Rhinoplasty, also known as nasal reshaping, a nose job, or nose surgery, is one of the top 5 cosmetic procedures performed in America. Year after year, more people opt to change the most prominent feature of their face to align with their personal image goals. Dr. Joshua Lampert, a board-certified plastic surgeon and top rhinoplasty surgeon in Miami, cautions consumers to look further than the promises and price tags offered by corporately owned and volume-based clinics and instead opt for the experience, safety, and beautifully-nuanced results that can be achieved when you choose the very best.
What is rhinoplasty?
Rhinoplasty is a surgical procedure that improves the symmetry, size, shape, and structure of your nose to achieve a more refined, balanced, and attractive appearance. For many patients, a nose job addresses unhappiness or insecurities about the facial appearance. For others, rhinoplasty resolves breathing problems or excessive snoring, concerns that also inhibit the quality of life.
Rhinoplasty is considered by surgeons to be one of the most challenging procedures in plastic surgery. Not every surgeon has the experience, technical skill, and artistic intuition to produce the aesthetic results desired with rhinoplasty. With board certification and vast experience in cranial surgery, Dr. Lampert delivers ideal results with nose surgery in Miami.
What Sets Dr. Lampert Apart?
Rhinoplasty must be a labor of love for the rhinoplastic surgeon. The nose is typically the most scrutinized anatomic structure of the face, if not of the body or entire human being! The best rhinoplasty surgeons not only take the time to perform the operation to the best of their abilities, but they also embrace the challenge of difficult noses, complicated revision surgeries, and even major nasal reconstruction after traumatic events such as amputation!
Dr. Lampert's Passion for Rhinoplasty
Dr. Lampert loves rhinoplasty and nasal reconstruction! After his 6 years of plastic surgery residency was completed, he could have gone directly into private practice. He didn't. Instead, he pursued his passion for surgery on the face and nose by doing an additional 7th year of plastic surgery training, specifically with the President of the Rhinoplasty Society. He also traveled extensively to see other master nasal surgeons and presented his findings internationally and at the Rhinoplasty Society. After training under and working with some of his favorite rhinoplasty heroes, Dr. Lampert opened his practice in Miami.
His first case in private practice was a rhinoplasty, and soon after that, he saw a complete nasal amputation case referred from another plastic surgeon who "felt uncomfortable" with the procedure. Dr. Lampert started doing many cosmetic rhinoplasties, broken noses, and complex nasal reconstruction surgeries at the hospital. He eventually built his Ambulatory Surgery Center and plastic surgery facility in order to house his massively growing inventory of rhinoplasty equipment (which eventually became too heavy to lug over to the hospital) and also, of course, to provide even better care for my rhinoplasty patients!
Rhinoplasty Special Techniques
Dr. Lampert performs the full gamut of rhinoplasty and nasal surgeries. The vast majority of his current nose surgery practice is cosmetic rhinoplasty and revision rhinoplasty, but he has extensive experience with nasal airway correction, nasal trauma, broken nose repair, nasal cancer reconstruction, cleft lip rhinoplasty, and even total nasal reconstruction after amputation. Dr. Lampert’s background in reconstructive nasal surgery and the depth of anatomic mastery it affords him makes him a better cosmetic rhinoplasty and revision rhinoplasty surgeon.
Contemporary open rhinoplasty techniques are the most commonly used by Dr. Lampert, but he also performs closed rhinoplasty and minimally invasive liquid rhinoplasty procedures when appropriate. For complicated nasal reconstruction procedures requiring cartilage harvest from the rib or ear, he always takes into account the patient's anatomy with the goal of the least obvious donor site. Cadaver-sourced rib alternative is another option, which has its associated risks and benefits. These are always discussed with the patient prior for an educated decision-making process.
Towards A Natural-Looking Aesthetic
It is very important that Dr. Lampert spends adequate time with each and every patient before surgery in order to best understand their goals and better determine the correct operation for them. He prides himself on providing the patient with a natural-looking result. For some patients, this is a subtle change, and for others it may be a more dramatic one, but for all his patients, he is always pursuing a result that appears natural and without obvious signs of prior surgery.
