It is a well-known and accepted fact amongst Plastic Surgeons that Rhinoplasty is the most complex and elegant of all Cosmetic Surgery operations. In fact some Top Board Certified Plastic Surgeons will not perform nose jobs and will refer the Rhinoplasty patient to a specialist. What may seem as a “simple hump removal” or a “simple tip refinement” is often a series of very precise surgical maneuvers that can easily be misjudged and over-corrected or under-corrected by the novice Plastic Surgeon. Rhinoplasty is an operation of millimeters or fractions thereof. It is a three dimensional cosmetic surgery that can also affect the function of the nose – breathing. It is purely and simply an operation that takes the utmost skill, artistry and comprehension of the nasal anatomy. Furthermore, the results of a nose job are on display in the middle of your face and continue to modify and change for years. It is in your best interest to understand your own nose and participate in the consultation dialogue with your Plastic Surgeon. You need to be able to choose the correct specialist to trust your nose to, in order to get the best possible results and minimize chances for Revision Rhinoplasty. Dr. Naderi created this website after many years of witnessing how so many irresponsible Plastic Surgeons have adversely affected the lives of hundreds of patients by undertaking an operation they barely understood and have not mastered. He has seen so many patients who had disastrous Rhinoplasty results who now need major Revision Rhinoplasty. Often times these patients had fairly decent noses to start with and required a finesse Rhinoplasty but ended up with major anatomic distortions, emotional devastation, and financial depletion. While no one can guarantee a “perfect” outcome due to the healing nature of Rhinoplasty, many of the errors committed by the average Plastic Surgeon during Rhinoplasty is avoidable. The more you know, the better your chances for choosing the correct Rhinoplasty Surgeon.
Choosing A Specialist
- Nasal Analysis & Anatomy
- Grafts & Sutures In Rhinoplasty
- Thin Skinned vs Thick Skinned Rhinoplasty
- Augmentative & Reductive Rhinoplasty
- Complications in Rhinoplasty
- Cost and Role of Insurance in Nasal Reshaping
- Best Age for Rhinoplasty
- Anesthesia Options
- Psychological Issues
- Computer Imaging and Rhinoplasty Consultation
- Board Certification and Specialization
- Down-time, Healing & Facts
Welcome to one of the most comprehensive, scientific and unbiased Rhinoplasty information sources online. This is our original “Online Textbook of Rhinoplasty & Revision Rhinoplasty.” Here, you will learn about the specific anatomy of your nose, as well as about your various Rhinoplasty surgical options. You will learn about benefits as well as risks of Rhinoplasty without any “sales or marketing pitch.” Most importantly, you will read first-hand, “Dr. Naderi’s straight talk.” This is where you will hear it like it is from the doctor with the global reputation for honesty, compassion and directness. You will be able to use the information on this site during your search for a Rhinoplasty specialist, no matter where you live, to help with your decision making process and increase your chances for a successful outcome. Planning to undergo elective nasal surgery can be overwhelming and our goal is to provide you with plenty of research tools and information.
This Rhinoplasty website is your guide to a complete and better understanding of your own particular nose type and your realistic available options. Using the specific information here, as it relates to your own unique nose, you will be able to have a more productive dialogue with your own Rhinoplasty Plastic Surgeon, wherever you live. Active participation in the decision making process will unveil the mystery of Rhinoplasty and increase your chances for a satisfactory post-Rhinoplasty outcome. This website has helped countless patients in their research and planning towards a successful Rhinoplasty surgery.
Dr. Naderi’s elegant and easy to comprehend teaching style will allow you to learn all about Rhinoplasty, as related to different ages, sexes, ethnicities and nose types. For years, Dr. Naderi has instructed other surgeons as well as informed his many happy patients, and now the information is gathered collectively on this comprehensive Rhinoplasty website. Patients from all over the United States and the world come to see Dr. Naderi each year for Rhinoplasty evaluation. Now you can start the process from the comfort of your own home or office.
