Rhinoplasty is among the most complex procedures in aesthetic surgery, and requires the skills of a top-level plastic surgeon. Some patients come to us because they want noses that fit their faces better while others seek our help because they are no longer able to breathe through the nose after having a rhinoplasty procedure. Whether you are looking for a nasal tip refinement, a major bump removal, or a revision rhinoplasty to correct a previous surgery, Dr. White is a double board certified recognized leader in the field of rhinoplasty and can reshape and restore function to noses of all different shapes and sizes.
Primary Rhinoplasty (Nasal Sculpting) Surgery in Miami
Rhinoplasty, which is often called a nose job, is a type of plastic surgery procedure involving the reshaping of the nose for functional or cosmetic reasons. In terms of functionality, some patients undergo primary rhinoplasty surgery to improve breathing function. Primary rhinoplasty refers to a first-time procedure. Secondary rhinoplasty indicates that a patient has already undergone a previous rhinoplasty surgery. These procedures are typically more complicated than primary rhinoplasty surgeries because Dr. White will need to work with scar tissue and any healing problems created by a previous surgery.
Goals of Rhinoplasty
In terms of functionality, the goal of primary rhinoplasty is to ensure that the patient is capable of clear and easy breathing. When the procedure is for cosmetic reasons, every person’s goal is unique. Through aging, trauma, or birth defects, many patients feel less than confident due to an unbalanced nose that is out of harmony with the other facial features. Trauma can lead to bumps, cuts, or depressions on the nose that are permanent. With our cosmetic Miami rhinoplasty, these blemishes can be removed completely from the face, restoring a more youthful and beautiful appearance.
Cosmetic Rhinoplasty Surgery in Miami
Cosmetic nose surgery, often called cosmetic rhinoplasty in the plastic surgery field, is used to improve the facial appearance by altering the proportions of the nose. Many patients choose such a procedure to improve self-confidence. Cosmetic rhinoplasty is also a procedure used to correct flaws from trauma or birth defects. With cosmetic surgery, we can successfully remove bumps and change the size of the nose, the nostrils, bridge, or tip.
Planning a Cosmetic Rhinoplasty Procedure
Before undergoing the actual cosmetic rhinoplasty procedure, lab testing and a medical evaluation will be required. Photographs of the nose will be taken and a medical image morphing program will be used as a communication tool to demonstrate potential post-op results for the patient to review before determining whether the surgery is right for them.
To reshape the nose, the surgery is performed using either a closed procedure or open procedure. The closed rhinoplasty procedure involves an incision hidden in the interior of the nose, whereas an open procedure involves an incision along the narrow strip of tissue separating the nostrils called the columella. Dr. White prefers the closed rhinoplasty approach for most of his patients since this reduces the amount of pain, swelling, and bruising after surgery and avoids a scar on the nose.
Rhinoplasty Gallery >>
Recovery After a Rhinoplasty
It is vital to follow doctor’s instructions during your recovery. Applying an ice pack around your nose can help to decrease swelling over the first 24 hours. Keep your head elevated to reduce bleeding or swelling; use extra pillows in bed to prop your head higher than usual. Do not blow your nose for at least one week following the surgery, and the rule is “blot, don’t blow.” Avoid heavy lifting or straining for two weeks. Do not take aspirin during this period, as it thins blood and can slow clotting, increasing the chance of bleeding. Every person heals at a different rate, but our medical professionals will be carefully monitoring your progress after surgery and are always available to answer questions.
Big Nostrils: Surgery to Enhance the Nose by Reducing Nostril Size
Many patients interested in aesthetic nose surgery are concerned about an oversized nose, bulge, or other less attractive structure. In some cases, patients have come to our practice as they have wide, overlarge nostrils and would like a more pleasing nose structure. It is entirely possible to narrow broad or wide nostrils using a nasal base reduction or what is called a “Weir excision,” which narrows the base of the nostrils to reduce size.
