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, rhinoplasty 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.

Nose surgery patient in Miami, FL

Rhinoplasty Procedure Overview

Dr. Lampert in the news

Dr. Joshua Lampert Nasal Reconstruction 

Woman with clear skin looking to the side

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! 

Rhinoplasty Videos Featured in the Media

Multiple examples in the national news on multiple stations of Dr. Lampert’s nasal reconstruction cases below with three different young ladies. One girl’s mom took her to over 25 different doctors before seeing Dr. Lampert.

Nose surgery patient in Miami, FL

Dr. Lampert's Miami nose surgery patient giving testimonial

Patient giving testimonial on nose surgery in Miami with Dr. Lampert

When I went to Dr. Lampert's office, seeking a septoplasty and rhinoplasty, I did not expect to have met the most amazing team. They are kind hearted, hard working, and always open to answering any questions that may pop up in person or via email/phone.

Kelly S.

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!

Before & After Rhinoplasty with Dr. Lampert

View More

Committed to Excellence

Good work always takes time, especially with nasal surgery. Proper surgical performance on the nose requires meticulous attention to every detail and taking the time to get it right. Adequate time should be spent with the patient prior to surgery in order to best understand the specific anatomy and the patient's ultimate goals. Understanding the patient and what they specifically want to change about their nose (basically the "center of their face") takes time and should never be rushed. 

Equally, the rhinoplasty surgeon should take the necessary time to try and achieve all of this while also improving the nasal airway. The fast operation is usually not correct, especially with the nose! I encourage everyone considering rhinoplasty to ask their potential surgeon how much time they anticipate they will take with them in the operating room. A large percentage of Dr. Lampert’s practice is revision rhinoplasty, fixing bad noses from other surgeons.

What amazes him is that there are still surgeons out there who will do primary rhinoplasty but will not do cosmetic revision rhinoplasty! If your surgeon does not feel comfortable performing revision rhinoplasty, then they are probably less experienced, less committed, and less in love with the art form. Nasal anatomy is spectacular and complex. Make sure your surgeon is in it for the love of the game and cares about your results.

Banner media

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. 

Woman smiling outside standing in front of a bush

Rhinoplasty Patient Testimonial

Woman riding a horse

Nasal Reconstruction Featured on WNDU 

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.

Background media

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 rhinoplasty surgery. 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

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 Miami 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.

Functional Rhinoplasty

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

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.

Background media

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.

Rhinoplasty Risks

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.

Artistic painting

Rhinoplasty Recovery

Most rhinoplasty surgery is performed under general anesthesia as an ambulatory surgery. This being the case, the patient will require an adult to pick them up and stay with them overnight. Patients typically require some prescription oral pain medication for the first few nights to sleep. Patients often go home with a small amount of nasal packing that helps reduce the risk of nosebleeds. This nose packing can make patients feel "stuffed up" and it blocks the nasal airway while it is in. On the third day after surgery, Dr. Lampert typically removes the nasal packing.

Once this happens, patients often have few complaints of discomfort. Most patients also have a firm, specially-molded plastic "aqua-plast" splint that Dr. Lampert removes 1 week after surgery. Open rhinoplasty patients also have some small sutures removed at the 1-week post-op mark. Dr. Lampert sees rhinoplasty patients back at 2 weeks post-surgery to remove any small blood clots inside the nose. Any absorbable sutures that have not dissolved yet are also gently trimmed. After 2 weeks, Dr. Lampert typically allows patients to fly. After 4 weeks, he allows patients to wear glasses or sunglasses.

He also allows light exercise after 4 weeks. After 8 weeks, patients can go back to high-intensity training and "heavy" exercise. Swelling associated with open rhinoplasty can last up to and even over a year. Typically the nose looks "non-surgical" by 3-4 weeks, but the nasal tip specifically takes often over 4-6 months to look more refined. Frequently the post-op nasal tip can look bigger for many months after surgery, even after the nasal tip has been made more delicate and the cartilage has been thinned and refined during the surgery.