What are the Benefits of Rhinoplasty?
Cosmetic rhinoplasty is the process of bringing the nose into harmony with the rest of the face. The nose is the most prominent feature of the face and is impossible to camouflage. Rhinoplasty in Miami with Dr. Lampert can correct any of the following issues:
- Nose is too large or too small
- Nose is too short or too long
- Nose is too wide or too narrow
- Crooked, deviated, or asymmetric nose
- Hooked or “plunging” tip and a hanging columella (junction of the upper lip and nose)
- Prominent dorsal hump, or a large bump or hump on the nasal bridge
- Bulbous tip or thick nasal tip
- Overly flared nostrils or wide nostril base
- Flat bridge or wide nasal bridge
- Protrusion – too much or too little
Many patients of various ethnic descent would like certain features softened or minimized. In the case of ethnic rhinoplasty Dr. Lampert ensures that the nose is brought into balance without masking the patient’s ethnic heritage and identity.
Am I a Candidate for Rhinoplasty?
Rhinoplasty is for people who aren’t happy with the way their nose looks or have functional concerns. For patients with functional concerns, cosmetic rhinoplasty can include a functional aspect of surgery to address these. During your consultation with Dr. Lampert, you will be able to discuss your concerns about and goals for your nose and determine whether you’re an ideal candidate for a nose job. Ideal candidates should meet the following requirements:
- Are in good physical and mental health
- Do not smoke
- The skin of the nose is not too thin or thick
- Have a strong framework of nasal cartilage
- Have a fully matured nose
- Struggle with breathing problems or excessively snore
- Are unhappy with the way their nose looks
- Have realistic expectations about what rhinoplasty can achieve
What are the Different Types of Rhinoplasty?
All types of rhinoplasty address a particular problem or patient concern in regard to the nose size, shape, projection from the face, nostril contour, or nasal function. Rhinoplasties are most often done for purely cosmetic reasons for the majority of our patients and less often to restore full nasal functionality or correct abnormalities. Dr. Lampert excels in either option and will be more than happy to help you.
Whether we are born with nasal or breathing problems, or we develop them later in life, functional rhinoplasty is done as a medically necessary treatment to correct these breathing problems. It has the added benefit of being an opportunity to better suit your nose to your liking.
Revision rhinoplasty corrects a previous surgical procedure that wasn’t satisfactory to the patient or that caused some discomfort or abnormality. This is the most difficult of rhinoplasty surgeries, so seek a surgeon you trust well. Consult them, question them, and ensure you feel fully understood and very comfortable.
Open Rhinoplasty vs. Closed Rhinoplasty
Unlike the above rhinoplasties (ethnic, functional, and revision), open rhinoplasty and closed rhinoplasty refer to the way the surgical procedure is done. Thus, for example, one could have an ethnic rhinoplasty done “open” or “closed.”
There are several differences between the two surgical options, but in short, an open rhinoplasty will entail cutting skin and cartilage on the outside of the nose to clear access so that problem spots or the affected area can be operated on, while closed rhinoplasty accomplishes the same thing without cutting exterior skin, and by instead going through the nostrils. Open rhinoplasty starts with a cut in the skin separating the nostrils, giving access to the bone and cartilage beneath it.
This procedure takes one to two hours and is done under general anesthesia. After a small incision, the skin is lifted, cartilage is adjusted, the nasal bones are resized or repositioned, and the nose is closed and sutured. Closed rhinoplasty reaches the same end goal but accomplishes it by going through the nostrils. Just as with open rhinoplasty, nasal humps can be removed, the nose tip can be lifted, the curvature of the nose bridge can be straightened out, asymmetrical nostrils can be balanced, and many other problems can be fixed.
Are There Any Risks With Nose Surgery?
As rhinoplasty is a surgical procedure, it comes with small but inherent risks that every patient should be aware of. The typical risks of rhinoplasty are:
- Infection at the site of the operation
- Poor post-procedural healing
- Under or over correction that may require another surgery
- Nasal septal perforation (a hole in the nose’s divider, inside the nose) causing breathing difficulties or irregularities
These risks are minimal to begin with, and an incredible rhinoplasty surgeon greatly reduces the odds of even experiencing any of them. Dr. Lampert will also cover with you what you can do to have the smoothest recovery period.