During this procedure, a small crescent-shaped piece of tissue is removed from each side of the nostrils. For some cases of big nostrils, a small incision in the interior of the nostrils will be needed to achieve the most attractive result. Your surgeon will remove a wedge from each nostril and then carefully stitch incisions closed to form a smaller nostril opening. The scar is minimal, and there is no need to worry about flaws in appearance after healing, as the incisions are well hidden in a natural crease. The aftercare procedure for such a nose surgery is usually quite simple, simply requiring the application of antibiotic ointment twice daily during the first week after surgery. You need to try to refrain from sneezing, and avoid any heavy lifting for approximately two weeks.
Choosing Your Rhinoplasty Surgeon
Choosing a plastic surgeon for rhinoplasty in Miami may be one of the most difficult – and important – decisions you will make regarding your face. Many plastic surgeons perform rhinoplasty procedures, but lack the skill and experience to be fully successful in this complicated and precise procedure. At our practice, we are often asked to repair and restore a botched nose job, so we have seen many errors that left patients with breathing problems or an oddly shaped or unattractive nose after surgery.
“Rhinoplasty Is My Passion.”
Beyond his focus on rhinoplasty procedures, Dr. White also has expertise in a wide variety of other aesthetic procedures, including facelifts, eyelid lifts (blepharoplasty), breast augmentation, and tummy tuck procedures (abdominoplasty). His wide client base includes patients from all walks of life, from Miami models, busy moms, physicians, to active business professionals who come to him for his minimally invasive treatments, and less post-surgical swelling and downtime.
Dr. White uses his background in plastic surgery and otolaryngology (specializing in conditions of the ear, nose and throat) to identify and correct the underlying causes of medical problems and cosmetic imperfections of the nose and face, and procedures that achieve a natural and balanced appearance. During the initial consultation, he will listen closely to your goals and expectations, and explain what can be accomplished in surgery. Dr. White’s goal is to achieve a beautiful and functional nose that fits within the patient’s unique aesthetic and ethnic ideals.
Frequently Asked Questions
What is Rhinoplasty?
Rhinoplasty, from the Greek “to shape the nose” (also called a nose job), is a surgical procedure that corrects the form and function of the nose, either for aesthetic purposes or to repair the nose after trauma. It is typically an outpatient procedure, performed in one day, followed with two weeks of post-operative rest. A rhinoplasty takes some time to completely heal. Most swelling is greatly reduced after a month, but the full results will be achieved in about one year after surgery.
Can I Get A Nose Like Kate Middleton Or Another Celebrity?
Each person has his or her own unique combination of skin thickness, nasal cartilage strength, and facial features. A nose that looks great on one person might not look right on another person’s face. Dr. White’s goal in rhinoplasty is to achieve a natural balance between the patient’s nose and the rest of the facial features. This causes an onlooker’s attention to focus less on the nose and more on the person’s eyes. Skin and cartilage create limitations on what can be achieved, and it is important that any patient has reasonable expectations as to what can be accomplished – and the look that should be sought in rhinoplasty.
It is sometimes necessary to perform added procedures to achieve a more beautiful facial harmony. Someone with a receding or small chin may appear to have a much larger nose, simply due to the imbalance in the facial structure. Balance between the chin and nose can be restored with rhinoplasty and in some cases, the addition of a chin implant. This implant is inserted through a small incision underneath the chin in a well-hidden crease.
How Should I Choose My Rhinoplasty (Nose Job) Surgeon?
As with any Miami physician, you should research the doctor regarding reviews and results. Reviews and patient comments are easily accessible on the internet. Dr. White has many, many positive reviews from happy patients that you can read. The next step is to meet him. A good rapport between patient and doctor is critical. This is a relationship you are creating with a doctor and, if you don’t understand each other or feel that you dislike each other from the beginning, this adds unnecessary stress on the entire process. We believe you will discover one of the friendliest, compassionate people in Dr. White, and we invite you to meet with us at a time that works for you.
