopy. It’s swollen. It’s crooked …

The tip of the nose is a sensitive point for a lot of people in our beauty-conscious age. And while it’s easy to exaggerate the issues a person might have with that most prominent of facial features, it’s also worth considering whether the concerns are valid and if tip rhinoplasty is a proper solution.

After the eyes, the tip of the nose is often the first facial feature to register with other people. If the nasal tip has a notable irregularity, or is oddly proportioned, it can be a distraction. You might feel that people aren’t looking into your eyes —their gazes are fixed on your nose.

The Foundation

Nasal tip architecture varies from person to person for more reasons than can be counted here. Type “nasal tip” into the search window of our website to get a sense of how much variation there is and how many different questions people raise about just that one small area of the face.

But assuming for now we’re not talking about an injury, genes play the biggest part in the tip’s shape and size —both of which can, and probably will, change over the course of a lifetime according to a person’s genetic inheritance.

Skin type, skin care, aging, and exposure to sun and the elements also figure into the equation. But the tip gets its core attributes from the lower lateral cartilage (LLC), left and right. These shaping and stabilizing elements begin at the base of the nose —beneath the strip of skin (known as the columella) between the nostrils —and extend forward to the tip.

From there, they branch left and right, situated above the nostrils and below the next set of cartilaginous tissues (known as the upper lateral cartilages) that connect to the nasal bone.

You can find a quick visual primer on nasal anatomy here.

Rhinoplasty Types

Tip rhinoplasty may call for shaving down lower LLC to reduce the tip, or grafting cartilage on to LLC to create a tip with greater prominence and definition. Either way, it is one of the most complex of rhinoplasties because the LLC are, to begin with, rarely if ever perfectly symmetrical. Accordingly, there are several rhinoplasty maneuvers for modifying the tip.

The medical literature on each is extensive. As a specialist in rhinoplasty, Dr. Naderi is versed in these techniques and able to choose from among them to help create an attractive and natural-looking nose that complements the whole face.

Visit our photo gallery, where you’ll see pictures of our clients before and after rhinoplasty. To learn more about rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at 703-481-0002 in Virginia or 301-222-2020 in Maryland for a consultation today.

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How Can You Mend a Broken Nose?

broken noseLet’s face it: The nose can be a magnet for mishaps. Like toes finding table legs and funny bones catching edges, the nose protrudes far enough to invite unplanned contact with solid objects. And while it’s a pretty sturdy piece of human hardware, there’s only so much impact a nose will abide from, say, swinging doors, tree limbs or the aforementioned flying elbow.

Unless you’re a stunt performer or martial arts professional, chances are you’ll want to have that important olfactory instrument looked at. Rhinoplasty, and an expert in those forms of nasal cosmetic surgery, can help. One of Dr. Naderi’s specialties is corrective, reconstructive work to set a nose right. Dr. Naderi can even improve on the look a person had before that unlucky break.

How Does It Work?

It may come as a bit of a jolt to learn that one solution to a broken nose is to break it again. Don’t panic: “Osteotomy,” the medical term for surgically fracturing or re-fracturing bones, is a normal, accepted and essential part of rhinoplasty.

Osteotomies in rhinoplasty are done for various reasons, from straightening of a nose to closing a gap following removal of a nasal hump. In its most basic form, the simple closed nasal reduction, a surgeon pushes the fractured nose back into place. This is the kind of procedure that might happen in an emergency room after an accident. Depending on the urgency and the circumstances, it may or may not be performed by a plastic surgeon using anesthesia.

In a specialized surgical practice, osteotomies happen more discretely (and yes, with anesthesia). The surgeon may use a small chisel — as small as 2mm to 4mm — to fracture nasal bones from inside the nostrils. Some surgeons prefer to approach nasal bones from outside and will create a small opening in the cheek to do so.

In some cases, a nose undergoing repair will need additional material to buttress it and restore its shape. Cartilage grafting to the bridge of the nose is one option — one that’s often employed for revision rhinoplasty of noses that were previously operated on but are still not quite right. Here, we’re getting into more advanced rhinoplasty techniques that most plastic surgeons do not feel comfortable performing, and where a rhinoplasty specialist focused on aesthetic nasal surgery is a patient’s best choice.

Is It Covered?

Most of the time insurers will pay for that simple closed nasal reduction performed right after a nasal fracture, but may not pay for a complete rhinoplasty later on.

