212-828-9906 110E. 87th St. New York, NY 10128
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212-828-9906 110E. 87th St. New York, NY 10128

Rhinoplasty Specialist NYC

Step by Step Guide to Your Rhinoplasty Procedure

When it comes to your appearance, the face is one of the most crucial components to what makes you, you. Even the smallest of alterations can lead to a vastly different look – leading to an aesthetic far different from the one you have had your entire life. When people see us from the outside, our facial features are the most definable characteristics we have and acting as the centerpiece of our face, the nose is the most identifiable of these characteristics. For many of us, the nose can be a point of contention; having a nose that is too big or asymmetrical, can drown out or overpower our other features – even causing distortion with the shape and placement of our eyes, ears, mouth, and chin. The look of our nose is mainly a genetic factor, and things like ethnicity play a key role, as individuals from certain backgrounds are more likely to have larger noses or wider nostrils, and in many cases a nasal bridge with noticeable bumps or depressions. This is the main reason why the rhinoplasty or nose job, has become the most popular form of facial plastic surgery around today. As the top rhinoplasty specialist, NYC has to offer, Dr. Richard Swift has performed countless nose jobs throughout the years, for patients who have given a variety of reasons for wanting to go ‘under the knife’. From cosmetic reasons, like the size, shape, and symmetry, to functional reasons like difficulty breathing, blockages, and even as a result of an accident, injury, or trauma – the rhinoplasty has helped countless patients improve their nose, as well as their overall aesthetic. Despite the popularity of the procedure, few of us truly know what goes into a rhinoplasty. Being the foremost rhinoplasty specialist NYC has in practice, Dr. Swift focuses on a few specific alterations that go into the procedure. A nose job can change the overall size of the nose, the width of the nose bridge, the size, and positioning of the nostrils, as well as the look of the profile – altering any humps or depressions along the bridge. Considered to be the top rhinoplasty specialist NYC has in practice, Dr. Swift provides us with a basic outline of the rhinoplasty procedure.


The first and some would argue the most important step to the rhinoplasty, and most other surgical enhancement procedures is the consultation. During your consultation, Dr. Swift will examine your nose thoroughly, inside and out, in order to properly gauge your candidacy for such a procedure. This includes taking pictures at various angles and showing you examples of what you would like to achieve from your specific procedure. In addition, he will go through the current issues you are having with your nose, whether they be aesthetic issues involving the appearance or structural issues that are impeding proper breathing or function. He will work with you to properly plan your procedure, depending on your specific wants and needs. This can include things like slimming the nasal bridge, narrowing or widening the nostrils, removing any bumps or depressions in the bridge, making it more symmetrical, altering the position, and reducing its overall size. You will also go through any pre-procedural notes or tips.

The Rhinoplasty Procedure

For the most part, the rhinoplasty is an outpatient procedure, taking place in either a hospital or surgical room. Depending on your specific procedure, the length of the procedure can vary greatly, from as quick as an hour, to over 4 hours. This also depends on whether you are getting a nose job for the first time, or if this is a revision procedure done to correct a previously “botched” nose job. Dr. Swift, being the top rhinoplasty specialist NYC has to offer, gets a number of requests to perform revision rhinoplasty, correcting the work for an unhappy patient. While there are a number of intricacies that go into the procedure, it can be broken down into 4 general steps.

Anesthesia: Depending on your specific procedure, and your needs, the procedure is performed using local anesthesia or general anesthesia. Most often, a revision rhinoplasty requires general anesthesia, as it might be far more invasive. Once the anesthesia is administered you are ready to begin the procedure.

Initial Incision: Being the top rhinoplasty specialist NYC has in practice, Dr. Swift can utilize a few different types of incisions – for either an open or closed rhinoplasty. Closes is where the incision is hidden inside the nose, and open is where the incision is made along the tissue separating the bridge and nostrils. Once the incision is made, Dr. Swift will remove the soft tissue covering the nose so as to access the main structure of the nose.

Reshaping & Restructuring: Depending on your specific wants and needs, we can reduce and reshape the structure of the nose by removing cartilage or even grafting cartilage from another area of the body – done in order to change the size of the nose. Having access to the main area of the nose, Dr. Swift can also straighten the nose and fix any deviations in the septum or bridge. He can also shave the bone down to remove a bump along the bridge and adjust it to create a more symmetrical shape. In order to slim down the nose and nostrils, he will also cut away any excess, unwanted soft tissue. For those who have blockages or breathing problems, we will also clear any other tissue that impedes airflow. Because we have full access to the nose through the incision, we can sculpt and shape the nose in the way you desire.

Closing Up the Nose: Once he has removed the excess tissue, fixed the alignment, adjusted the width, and sculpted the nose the way it was previously outlined during your consultation, Dr. Swift will then pull the soft tissue back over the nasal opening to fit the new shape and size. Then the incisions are stitched closed, and a splint or some type of cast will be used to hold the nose in place.

While this is an abbreviated version of the rhinoplasty, it properly outlines exactly what the procedure entails. Depending on the specifics of your procedure, you can expect a recovery period of weeks to a few months – with a number of important aftercare steps. During this period, it is important to rest and follow the steps of your surgeon. For more information about your nose job or to schedule a consultation with Dr. Swift, contact us today.

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