Surgical anatomy of the nose is outlined using original and copy write diagrams and artwork. Endonasal or Closed (scar-less) Rhinoplasty and External or Open Rhinoplasty are discussed in length. Different types of cartilage and fascia grafts, as well as sutures, are detailed and illustrated. The surgery of “nose reshaping” and its potential limitations and complications are clarified and classified. The more you know, the higher your chances of being happy after a Rhinoplasty. The more informed you become, you will increase your chances of choosing the correct kind of nasal reshaping surgery and the best Rhinoplasty Plastic Surgeon. Dr. Naderi outlines the key factors for men and women of all ages. Different aspects of white, black, hispanic, middle-eastern and asian Rhinoplasty are addressed. Important issues to consider for thick-skinned and thin-skinned patients are outlined. Primary and Revision Rhinoplasty are distinguished and highlighted. Boxy nasal tips, bulbous nasal tips, “meaty nose tips,” asymmetric tips and their variations are covered. Techniques for increasing as well as decreasing nasal length in Rhinoplasty are discussed. Rhinoplasty for droopy nasal tips as well as tips that are too upturned or over-rotated are covered. Crooked and twisted noses are addressed. Surgery for the septum and turbinates to improve breathing and decrease nasal airway obstruction are covered during Rhinoplasty. Nasal bumps or humps as well as saddle noses are outlined. Importance of computer imaging is stressed. Different types of Anesthesia for Rhinoplasty are outlined with their benefits and risks. Even “Nonsurgical Rhinoplasty” is discussed and the ideal patient for non surgical Rhinoplasty is clarified. And finally a range for Rhinoplasty cost across the country as well as the possible role for insurance is covered. You will gain the know-how and the vocabulary to better understand your options and better discuss your surgery with you own Plastic Surgeon. This website has the information you need to know before you undergo any Rhinoplasty or Revision Rhinoplasty surgery. Please read it carefully and feel free to bookmark it and use it as a reference throughout your pre and post operative course.
More importantly, it is well known and published that medical education and surgical training in Rhinoplasty is sorely inadequate in the vast majority of Plastic Surgery residencies across the country. Furthermore, most Plastic Surgeons perform too few Rhinoplasty operations to be able to perform this intricate and complex surgery adequately and consistently. While after performing only a 100 of any surgery nearly guarantees consistent great results, the same is not true even after performing 10,000 Rhinoplasties. Unique variations in patient healing is what makes Rhinoplasty such a complex operation. But good surgical technique can increase the chances for success significantly. Many surgeons have been using the same old improper techniques for many years due to this lack of initial training. This website gives medical students, Plastic Surgery residents, Cosmetic Surgery fellows and practicing Plastic Surgeons the opportunity to re-educate and refresh their knowledge base in the proper and safe techniques of successful Rhinoplasty and Revision Rhinoplasty. While certain post-op results are completely out of the hands of the surgeon and are ultimately due to each patient’s healing forces, other “infamous” post-op results such as the late Michael Jackson’s nose, are not due to patient healing, but rather due to poor surgical judgment and improper technique.
Whether you are curious about a Rhinoplasty, are looking to get a Rhinoplasty or have already faced the disappointment of an unsuccessful Rhinoplasty, you can learn more about your own nose and your nose’s possibilities as well as limitations. Many times patients undergo Rhinoplasty without completely understanding their own unique nasal features as well as surgical options and end up trusting inexperienced plastic surgeons only to end up disappointed when the cast is removed. The goal is for each Rhinoplasty patient to be completely familiar with the anatomy of the nose as well as the different aspects of the nose that make each nose and each Rhinoplasty unique. Surgical maneuvers are thoroughly discussed and illustrated in simple to understand but comprehensive terms. This website will be your guide and your reference source throughout your search, whether you live in Washington DC, Chevy Chase Maryland, Fairfax Virginia, Los Angeles, Beverly Hills, Miami, New York, Canada, Europe, Asia or anywhere else, as long as you have access to the internet.