The process involves coming in for a consultation and an examination by Dr. Naderi. The doctor issues a “pre-determination letter” to the insurance company stating his findings and a surgical plan of action. The insurance company decides from there. This can be a time-consuming and frustrating part of the process but the staff here is well trained to guide a patient through it to an outcome that allows everyone to focus on the goal: a great nose.

A skilled and experienced facial plastic surgeon chooses from a variety of techniques to ensure that the result fits the face perfectly and remains harmonious with a person’s features and appearance over time. It is this mixture of art and science, developed over years of successful practice that Dr. Naderi brings to the work of creating beautiful and natural-looking noses.

You can visit our online photo gallery to see examples of Dr. Naderi’s work. To learn more about injectable fillers, rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at (703) 481-0002 in Virginia or (301) 222-2020 in Maryland for a consultation today.

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There’s Something About My Nose

nose job ny naderiPeople considering a nose job come to a rhinoplasty specialist like Dr. Naderi with a variety of issues. There are so many aspects to a single nose, both visible to the naked eye and hidden beneath the nasal skin.

Shape, foundation, features, skin type, relationship to the whole face — a skilled and experienced rhinoplasty specialist works to balance all of these elements while addressing a patient’s specific concerns.

Questions that rhinoplasty candidates bring to Dr. Naderi are almost as varied as nose types. The responses posted here to some of the more frequent questions are not intended as substitutes for in-person consultation. But you may find that you share some of the same aesthetic issues.

Questions You Might Have for Your Surgeon

Can a nose job improve a small, turned-up, pixie-like nose?

Definitely. Some people are born “pixie” — with small, short upturned noses. (Others can end up with pug noses from an over-aggressive, botched surgery.) The pixie upturn can be tamed with a lengthening of the nose, which is achieved using various cartilage graft techniques.

Can a nose job fix crookedness at the tip of the nose, and why does this crookedness occur?

An examination of the nose is critical to making any judgment about the reason for a crooked tip. But most likely it is due to: asymmetry between the lower lateral cartilages (which extend out from the septal cartilage at the bottom of the nose and curl around the nostrils); a crooked septum; skin and nostril asymmetries; or some combination of these.  Significant improvements through rhinoplasty or septorhinoplasty can be made, although perfect symmetry is often unrealistic.

My nose is too droopy, especially in the tip. I’m Middle Eastern and I would like to know how you would fix this without making me look too Westernized.

“Westernized” is too broad of a term. Middle Easterners are Caucasian by and large; therefore a Middle Eastern patient’s face may already look “Western” despite a large or droopy nose. The concern here is a fake-looking nose or one that looks unnatural. Well-balanced rhinoplasty results should eliminate this worry.

Depending on other features — eyes, eyebrows, cheeks, lips, skin color — you may end up looking Italian, Spanish, French, Belgian or Middle Eastern. But still natural, and not fake.

I feel like my nose has changed as I’ve gotten older. I’ve heard of noses drooping with age, but I seem to have grown a hump that I never had before. Can rhinoplasty fix this?

Rhinoplasty in older patients can be very rewarding and can bring youth and rejuvenation and balance back to the face. If the tip droops and the skin thins out, humps may appear — especially if you lose volume from your face and cheeks, which can in turn make the nose appear proportionately larger. A good rhinoplasty in an older patient can give the illusion of a facelift!

The tip of my nose is too round and ball-like. Can this be fixed with a nose job? Will the rest of my nose be left untouched?

Tip cartilages can be modified with tip rhinoplasty to make the nose less round or less ball-like. If the rest of your nose is fine, it can be left alone. But if it turns out you also need bridge work, then just doing the tip makes little sense.

Can you make my nose look like a photo of one I find?

No! Your nose is not a solid structure, like a block of granite or a bar of soap, to be sculpted into anything that fits within its original dimensions.

The nose is made up of thin films of cartilage and bone with overlying skin, and each patient has a different anatomy. Each patient also heals differently, with different amount of scar tissue. Given all that, recreating someone else’s nose becomes unrealistic.

However, bringing in a picture of a nose you like, or even a nose you don’t like, is welcome. It will help the doctor understand your aesthetic taste and your goals.

Contact the doctor at (701) 481-0002 at his Herndon, VA office, or (301) 222-2020 to reach the Chevy Chase, MD office.


