Your nose is an important facial feature, one that can dominate your appearance or compliment natural facial shape. In many people, the shape and size of an individual’s nose are out of balance with their facial features, which can affect confidence. Beyond aesthetics, certain structural issues can also make it hard to breathe, which may contribute to nighttime snoring. Whether for functional or cosmetic reasons, nose surgery can often solve your concerns and help you feel more confident in your appearance.
Dr. Epstein is a member of the Rhinoplasty Society, whose members include the top plastic surgeons for rhinoplasty in the world. He has over 28 years of experience performing rhinoplasty procedures, and as a Board Certified Plastic Surgeon, Dr. Epstein is a highly skilled expert at improving both the aesthetic beauty of the nose as well as its functionality. To discuss your individual needs and concerns, schedule a consultation with Dr. Epstein today.
To learn more about rhinoplasty in Chicago with Dr. Epstein, contact MAE Plastic Surgery today!
What Can Rhinoplasty Do for You?
This procedure is commonly called a nose job and is used to improve the appearance or function of your nose. Alterations can be made to its size, shape, and width, correcting any abnormalities and improving aesthetics. Treatment can correct the nasal tip, nostrils, nasal asymmetry, or a raised bump on the bridge.
Functional rhinoplasty is performed to correct breathing obstructions and improve structure for optimal airflow.
Nose surgery is intricate and determined by your anatomy and the results you want to achieve. Dr. Michael Epstein provides treatment with a skill developed from many years of performing successful cosmetic nasal surgeries.
Visualizing Your Ideal Nose Before Surgery: Computer Digital Imaging
During your consultation, it is possible to use advanced computer-imaging software to help you visualize a possible result. Dr. Epstein will take several pictures of your nose from different angles and upload them to a computer. These images can also help clarify the steps taken during the procedure and how they can produce the desired result.
From the 3-D imager, Dr. Epstein can vary the shape and size of your nose to give you an idea of a suitable goal and outcome. It is important to remember the engineered photos from digital imaging are not a guarantee of your outcome but is an effective tool to ensure you and your surgeon share a common goal.
After the imaging is complete, you will have access to your photos, including the digitally altered version on a private, password-protected program that you can access from home. In most cases, our patients have found that their surgical results are better than the photo-enhanced versions.
Preparing for Your Rhinoplasty at MAE Plastic Surgery
When preparing for rhinoplasty surgery there are only a couple of things that are procedure specific that may be of some benefit prior to the surgical date. When having any surgery on a facial feature I believe it is beneficial to have your skin optimized by having a medical grade facial that may include a chemical peel. This will help speed up the healing process and reduce the chances of infection. This should be done at least one week prior to surgery. Transcend MedSpa, housed within MAE Plastic Surgery has two superb aestheticians that will optimize your skin condition.
Besides the above, there are some basic preparations that need to be made prior to any surgery. At MAE Plastic Surgery we will provide a folder with several packets of information that will make it easy for you to be prepared for your surgery. We will not only provide basic pre-op instructions but you will also receive a list of items to have at your home that will help in the recovery process. We will provide you a copy of your detailed written consent form so that you will have plenty of time to read through it and ask questions about anything that may not be understood. Additionally, you will receive a list of medications that you will need to refrain from taking and your post-operative instructions.
What to Expect With Your Customized Nose Job
Nose surgery is an outpatient procedure performed under general anesthesia at our fully accredited surgery center. The surgery is typically completed within three hours.
When surgery is performed through the nostrils from inside the nose, it is referred to as a closed technique. An open rhinoplasty is completed through a small incision on the columella below the tip of the nose. The scar is largely hidden on the underside of the nose. Your surgeon will discuss the approach required during your consultation.
Excess bone and cartilage are removed from the bridge of the nose to minimize bumps and decrease the size of the nose, as necessary. Dr. Epstein is careful when sculpting the nose to avoid an upturned nose tip.
Whether open or closed technique is performed, the skin and soft tissue which covers the nose are raised and the underlying skeletal structure of the nose is reshaped. In some cases, cartilage might be taken from one area of the nose and grafted into another area.
