Nose surgery, or rhinoplasty, is a cosmetic surgery that allows our New Orleans plastic surgeons to make subtle or drastic changes to the shape, size, orientation, or angle of the nose. Dr. Khoobehi and his associates are deeply committed to fully understanding the unique desires and goals of each patient and they approach rhinoplasty different for each case. The procedure is generally performed to correct a nasal complication (such as a deviated septum), or to cosmetically enhance the appearance. Some rhinoplasty surgeries are reconstructive, which may be the case for patients who have had unsatisfactory results from a prior nose surgery (revision rhinoplasty), or for those who have experienced trauma. The ultimate goal during rhinoplasty is to reshape the nose to an ideal shape and size, so that a beautiful, natural outcome can result.
"Met with Dr. Weiss for a consultation in May 2015; I felt he spent a lot of time with me to discuss options for rhinoplasty, and genuinely listened to the concerns I had around my appearance. He gave great advice on proper proportions, and was able to use a computer program to show me what my 'new nose' would look like. This reassured me a great deal, so I decided to proceed. For the pre-op appt and day of surgery, Dr. Weiss was great with my husband and I, and even called our home the evening after surgery to see how I was. Dr. Weiss has a great bedside manner, ensured that I got the results I wanted without looking artificial, and I would recommend him to anyone who desires plastic surgery."- E.C. / Yelp / Sep 01, 2015
"Not Just a Rhinoplasty - Metairie, LA - Dr. Khoobehi was great. He didn't treat me like just another patient. He took the time to discuss all my options. He didn't just give me a rhinoplasty and sent me home. He look at my face as a whole. He recommended I get fat injections along with my rhinoplasty and wow, it made such a difference. I felt very taken care of my him and his staff. He also called to check in on me after surgery. How many doctors do that! - - Dr. Khoobehi was great. He didn't treat me like just another patient. He took the time to discuss all my options. He didn't just give me a rhinoplasty and sent me home. He look at my face as a whole. He recommended I get fat injections along with my rhinoplasty and wow, it made such a difference. I felt very taken care of my him and his staff. He also called to check in on me after surgery. How many doctors do that!"- T. / RealSelf / Mar 12, 2014
"So Pleased With My Results! - Metairie, LA - Dr. Walters was great. He took time to answer my questions and go through possible outcomes with me, took pictures, and gave me realistic expectations for the procedure he performed. More importantly, he was super gentle when he was injecting the Juvaderm, and even though I bruise easily, I had only the tiniest bit of bruising and swelling. I will definitely recommend him to family and friends and plan use him in the future. - - I went to go see Dr. Jules Walters, III, after hearing about nonsurgical rhinoplasty and seeing his and Dr. Khoobehi's office reviews on RealSelf. Refreshingly honest and sincere, Dr. Walters' exceptional attention to detail gave me a better outcome than I could have ever imagined. I had very minimal swelling and bruising and went out the night after, delighted with my new nose. I return tomorrow for my follow up visit. I would highly recommend him to anyone that wants to achieve a natural look with excellent results."- M. / RealSelf / Dec 09, 2014
"Long Term Hyperpigmentation and Rhinoplasty/facial Contouring - New Orleans, LA - Love Dr. Weiss!! I'm so excited about our plan. For the first time I don't feel like some expensive products were shoved at me as I was being sent out the door. He took a long time with me explaining various options (what will and won't work, and why), showing me with digital enhancements what I can expect, etc. He's not stuffy or arrogant at all. He's a different breed of cosmetic/plastic surgeon from those I've met before."- N. / RealSelf / Mar 26, 2015
"A Broken Nose and Struggling to Breathe. Metairie, LA - He is very nice and shows interest in his patients. He is straightforward, honest and informative to his patients about what problems they are facing, but he is confident in his ability to get the procedure done correctly. - - I had always struggled with my sinuses and I broke my nose during a gymnastics practice. I decided to get a rhinoplasty done, but I was nervous since it was my face that was being worked on. I was a bit terrified of the idea of having to trust another person to reconstruct my facial appearance. So I searched for the best plastic surgeon I could find in the New Orleans area. Dr. Khoobehi promised me I was in good hands and showed me where the problems were occurring in my nose and exactly how he planned to fix it. Not only did he fix my broken nose, but he made an extra effort to make sure it was in proportion with my face and completely reshaped it. The healing process wasn't that bad, and he would frequently call to make sure I was doing well while recovering post-surgery. He takes pride in his work and has every right to. He knows what he is doing, and you can definitely put your faith in him for any procedure he performs."- A. / RealSelf / May 04, 2015
There are several techniques used for rhinoplasty. The approach taken will be based on the complexity of the surgical case and the overall goal of the patient.
