“The shape of the nose, in particular, is imbued with assumptions about one’s character and place in society. Various efforts to fix undesirably shaped noses by way of plastic surgery have been employed over two millennia.
The aesthetic value assigned to a person’s nose reflects historical and cultural beliefs on beauty, disease, race, war, and gender. The nose’s prominence—projecting from the face for all to see in the flesh—turns out to make it a potent symbol of character and beauty.” Tiffany Hearsey, The Atlantic, September 6, 2015
Rhinoplasty is Dr. Persky’s favorite surgical procedure. Successful rhinoplasty entails a combination of artistic vision, sculpting, surgical skills, and years of experience.
The most important aspect of your rhinoplasty is making sure that you take the time to choose your rhinoplasty surgeon most carefully. Dr. Persky recommends that you consult with at least 4-5 surgeons before deciding on the physician you trust with your nose.
It is essential that you communicate well with your rhinoplasty surgeon. Your consultation should begin with what bothers you about your nose. Whether it is the profile hump, the nose being too big or wide, the nose drooping when you smile, and/or breathing difficulties, you should let the surgeon know exactly what it is that bothers you. Secondly, discuss what you expect your final result expectations and what appearance you will be happy with.
Many people hesitate to even consider a rhinoplasty consultation because they are afraid that they will look like they have had an obvious rhinoplasty. Dr. Persky is an expert in subtle rhinoplasty, that is addressing what bothers you without changing everything else about your nose.
We believe that no one should know that you have anything done, you just look better. In fact, often the best compliment after a nose job is “you look great, something is different, your hair? Did you lose weight?” It has been said that a great rhinoplasty is “seen through the eyes”, that is the main focus of a patient’s face should be their eyes, their nose should not be drawing attention away from the eyes and other facial features.
After examining your nose both externally and internally, Dr. Persky will take photographs of your nose and then use computer imaging to give you an idea of what your nose may look like after surgery. While it is easy to “photo-shop” a nose, Dr. Persky shows you only the changes that can realistically be expected from surgical maneuvers.
We then look at previous patient’s before and after photos that are similar to your nose. Dr. Persky will then tell you his plan for your rhinoplasty based on his thirty years of rhinoplasty experience.
Dr. Persky is an expert in both closed (no external incision) and open (a small inverted-V incision that heals very well) approach rhinoplasty. He will decide which is best for you. The open approach is used more often when cartilage grafting is needed and for many revision rhinoplasties.
The surgery is performed in a state certified outpatient surgery center located in our building. Depending on the complexity of the nose job, the surgery may take from 1 to 4 hours, though most often the surgery is about 3 hours. The only thing that our patients feel is a 5 second sensation in their hand when their IV is started the day of surgery.
From that point on, a board certified anesthesiologist makes sure that you are comfortable. Dr. Persky tells his patients to “think of your favorite place, thing, people,” just before our anesthesiologist gives the medication to allow you to go to sleep.
Your experience is then one of seeming to be asleep for one minute and then waking comfortably in the recovery room with tape and a splint on your nose, a cold baggie of frozen peas on your forehead, and Dr. Persky saying, “Open your eyes, your new nose is done, everything went well!” Patients spend about 60-90 minutes in the recovery room and then are able to return home with their family or friends to recover.
Dr. Persky does not routinely use nasal packing after rhinoplasty. Nasal packing is very uncomfortable and not necessary with Dr. Persky’s rhinoplasty techniques in 99% of his cases.
Your nose feels stuffy like a cold after surgery because of mucus and dried blood. Surprisingly there is very little if any pain after Dr. Persky’s rhinoplasty, most patients use only Tylenol for discomfort though we do give our patients a prescription for a narcotic pain reliever if needed. We ask our patients to keep their head elevated above their heart by sleeping on 3 to 4 pillows for the first 48 hours.
Patients also use the frozen peas in baggies for the first 2 days. You return to our office 2-3 days after surgery at which time Dr. Persky cleans your nose. The tape and splint are removed 5-6 days after surgery, our favorite part of the entire process as you see your new beautiful nose for the first time.
Most bruising and swelling resolve by 7-14 days. The nose continues to improve and looks better with less swelling over the year after surgery. Your breathing should also be better over time.
Approximately 3 to 5% of Dr. Persky’s rhinoplasty patients may wish to have revision surgery. Revision rhinoplasty may be performed no sooner than one year after the original surgery to allow for all swelling to resolve.
Dr. Persky does not charge a surgeon’s fee for his own revision rhinoplasties, but our patients are responsible for the cost of the operating room and anesthesiologist.
Rhinoplasty is considered to be the most difficult of all facial plastic surgery procedures. Make sure that you choose your rhinoplasty surgeon most carefully based on their skill, experience, and most importantly their natural artistic vision.
“Only the nose knows what the nose knows!”