Be sure to view our before and after photo gallery of Chicago rhinoplasty procedures to see real patient results.
Cosmetic Surgery Can Do All of The Following to Improve Facial Shape:
- Shorten a long nose
- Narrow a wide nose
- Build up a flat nose
- Correct bumps or humps
- Correct a crooked nose
- Fix a broken nose
- Fix a depression on the bridge
- Remove a hooked nasal tip
- Correct nasal asymmetries
- Make large nostrils smaller
Functional vs. Cosmetic Rhinoplasty – What’s the Difference?
If you suffer from frequent nosebleeds, dry mouth caused by nasal congestion, noisy breathing, bad breath, frequent headaches, or recurrent sinus infections, you may have a nasal obstruction. Functional treatment can restore your ability to breathe while performing cosmetic changes to improve your facial appearance.
Often, functional issues will arise during a cosmetic procedure, requiring correction to maintain proper breathing. Likewise, some patients with functional issues opt for a few cosmetic tweaks during their functional procedure. We strive to improve both the aesthetics and functionality of your nose.
If needed, functional rhinoplasty is often performed simultaneously with a cosmetic treatment. Dr. Epstein can correct obstructions to breathing while also improving the look of your nose.
Does Functional Rhinoplasty Change My Appearance?
The answer depends on your goal for treatment. Often, we can improve the airway without making noticeable changes to the outward appearance of the nose.
More commonly, patients want to change both the appearance and function of the nose. For these patients, we make both cosmetic and functional changes. If you want a change in your appearance, nose surgery can provide it. If not, we may improve your breathing without a change in your look.
What to Expect During Recovery From Rhinoplasty
Bruising and swelling around the eyes are normal and will fade within 1-2 weeks after surgery. You may experience discomfort within the nose and other areas of the head, which can be controlled with medication.
You will feel more comfortable sleeping on your back for 1-2 weeks and elevating your head with pillows to help reduce swelling. Stuffiness and some light bleeding from the nose are common during the first few days.
A small external splint will be taped to your nose to protect the new shape for approximately 5-7 days after surgery. You can return to light activity within a few days, or as you feel ready. You may resume full activity within 3-4 weeks.
Rhinoplasty Procedures for Men and Women
MAE Plastic Surgery has the experience necessary to provide both men and women with optimal results. Properly shaping nose structure requires a keen insight into facial symmetry and improving a patient’s confidence while ensuring they look and feel like themselves.
Women often want a narrow, delicate nose structure, which is in harmony with their features, has the right proportion and is naturally appealing.
While a women’s nose can be rotated on a small figure or have a narrower appearance, a man’s nose will look strange if the tip is over rotated, pinched, or concave. The narrowing of the nasal bones is completely different during treatment for men; a man’s nose must be narrowed with caution. Indentations on the side are a giveaway to a cosmetic procedure and are signs of excessive grafting away of bone structure.
Is Your Teenager Eligible for a Nose Job?
Among teenagers, rhinoplasty is the most requested plastic surgery procedure, which can be controversial. Some professionals argue a teenager is too immature to handle the emotional implications of surgery. On the other hand, with proper vetting and involving parents in the consultation process, the results can be rewarding and well accepted.
Self-esteem is critical for young patients, and many teenagers find it hard to feel good about themselves if they are teased for an overly large nose. MAE Plastic Surgery can provide cosmetic nose surgery after careful patient screening and discussions with the patient and their parents.
Teens frequently seek nose surgery to correct a variety of issues, including breathing abnormalities. Cosmetic improvements include excessive length or width of the nose, large nostrils, a crooked or broken nose, a bump or depression on the bridge of the nose, a hooked nasal tip, or asymmetries.
The most important factor to consider is whether the nose is fully developed. Studies have indicated this happens at age 13 or 14 for girls and 15 or 16 for boys. This will be closely evaluated with physical examination during the consultation.
While most teenage nose surgery patients are female, more male teenagers are now seeking nose surgery. Common to boys, contact sports is a consideration and an important factor of when and if the procedure should be done.
The Cost of Rhinoplasty in Chicago
Rhinoplasty is not a cookie cutter procedure; each surgery is unique and based on an individual patient’s anatomy and goals. This makes it extremely difficult to put a specific price tag on this very customized procedure. The cost of treatment can vary from one patient to another.