Rhinoplasty is one of the most complicated and delicate plastic surgery procedures. It is important that your surgeon has the extensive training and experience for a successful nose job surgery. Some important points to review to ensure you have excellent treatment are board certification by the American Board of Plastic Surgery and membership in the American Society of Plastic Surgeons, which indicate that the surgeon has gone through rigorous plastic surgery training and is well regarded in the medical community.
The American Board of Otolaryngology – Head & Neck Surgery certification means that the surgeon has advanced education and skills in correcting the function of the nose through various surgical procedures. For outstanding rhinoplasty results, it is best to choose a North Miami surgeon who understands how to manage both the functional (breathing) and cosmetic aspects associated with nose surgery.
Which Method is Better: Open Or Closed Rhinoplasty?
This is a highly debated topic amongst plastic surgeons. Rhinoplasty or nose jobs can be performed via an “open” or “closed” procedure. The open approach involves the use of internal incisions used in closed rhinoplasty, with the addition of a small incision on the columella (underneath the nose), which tends to heal and be almost imperceptible. The advantage of the open technique is increased visibility of the nasal structures, which can sometimes be necessary in trauma or revision surgeries.
The exposure also allows the surgeon to perform certain suture modifications to the nasal tip that would otherwise be quite difficult to achieve. The downside is that there is more prolonged nasal swelling after surgery, but this will reduce and resolve over time. While Dr. White typically prefers the “closed” approach that does not leave external scars, the method used in your treatment plan will be determined by what is needed to restore or repair the nose most effectively and create the most attractive and functional result.
Are Nose Jobs Covered By Insurance?
Yes, certain functional aspects of rhinoplasty may be covered by your medical insurance. Procedures to improve breathing through the nose such as septoplasty, inferior turbinate reduction, and nasal valve surgery are often covered, wholly or partially, depending upon the terms of your health insurance plan. Rhinoplasty performed for aesthetic purposes is not covered by insurance, but by combining the aesthetic aspect with the functional correction, you can significantly reduce out-of-pocket expenses.
How Old Do I Have To Be To Get Rhinoplasty?
There is no age restriction on rhinoplasty per se, although if you are under eighteen years old, your parents or legal guardian must attend the consultation, and approve the procedure. Determining whether someone is a good candidate for a Miami nose job has more to do with nasal development than the age of the patient. If the surgery is performed before the nose has fully developed, two things could happen: the surgery may partially hinder development, and/or future growth may impact the appearance of the nose in time. Nose growth is usually complete at about sixteen years of age, as an average. Typically, the surgery is performed after this time, except in cases of trauma.
Is Medical Imaging / Morphing Helpful?
Image morphing can sometimes be a helpful communication tool between Dr. White and his patients, but is not a hard and fast guarantee of a specific result. Surgery has limitations, due to skin thickness, cartilage strength, and the person’s unique biological healing process that cannot be determined by looking at a photograph.
What Are The Risks Of Rhinoplasty?
Nose job surgery is a very safe operation in the right surgeon’s hands and in healthy patients. Dr. White requires medical clearance prior to the surgical procedure, which means that the patient gets a full medical history and an okay from your medical doctor to ensure the risks of the procedure are low from a medical standpoint.
Other risks include, but are not limited to bleeding, infection, need for more surgery, changes in voice, changes in the ability to smell and breath through the nose, swelling/bruising, and external nasal irregularities. Dr. White will review this with you in detail and his plan to minimize these risks prior to your procedure. Rhinoplasty is a safe operation, and one of Dr. White’s specialties.
What Kind Of Anesthesia Should I Use For My Rhinoplasty?
