Dr. White uses his background in Miami plastic surgery and otolaryngology (specializing in conditions of the ear, nose and throat) to identify and correct the root causes of medical problems and cosmetic imperfections while maintaining a natural and balanced appearance. During the initial consultation, he will work with you to understand your goals and explain what can be accomplished during surgery. Dr White’s goal is to achieve a beautiful and functional nose that fits within each patient’s unique aesthetic and ethnic ideals.
Rhinoplasty (nose job) nasal tip refinement and elevation with reduction of dorsal hump and columellaIndividual results may vary.
“Spent a lot of time explaining all my options, and answered all my questions. I’m very happy with him and his staff.”
Answers to the Top 14 questions that EVERYONE SHOULD KNOW about rhinoplasty / nose job surgery:
Rhinoplasty, from the Greek “to shape the nose” (also called nose jobs), is a surgical procedure that corrects the form and function of the nose, either for aesthetic purposes or after an injury. It is usually an outpatient procedure, performed in a day with two weeks of post-operative rest. The more common aesthetic changes include:
Most of the swelling is reduced after a month, but it often can take a year before one can appreciate the final outcome.
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 nice 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 exert limitations on a desired result, just like the medium (stone) would do for a sculpture, so one must have reasonable expectations as to what can be accomplished and what should be attempted.
Moreover, sometimes it is necessary to perform adjunct procedures to achieve facial harmony. Someone with a very retruded or small chin may appear to have a much larger nose. Balance between the chin and nose can be restored with rhinoplasty and sometimes the addition of a chin implant. This implant is inserted through a small incision underneath the chin and heals in a well-hidden crease.
As with any Miami physician, you should research the doctor regarding reviews and results. In this day and age, much of this information is easily accessible on the internet. The next step, is to meet your surgeon. If you do not feel comfortable with or get along with that surgeon, then you should not use him or her. This is a relationship that you are forming with a doctor and, if you don’t understand each other or like each other from the beginning, this will only be an additional layer of stress on your procedure process.
Rhinoplasty is one of the most complicated and unforgiving operations in plastic surgery. As such, it is important that your surgeon has the appropriate requisite training and experience for nose job surgery. Some important signatures of excellence are board certification by the American Board of Plastic Surgery and membership in the American Society of Plastic Surgeons, which both indicate that the surgeon has gone through the appropriate rigorous plastic surgery training and is well regarded by his or her peers. The American Board of Otolaryngology-Head & Neck Surgery certification indicates that the surgeon has special expertise in functional surgery of the nose. For the best rhinoplasty results, it is often best to choose a Miami surgeon who understands how to manage both the functional (breathing) and cosmetic components of the nose.
This is a highly debated topic! Rhinoplasty or nose jobs can be performed via an “open” or “closed” approach. The open approach involves the usual internal incisions of closed rhinoplasty with the addition of a small incision on the columella (seen underneath the nose), which tends to heal almost imperceptibly. The advantage of the open technique is increased visibility of the nasal structures, which is especially helpful in revision surgeries.
The exposure also allows the surgeon to perform certain suture modifications to the nasal tip that would otherwise have been quite difficult to achieve. The downside is that there is more prolonged nasal swelling after surgery, but this does resolve with time. While Dr. White typically prefers the “closed” approach without external scars, the method that he chooses will most likely be determined by the requirements of your unique procedure.
Yes, certain functional aspects of rhinoplasty can be covered by your medical insurance. This relates to procedures that attempt to improve breathing through the nose such as septoplasty, inferior turbinate reduction, and nasal valve surgery. The aesthetic component is not covered by insurance, but by combining the aesthetic aspect with the functional correction many patients are able to significantly reduce their out-of-pocket expenses.
