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The Artistry of Rhinoplasty

Facial harmony is the most important endpoint in any beautiful aesthetic enhancement of the face. The nose, as one of the most distinguishing facial features, must always be addressed with balance and proportion in mind. There are a variety of reasons for which people consider rhinoplasty, but at the end of the process, a nose that is both intrinsically balanced and in beautiful proportion with other facial features, is the ultimate goal.

Dr. Kolker was my first and only consultation. Although I had intentions of meeting with other surgeons, from the moment I walked out of his office, I knew he would be my surgeon. The staff is not like any other doctor's staff I have encountered. G.M. / New York
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To preserve anonymity and to protect the confidentiality of all of his patients, Dr. Kolker maintains a comprehensive gallery of before and after photographs that can be viewed in the office for this procedure.

A rhinoplasty is aesthetic plastic surgery of the nose that can address all facets of nasal form and function. Skilled in all nuances and techniques in the art and science of rhinoplasty, NYC nose surgeon Adam R. Kolker, M.D., brings tremendous experience, meticulous attention to detail, technical finesse, and natural artistry to achieve the most exquisite results. The best rhinoplasty is one that is tailored to your personal anatomic features, and more importantly to your unique desires. The changes with rhinoplasty can range from subtle refinements to more dramatic, stunning enhancements, depending upon your unique goals. Above all, rhinoplasty results should be natural and beautiful, and should never look like a "nose job."

Rhinoplasty with Dr. Adam Kolker

Best Rhinoplasty NYC

It is Dr. Kolker's firm belief that each of his rhinoplasty surgeries begins by carefully listening to and understanding exactly what it is that you see and feel about your nose and how it impacts your self-perception. Whether related to a bump or prominence of the nasal bridge, a full or bulbous nasal tip, nasal width, nostril size, drooping nasal tip, asymmetry, disproportion, or simply that you feel it needs a delicate refinement, Dr. Kolker will consider all of the anatomic features married with your desires in formulating the plan for your rhinoplasty in NYC.

After an in-depth discussion of your desires and a comprehensive nasal and facial examination, Dr. Kolker will discuss the best rhinoplasty options suited to your particular physical requirements and your unique desires. Based on your goals, a rhinoplasty treatment plan that achieves the subtle or dramatic results you desire will be devised. The innate proportion of your nose, in keeping with facial harmony, and maintaining balance with all facial features, supersede the mere removal of a prominent dorsal hump (bump on the bridge of the nose). While the latter is indeed important, it is the true respect for what makes a nose and face beautiful that Dr. Kolker brings to every individual.

The rhinoplasty approach must be precisely personalized for every nuance of shape, size and proportion, and for every aspect of individual desire. Just as every person's physical attributes and desires are different, so too is every surgeon different. The plastic surgeon you choose as your rhinoplasty surgeon is of utmost importance. What distinguishes the care Dr. Kolker and his team provide is comprehensive:

  • Unique appreciation of natural harmony and proportion in nasal and facial aesthetics
  • Exceptional finesse, skill, experience, and artistry,
  • The most rigorous certification, accreditation, and safety standards,
  • Passion for achieving gorgeous rhinoplasty results that can be stunning yet subtle, and
  • A connection between patient, surgeon, and staff that is extraordinarily warm, intimate, and comfortable.

From your first visit, through the rhinoplasty perioperative process, and throughout the entirety of your recovery and follow-up, you will experience the thoroughness, attention to detail, and warmth with which Dr. Kolker and his team welcome and care for you. They strive to deliver only the best rhinoplasty NYC can offer you.

Rhinoplasty NYC

Dr. Kolker's Message to Those Considering Rhinoplasty

One of the most important goals of a rhinoplasty is that it should improve facial harmony and beauty. Whether the refinements you desire are subtle or more dramatic, the best nose job is one that never looks 'done'. Beautiful, natural, and proportional are the ultimate objectives. The improvements in appearance and self-confidence can be truly remarkable. Dr. Adam Kolker

Planning Your Rhinoplasty

Your initial rhinoplasty consultation is an opportunity for you to relate the specific issues with your nose and appearance that you would like to address, and your desires for correction. Dr. Kolker will perform an examination of the nose and face, and will thereafter begin to formulate the plan to give you the best rhinoplasty NYC has to offer. Aided by digital photography and (Mirror) imaging software, Dr. Kolker will help you to precisely articulate and define the appearance you are seeking.

The structural issues that can be addressed during a rhinoplasty are:

  • Dorsal hump - the bump at the bridge of the nose
  • Nasal Width - a nose that is too wide or too narrow
  • Asymmetry - a nose that is twisted or deviated
  • Prominent Nasal Tip - a nasal tip that is round, bulbous, fatty, or disproportionate
  • Drooping Nasal Tip - the angle between the upper lip and lower nose (columella) is less than 90 degrees
  • Post-traumatic deformities - shape aberrations after nasal injury
  • Nasal airway problems - internal valve collapse and septal deviation

An appreciation of the finest details of your concerns you about your nose is crucial, and Dr. Kolker will spend considerable time coming to understand the intricacies of your anatomy and goals, and in formulating the best rhinoplasty treatment plan for your specific needs.

