Nose Jobs 101

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When it comes to getting a nose job, there are many factors to consider. First and foremost, you want to make sure you choose the right plastic surgeon (one that is board-certified, and one you feel comfortable with). Also to consider is what type of procedure you need. 

Depending on your issue—if you have a bump that bothers you or a tip that’s too bulbous, wide or droopy—you and your doctor will determine what type of procedure is best. Injectables and fillers can be used for a non-surgical nose job to improve minor nasal flaws, but if you want more dramatic and long-term changes, rhinoplasty is your best bet.

Now when it comes to rhinoplasty, there are two kinds: open and closed. "An open rhinoplasty is when the surgeon cuts at the nostrils and opens up the nose like how you would open up the hood of the car," says Los Angeles plastic surgeon Vladimir Grigoryants, MD. This allows for the surgeon to see the full spectrum of the nose and manipulate cartilage. "A closed rhinoplasty involves internal incisions only," says Beverly Hills, CA, plastic surgeon Davis B. Nguyen, MD, where the doctor can work  along the dorsal part of the nose, but not leave a scar.

So which is best? It depends on what you want fixed. "An open rhinoplasty is better for finer detail and offers more visualization for difficult noses," says Dr. Nguyen. While the best patient for a closed rhinoplasty is someone who wants minimal modification such as reducing a hump on the nose or tip refinement. 

The best approach for your nose will be decided by your surgeon based on their preference and what kinds of changes you want done to your nose. Though you should know, if you have had a nose job before, a revision is typically always done with an open rhinoplasty. 

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