During rhinoplasty consultations, Dr. Lampert occasionally finds an undetected or ignored functional problem. A restricted nasal airway can be caused by a deviated septum – the thin wall of cartilage that divides the nostrils. A deviated septum, as well as other obstructions in the nasal passages, can often be corrected during your rhinoplasty in Miami. This gives patients the best possible outcome—a nose that is both aesthetically pleasing and fully functioning with nasal breathing.
The best chance at a fully successful and life-changing rhinoplasty is to trust your procedure only to a board-certified plastic surgeon with extensive experience in facial cosmetic procedures. Dr. Lampert spent over 6 years performing thousands of surgeries at the prestigious Mr. Sinai Hospital in New York City before establishing his private practice in Miami. His surgical training has been focused only on plastic surgery.
He is fully proficient and experienced both as a surgeon and a classically trained sculptor. Correcting complicated nasal structure while ensuring function is maintained or improved is a skill that few surgeons have. It not only takes years of experience and specialized training but also an artistic eye for aesthetic excellence. Dr. Lampert’s artistic sense is second to few, as evidenced by the natural results he produces.
Rhinoplasty is used to make very small changes that result in a profound difference in appearance. Much of the skill of a rhinoplasty surgeon is in knowing when to stop. Nose surgery is “a game of millimeters.” Reshaping noses to bring them into harmony with his patients’ overall appearance is Dr. Lampert’s passion. Find out how he can help you achieve your dream.
How Does Dr. Lampert Conduct the Consultation Process?
Rhinoplasty is among the most complex and delicate cosmetic surgeries performed by Dr. Lampert, so he is sure to spend a great deal of time answering your questions in a detailed consultation. This initial meeting is geared towards providing you with ease, comfort, and confidence in your decision to move forward. After examining your nose, Dr. Lampert will then create a surgical plan tailored to your expressed wishes and goals for improvement. He encourages patients to provide "goal photos'' of other noses that they like which will be reviewed together to discuss potential expectations, achievable results, and limitations. It is important that the patient and Dr. Lampert have similar and reasonable expectations in order to achieve the best patient satisfaction. Dr. Lampert’s number one goal during a rhinoplasty consultation is to understand the patient and communicate effectively to the patient.
Is rhinoplasty safe?
While Rhinoplasty is an incredibly safe procedure, all patients must undergo full medical assessments before getting the green light for treatment. As with any plastic surgery, it is vital to prioritize quality over cost and ensure that you receive the best care possible. Dr. Lampert’s facility is equipped with the latest in technology, ensuring that patients receive the best results possible.
Can rhinoplasty be combined with other procedures?
Rhinoplasty can be combined with Septoplasty, which is designed to correct a deviated septum. It can also be combined with turbinate surgery and functional nasal airway surgery, which help patients breathe easier through their noses. As small chins can make overly large noses look more pronounced, chin surgery can enhance the results of a nose job.
Some patients may want to take advantage of the downtime from their rhinoplasty to undergo other procedures. These may include liposuction, breast augmentation (boob job), labiaplasty (vaginal rejuvenation), eyelid lifts (blepharoplasty), abdominal etching, or tummy tuck (abdominoplasty).
How old do I have to be for rhinoplasty surgery?
There is technically no age requirement for rhinoplasty. That said, it is important that the procedure be performed only after the patient’s nose has stopped growing. This usually happens around the age of 14 to 16.
Will insurance cover my nose surgery?
Rhinoplasty is typically considered to be a cosmetic procedure. This means that it usually is not covered by insurance plans. That said, if a patient is undergoing the treatment for functional reasons (breathing problems) it may be covered.
Will I have visible scars?
This ultimately depends on the type of procedure performed. An open rhinoplasty procedure involves an incision across the columella (the strip of flesh that separates the nostrils). With a closed procedure, all incisions are internal. Naturally, the open approach may leave a small scar on the columella while a closed procedure will not cause any visible scars.