The nose is the central feature of the face, and therefore, a primary focus for aesthetic facial plastic surgery. The original concept of rhinoplasty was to reduce large noses. Today, our understanding of nasal anatomy has given us more control over nasal shape. The classic "turned-up, pinched" noses are a thing of the past.

Rhinoplasty is one of the highest art forms in plastic surgery, demanding artistic, functional and technical expertise. Broadly speaking, rhinoplasty can be divided into these eight categories:

1. Aesthetic - to improve the appearance

2. Functional - to improve breathing.

3. Primary - original or first rhinoplasty.

4. Secondary - revision of previous surgery can be minor or major, functional or aesthetic.

5. Reduction - to make the nose smaller.

6. Augmentation - to make the nose larger. This is usually done for low bridges or poorly-defined tips.

7. Closed - no external incision on patients to bring patients the nose.

8. Open - a small incision is made between the nostrils to allow better visualization of internal structures, necessary for certain nasal problems.

9.Other options to consider are the use of grafts, s.a. ear cartilage or temporalis fascia and the repair of septal perforations to enhance respiration, diminish whistling or foul smell

Rhinoplasty is obviously a complex subject, one that demands skill, interest, and experience on the part of the surgeon.. Dr Kornstein is passionate in his pursuit of rhinoplasty, especially the functional and aesthetic rehabilitation of noses requiring revision.

The patient's vision, along with desired and possible outcomes will be thoroughly discussed. Sometimes all that is necessary is to de-emphasize the nose, allowing other facial features to stand out. At times, analysis of adjacent structures such as the chin, cheeks and forehead may greatly influence one's perception of the nasal problem. This is best accomplished through careful review of the patient's preoperative photographs and pre and post operative photographs of other patients with similar anatomy. Two or more consultations are often necessary. The goal is an open and realistic exchange of ideas between doctor and patient. We encourage patients to bring in photos of noses, or aspects of noses they find attractive, or particularly unattractive.

Once aesthetic goals have been established, the surgeon must determine what can most successfully be achieved. The desired result must be accomplished through architecturally stable and functional techniques. The nose should both look good and function well.  Sometimes ancillary surgical procedures, such as facial fat grafting or chin augmentation are needed to realize the harmonious balance of facial features.

All surgeries can be performed on an outpatient basis.  Bruising is typically present when osteotomies (repositioning of nasal bones) are required and generally lasts 7-14 days. Preoperative homeopathic oral medication and postoperative ointment can greatly reduce the duration of the bruising. The nasal splint, which is used to minimize postoperative swelling and help support the nose during healing, is removed about 7 days after surgery. Camouflage makeup can be applied immediately after its removal. Packing, if required, is usually removed at home the following day.