Welcome to the Atlanta Rhinoplasty Specialist Center
Leading the team of experts at the Atlanta Rhinoplasty Specialist Center is Louis DeJoseph, M.D., one of the most highly respected facial plastic surgeons in the United States. Dr. DeJoseph has been recognized as one of the top facial plastic surgeons in his field and has performed many primary and revision rhinoplasty procedures. Dr. DeJoseph is the surgeon that other doctors trust to send their patients to and even for their own nasal plastic procedures. Not only is Dr. DeJoseph respected in the medical community, his patients are so pleased with their results that they’ve spread the word about his practice. 75% of his patients are patient referrals.
Triple board certified by the American Board of Facial Plastic Surgery and the American Board of Otolaryngology, Dr. Louis DeJoseph routinely performs surgeries on the nose for cosmetic purposes or to correct nasal defects such as:
- Droopy tip
- Saddle nose
- Over-Projected Nose
- Deviated Septum
- Turned Up Nose
- African American nose
- Revision Rhinoplasty
- Wide Nose
- Bulbous Tip
- Twisted Nose
- Ethnic Nose
Rhinoplasty expert Dr. Louis DeJoseph knows that each patient requires a unique approach, which is why he offers highly customized rhinoplasty procedures in Atlanta, Georgia. Virtual consultations may even be offered for out of state or international patients.
Our Most Defining Facial Feature
The nose is our most defining facial feature. In fact, it has a massive impact on our overall facial appearance. Having negative feelings about your nose can sometimes have an enormous impact on your confidence and emotional well-being. Because noses are so unique, there are many different aesthetic issues that can cause dissatisfaction, ranging from nose size (too large or too small) or crookedness, to a “hump” on the bridge of the nose or a bulbous tip.
Though there are countless reasons people can be unhappy with their nose, the good news is that most aesthetic problems can be fixed or improved with the help of a skilled facial plastic surgeon. Rhinoplasty, commonly known as a “nose job”, is one of the most popular cosmetic surgeries in the United States that can reshape the nose to address a wide range of problems.
*Each patient is unique and individual results may vary.
What is Rhinoplasty?
Rhinoplasty (also known as a “nose job”) is one of the most popular facial plastic surgeries worldwide. In addition to improving the aesthetics of the nose itself, a rhinoplasty can be used to:
- Improve facial balance
- Reconstruct the nose after trauma
- Address signs of aging
It is known to be one of the most difficult facial plastic surgeries to perform since it involves the manipulation of skin, cartilage, and bone and must be heavily customized to be successful. A skilled facial plastic surgeon, however, can produce natural-looking results that complement the patient’s facial features and promotes facial harmony.
Rhinoplasty is an extremely versatile procedure, and it can address a wide range of cosmetic and functional problems. Some of the goals rhinoplasty can accomplish include the following:
- Reducing/increasing the size of the nose
- Straightening a crooked nose
- Changing the shape of the bridge or tip
Cosmetic vs. Functional Rhinoplasty
Most people who are interested in rhinoplasty wish to change the appearance of their nose. However, others are more concerned with nasal function and seek functional rhinoplasty to help correct a breathing problem. Cosmetic rhinoplasty is purely elective and aesthetic.
The Benefits of Rhinoplasty
Rhinoplasty offers patients many potential benefits, which is one of the reasons the procedure has been so consistently popular. Obviously, the most important benefit for most patients is the impressive aesthetic improvements that can be made to the nose, which can be either very subtle or dramatic. Because it is so versatile, the procedure offers custom results that can maintain a very natural facial appearance. If someone has had a successful procedure with a talented surgeon, it is typically very hard to tell if they have had rhinoplasty surgery or not.
Aside from the aesthetic benefits of rhinoplasty, the procedure also often provides psychological benefits as well. Patients who have hated their nose for years can gain confidence and self-esteem, feeling more open and comfortable in social situations and in photographs.
Who is a Candidate?
Good candidates for rhinoplasty are adults who are in general good health, do not smoke, and have realistic expectations for the procedure. Rhinoplasty is a very complex surgery, and it can make a huge difference in overall appearance. Patients need to be prepared for these changes and realize that improvement is the goal, not perfection. The results of rhinoplasty are considered permanent, so patients need to be certain about what they want in order to avoid disappointment. Prospective patients will need to be evaluated by a board certified plastic surgeon to ensure they are healthy enough to undergo surgery, as safety is the most important consideration in individual candidacy.