There is no age restriction on rhinoplasty, per se, although if you are under 18 your parents or legal guardian have to be involved in the consultation. Determining whether someone is a good candidate for a nose job has more to do with nasal development than age. If the surgery is performed before the nose is fully developed, two things could happen: the surgery may partially hinder that development, and/or future growth may affect the finished nose. Nasal growth is usually complete around 16 years old, on average.
Endonasal (Closed) Revision RhinoplastyIndividual results may vary.
Image morphing can sometimes be a helpful communication tool between Dr. White and his Miami patients, but it is in no way a guarantee of a particular result. Real surgery has the limitations of skin thickness, cartilage strength, and a biological healing process that does not occur when simply drawing on a photograph.
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 goes to his his or her medical doctor to make sure that 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 how he plans to minimize these risks prior to your procedure. Rhinoplasty is a safe operation and one of Dr. White’s specialties.
There are two major types of anesthesia for rhinoplasty: “Twilight” (half asleep, no breathing tube) and general (completely asleep with a laryngeal mask or breathing tube). Both can be safe for the right patient. The decision depends on your pre-existing medical conditions and how complex your operation is. Dr. White only does rhinoplasty at AAAASF certified surgical facilities (ambulatory surgery center) and hospitals with board certified anesthesiologists supervising the anesthesia to ensure additional safety for your procedure.
The approach to rhinoplasty surgery in African American and Asian patients is often very different that in 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 desireable in a different culture. Many patients would like to “westernize” their noses by making them more narrow or obtaining a higher bridge.
Before After Before After
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 these patients noses in terms of skin thickness (wrapping paper of the nose) and cartilage framework strength (the gift box inside). It is much easier to obtain a dramatic result in a patient with thin skin and strong cartilages. When patients have thick skin, this “wrapping” does not tend to shrink around the framework as much as we would like. Moreover, in the setting of weak cartilage support, surgery often requires a lot more grafting (addition of cartilage) in order to achieve a significant cosmetic change. Cartilage sources for these grafts can be from inside the nose (septum), the ears, the patient’s rib, or even an irradiated cadaver rib. Each source has its use to acheive 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 used widely, Dr. White prefers not to use them as they are more prone to infection and rejection by your body in the long term. Dr. White always strives to achieve a long lasting, beautiful rhinoplasty result while minimizing the potential risks and associated complications.
Image morphing can sometimes be a helpful communication tool between Dr. White and his patients, but it is in no way a guarantee of a particular result. Real surgery has the limitations of skin thickness, cartilage strength, and a biological healing process that does not occur when simply drawing on a photograph.
There are two major types of anesthesia for rhinoplasty: “Twilight” (half asleep, no breathing tube) and general (completely asleep with a laryngeal mask or breathing tube). Both can be safe for the right patient.
The decision depends on your pre-existing medical conditions and how complex your operation is. Dr. White only does rhinoplasty at AAAASF certified surgical facilities (ambulatory surgery center) and hospitals with board certified anesthesiologists supervising the anesthesia to ensure additional safety for your procedure.
Prices for Miami 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 does accept some insurances and these may cover some of the costs that are associated with the functional nasal breathing parts of the surgery. Since Dr. White takes a very individualized approach to each nose job, it is impossible to give an accurate price on the cost for rhinoplasty over the phone. The best way to find out the cost for your rhinoplasty is to come to the office for an in person consultation to have a physical exam and to discuss your medical history and surgical goals.
Non-surgical rhinoplasty is the alteration of nasal appearance with the injection of filler materials. This is not a procedure for everyone, but it requires little to no downtime, minimal bruising, and immediate results. This is a great way to fill 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, which is an off label, but safe use of the product in the nasal dorsum, but he does not advocate their use in the nasal tip, which has a much higher risk of damaging the skin and its blood supply. These injections yield a temporary result, but they are a great way to get a preview of how a cartilage graft might appear in the nose. Dr. White uses a numbing medication on the skin prior to giving these injections to make this a relatively pain free procedure in the office without anesthesia.
“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 first hand how important a good bed-side 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!”