Welcome to the Atlanta Rhinoplasty Specialist Center
The nose is one of our most prominent facial features. It affects the aesthetics of the entire face, influencing facial balance and attractiveness. A nose that is too large or small, crooked, or otherwise out of proportion with the other features can negatively impact the facial aesthetics. Fortunately, a rhinoplasty or “nose job” can help.
Triple board-certified by the American Board of Facial Plastic Surgery and the American Board of Otolaryngology, rhinoplasty surgeon & expert Dr. Louis DeJoseph knows that each patient requires a unique approach. He is pleased to offer highly customized rhinoplasty procedures in Atlanta, Georgia to patients who want to improve their facial aesthetics and feel more confident.
What is Rhinoplasty?
Rhinoplasty (also known as a “nose job”), is one of the most popular facial plastic surgeries worldwide. Besides 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
We know it to be one of the most difficult facial plastic surgeries to perform since it involves the manipulation of skin, cartilage, and bone and intense customization 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.
The procedure is extremely versatile, 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
- Correct nasal defects like a deviated septum
In the Atlanta Rhinoplasty Specialist Center, we use several rhinoplasty techniques in our approach, including open or closed rhinoplasty. A closed rhinoplasty is a less-invasive option with no visible scars. However, this technique doesn’t offer much repositioning room the way an open rhinoplasty does.
Cosmetic vs. Functional Rhinoplasty
Most people 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.
Why Choose Rhinoplasty?
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.
These range 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.
The Benefits of Rhinoplasty
This rhinoplasty procedure 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, subtle or dramatic, aesthetic improvements made to the nose. 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.
We consider the results of rhinoplasty permanent, so patients need to be certain about what they want to avoid disappointment. A board-certified plastic surgeon will evaluate prospective patients to ensure they are healthy enough to undergo surgery, as safety is the most important consideration in individual candidacy.
Your Rhinoplasty Consultation in Atlanta
Your next step should be to schedule a consultation with Dr. DeJoseph if you have a genuine interest in changing your nose.
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 the doctor & staff. In this consultation, you will get personalized recommendations and advice about your cosmetic goals.
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 use this to give you an idea only—the 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.
Preparing for Rhinoplasty
Properly preparing for your rhinoplasty procedure is essential for promoting safety, proper healing, and good results. After you have scheduled your surgical appointment, Dr. DeJoseph and his staff will give you detailed instructions for pre-operative care.
Before the day of the surgery, you will need to:
- Stop smoking at least a month beforehand
- Avoid certain medications (including aspirin) and supplements a week or two before surgery
- Complete any requested tests or exams
- Arrange for a ride home after your procedure
- Prepare your home for your recovery and buy supplies like ice packs
- Fill any prescriptions Dr. DeJoseph gives you
- Avoid food and drinks after midnight the night before your surgery
Following these steps will help prevent complications and promote optimal results. Dr. DeJoseph will give you more detailed information at the time of your consultation.
The Rhinoplasty Procedure
This rhinoplasty procedure is an outpatient procedure, meaning that patients can go home shortly after the procedure is complete. Typically, we use general anesthesia or local anesthesia with IV sedation, as the procedure is fairly in-depth. During the surgery, Dr. Dejoseph will make small incisions 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 post-operation.
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, the residual swelling will continue for up to 6-12 months.
Possible Side Effects/Risks of Surgery
Overall, rhinoplasty is a very safe surgery. However, like all surgeries, it does carry some risks. Some of these may include:
Poor aesthetic result
Septal perforation (hole in the septum)
These risks can be reduced significantly by choosing a reputable, board certified facial plastic surgeon and following all provided instructions carefully.
Thank you so much for operating on my nose! I would never even think of using anyone else but the best. I enjoyed visiting with you before the surgery and I look forward to seeing you soon. I love my results! Thank you again for everything. Love.
- Consider Dr. DeJoseph for Rhinoplasty
- Considering Rhinoplasty
- If I’ve had previous rhinoplasty surgery would you be able to help
- If I have nose surgery do you have to break my nose?
What kinds of cosmetic concerns can rhinoplasty address?
Primary rhinoplasty is an extremely versatile procedure that can address a wide range of aesthetic issues. We tailor each procedure to help each patient reach his or her individual goals. Dr. Louis DeJoseph routinely performs rhinoplasty in Atlanta, GA to correct cosmetic concerns 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
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.
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 primary rhinoplasty and should not be taken lightly.
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 since it’s 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.
What should I look for in a surgeon?
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.
Why choose Dr. DeJoseph
- Dr. DeJoseph received his undergraduate degree in Molecular Biology, graduating Cum Laude in his class at King’s College. Subsequently, he received his doctorate of medicine from the College of Medicine at Penn State.
- Dr. DeJoseph completed his residency in Otolaryngology/Head & Neck Surgery at Case Western Reserve University in Cleveland, Ohio and was one of only 38 surgeons selected worldwide to undergo further specialty training in facial plastic & reconstructive surgery in affiliation with Emory University here in Atlanta, Georgia.
- Dr. DeJoseph is triple board certified in facial plastic & reconstructive surgery & laser surgery. He is a frequent lecturer to professional and civic groups, contributing author, and winner of many academic awards.
- DeJoseph serves on many local and national committees and is an active medical staff member at Emory Dunwoody Hospital, Northside Hospital, Grady Hospital, and North Fulton Hospital.
- Dr. DeJoseph remains active and raises funds for UNICEF, American Breast Cancer, Aids Foundation, American Breast Cancer Society, the Leukemia & Lymphoma Foundation, and the American Heart Association.
Schedule a Rhinoplasty Consultation in Atlanta
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 in Atlanta & surrounding areas.
For more information, call 770-457-6303 to schedule your rhinoplasty consultation in Atlanta with Dr. DeJoseph.