With an open rhinoplasty, the incisions are made on the tissue between the nostrils or on the natural crease of the nose just above the lips. This allows for greater access and view of the confines of the nose. Surgeons prefer this as it is easier to manipulate the bones and cartilage. The skin is peeled back to reveal the internal structure of the nose and redraped once reshaping is completed. The scars associated with this approach are tiny - less than 5mm - so they are not easily noticeable once fully healed.
During a closed rhinoplasty surgery, incisions are made to the inside of the nose through the nostrils. This is a common technique for patients who desire mild reshaping. This approach does not cause visible scarring. For severe reshaping cases, the open technique will be implemented.
For minor reshaping, some patients may opt to try an injectable filler to achieve results. These come in a variety of liquid substances, and sometimes a fat transfer can also be utilized. A filler can help add volume to hide small deformities, such as a bump or a bony appearance. It is important to note that fillers can only do so much in the reshaping process. For most patients, surgery is a better option and will offer a permanent solution.
Rhinoplasty is performed in an accredited surgical facility under general anesthesia. The procedure lasts up to 2 hours and is considered outpatient. After surgery, there will be swelling and soreness around the nose area. Bruising is also a side effect of surgery. The nose will be placed in a splint for additional support. During the first 7-10 days following surgery, the side effects will begin to disappear and the splint will be removed. Patients will be able to see their results immediately; however, it may take several months for the full results to appear.
A rhinoplasty surgery can run between $5,000 to $10,000 depending on the surgical case. For more complex cases, skin or fat grafting, or even cartilage reconstruction may be performed. If the procedure is purely cosmetic, the expenses are the patient’s responsibility. However, if reconstruction is performed to correct a deformity, trauma or medical condition, insurance may cover a portion of the expense.
Plan Your Procedure
- Average Cost
- $8,500 - $10,000
- Recovery Time
- 3-6 Weeks
- Average Procedure Time
- 3 Hours
- Post-op Follow-up
- Procedure Recovery Location
Is It Risky?@headingTag>
All surgical procedures carry some form of risk. These risks can be greatly minimized if an experienced nose surgeon is chosen to perform the surgery. While rhinoplasty is one of the most commonly performed procedures in the U.S., surgeon skill is critical so that a beautiful, satisfactory outcome can result.
Around half of all rhinoplasty cases will include some form of nose breaking in order to allow the surgeon to reshape the cartilage and bone. This is primarily intended for patients who have nasal asymmetry. The broken bone or cartilage will be reshaped and reattached, and then supported by splints during recovery.
Nasal packing is done to help with bleeding, especially if the surgery involves the septum. Gauze or cotton packs are inserted into the nasal chamber during this process. Patients find it uncomfortable, but the packing is only in for a short-term during the immediate recovery phase.
Surgical Or Nonsurgical?@headingTag>
This depends on the patient’s nose structure and what aesthetic result is trying to be achieved. For significant reshaping, the surgical approach will be performed as this allows the surgeon to manipulate the cartridges and bones. If the patient is looking for a subtle improvement, adding volume to the area may suffice.