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Nostril Alterations: The Effects on the Nose and Face

nose profileWhile many prospective rhinoplasty patients seek to change the look of the nose, there are certain areas on which they tend to focus.

The width of the nose is one prime area of dissatisfaction, since, when one looks in a mirror, the first thing they see is the front of the face. The excessive space a nose may take up is very apparent from this frontal view.

Other patients use the mirror trick and view the nose from multiple angles before deciding how they think it should look. Typically, this can be accomplished by holding a hand held mirror in front of one’s face while positioning oneself slightly angled in front of another mirror.

This allows a person to see the look of the nose as others may view it, such as from the side. If a person has a dorsal hump or too much height to his or her nasal bridge, this can help inspire its correction. Additionally, a prospective patient can view the length of the nose to determine if it should be shortened.

Another way the nose can be altered is at its tip. The shape may be prominent, bulbous, or unrefined. Patients seeing Dr. Naderi for a secondary or revision rhinoplasty may agree to have him remove materials from this area, or add patient-donated implant material to shape this part of the nose.

At the sides of the nasal tip are the nostrils, a part of the nose that’s often ignored by patients. The nostrils are typically the widest area of the nose, positioned to either side of the facial feature and appearing as a visually defining point.

The position of these airway openings serve as the base of the nose that help to shape the structure as a whole.

If too widely set, the nostrils can cause the nose to appear larger as a whole. Even if the bridge is thin and the rest of the nose appears aesthetically pleasing, these two parts of the nose can make its base appear prominent. The nostrils are not only relative to the many aspects of the nose; they can also impact the way other areas of the face look.

Because the nostrils are often aligned with the apples of the cheeks, or the most rounded area of the face, they can affect the midface. Wide set nostrils can draw the cheeks downward, while thinner nostrils have the opposite effect.

In addition to affecting the middle region of the face, the nostrils can also impact the relationship between the nose and lips. Highly visible nostrils will cause the lips to appear small while small nostrils can increase the look of the pout.

The columella, or area of skin dividing the two nostrils is also a key component to the look of the nose and overall face.

A large divider can detract from the size and shape of the upper lip, while a less obvious columella will enhance the mouth area. From a side profile view, a large columella may make the nose appear longer or larger than it is.

Dr. Naderi of the Naderi Center for Rhinoplasty and Cosmetic Surgery is an expert in the art of rhinoplasty. The doctor is skilled in alteration of the nostrils and the entire remaining structure of the nose. Dr. Shervin Naderi specializes in:

  • Rhiniplasty
  • Revision rhinoplasty
  • Septoplasty (also called functional rhinoplasty)
  • Reconstruction

Contact the doctor at (701) 481-0002 at his Herndon, VA office, or (301) 222-2020 to reach the Chevy Chase, MD office.

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Plastic Surgery: Don’t Bargain with Your Looks

Being Careful with Finances Should Not Mean Risking Your Health

horrible plastic surgeryIt is no secret that we are currently living in a country with a struggling economy. In response to hardships, Americans have learned to live a good life on less.

Rather than buy pre-packaged meals and products for convenience, people make their own goods at home as a way to save. Household cleaners, food from scratch, and even clothing can be created easily from those who take the time to learn these skills.

Couponing and bargain hunting have become staples of our modern culture. When consumers grow accustomed to paying discount prices for regular items, they also expect deals on luxury items and services, such as cosmetic procedures.

While surgeons with new practices may offer specials to attract a clientele, more established doctors may cut corners to perform procedures at an inexpensive rate. However, the aesthetic results will be less pleasing.

Why Potential Patients Should Research a Plastic Surgeon

In addition to qualified doctors performing cosmetic procedures cheaply, unqualified individuals may also prey on those with smaller budgets to promote an illegal business.

People with little or no medical qualifications may obtain injectable fillers or create their own — or even attempt to perform more invasive procedures on victims seeking aesthetic correction.

These fake practitioners are often unaware of the dangers of their work, and may not fully understand the importance of hygiene in a medical environment. They are also often unfamiliar with facial anatomy, and can cause deformities on one’s face — or even more serious issues that go beyond the skin to affect vital body parts like the eyes, nose, and mouth.

News and entertainment websites commonly report on stories of botched plastic surgeries. Patients who have suffered at the hands of an unqualified or non-licensed practitioner sometimes speak out and offer advice to others in hopes that their stories can prevent others from making the same mistakes, even though for them it’s already too late.

