Question: Is nonsurgical rhinoplasty a good option to reshape my nose and make it smaller?
Answer: No, a non-surgical rhinoplasty involves placement of fillers in the nose to make it bigger, not smaller. They are also temporary, and are not FDA approved for that application, and can have significant complications such as skin necrosis. To make the nose smaller requires a surgical rhinoplasty procedure.

Question: Can I narrow my alar base and reduce my tip without manipulating my nose bridge?
Answer: An alar- plasty accomplish narrowing the nostrils. Thick skin in the tip of the nose will prevent refinement of the tip cartilages in that location. It’s important to have realistic expectations with thick nasal skin.

Question: Can I get my nose septum fixed under local anesthesia?
Answer: The last 25 years, we have performed all septoplasty and rhinoplasty procedures under general anesthesia with a board-certified physician anesthesiologist for patient safety and comfort. Trying to perform a rhinoplasty and a septoplasty under local anesthesia is a very bad idea. It will be extremely painful, uncomfortable, and you could risk aspirating blood into your lungs.

Question: What can be done about bump getting bigger on nose bridge?
Answer: The hump is composed of both bone and cartilage which must be shaved/filed down in order to remove it. This usually requires general anesthesia. When the bump is large enough, this may create an open roof deformity, and therefore osteotomies going to be required to close the open roof created from the hump removal.

Question: Can a rasping correct growing callus and asymmetry 12 years post rhinoplasty?
Answer: The photographs demonstrate significant asymmetrical nasal bones, along with a large dorsal hump on the patient’s right side in addition to collapsed upper lateral cartilage more so on the right than the left. The collapsed upper lateral cartilage makes the dorsal hump look bigger than it really is. A full revision rhinoplasty will be required to not only shave the dorsal hump down, but osteotomies are then going to be required to close the open roof created from the hump removal itself. Spreader graft placement will also be required to augment the collapsed upper-level cartilage. It’s important to know how much cartilage is left over on the inside of the nose for grafting purposes.

Question: I am candidate for non surgical nose job, or should I have revision rhinoplasty?
Answer: A revision rhinoplasty is required to straighten the crooked/ broken nose and shaved down the dorsal hump. A septoplasty is required to improve airflow dynamics in the back of the nose if it is crooked blocking breathing.

Question: Doctor suggested using cartilage sent from a lab to be placed in nose. Would my nose reject cartilage that’s not mine? 
Answer: Nasal cartilage is always the primary grafting source when performing a revision rhinoplasty procedure. It’s important to know how much cartilage left on the inside of the nose for grafting purposes. If there is a cartilage depleted nose, then consider ear cartilage.

Question: Can spreader grafts can be removed safely and will the bridge go back to how it was?
Answer: While the spreader grafts certainly can be removed, the original nose was too narrow, therefore a partial removal may be helpful. Also important to address the asymmetry in the mid-vault of the nose as well.

Question: Can cheek implants create a hollow cheekbone look? If so, what implant would be best for the look below?
Answer: No, cheek implants simply augment the existing maxilla. Cheek implants are manufactured in large array of thicknesses, sizes, and shapes. The Diagrams presented in the photographs are not where the cheek implants are placed. They are placed directly over the maxilla closer to the nose in the mid-face.

Question: My nose is very bulbous and fat with thick skin can I have a prettier nose by doing rhinoplasty?
Answer: Thick skin in the tip of the nose prevents refinement in that area, but there are some improvements that can be made to your nose. It’s important have very realistic expectations thick skin. Choose your surgeon wisely based on extensive experience, since rhinoplasty is a very difficult endeavor.