Rhinoplasty Surgery Dr. Undavia - Princeton, N.J.
Rhinoplasty (Nose Job) is the reshaping of the nose, and is one of the most common facial plastic procedures Dr. Undavia performs.
The most common indications for rhinoplasty include:
- a bump on the nose
- a droopy nasal tip, especially while smiling
- a wide or large nose
- an aging nose that is droopy and poorly functioning
- a crooked or flattened noses from an accident
- a flattened nose from a septal perforation
- a bulbous nasal tip
- wide or flaring nostrils
- an upturned nose
- an overly projecting nose
- poor breathing through nose
No matter the reason, as the nose is central to the face and is a major focal point of the face, small changes in the nose can dramatically enhance the appearance of the face. Dr. Undavia also understands that every face is unique, and therefore every nose is unique. As a dual board certified Facial Plastic Surgeon and Otolaryngology – Head and Neck Surgeon, he understands that a nose is only as good as it functions. This separates him from his peers, as he often sees a rhinoplasty that may look good, but functions poorly.
At the time of your consultation, Dr. Undavia will examine both the inside and outside of the nose, examining both things that are already good about your nose, as well as things that might need to be changed. Special attention will also be paid to how your nose works, because any alteration to the structure of your nose will affect the function.
Dr. Undavia uses computer imaging to help show you realistic goals for surgery. Working in conjunction with your goals and desires, Dr. Undavia will tailor a surgical plan that is unique to your nose and your face. Sometimes, the projection of the chin can alter the appearance of the nose. Therefore, sometimes it’s important to address the chin to help enhance the nose and face. At this time of the consultation, you can help Dr. Undavia understand exactly what you want for your nose. It is important to let Dr. Undavia know if you have trouble breathing through your nose, if you have headaches, or recurrent sinus infections. Because of his dual board certification, Dr. Undavia can address all of these problems at the time of surgery.
What Looks Good
Most patients want a natural appearing nose. They don't want to appear as if they had surgery. Men want a strong masculine nose, while women should have smaller refined noses. This is in stark contrast to the past, where both men and women wanted a “surgical appearance", being more "scooped out" and "turned up". Furthermore, most people simply want them to have a nose that enhances their inner abilities by giving them confidence to not focus on their nose.
Rhinoplasty is performed under general anesthesia, which is administered by a board certified Anesthesiologist. Most of the incisions are hidden inside the nose. Often there is the need for an external, small hidden incision in the skin between the nostrils. For those who need their nostrils narrowed significantly, there might be small inconspicuous incisions that are hidden in the crease between the nostrils and the face. After surgery is complete, an external splint is used to protect the surgical results. Both the splint and sutures (if external) are removed after 5-7 days. There is some swelling and bruising, but these are minimal.
After surgery, pain typically is not a problem. Most patients are tired from anesthesia, and there is some discomfort. Patients are ready to return back to work (depending on what the activities of work are) or school within one week. Much of the swelling comes down within a few weeks. The nose will continue to improve everyday. The final results are clear early, but might take a year to complete all reduction in swelling. Light exercise can be initiated around 3 weeks (no heavy lifting or impact exercise). Full contact sports need to wait for 6 weeks to allow the nasal bones to heal fully. Contacts are fine, but glasses can exert asymmetric pressure on the nasal bones. Ask Dr. Undavia for options if you wear glasses. Dr. Undavia will schedule appointments for the day after surgery, followed by weekly visits for the first few weeks. Then visits are regularly scheduled at 3-month intervals for one year to check on the healing process.
Choosing Your Doctor
Experience matters in nasal surgery. Rhinoplasty is clearly the most difficult plastic surgical procedure to achieve consistently good results. It is important that you choose a doctor that not only does this operation often, but that has had the training to handle all of its intricacies. As a dual board certified plastic surgeon, Dr. Undavia focuses exclusively on the face and neck. His training in both Otolaryngology and Facial Plastic surgery has made him the doctor that other doctors approach for help in patients who have had previous nasal surgery. During training, Dr. Undavia focused heavily on Rhinoplasty and Revision Rhinoplasty. He understands the implications on structure and function of every surgical decision in nasal surgery after having published in numerous peer reviewed journals, educational materials and presented his work nationally.
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