It is recommended that potential patients of someone offering cosmetic treatments read reviews of the person’s work. The patient should confirm the practitioner is a licensed surgeon, able to perform the available procedures, and has a proven, legitimate practice and website and patient base reflective of this.

Selecting a Facial Plastic Surgeon

It is essential that people understand that while there are numerous cheap, cost-effective alternatives to more costly ways to live, bargain hunting in the field of plastic surgery simply is not a risk one should take. While doctors may offer competitive pricing, an extremely low rate can be indicative of a non-specialist attempting to enter the field of facial plastics.

Facial plastic surgeons train in the fields of science, medicine, and aesthetics for years. These doctors are placed in environments that allow specialty practices and hours of supervised surgeries before they are qualified for facial cosmetic procedures.

Each patient seeks the best possible care, and can enjoy excellent results by understanding that board certification are of the utmost importance when seeking aesthetic care. In addition to meeting qualifications to earn a certification, a doctor should also perform plastic surgery on either the face or body, but not both.

Dr. Shervin Naderi is a board-certified facial plastic and reconstructive surgeon with a practice almost solely dedicated to rhinoplasty and revision rhinoplasty surgery. Known as the “Nose Man,” Dr. Naderi is unique in that he offers the specialty practice of cosmetic and functional operation of the nose.

The doctor’s office is located in Northern Virginia, just a half hour from Washington D.C. Contact the doctor at (703) 481-0002 for the Herndon, VA office, or (301) 222-2020 for the Chevy Chase, MD location for the following procedures:

  • Rhinoplasty
  • Revision Rhinoplasty
  • Reconstructive Rhinoplasty
  • Septoplasty
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How a Reconstructive Rhinoplasty Surgeon Can Benefit You

The aftermath of a facial trauma can serve as a glaring reminder to an ordeal a person once faced. In some cases the trauma is strictly physical, but other times it is also psychological. Skin cancer can devastate a person’s health and finances, while also serving as a reminder to one’s own mortality.

Car accidents can also leave long term marks on the face, as this area of the body is especially vulnerable to damage from shattered glass. Some people may feel their looks are compromised after a wreck, and suffer from low self-esteem.

Another especially sensitive reminder is the mark left by an abuser. Not only do victims want to recover from a physical injury to the face, but they must also restore their confidence.

Reconstruction of the Nose

While many different areas of the face can be affected by a facial trauma, the nose is especially susceptible to harm. It is located in the central region of the face, and protrudes from the main plane that the rest of the features sit on. The location and position of the nose can also lead to feelings of discomfort when the look of the nose is compromised.

Skin Cancer Surgery

During a skin cancer reconstruction where lesions are removed from the skin, the surgery affects multiple layers of tissues. It is necessary for the patient’s health that any traces of the disease be eliminated from the body entirely. Sun damage tends to affect the nose more readily than other areas of the face because it is a protuberance.

There are a number of ways to reconstruct the nose when its integrity is affected by a necessary surgery.

Patient-donated cartilage and bone can reshape the interior of the structure, while tissue grafts can replace any that have been excised away.

If the doctor is unable to use harvested materials, it may be necessary to insert small implants made of animal compatible or synthetic material.

Accidents and Facial Trauma

When the nose is impacted, there are a number of changes that can take place. Initially, the tissues will swell, and later may develop scar tissue within the interior and on the exterior of the nose.

The nasal bones can break, and make the nose look permanently crooked. This type of injury can also produce internal changes that alter the functionality of the nose, such as a deviated septum.

The irregularity affects the air intake through one or both nostrils of the nose, and should be fixed for medical reasons. A deviated septum can lead to chronic sinus infections and regular headaches, not to mention uncomfortable breathing. Through a septoplasty or functional rhinoplasty, the doctor can typically fix this issue during a single surgery.

Other Reconstructive Rhinoplasty Procedures

Some patients undergo reconstructive rhinoplasty due to a prior unsatisfactory nose surgery. If a doctor’s technique created an abundance of scar tissue, it may need to be surgically removed.

Less skilled surgeons, or those who do not specialize in facial plastics, may perform overly aggressive rhinoplasty surgeries where too much tissue is removed. The nose may need to be rebuilt internally to restore normalcy to the feature.

Congenital irregularities can also be treated during a reconstructive surgery. Different areas of the nose may not have fully formed, or may have formed improperly. Even if the nose is not directly affected by a condition such as cleft palate, it may be abnormally shaped nonetheless.

