Dr. Goldberg believes the nose, as the central feature of the face, plays a unique role in overall facial aesthetics. Subtle alteration to one’s nose can often have a dramatic impact.

Rhinoplasty (nose job) is the surgical procedure to reshape the nose. It can produce changes to the appearance and the balance of the face and can also improve breathing to allow for better sleep and even athletic performance. Dr. Cory Goldberg has a vast amount of expertise and experience in the different types of Rhinoplasty—open, closed, revision, and Rhinophyma.

During consultations, Dr. Goldberg will discuss the options most suited to a patient’s specific needs and explain the process in detail so the patient is fully aware of what is involved and what the expected results will be. He will also explain the risks associated with the procedure and the nose job recovery process including dealing with post-operative pain and swelling as well as the actions patients can do to accelerate the healing process.

As a Plastic and Craniofacial surgeon, Dr. Goldberg is trained to create proportion and symmetry through careful judgment and surgical planning, including 3D Vectra imaging, providing you with photo simulations of your anticipated results.

Making the face as attractive as possible allows for an individual to have an increased sense of self-esteem, and affects how the individual is viewed by the world. With the nose being the focal point of the face, nose surgery (medically termed Rhinoplasty), is becoming increasingly more popular. Nose jobs are often necessary to improve one’s cosmetic appearance, as well as to correct breathing problems and/or facial disfigurement.

Before undergoing Rhinoplasty, two factors must be weighed.

The first is the type of Rhinoplasty the individual would benefit from most to achieve their desired outcome. A Closed Rhinoplasty requires almost an invisible incision that is made inside the nostril. This reduces the scarring and recovery time and is commonly used in cases where the amount of reshaping required is small. An Open Rhinoplasty is used for more complex procedures and is done using both an internal and external incision to the structure of tissue that is located between the nostrils, known as the columella.

A second factor to be considered is the age of the patient. While many younger people are eager to correct what they see as an unattractive nose, an x-ray may be required to determine whether the individual’s bones have reached full maturity.

The surgery generally takes about three hours and the patient is sent home the same day with a padded cast over the nose to protect it while it heals.

Medication is prescribed to reduce pain and discomfort during the recovery period. Dissolving sutures are used for the internal incisions so that there is no need to remove them. Non-dissolving miniature sutures are used for the external incision. If packing has been placed in the nostril to reduce bleeding, these are normally removed during the post-surgery examination which normally takes place two days after surgery. Nasal sprays are usually prescribed to reduce swelling and to ease breathing and to prevent infection.

Individuals undergoing a nose job are often concerned about the increase in the swelling of the nose and the area around the eyes, but this is normal and it subsides by about 80% within two weeks. At this time patients are able to see the change in the shape of the nose. The remaining swelling will disappear within 9 to 12 months as the body absorbs the excess fluid buildup which is normal after a nose job.

Rhinoplasty when done by a qualified cosmetic surgeon is a safe procedure and the patient is able to resume normal activities within a day or two, although the obvious physical signs of having undergone the procedure will be visible for several more days. In most cases one procedure is all that is need to achieve the desired look and only a small number of all patients may have to undergo revision surgery to achieve the desired nose or to correct any problems arising out of the initial surgery.

The aim of Rhinoplasty is to enable the patient to reshape the nose to achieve the appearance he or she desires. The benefits of the procedure outweigh the few days of discomfort involved.

Open Rhinoplasty is the most common approach to nasal surgery. It is performed through incisions on the inside of the nose, as well as a single 4 or 5 mm external incision on the undersurface of the narrow area between the two nostrils. This type of approach allows visualization of the involved structures during surgery to make the alterations according to the plan that you make with Dr. Goldberg. The alternative approach is Closed Rhinoplasty, but this is not appropriate for all patients and requires careful consideration between you and Dr. Goldberg.

The operation is most often done under general anaesthetic as same-day surgery. The operation takes approximately 3 hours, and you are usually allowed to go home within 2 hours after surgery. Long lasting local anaesthetic is injected after you are asleep to prevent sensitization of the nerves during the procedure, and this significantly reduces discomfort after surgery. You are also given intravenous medication to reduce swelling and prevent nausea after surgery. After the incisions are made and the relevant structures are visualized, reduction and alteration of the cartilage and bone of the nose are performed according to the plan made between you and Dr. Goldberg. At the end of surgery dissolving sutures are used to stitch the internal incisions, 5 or 6 non-dissolving miniature sutures are placed in the one small external incision. Packing is sometimes placed inside the nose to reduce bleeding. Dr. Goldberg uses a patented type of packing with integrated breathing tubes, which allows you to breathe through your nose even while the packs are in place. Finally, a padded split (cast) is placed on the top of the nose to protect the shaping that was done in surgery.

There are general risks with Rhinoplasty such as bruising, bleeding, infection, and risks associated with general anaesthetic. There are functional risks such as reduced nasal airway and dryness in the nose. Cosmetic risks include irregularities that may be visible or felt by touch only. It is possible, though uncommon, to worsen deviation. Approximately 15% of all nose job patients will undergo revision surgery at some point. This may be to address minor irregularities such as a small bump of bone that can be felt, or as major as a complete Revision Rhinoplasty.

Some minor nasal deformities can be addressed by Filler Products, though their role is very limited. There are no other non-surgical alternatives. Closed Rhinoplasty is an option for some people.

A nose job is a reliable procedure that can dramatically improve the appearance and balance of your face. With good communication between you and Dr. Goldberg you will be able to direct a personalized plan for surgery that will address your goals and fulfill your needs. Also, it is an operation that can greatly improve your nasal breathing, restoring function and improving your ability to breathe during sleep and while participating in sports.

Closed Rhinoplasty is also known as Internal Rhinoplasty, this type of operation is done through incisions just on the inside of the nose, with no external scars. This technique is able to address many common issues in Rhinoplasty surgery, and is the best choice for some people. The advantages are that it has no external scar, and may result in less swelling since it requires less dissection and exposure during surgery. However, it is not for everyone and not all problems can be addressed with this approach. The decision of what approach to use for your surgery will be made in discussion between you and Dr. Goldberg after your objectives and personal needs are assessed.