Each year thousands of people undergo surgery of the nose. Nasal surgery may be performed for cosmetic purposes, or a combination procedure to improve both form and function. It also may alleviate or cure nasal breathing problems, correct deformities from birth or injury, or support an aging, drooping nose.
Patients who are considering nasal surgery for any reason should seek a doctor who is a specialist in nasal airway function, as well as plastic surgery. This will ensure that efficient breathing is as high a priority as appearance.
Rhinoplasty Frequently Asked Questions and Rhinoplasty Myths
Can Cosmetic Nasal Surgery Create A "Perfect" Nose?
Aesthetic nasal surgery (rhinoplasty) refines the shape of the nose, bringing it into balance with the other features of the face. Because the nose is the most prominent facial feature, even a slight alteration can greatly improve appearance. (Some patients elect chin augmentation in conjunction with rhinoplasty to better balance their features.) Rhinoplasty alone cannot give you a perfect profile, make you look like someone else, or improve your personal life. Before surgery, it is very important that the patient have a clear, realistic understanding of what change is possible as well as the limitations and risks of the procedure.
Skin type, ethnic background, and age will be among the factors considered preoperatively by the surgeon. Except in cases of severe breathing impairment, young patients usually are not candidates until their noses are fully grown, typically at 15 or 16 years of age.
The Primary Rhinoplasty
To surgically refine the nose's size and shape to create the most ideal nose proportions. By blending the nose in with the other facial features, harmony and beauty are created. This enhances the eyes which are the "portal of entry to the soul".
Incisions are made in the inside of the nose, where they are not visible. In some cases incisions may be made in the area of the skin separating the nostrils.
Underlying bone and cartilage are sculpted to create the nose's new shape.
Skin is re-draped over the nose's new frame and all incisions are closed.
After surgery is completed a small cast is placed on the nose to maintain the newly sculpted nasal framework in position. Dr. Zimm does not use nasal packing except in very rare circumstances. Large packs are not used. Small internal silicone splints may be applied for additional support and are usually removed after 7 days.
Rhinoplasty can reduce a nose that is too large, narrow a nose that is too wide, straighten a nose that is crooked, eliminate unsightly bumps, reshape the tip and improve the angle between the nose and the upper lip for a more youthful look.
In certain noses, such as in Asian or African American noses, rhinoplasty can provide a stronger bridge, enhance tip definition and narrow the base for a more defined look.
It can increase air flow where obstructions in the nose are causing breathing and sinus problems.
It also decreases concerns and renews one's self-confidence once an undesirable feature has been corrected.
Rhinoplasty is a very detailed procedure. The ultimate result depends to a great extent on how your skin heals. Improvement, not perfection, is the goal.
How your skin heals.
The degree of nasal refinement desired.
The level of function of nasal structures.
The structure of the nose, both internally and externally.
How the shape of the nose relates to the overall contour of your face and specific facial features.
Whether chin augmentation or reduction, in addition to rhinoplasty, may benefit the overall profile.
Skin texture and thickness.
Rhinoplasty takes between 2 to 3 hours to complete and is done at the hospital, typically under general anesthesia.
Full daily activities can be resumed within 2 weeks of surgery, strenuous exercise, within 3 weeks and contact sports, diving or weight lifting after 6 weeks. Also, you can travel (even by airplane) by day 8 of your recovery, and eyeglasses can be worn on the bridge of the nose after 6 weeks.
Small residual swelling can persist for several weeks and the final refinement can take several months to a full year to settle depending on the thickness and quality of your skin.
A non-surgical or injectable rhinoplasty is a viable option for people who would like to enhance the appearance of their nose and face without surgery. It primarily functions to camouflage small imperfections in the nasal tip as well as a small bump on the nasal bridge. Dr. Zimm uses dermal fillers such as Juvederm®, or, Restylane® to achieve smooth and natural results. It is performed as an office procedure using topical numbing cream and typical takes 15-30 minutes with minimal discomfort. You will see the results in real time as its being performed!
“Prior to the consultation, I was very uneasy about getting fillers in my cheeks because I didn’t want to look unnatural or feminine. Dr. Zimm senses my concerns and was very patient…before leaving his office, I knew exactly what to expect over the next few days after the injection. All in all, I am very happy with the results and I’m glad I found Dr. Zimm’s office.”
“…As a healthcare provider myself, I have worked with many physicians over the years and I can attest to his competence and professionalism. His practice is extremely well run and his excellent bedside manner, astute medical knowledge and involvement in the latest research put me at ease and allowed for me to completely trust his abilities… His passion for his field of work is evident, and I am extremely satisfied with the outcome of my sinus reconstruction and rhinoplasty -- my breathing is significantly improved and the cosmetic portion is beautifully done.”
World-class Surgeon with a Small-town Manner – New York, NY
“I was really impressed by how much he knew about state-of-the art surgical techniques and practiced them. He is clearly an extremely skilled surgeon. He is also a very intelligent and kind person. As someone who doesn't love the idea of surgery, I felt comfortable and confident… As someone who works as a professor and an artist, I can say that Dr. Zimm sets a high bar for engaging with people and teaching them about their condition, for putting people at ease and building trust, and for clearly being passionate about both the artistry and the technical dexterity of his work. I couldn't recommend him more.”
“Need a perfect, natural-looking nose? Go nowhere else but to Dr. Zimm!...Being involved in the industry myself, I went to 13 different rhinoplasty consultations in NYC to find the right surgeon. After hearing lots of opinions, prices and seeing different images of the "perfect" nose, I chose Dr. Zimm. He won me by his demeanor, his experience, strive for perfection and honesty. He also didn't have a "signature" nose he puts on every one of his patients (walk around the UES and you'll know what I'm talking about). He is truly an amazing surgeon and anyone who works with him at the hospital will tell you the same.”
“Working in the industry I have had the opportunity to work with many surgeons and am always very particular when choosing a physician myself, family, friends and so forth. Dr. Zimm recently performed a Blepharoplasty on me in his office. I consulted with 10 surgeons before moving forward and scheduling this surgery. Without hesitation, I have to say I could not have made a better choice in surgeons!!!! Dr. Zimm was confident and competent, he also had a wonderful bedside manner and made me feel as though he was treating a friend or family member of his own. Fantastic! Not to mention the results are amazing!!!! Completely natural, but amazing Thank you Dr. Zimm!!!!!!”