The Reconstructive Rhinoplasty Consultation

Those who may be candidates for surgery are interested in fixing some aspect of the nose that has been damaged, or was abnormally shaped from birth.

Facial plastic surgeons are experts in facial anatomy, and the many ways the nose can be treated to increase its functionality and overall look. If a patient has specific aesthetic desires, the doctor may be able to meet those needs through rhinoplasty.

Many reconstructive rhinoplasty patients have seen prior doctors for issues relating to the nose, and can bring along those medical records for the most thorough appointment possible.

When the doctor has a clear picture of the patient’s issues, he can formulate a treatment plan to suit his or her specific needs. Traditional rhinoplasty is not thought of as a one-size-fits-all procedure, and reconstructive rhinoplasty becomes an even more distinctive procedure from one patient to the next.

Other Aspects of Reconstructive Rhinoplasty

While surgery is the most common method to treat issues of the nose, the doctor may add additional treatments into the patient care plan. In certain cases, scar tissue may not be able to be fully treated through excision due to blood vessels that supply the tissue with vital nutrients. Steroid injections may be a viable solution to be used in conjunction with surgery.

Injectable fillers can also be performed with a reconstructive rhinoplasty. Once the nose has healed, divots in the skin that could not be altered through rhinoplasty or do not warrant a second operation, can be plumped. Dermal injections can pad the area below the skin so the outer appearance is smooth and uniform.

Choosing Shervin Naderi, MD, FACS for Reconstructive Rhinoplasty

While there are many plastic surgeons to visit in the Washington DC area, few specialize in facial plastic surgery and even fewer dedicate the majority of their practices to one specialty surgery.

While Dr. Naderi performs other surgeries of the face, he is most sought after for the role of rhinoplasty expert. Dr. Naderi performs a higher volume of the surgeries than other plastic surgeons, and on a more frequent basis.

The doctor has experience with a wide array of nasal anatomies and different situations that can arise. Dr. Naderi is trusted to perform surgeries on patients from all over the world, and often correct the work of other doctors in revision rhinoplasty procedures.

Contact Dr. Naderi’s Herndon, Virginia office at (703) 481-0002, or the Chevy Chase, Maryland (301) 222-2020, or via the doctor’s Patient Contact Form to schedule a consultation for any of the following surgeries:

  • Primary Rhinoplasty
  • Secondary or Revision rhinoplasty
  • Reconstructive Rhinoplasty
  • Septoplasty
  • Reduction Rhinoplasty
  • Refinement Rhinoplasty
  • Ethnic Rhinoplasty
  • Adolescent Rhinoplasty
  • Aging Rhinoplasty
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Three Reasons Why Revision Rhinoplasty May be Necessary

my nose job revisionRhinoplasty, or cosmetic nose surgery, is considered the most difficult facial plastic surgery to perform. Even experienced surgeons’ work may result in a less-than-satisfactory outcome. Read on to learn about some top reasons why a revision rhinoplasty may be the patient’s best option.

Revision Rhinoplasty Reason Number One: The Results Were Not as Expected

When surgical alterations of the nose do not meet a patient’s expectations, he or she may ask for a redo. Outdated surgical techniques or a lack of experience can lead to a number of complications, including poor aesthetic results.

In other cases, the patient may not have effectively communicated their desires to the doctor, and therefore felt unhappy with the final look of the nose. Some patients enter the rhinoplasty process with expectations that are not in line with the doctor’s expectations. In many cases, secondary rhinoplasty is performed by a plastic surgery specialist other than the first.

Revision Rhinoplasty Reason Number Two: Issues Arise During the Healing Process

Following the surgery, the patient may experience a number of issues either related or unrelated to the rhinoplasty itself. Infection trauma or trauma to the nose can cause structural changes that must be re-modified through another nasal surgery.

The nose may also develop excessive scar tissue, or an internal shape that is not conducive with clear breathing. While no one wishes to undergo rhinoplasty a second time, in many cases it can be very beneficial for the patient’s long term health and happiness.

Revision Rhinoplasty Reason Number Three: Changing Beauty Ideals

Rhinoplasty patients often have a clear idea of the changes they would like to see in their nose to appear more attractive. Through the use of imaging software that captures the simulated look of the nose before and after the potential fixes, patients can view results before they are materialized.