Dr. Shervin Naderi is a double Board Certified Facial Plastic Surgeon, and more specifically, a Rhinoplasty Specialist Surgeon. Rhinoplasty and Revision Rhinoplasty make up well over 90% of Dr. Naderi’s busy surgical practice. He has authored major textbook chapters on the topic of Revision Rhinoplasty and now he has translated his work into easy to understand terms for the general population, as well as other Plastic Surgeons trying to better understand Rhinoplasty. He has taken the mystery out of Rhinoplasty and broken it down to simple, clear facts, pearls and illustrations.
Dr. Naderi is an effective and passionate educator and teacher. He has instructed surgical residents the proper techniques of Rhinoplasty. More importantly, he enjoys taking time to educate his many patients so that they may be able to make the best decision regarding their nose and their surgery. Dr. Naderi’s patients come to him from all over the United States, Canada, Asia, & Europe as well as locally referred by other Plastic Surgeon in Washington DC, Chevy Chase Maryland and Northern Virginia. Dr. Naderi is also a Board Examiner for the American Board of Facial Plastic & Reconstructive Surgery. His offices are located in the greater Washington DC area in Northern Virginia, Fairfax County, just minutes from the popular Reston Town Center, in addition to an office located in the heart of Chevy Chase, on the border of Maryland and Washington D.C., in Montgomery County adjacent to Bethesda, Maryland.
So why should you do so much research before going through a Rhinoplasty? Because Rhinoplasty is the most complex and intricate operation in all of cosmetic surgery. Many Plastic Surgeons are very competent at doing liposuction or breast augmentation or tummy tucks or even face lifts. Yet it is well known that Rhinoplasty is done poorly by many Plastic Surgeons due to various factors outlined on this website.
Rhinoplasty is by far the most unique surgical procedure in all of plastic and cosmetic surgery. Rhinoplasty is an operation requiring a focused plastic surgeon with precise skill, meticulous attention to details, artistic sense and scientific knowledge of the nose. Rhinoplasty requires a surgeon with extensive specialized training, unique anatomic understanding and a lifelong dedication to this one and only operation.
“A Rhinoplasty Surgeon is not a ‘jack of all trades’ but rather a ‘master of one!'”
HERE ARE SOME FACTS ABOUT RHINOPLASTY:
The nose sits in the central portion of the face and plays a crucial role in balancing the entire face. A “nose that fits” enhances the beauty of the eyes and intrigue of the lips, but a disproportionate nose distracts attention away from the eyes and lips. Therefore “a successful Rhinoplasty is seen in the eyes.”
- Actual African American Rhinoplasty patient of Dr. Naderi before and after Rhinoplasty showing more definition of the bridge and more proportional nostril size.
Rhinoplasty is unique amongst plastic surgery operations because changing a few millimeters makes a significant impact on the outcome, even years later. The same is not true with facelifts, breast augmentation, tummy tucks or liposuction. It is extremely important to demonstrate to patients, using digital computer imaging, how a bridge that is slightly higher or lower can make the nose and face look significantly different. A few millimeters can be the difference between a refined, beautiful nose or a fake-looking, unattractive nose.
The external nose (skin, cartilages, bones, and soft tissue) and the internal septum are intimately connected. A Rhinoplasty Surgeon must be well versed in the cosmetic and functional surgery of the nose. The internal framework or septum is the support structure for the external nose. Most Rhinoplasty Surgeons are exclusive Facial Plastic Surgeons with a background in ENT surgery as well as further specialization in Plastic Surgery of the face, head and neck. There are some exceptional general Plastic Surgeons as well who have taken it upon themselves to educate and dedicate their careers to this one complex structure and operation. “It is amazing hearing from countless patients how often they visited a plastic surgeon who offered to do a rhinoplasty for them but never took the time to look inside their nose!”
