While some people not be happy with the way their noses look, according to Texas-based cosmetic surgeon Dr. Sam Jejurikar — ranked by Newsweek as one of 2022’s Best Plastic Surgeons in America and respected as one of the finest “nose doctors” in Dallas — there’s a lot more to the human nose than appearance alone.
Rhinoplasty — more commonly known as a “nose job”— is a cosmetic surgical procedure that aims to enhance the appearance of the nose. However, many people don’t truly understand what it entails. Dr. Jejurikar notes there are quite a few misconceptions about rhinoplasty that he hopes to clear up for anyone considering getting one — and for those who might benefit from nose surgery who are unaware of some of its proven health benefits.
Dr. Sam Jejurikar has made it his life’s mission to help anyone seeking cosmetic surgery. “It is intensely gratifying to help patients achieve their goals,” he told Inspirery. “Although every patient’s story is different, the impact of his or her life is dramatic and significant. Being able to help patients experience moments like this will never cease to be immensely satisfying.”
Dr. Sam Jejurikar’s Nose Surgery 101: Common Rhinoplasty Techniques
Rhinoplasty is often performed as an outpatient procedure during which the patient is under general anesthesia. However, whether IV or general is used, it’s always performed in conjunction with a local anesthetic (a lidocaine/epinephrine mixture) to numb the area and reduce potential bleeding.
There are two standard techniques for the procedure: open rhinoplasty and closed rhinoplasty. A closed (endonasal) rhinoplasty is performed entirely inside the patient’s nose via incisions made in the nostrils. The components requiring modification are pulled out and reshaped, then returned to the nasal bed. The internal incisions are closed with absorbable sutures, so there is no need to remove stitches at a later time and no external scarring.
Open (external) rhinoplasty is needed when more visualization is required within the nose. To perform it, the surgeon makes a small trans-columellar (bridging) incision connecting incisions made to the right and left nostrils. The skin is then lifted to expose the internal nasal framework.
Seeing directly inside the nose without disturbing its natural internal alignment (as happens with closed rhinoplasty) allows the surgeon to evaluate its individual structural components with a higher degree of accuracy. While some very limited scarring may result from open rhinoplasty, it greatly improves access and visibility, which may result in more symmetrical final results.
“At your consultation appointment, you and Dr. Jejurikar will decide which of the two techniques is appropriate for your surgery,” states his website. “Either way, Dr. Jejurikar will gently lift the soft tissues covering the nose and sculpt the bone and cartilage into the desired shape, close the incision and apply a sterile dressing.”
Dr. Sam Jejurikar Explains Some Unexpected Health Benefits of Rhinoplasty
Aesthetics is the main reason people get nose jobs — but it’s certainly not the only reason. There’s no question looking good can boost self-esteem, which often goes a long way to making a patient feel better about themselves in general. However, nose surgery can also correct birth anomalies and damage caused by injuries that lead to breathing difficulties.
The nose working in conjunction with the mouth is an essential part of the human respiratory system. Patients with narrow nasal passages or obstructions may experience restricted breathing, resulting in snoring/sleep apnea, shortness of breath, and other sinus issues.
Nose surgery that alleviates or even eliminates sinus problems (septoplasty) is often performed as an adjunct to traditional rhinoplasty. When successful, the result is improved breathing and better sleep quality, an essential component of overall good health that impacts everything from hypertension, cardiovascular disease, diabetes, stroke, and weight gain to fatigue and depression.
Dr. Sam Jejurikar’s Nose Surgery Q&A
Before considering a “nose job,” ask the following four questions:
- Won’t everyone know I’ve had a nose job? No. Those who know you best may notice a difference in your appearance, but a competent cosmetic surgeon will make your features appear natural. The only way people will know you’ve had a nose job is if you tell them.
- Is having a “Kardashian” nose guaranteed to make me beautiful? No. Cosmetic rhinoplasty is all about balance and symmetry. Balanced, symmetrical features are the benchmarks against which beauty standards are measured. While a Kardashian nose might look great on a Kardashian face, it’s not going to be the best fit for everyone. Dr. Jejurikar cautions that patients must have realistic expectations.
- Will getting a nose job change my voice? Strange but sometimes true: Rhinoplasty can actually alter the human voice. While such changes are not usually significant, they can be noticeable. It’s speculated this is the reason why singers with distinctive vocal stylings whose appearance might be enhanced by rhinoplasty may elect to forgo the procedure.
Dr. Sam Jejurikar Goes Post-Op: Need-to-Know Nose Surgery Recovery Facts
According to Jejurikar’s website, after a procedure, “You may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two or three days and return to work within about a week.” It’s totally normal.
Swelling is treated with the application of ice per your surgeon’s instructions, and over-the-counter pain medications should offer adequate pain relief. However, common nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, diclofenac, and aspirin that may interfere with blood clotting should be avoided. The swelling usually subsides after about two weeks, although some residual puffiness may linger for up to six months. How much bruising a patient experiences is dependent on their skin sensitivity and the extent of the procedure. Look for bruising to last for up to 10 days. While not usually a cause for concern, Dr. Sam Jejurikar says if swelling or bruising seems abnormal, it’s always a good idea to check with your doctor to head off any potential complications and make sure the healing process is proceeding as it should.
In general terms, rhinoplasty recovery is achieved at the six-month mark, although it can take up to a year for the underlying facial structure to recover its full strength and integrity. In the immediate aftermath of nose surgery, patients are advised to avoid strenuous activities, including exercise and sex. Blowing your nose, showering, wearing glasses, staying out in the sun, consuming alcohol, and smoking can all hinder recovery. To ensure optimum recovery, it’s always best to talk with your surgeon to establish a postoperative time line.
Dr. Jejurikar’s No. 1 tip for post-nose-surgery recovery is to avoid situations where your nose might be injured. While it’s okay to fly a week after nose surgery, stay in your seat to avoid getting bumped and have someone else put your luggage in the overhead.
How to Find a Great Nose Surgeon
When selecting a surgeon to perform any cosmetic procedure — including rhinoplasty — it’s wise to heed the advice given by the American Board of Plastic Surgery (insert link). Always look for an experienced, board-certified surgeon who specializes in the procedure. Once you’ve established that, be sure to ask how long they’ve been a practicing plastic surgeon, and how many rhinoplasties have they performed. Question if they’ve ever been disciplined by the board or by the state. Check to see if there’s any reason you wouldn’t be a good candidate for a rhinoplasty and ask about their policy on revisions if you’re not happy with the results.
Query where the surgery is going to take place — a hospital or surgery center, and if that location is accredited. Inquire about any hidden costs like lab work, postoperative care, or additional medications.
A reputable surgeon will answer your questions freely and will willingly show you a portfolio of their before and after nose-surgery patients’ photos. Before any procedure, your surgeon must thoroughly check your medical history, including any medications you take, to avoid surgical complications. Dr. Sam Jejurikar says you should never let a doctor pressure you into something you’re not comfortable with. If something doesn’t feel right, find another surgeon.