Even with these extra measures available to ensure patient satisfaction, some have an evolving ideal of what constitutes beauty. While surgeries should not be performed numerous times to fulfill this need, a secondary rhinoplasty may be fine.

Shervin Naderi, MD, FACS is a rhinoplasty specialist located in the Washington DC area. The doctor is attentive to patients’ needs for a fully functioning feature as well as cosmetic preferences. The doctor is known for the following procedues:

  • Rhinoplasty
  • Revision Rhinoplasty
  • Reconstructive Rhinoplasty
  • Septoplasty

You can contact Naderi at his Herndon, VA office location at (703) 481-0002, or Chevy Chase, MD location at (301) 222-2020.

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Why Septal Repair May Benefit You

septal noseMost individuals – approximately 80% – are thought to experience some type of nasal septal issue.

The nasal septum is the divider composed of bone and cartilage that separates the nose into two separate airways.

Each nostril serves as the air intake for one side of the septum. When this passageway is compromised by a deviated or crooked septum, breathing is difficult.



A deviated septum can cause the following issues:

  • Recurring sinus infections
  • Postnasal drip
  • Nosebleeds
  • Facial tenderness
  • Headaches
  • Noisy breathing
  • Snoring
  • Sleep Apnea

We understand symmetry to be important in our external anatomy, especially for the physical function of body parts and attractiveness. However, when the interior of our important facial anatomy is askew, it may be unnoticeable until it poses one of the above issues. Comfortable breathing is effective breathing, and it is important to human health.

When one of the nostrils is more functional than the other, regular mucus that is meant to moisten and protect the nose can accumulate and lead to sinus infections. Warm, moist environments serve as the ideal breeding ground for bacteria, which get trapped in the sinus cavities and proliferate, or multiply. Sinus blockage may drain down the back of the throat, causing post nasal drip and pain of the face and head.

While snoring may lead to interrupted sleep for those with a deviated septum, it is especially difficult for others to sleep. This may lead to couples sleeping in separate rooms, or the snorer far removed from those who continually wake up due to the sound. In more serious cases, sufferers will experience sleep apnea.

This is a serious condition where a person stops breathing for periods of time during sleep. Special machinery can be worn during bedtime, but a more permanent solution is to undergo septoplasty, or the procedure to repair a deviated septum.

Because septoplasty is performed due to medical necessity, patient insurance plans typically cover a large portion or the total cost of the surgery. Patients may elect to have cosmetic work performed during the procedure, adding rhinoplasty to their septoplasty, which may cost them extra as cosmetic work is not covered under these plans. The combined surgeries may be referred to as septorhinoplasty.

Dr. Naderi is a skilled rhinoplasty specialist in the Washington, D.C. area. Expertly trained in facial anatomy, the doctor can treat both the function and form of patients’ noses. Contact Dr. Naderi’s office in Herndon, VA, at (703) 481

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Find out more about Dr. Naderi:
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"I can not thank Dr. Naderi enough. Beginning to end he is a master visionary that actually can do what he promises for you"
Janice Alexander, Chevy Chase
Bethesda Magazine 2011
Best Surgeon
Sometimes I know the best way to help a person is to talk them out of surgery they don't need, Naderi says.
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Dr. Naderi went on to train above and beyond completing a fully accredited fellowship in Facial Plastic & Reconstructive Surgery with Dr. Stephen W. Perkins, one of the world's top cosmetic Facial Plastic & Rhinoplasty Surgeons and a past president of the American Academy of Facial
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Plastic Surgeon Dr. Shervin Naderi is a member of an exclusive & highly specialized group of Board Certified Facial Plastic Surgeons who have dedicated their surgical practice and expertise to helping those who are looking to improve their appearance and quality of life
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  • New Beauty 2012
  • Capitol File 2011
  • New Beauty 2011
  • New Beauty 2010
  • Northern Virginia 2011
  • Best of Bethesda 2011
  • GO Loudoun 2006
Dr. Naderi is exclusively a face specialist.
He is a clinical instructor for Allergan and Medicis, in addition to having his own courses teaching other Dermatologists and doctors how to properly inject Botox/Dysport and Dermal Fillers.
*Rhinoplasty is surgery and all surgeries have potentially significant life threatening risks but when performed by a specialist in the proper settings, the risks are reduced.
© 2014, The Naderi Center for Rhinoplasty & Cosmetic Surgery. All Rights Reserved.
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