Your Rhinoplasty Consultation
If you are interested in changing your nose with rhinoplasty, then your next step should be to schedule a consultation with Dr. DeJoseph in Sandy Springs. This will be an extremely important meeting as you will discuss both your goals and candidacy with Dr. DeJoseph to see if rhinoplasty is a good choice for your needs. You will also have the opportunity to start planning your procedure and ask questions about the surgery and results. This is the perfect time to get to know Dr. DeJoseph and his staff and get personalized recommendations and advice about your cosmetic goals.
The Rhinoplasty Procedure
Rhinoplasty is an outpatient procedure, meaning that patients can go home shortly after the procedure is complete. Typically, general anesthesia or local anesthesia with IV sedation is used, as the procedure is fairly in-depth. During the surgery, small incisions will be made, either inside the nostrils or in the columella (the strip of skin separating the nostrils). The approach used will depend on the goals of the procedure.
Once the incisions have been made, cartilage grafts may be used to re-shape the nose, bones may be filed, broken, or cut, and other adjustments will be made within the nose. During this process, the surgeon must ensure that the functional structure of the nose remains solid. Once these changes have been made, the incisions are closed and the procedure is complete.
Recovery and Downtime
After rhinoplasty, patients can expect to spend about 7-10 days in recovery before returning to work. Swelling, bruising, and some discomfort can be expected, but ice and prescribed medication can make the recovery period fairly easy. Patients will have the dressings removed about 5 days after surgery. For several weeks after the procedure, strenuous activity, bending, and lifting should be avoided. Though the swelling will subside quite a bit in the first month, residual swelling will continue for up to 6-12 months.
What are the risks of rhinoplasty?
Overall, rhinoplasty is a very safe surgery. However, like all surgeries, it does carry some risks. These can include bleeding, infection, anesthesia complications, poor aesthetic result, and unfavorable scarring. These risks can be reduced by choosing a reputable, board certified facial plastic surgeon and following all provided instructions carefully.
Can teenagers get rhinoplasty?
The nose is slow to mature. Maturity typically occurs around age 15-16 in girls and 16-17 in boys. Sometimes teens do get rhinoplasty surgery with parental permission, but it is important to wait until the nose has matured. If performed before this point, the nose could become distorted due to the natural changes caused by the growth process.
What can be done if the results don’t turn out as expected?
Sometimes, rhinoplasty patients are disappointed by their results. This is sometimes legitimate, due to complications or other issues, but it can also be due to unrealistic expectations or just simply needing time to adjust to the new look. Revision rhinoplasty can be performed after 12 months if the results are still not satisfactory, but this procedure is even more difficult than a primary rhinoplasty and should not be taken lightly.
When will the results be “final”?
Generally, the last of the swelling will disappear between 6 and 12 months after surgery. At this point, the results can be considered final.
How will my procedure be customized?
During your consultation, you will have an in-depth conversation to discuss your goals for surgery. You may see a preview of your new nose, but this should be used to give you an idea only—your final result will vary somewhat. Your surgeon will take your other facial features and facial aesthetics into consideration, as well as your preferences, before designing a customized surgical plan.
Does the nose have to be broken during surgery?
Many patients are worried that their nose will have to be broken during rhinoplasty. In reality, this process is nothing like an accidental break—the bones are instead cut and re-set for optimal positioning, function, and aesthetics. This process is quite common and shouldn’t cause any additional recovery time or discomfort.
Will I need to have my nose packed after surgery?
These days, most surgeons have done away with nasal packing for rhinoplasty because it is not needed anymore. Modern nasal surgery is safer and more comfortable than ever!
Where does the cartilage for grafts come from?
In most cases, the cartilage will be taken from the nasal septum and shaped for use during rhinoplasty. However, if there is an insufficient quantity of cartilage in the septum, cartilage from the ear or rib may be used instead.
Will there be any scarring?
Depending on the technique used, external incisions are sometimes not needed, and scarring is not visible. Even when the incision is made externally, on the columella, the scar typically fades very well and is nearly undetectable.
Who should perform my surgery?
Only an expert, board certified facial plastic surgeon should perform cosmetic rhinoplasty procedures. It is an extremely complex surgery requiring a great deal of artistry, skill, and expertise, and it’s not something you want to take chances on. Choose your plastic surgeon carefully, as they will be the biggest factor in the success of your procedure.
Trust an Expert
Choosing the right plastic surgeon is the most important decision you can make when considering rhinoplasty. Becoming a rhinoplasty specialist takes extensive training and experience, coupled with exceptional artistic skill, and precision.
Over half a million people consult with plastic surgeons each year to find out if rhinoplasty is right for them. If you think you might be a candidate, it’s important to discuss your goals with an expert like Dr. Louis DeJoseph, who is triple board certified and has extensive experience in rhinoplasty for all demographics. For more information, call 770-457-6303 to schedule your consultation with Dr. DeJoseph.