There are two major types of anesthesia for rhinoplasty: “Twilight” (half-sleep, no breathing tube) and general (completely asleep with a laryngeal mask or breathing tube). Both are safe for the right patient. The decision depends on your pre-existing medical conditions and the complexity of the operation. Dr. White only does rhinoplasty at AAAASF certified surgical facilities (ambulatory surgery center) and hospitals with board-certified anesthesiologists supervising the use of anesthesia to ensure additional safety for your procedure, and protect your health during surgery.
What is Special About Ethnic Rhinoplasty?
The approach to rhinoplasty surgery in African American and Asian patients is often very different than for many Caucasians. Dr. White spends time with each of his patients trying to understand what they like and do not like about their noses. What is beautiful in one culture might not be considered desirable in a different culture. Many patients would like to “westernize” their noses by making them narrower or creating a higher bridge.
The first thing to understand about ethnic rhinoplasty is that there is no one type of “ethnic” nose, nor is there one surgical solution. Dr. White prefers to analyze the unique nose in terms of skin thickness (wrapping paper of the nose) and the strength and size of the cartilage framework (the gift box inside). It is much easier to obtain an appealing, attractive result in a patient with thin skin and strong cartilage structure. When patients have thick skin, the “wrapping” may not shrink around the rebuilt or reshaped framework in the same manner.
In patients with weak cartilage support, surgery often requires grafting (addition of cartilage) to achieve the cosmetic changes that the patient envisions. Cartilage sources for these grafts can be from inside the nose (septum), the ears, the patient’s rib, or sourced elsewhere. Each source has its use and will be selected to achieve the desired results for each individual patient. The alternatives to cartilage for nasal augmentation (building a taller or higher nose) are silicone, Medpor, or gortex implants. Although these implants are widely used, Dr. White prefers to avoid them when possible as these products are more prone to infection and rejection by the body. Dr. White always strives to achieve a long lasting, beautiful rhinoplasty result while minimizing the potential risks and associated complications.
What is the cost of nose job surgery?
Prices in Miami for a rhinoplasty typically range from $5,000 to $10,000, including surgery time and postoperative care, anesthesia, and surgical facility fees. Cost depends on the extent and complexity of the procedure. Revising a different doctor’s surgery tends to be more expensive than doing the first nose job surgery. ARC Plastic Surgery accepts some insurance, which could reduce some of the costs that are associated with the functional nasal breathing aspects of surgery. As Dr. White takes a very individualized approach to each nose job, it is impossible to give an accurate price on the cost for rhinoplasty without a consultation and evaluation of your skin, cartilage, and hearing what you are hoping to achieve. The best way to find out the cost for your rhinoplasty is to come to the office for an in-person consultation. A physical exam, as well as your full medical history and surgical goals are all important points in determining the right treatment plan for surgery.
What Is Injectable Or “Non-Surgical” Rhinoplasty?
Non-surgical rhinoplasty is the alteration of nasal appearance with the injection of filler materials. This is not a procedure for every case, but as it requires little to no downtime, minimal bruising, and immediate results, it can be beneficial for some patients. This is a great way to fill in small divots on the nasal dorsum (bridge), or even add height or length to the nose. Dr. White uses hyaluronic acid injections to achieve these results, an off-label, but safe use of the product in the nasal dorsum. He does not advocate using this filler in the nasal tip as there is a higher risk of damaging the skin and affecting blood supply. These injections yield a temporary result, but they are an effective way to get a preview of how a cartilage graft might appear after rhinoplasty. Dr. White uses a numbing medication on the skin prior these injections to make this a relatively pain-free procedure in the office, and doesn’t require general anesthetic.
What our clients have to say…
I've never met a doctor so kind, compassionate, and truly loves what he does. I've worked for many physicians and I've never come across a physician that can even compare to Dr. White. I had a rhinoplasty/septoplasty with a turbinate reduction approx. 6 weeks ago and I'm already in love with my new nose. There really are no correct words to describe Dr. White because he is just amazing in every way possible. He made me feel comfortable the moment I stepped into his office.
