Redefining Your Nose

The nose is the most prominent part of the human face. It is a transition between the upper face (forehead and eyebrows) and the lower face, and it provides balance for the mid-face. The relationship of the nose to other facial features, especially the chin, is responsible for a balanced, attractive look. Even minor deviations from those facial proportions can change one’s appearance. Many people have rhinoplasty (nose surgery) from Dr. David Evdokimow to improve nose appearance and function.

About rhinoplasty in New Jersey

Rhinoplasty is one of the oldest cosmetic surgical procedures and still holds its popularity today. However, there are other medically indicated nose surgeries to improve function such as:

  • Septoplasty (straightening the nasal septum) 
  • Turbinectomy (reduction of the turbinates)
  • Patients with facial fractures (trauma) may also require nose surgery

Nasal fractures are the most common fracture of the face. The injury involves the nasal cartilages and the nasal bones. The part of the nose most commonly injured is the septum. A large percentage of septal injuries go unnoticed, explaining the high percentage of unsatisfactory results associated with treatment of nasal trauma. 

Rhinoplasty should not be performed until the facial skeleton and facial soft tissue have fully developed. In healthy people without craniofacial anomalies, this usually happens between the ages of 12 and 15. In rare cases, early pediatric rhinoplasty may be indicated, but usually only when they are associated with congenital anomalies and trauma.

The reasoning for this is more than just anatomic; the maturity that comes with age helps to ensure that the desired nasal changes are based on the patient’s own feelings, rather than the influence of others. In general, procedures are more conservative for younger patients (so as not to interfere with the future growth of facial and nasal structures). These procedures are usually staged, with the final procedure been performed when facial development has been completed. Nose surgery is a delicate and demanding procedure, one that requires special skill and experience. A margin of only millimeters can turn what could have been a good result into a very poor one.

A balanced look

Many improvements can be achieved through rhinoplasty. As one of the more experienced New Jersey cosmetic surgeons, Dr. Evdokimow will make the changes necessary to give you a more balanced facial appearance, but he will also retain your uniqueness and personal beauty. You don’t need to worry that you will look unnatural or unlike yourself after surgery. Consultations before rhinoplasty are among the most comprehensive. Attention-to-detail plays a paramount role throughout the process – before, during and after surgery. Most rhinoplasty patients are looking to address concerns such as:

  • A significant “hump” on bridge of their nose
  • A crooked nose
  • A thick, full or hanging nasal tip
  • Their nose is out of proportion (usually too big) to the rest of their face
  • The shape and flare of the nostrils
  • Difficulty breathing, in the absence of cold and allergies

Medical history and physical exam

It’s important to discuss any history of difficulties breathing through the nose, nosebleeds, frequent sinus infections, postnasal drip, excessive snoring, frequent headaches early in the morning, excessive early morning tiredness and lack of sleep. We also discuss nasal trauma (even in early childhood), previous nasal surgeries or any history of hypertrophic scarring or keloids (personal or in the immediate family). History of frequent behind-the-eyes headaches can signify nasally triggered migraine headaches where compressed nasal nerves are the trigger for a migraine attack. In these cases, septoplasty usually resolves or decreases the intensity, frequency and duration of the headaches.

Nasal surgery from a trusted physician

Nose surgery is a delicate and demanding procedure, one that requires special skill and experience. You can trust board-certified Dr. Evdokimow to perform your New Jersey rhinoplasty. His international education at prestigious institutions includes a plastic surgery residency at Indiana University School of Medicine as well as a plastic, hand and microvascular fellowship at Beth Israel Deaconess Medical Center, a teaching hospital of Harvard Medical School.

As a part of his continuing medical education, Dr. Evdokimow frequently attends conferences and seminars directed specificaly toward nasal surgery. His significant experience with facial trauma and treatment of the most complex facial injuries and correction of congenital deformities in children with pediatric plastic surgery helps to improve the outcome of cosmetic rhinoplasty.

The surgical approach to rhinoplasty, for the sake of simplicity, can be divided into:

  • Closed rhinoplasty – This approach is used for correction of minor to moderate nasal deformities. 
  • Open rhinoplasty – This approach is used for correction of significant nasal deformity. 
  • Minimally invasive rhinoplasty – When you need minor changes to the shape of the nose, we can achieve good results with help of injectable fillers such as Restylane®, Perlane®, Radiesse® and Belotero®. This procedure is performed in the office and does not require anesthesia.

The rhinoplasty procedure can be combined with chin augmentation and other facial cosmetic procedures such as face lift, brow lift and blepharoplasty (eyelid surgery). Dr. Evdokimow will discuss your options during your initial consultation, including fat transfer and lip enhancement in New Jersey and New York.

Please visit our Galleries section to view plastic surgery before and after photos.

To learn more about rhinoplasty or to schedule an appointment, please call our practice at 908.221.1136. For your convenience, you can arrange your one-on-one consultation with Dr. Evdokimow by filling out our online Request an Appointment form. Our rhinoplasty patients come to us from Far Hlls,  Madison, Summit, Milburn and Chestertown.

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