Rhinoplasty is the only 3-dimensional operation of millimeters! Changing one view or aspect of the nose will affect the other views. A Rhinoplasty Specialist Surgeon has the thorough understanding and tools to be able to predict and correct such changes. Rhinoplasty is not a “cookie cutter” operation. Each nose has to fit each face. Each Rhinoplasty surgery is individualized for the best outcome.
The nose continues to mold and change after a Rhinoplasty. This process takes years. Although patients can enjoy their new nose as soon as 7 to 10 days after their nose job and will often look completely healed and beautiful at 1-3 months post Rhinoplasty, the nose continues to mold even years later. The nose after a Rhinoplasty has to be able to withstand the changes in scar tissue maturation and healing forces, in order to maintain beautiful results years after the Rhinoplasty.
There is an unacceptably high rate of Revision, after a Rhinoplasty, around the world, due to a combination of factors. These include inadequate pre-operative patient-doctor communication, neglect of computer imaging, poor surgical technique, unrealistic goals and expectations as well as unpredictable healing post Rhinoplasty. The more you know about your nose, the higher the likelihood for finding the best Rhinoplasty Surgeon and ending up happy and satisfied. Sometimes, this may involve being talked out of a Rhinoplasty. Your surgeon must be able to take the time and interest to discuss all of your options including avoiding surgery if it is not in your best interest. Your surgeon must put your interest and safety above all else. Dr. Naderi is famous for his compassion and for taking the time to educate and talk up to 20% of his patients out of an unnecessary rhinoplasty or revision rhinoplasty. Patients trust Dr. Naderi’s skill and expertise but even more so, they trust his judgment and trust him as a caring physician and genuine doctor.
Why Rhinoplasty Surgeon?
There is little doubt amongst prominent Plastic Surgeons that Rhinoplasty represents a unique surgical sub-specialty and an entity different from any other sub-specialty of cosmetic or plastic surgery. As such, many Plastic Surgeons wisely decide not to perform or offer Rhinoplasty in their practices and choose to refer patients seeking nasal reshaping surgery to the experts in this field. Other Plastic Surgeons who perform mostly body or facial procedures with occasional Rhinoplasties end up with less than stellar results and unfortunately lead to creation and the necessity for the field of Revision Rhinoplasty surgery.
The nasal anatomy and physiology is distinct from other surgical areas within Plastic Surgery. The nasal skin and soft tissue envelope is intimately connected to the underlying cartilage and bony frame-work which in turn is connected to the deeper structures such as the nasal septum. A true Rhinoplasty surgeon must understand all of these relationships and be comfortable with all aspects of nasal anatomy and surgery.
Rhinoplasty is an operation of fractions of millimeters. The nose does not forgive errors or poor surgical technique and although initial swelling after a Rhinoplasty may disguise such errors, these issues will eventually separate the true Rhinoplasty surgeon? work from the Plastic Surgeon performing occasional Rhinoplasties.
Unlike most other cosmetic surgical procedures where the final results are reached at about 3 months or so, in Rhinoplasty the final results are not evident for up to a year or more. Furthermore, the operated nose will continue to mold and shrink-wrap and modify throughout a patient?s lifetime and pictures taken at 1 year, 10 year and 20 years post-op will clearly depict such changes. As such, it is crucial for the Rhinoplasty surgeon to have the knowledge and wisdom to understand what each and every surgical maneuver can do not only a week down the line but 20 years later.
The nose is a three-dimensional (3D) structure much like a building. Any change in one view will inevitably result in changes in the other views of the nose. A true Rhinoplasty surgeon understands this fact and approaches the nose as a whole and devises the best possible surgery for the best aesthetic, cosmetic and functional results. The key to a natural, safe and beautiful post-operative nose is seeking a true nose expert. Dr. Naderi is such an expert with over 80% of his practice dedicated to Rhinoplasty and Revision Rhinoplasty in Northern Virginia, just outside of Washington DC and Maryland.