Dr. Jeremy White is the absolute best plastic surgeon! I did a lot of searching around when I was deciding who to use for my nose job. I wanted to use a doctor who has amazing aesthetic results but also really understands the anatomy of the nose. I come from a medical family and asked many other doctors in the area and they all told me that Dr. White was the only person that they would use. I have had major nosebleeds and breathing problems for years, and Dr. White was the first plastic surgeon who addressed my concerns relating to both my breathing problems and my appearance. He was extremely knowledgeable about my nasal anatomy (I have heard some horror stories about other plastic surgeons collapsing patients noses during rhinoplasty procedures) and kept asking me what bothered me rather than trying to convince me to get additional unnecessary surgeries. Dr. White has a wonderful personality and clearly cares about all of his patients and making sure they get beautiful, natural results. It is obvious that he puts his patients’ safety first and is extremely meticulous. My surgery was performed about two months ago. I had some swelling initially, as I was told I would, but I was immediately able to see what a great job was done. Dr. White checked up on me immediately and made sure that I was healing well. Two months later, the swelling in my tip has come down and my nose looks fantastic. Equally as important, I am breathing so much better and no longer need multiple humidifiers in my already humid room to prevent nosebleeds. Getting my nose done was one of the best things I could have done for myself, and I am so grateful that I choose Dr. White as my surgeon!”
I just had a septoplasty-rhinoplasty-turbinate reduction surgery 10 days ago with Dr. White. Coming from a family of many physicians, which include my husband, 2 of our children and my brother and nephews, and having worked in my husband’s office for many years, I could observe firsthand how important a good bedside manner is in a doctor’s relationship with his/her patients. I only have wonderful things to say about Dr. White. He is very caring, professional, and competent. He made feel at ease in his office as well as in the surgery center, right before the procedure. Besides being very skillful and knowledgeable, he went above and beyond to make sure I had the best possible care. He treated me like family, patiently addressing my concerns, without ever making me feel like a nuisance. I highly recommend Dr. White to anyone who is considering plastic surgery in the future. After only 10 days I can breathe much better, and my nose, despite some light swelling, already looks great! No bruises whatsoever! Amazing! I couldn’t be happier with the results!
The Doc did a great job. I highly recommend his services. Office staff is wonderful and responsive. Makes you feel like part of the family.
In June 2014, Dr. White performed a Septoplasty on me. More than one year has passed since the procedure and I cannot tell you how happy I still am with the result. I have been breathing normally, no more nasal congestion or sinusitis this past year!! Beside those great outcomes, the whole experience of dealing with Dr. White before and after the procedure was very good, Dr. White is very professional, and also very caring. But most of all, he does a very good job!
Cost of Rhinoplasty
Currently, the most recent average cost for primary rhinoplasty is $4,694, as reported by the American Society of Plastic Surgeons. However, this price does not include additional costs such as anesthesia and facility fees that are part of performing surgery in a controlled and pain-free manner. The actual price for the procedure will vary depending on a variety of factors including whether the surgery is a primary or revision surgery, how much work is required, how complex the operation will be, and how much time under anesthetic is needed for an individual surgical procedure. The usual costs range from $5,000 to $15,000. The highest costs are for the most complex revision surgeries, and those lowest costs are for the most simply performed primary surgeries. Rhinoplasty surgery, when correctly performed will create a long-lasting result, and typically involves more than just shaving down a bump. Dr. White will explain the complexities of your individual operation in your consultation. If cost is a limiting factor, ARC Plastic Surgery offers a range of easy financing options.
If you are interested in one of the best rhinoplasty Miami has to offer, call ARC Plastic Surgery to schedule an evaluation and speak with our double board-certified plastic surgeon to determine whether the procedure is right for you. We serve patients across the planet, but if you live in the Miami area, including the communities of Hollywood, FL and Aventura, our office is in your area and you have direct access to a highly-respected rhinoplasty surgeon in Dr. Jeremy White.
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