Banner media

Restoring Function

During rhinoplasty consultation, 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 Miami rhinoplasty. This gives patients the best possible outcome—a nose that is both aesthetically pleasing and fully functioning with nasal breathing.

Schedule A Consultation

In-Office Virtual
Contact us media

Rhinoplasty Caution

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. Rhinoplasty 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 in Miami is geared towards providing you with ease, comfort, and confidence in your decision to move forward. Dr. Lampert will examine your nose, find out what you do and don’t like about it, and he will then create a surgical plan tailored to your express wishes and goals for improvement. The rhinoplasty consultation process should never feel rushed. It takes time to best understand the patient's desires and goals. After listening to the patient's chief complaint, Dr. Lampert always reviews the patient's nose with them in the mirror and discusses any aesthetic concerns that they may have. He encourages patients to provide "goal photos'' of other noses that they like. 

Doctor media Black Wood Grain Background
Fellow American College of Surgeons logo RealSelf Hall of Fame logo RealSelf Top Doctor logo American Board of Plastic Surgery logo American Society of Plastic Surgeons logo Herbert Wertheim College of Medicine logo

Doctor and patient then review the photos together and discuss potential expectations, achievable results, and any reasonable limitations given the variable anatomy that Dr. Lampert sees in his extremely diverse Miami plastic surgery practice. It is important that the patient and Dr. Lampert have similar and reasonable expectations in order to achieve the best patient satisfaction. Trying to understand the patient's desires as well as educate the patient on what outcomes may be achievable takes time. Dr. Lampert’s number one goal during a rhinoplasty consultation is to understand the patient and communicate effectively to the patient. This is an extremely important component of the procedure.

Why Dr. Lampert Loves Performing Rhinoplasty

The facial aesthetic and underlying anatomy are ultimately what we typically refer to when we reference an individual's identity. Though some police detectives may use fingerprints, more frequently, the appearance of an individual's face is what most people utilize in order to determine identity in themselves and in others. The nose presents the center of this identity and is an extremely important component of the facial aesthetic. As a child and a young artist, Dr. Lampert was overwhelmingly fascinated with the interpretation and architecture of the human face. In grade school, during science class, a substitute teacher played an educational video about a plastic surgeon who was a pioneer in facial reconstructive surgery and rhinoplasty. During Dr. Lampert’s college years, he studied figurative sculpture and anatomy, with an emphasis on the facial anatomy at every opportunity. 

Dr. Lampert meandered his way through medical school and a plastic surgery residency after this and ended up training under several of the plastic surgeons who were trained by the same man in the video he saw many years ago. It was almost subliminal or like a dream. Years later, when Dr. Lampert was completing training, he saw that same video again. It felt like deja vu, as he had all but forgotten it in his youth. The anatomy of the nose and face around it is to Dr. Lampert the most interesting and delicate structure of the human being as a whole. The effects of improving, correcting, and repairing the nose are arguably the most rewarding performance a plastic surgeon can achieve. For the right patient, nose surgery in Miami with Dr. Lampert can so powerfully improve self-confidence and further buttress the self and social identity for the individual. 

Banner media

Rhinoplasty FAQ

Is Rhinoplasty Safe?