The less complex your surgery, the lower the cost. During your consultation, Dr. Epstein will let you know what is required for your surgery and you will be provided a breakdown of the costs.
Is Rhinoplasty Covered by Insurance?
Functional treatment to correct breathing problems is covered by some insurance providers. Your surgery might also be covered if you have suffered an injury to your nose. You must check with your carrier first to determine if your surgery is included in your plan.
Cosmetic treatment is not covered by any insurance. If you are having a combination of functional and cosmetic procedures, your plan may cover the functional aspect but not the cosmetic aspect of the surgery.
Expert procedures are completed after evaluating the health and position of tissues within the nose. A skilled nose surgeon is careful to prevent the worsening of existing breathing issues or causing breathing problems to develop. With an individualized surgical plan that is specific to your needs, the result is an aesthetically pleasing and functional nose.
Not all plastic surgeons have the necessary education, experience, and skill to perform rhinoplasties successfully, especially when correction of breathing is required. These surgeries are complex and require expert know-how.
Differences in ethnicity and gender come into play when performing cosmetic nose surgery as well. A good surgeon will help you understand that while you may love a celebrity’s nose, that nose may not look right for your individual face shape. Your nose should look like it belongs to you – in proportion to and in harmony with your other facial features. Most people do not want to draw attention to their noses. They simply want their noses to “fit” their faces and enhance the look of other features like their eyes, cheekbones, and mouth. Don’t hesitate to ask questions.
Choosing Your Rhinoplasty Surgeon
Nose surgery is intricate. Choosing an experienced, qualified, and caring surgeon provides you with every opportunity to enjoy best results. This also minimizes the need for revision surgery and provides the most cost-effective option for treatment. Your surgery is an investment which will last a lifetime – so be sure to choose your surgeon well. Your surgeon must be board-certified and should belong to professional societies. He or she should have specific medical training in proven aesthetic nose surgery techniques as well as experience performing successful nose surgeries on a wide variety of patients.
You should also make sure that he or she offers a welcoming environment where you can feel free to ask questions. If the surgeon does not want to answer your inquiries or is evasive, be skeptical. A good surgeon will spend time with you to help you understand what the surgery will involve and what you can expect.
Successful surgeons should also have patient reviews on websites like RealSelf as well as before and after photos on the practice website. Look for reviews by other patients who have had rhinoplasty with the surgeon, so you can see if they were satisfied with the result.
At MAE Plastic Surgery, Dr. Epstein has found that well-informed patients are more likely to feel satisfied before, during, and after the procedure. He likes to spend plenty of time with everyone to make sure that he and the patient are on the same page. His skill in cosmetic nose surgery has been honed after countless successful treatments, some of which are showcased in our before and after gallery. We welcome new and returning patients to review our onsite pictures to see what is possible with their transformation.
Does the Surgeon Use Computer Imaging Software?
Yes, at our practice, Dr. Epstein uses the Vectra 3D imaging camera and software to perform the imaging. This technology makes it possible to “try on” or see yourself with your new nose prior to having the actual surgery. Dr. Epstein will take an image of your face, and create a digital version of your face with your projected new nose. This will then be loaded into your private password-protected file on TouchMD, where you can view these images from home at your leisure. Then, you can discuss your choices with your family.
Check the surgeon’s experience, education, and reviews
Your surgeon must be board-certified and should belong to professional societies. He or she should have specific medical training in Rhinoplasty techniques as well as experience performing successful nose surgeries on a wide variety of patients.
Successful surgeons should also have patient reviews on websites like RealSelf as well as before and after photos on the practice website. Look for reviews by other patients who have had Rhinoplasty with the surgeon, so you can see if they were satisfied with the result. Remember, it is not enough to find a surgeon who is exclusively successful at performing other types of plastic surgery.
Visit MAE Plastic Surgery for Rhinoplasty in Chicago
Offering the Best in Cosmetic Nose Surgery
Dr. Epstein performs rhinoplasty surgery for patients all over Chicago and the surrounding areas. The office is only 8 miles east of Wheeling and 12 miles north of Evanston IL, so you can easily set up a consultation at your convenience.