There are two primary rhinoplasty technical approaches: open rhinoplasty, and closed rhinoplasty. Both place incisions within the internal nostril region, and the open rhinoplasty approach adds an inconspicuous incision (a few millimeters) on the undersurface of the columella (between the nostrils). The most appropriate rhinoplasty incisions will be selected based on the specific structural modifications required.

A prominent nasal hump can be reduced and smoothed, a wide nose can be narrowed, a full nasal tip can be refined, and a drooping nasal tip can be elevated to a more attractive, natural position, among other enhancements. The sum is greater than the individual maneuvers; creating soft, elegant lines, and beautiful, natural proportion is the goal.

Creating or maintaining a functional "foundation" is indeed paramount, and all maneuvers to maintain or improve breathing will be undertaken. Certain rhinoplasty techniques, for example, employ the use of spreader grafts that can be used to improve both the appearance and the function of the nose.

Is there a minimally invasive rhinoplasty? For the vast majority of candidates for rhinoplasty, the maneuvers described will most often be required. There is, however, a role in certain circumstances for injectable fillers, such as Juvederm or Restylane, for enhancing nasal aesthetics.

Hear From Dr. Kolker's Rhinoplasty Patients

Dr. Kolker was my first and only consultation. Although I had intentions of meeting with other surgeons, from the moment I walked out of his office, I knew he would be my surgeon. The staff is not like any other doctor's staff I have encountered. G.M. / New York
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Preparing for Rhinoplasty Surgery

Approximately two weeks prior to your nose job in New York, you will have a comprehensive visit in the office. A complete list of what to do and what to avoid is reviewed. Prescriptions for medications to be taken postop are given, and the pre and postop instructions are reviewed. Any questions that remain can be answered during this visit. Routine laboratory testing is ordered. Obtaining a cool mist humidifier for your room before surgery is recommended, and is used for the first weeks after your rhinoplasty in New York. It is important to be sun-smart (using UVA and UVB sun protection) prior to rhinoplasty.

The Rhinoplasty Procedure

Performed entirely by Dr. Kolker in his fully accredited surgical facility on Park Avenue in NYC, rhinoplasty surgery is an outpatient procedure. The office-based surgery suite is accredited by the AAAASF (American Association for the Accreditation of Ambulatory Surgery Facilities). The procedure is performed under general anesthesia, administered by a board-certified anesthesiologist from the Mount Sinai Medical Center. The procedure duration is often approximately two to three hours, but may be longer or shorter depending upon the specific techniques planned, anatomic requirements, and goals. An external splint is placed on the nose in most cases, and internal packing is rarely used.

Recovery

Following your rhinoplasty, you will be cared for by our registered nurse in our recovery room. You will go home with a friend or relative when you are fully awake and comfortable, generally one to two hours after the completion of surgery. Cold compresses are used to minimize bruising and swelling around the eyes. The primary swelling resolves in about one week, and most go back to work or school around this time. When more structural sculpting is required, eight days is common. With tip refinements only (without osteotomies), return may be as early as five days after rhinoplasty. While certain results are visible immediately, the final result becomes evident approximately six to twelve months after rhinoplasty.

Aftercare

You will be seen by Dr. Kolker in follow-up periodically following rhinoplasty. After splint removal at 5 to 7 days, you will be seen at 12 weeks and 12 months after rhinoplasty. Dr. Kolker and his staff will always be available to assist you with any questions or recovery related matters following the procedure.

Exercise After Rhinoplasty

Dr. Kolker suggests that light activities only be undertaken for about three weeks. Light cardio, including stationary bike, elliptical, and walking, may resume as soon as the external splint is removed (5-7 days). Unrestricted activity resumes 3 weeks after rhinoplasty.

Additional Procedures to Consider with Rhinoplasty

Rhinoplasty is most frequently an isolated plastic surgery procedure, however it is occasionally performed in conjunction with other functional nasal surgeries including septoplasty, internal valve repair, or turbinectomy. As the primary goal of rhinoplasty is facial harmony and aesthetic balance, individuals with a more diminutive jaw and chin may consider a chin implant to further enhance beaty and natural proportion.

More Questions?

This website and other web-based resources can be very helpful in providing a broad overview of rhinoplasty basics, indications and options. Given the wide array of specific anatomy and individual desires, there is no substitute for an in-depth, personal consultation with a board-certified plastic surgeon experienced in the best rhinoplasty options. Dr. Kolker considers all of the facets of your physical attributes and your goals with you, will guide you through all steps of the decision-making process, and will formulate a rhinoplasty treatment strategy tailored to your unique requirements. Rhinoplasty is a supremely sculptural and artistic endeavor; this is a process that demands customization, finesse, experience, appreciation of anatomy, and artistic vision to achieve the most balanced, and the most beautiful outcomeß, and the plastic surgeon you choose absolutely makes a difference. We invite you to schedule a consultation to discuss your nose surgery with top rhinoplasty surgeon, Dr. Adam Kolker at his office in Manhattan, NYC, and look forward to warmly welcoming you to our practice.

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