Rhinoplasty and septoplasty surgery on an otherwise healthy patient should be safer than driving your car to the doctor's office! Still, patient safety must always be evaluated and perpetually assessed. Every measure should be taken to always improve it. No cost should be spared when it comes to patient safety. During rhinoplasty surgery, it is important to have the safest equipment, best medications, and most experienced doctors, nurses, surgical assistants, and medical professionals. Frequently in life, you get what you pay for. Cosmetic surgery is no exception! Dr. Lampert performs all of his procedures at the hospital or his Ambulatory Surgery Center (ASC), Miami Surgery, LLC, which is Federally Certified by the Florida Agency for Health Care Administration (AHCA), the same agency that licenses all of the best hospitals in the state of Florida. It is currently one of only three other Plastic Surgery ASCs in Miami-Dade County Certified by AHCA, and as such, Dr. Lampert is held to a higher standard. Having control of his own ambulatory surgery center, he is able to provide patients the advantage of many surgical technologies and a higher quality of equipment that is not available at the hospital. Dr. Lampert has equipped his facility with the latest nasal surgery and safety equipment, including a smoke evacuation system, high-definition imaging devices, LED lighting and visualization technology, power-assisted liposuction, video laryngoscopy, and much more. See the following link for more details: https://www.lampertmd.com/about-dr-lampert/our-facility/ Cosmetic results and safety metrics are ultimately the best when the given surgeon takes their time to ensure they did their best, remained detail-oriented, and cut no corners to get there. The fast procedure is often not the right procedure, although it may be the cheaper one. When interviewing a plastic surgeon, ask them how much time they typically spend performing a procedure. If they pride themselves on sheer numbers, volume, and being fast, then they might not be the right surgeon for you! Good work takes time.

Choosing A Detail-Oriented Nasal Authority

In order to visualize the patient's bony and cartilaginous nasal skeletal anatomy and the adjustments that need to be made, Dr. Lampert frequently redrapes the nasal skin and adjusts the structures below. He is also constantly evaluating the aesthetic nasal shape from various angles and referencing this to the patient's jawline, chin, cheekbones, and overall facial structure with the goal of achieving greater harmony from every angle. Changes made during rhinoplasty surgery are often incremental and meticulous in order to achieve the greatest control and best result. These steps take significant time but should not be skipped if the surgeon wants to best control the final aesthetic result.

Can Rhinoplasty Be Combined With Other Procedures?

Many procedures can be combined with rhinoplasty. Very often, septoplasty (or surgery to straighten the septum) is performed at the same time, as well as other surgeries to treat sometimes enlarged "bony spurs" inside the nose called turbinates. These turbinates can be sometimes fractured or reduced in size through "submucosal resection or turbinectomy." Turbinate surgery can help patients breathe better out of their noses. Septoplasty surgery can help patients to breathe better but also allows the surgeon to straighten and further shape the nose as well. Functional nasal airway surgery (to help the patient breathe better) is often performed at the same time as a rhinoplasty. Chin surgery (or genioplasty) is often also performed at the same time as rhinoplasty. Plastic surgeons should evaluate the chin and the nose together during the initial consultation. Often a large nose can look larger when compared to a small chin. A long nose and a short chin can make the face look convex, with the patient's leading feature being an over-projecting nose. A large chin can conversely make the nose look short. The chin and the patient's entire facial skeletal structure should be taken into account, as the surgeon aims to improve overall facial balance and provide a harmonious profile. Simultaneous facial procedures, like fat grafting the tear troughs, lips, and face are often performed at the same time. Many patients decide to "take advantage" of the downtime, anesthesia, and surgery day in order to undergo other desired elective surgical procedures at the same time in combination with their rhinoplasty surgery. These may include liposuction, breast augmentation (boob job), labiaplasty (vaginal rejuvenation), eyelid lifts (blepharoplasty), abdominal etching, and some form of tummy tuck or abdominoplasty. A number of procedures can be performed on the same day. Depending on the exact surgical procedures desired and estimated length of time, Dr. Lampert will make recommendations regarding which procedures can be performed together for that individual. Too much surgery in one day is never a good idea as Dr. Lampert puts safety first. Each patient is different and must be evaluated individually. A good surgeon will be able to tell the patient how many and what kind of procedures can be combined during the same day of surgery.

cta sub

*The content/images on this website are not a guarantee of individual results. Individual results may vary. The information provided on this site is for general informational purposes only, and does not replace the need for a formal consultation.

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (786) 735-9275.
Contact Us