Will my nose still be unique after rhinoplasty?
It is pretty safe to say that no two noses are exactly alike. The main goal of rhinoplasty surgery is to produce a long term result where the nose is proportionate to surrounding facial features and functions normally. The days of producing a “cookie-cutter” nose has long been gone (at least in my hands).
Is Rhinoplasty painful?
Rhinoplasty surgery is typically not painful. Most people liken it to a bad head cold for the first few days.
How can rhinoplasty improve the function of my nose?
There are many reasons that a nose may not move air freely. If a septum is deviated, it can be straightened. If there are enlarged turbinates or polyps, they can be reduced or removed. If the nasal skeletal framework is too weak it can be strengthened
How do I know if I need septoplasty?
This is usually a diagnosis made on physical examination by a plastic surgeon but can be verified with an x-ray.
WHAT IS AN “OPEN” OR “CLOSED” RHINOPLASTY?
Rhinoplasty is performed by separating the skin and mucosa from the skeletal framework (bone & cartilage) and then rearranging or resizing the skeletal framework. Then the skin and mucosa is allowed to redrape over the new shape. An open rhinoplasty is performed by flipping the skin upward like the hood of a car so the surgeon can directly see what is being worked on. A closed approach has much less visibility and is done more by feel. Closed rhinoplasties are usually reserved for very simple, straightforward hump reductions.
What is a good age to undergo rhinoplasty?
Rhinoplasty can be done at almost any adult age but is more commonly performed on older teenagers and young adults between the ages of 16 and 25.
Will I need nasal packing during recovery?
Most rhinoplasty patients do not need nasal packing. It is only reserved for those patients that have persistent bleeding at the end of the surgery or in the recovery room.
WHY IS REVISION RHINOPLASTY MORE DIFFICULT TO PERFORM THAN PRIMARY RHINOPLASTY?
Revision rhinoplasty is usually more difficult because of internal scarring from the primary surgery. This makes identification and exposure of the anatomy much more difficult.
Where will my rhinoplasty procedure be performed?
Rhinoplasty surgery typically requires anesthesia and should be performed in a sterile, safe environment. All of my rhinoplasties are performed in our accredited outpatient surgical facility.
What are my options for anesthesia?
Most rhinoplasties are performed under a deep sedation or general anesthesia. This should only be provided by a board certified anesthesiologist. Occasionally, a rhinoplasty that requires a very isolated and specific change can be performed under local anesthesia.
What can I expect immediately after rhinoplasty surgery?
Immediately after rhinoplasty surgery you will feel congested and swollen around the nose. Some patients start to show bruising in the recovery room and some may have very minor bleeding from the nostrils.
How should I prepare for my rhinoplasty surgery day?
In my practice, I provide very detailed written instructions two weeks prior to surgery. Some important things to highlight are to arrive with a completely clean face, devoid of makeup or moisturizer, etc. Make sure that you haven’t had anything to eat or drink 6 hours prior to surgery. In addition, you need to stay away from any blood thinners two weeks prior to surgery. (ie: aspirin, motrin, fish oils)
What are the risks of a rhinoplasty procedure?
The risks of rhinoplasty are not too different than any other operation. It is possible, but unlikely, to experience numbness, bleeding, infection, skin loss, etc. You may have some altered ability to breathe through the nose and there is the possibility that the nose doesn’t heal with the shape that is ultimately desired.
If I smoke, can I get a rhinoplasty?
You should not smoke before or after any surgery because it will definitely increase the complication risk.
What is the cost of a Rhinoplasty in Chicago, IL?
The cost can range from approximately $8000-12000 including everything. (Surgeons fees, anesthesia and facility) Occasionally, when indicated, insurance will cover a portion of the fees.
When can I return to work after my rhinoplasty procedure?
If your job is not physically demanding, then it is possible to return to work within a few days. Keep in mind, you may have a splint and bruising for a week or so.
When can I workout after my rhinoplasty procedure?
My patients can work out 3 weeks after surgery, but no contact sports for 2 months.