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The Nose 

The nose is the defining characteristic of the face and even a slight disproportion or irregularity may greatly detract from one’s appearance. Deformities may be a familial trait or may be the result of trauma or abnormal development. Nasal deformity can be accompanied by problems in function of the nose including breathing problems and recurring sinus infections. Rhinoplasty may improve not only the aesthetics of the face but also the function of the nose.

Symmetry, facial proportion, shape and stature all contribute to the aesthetics of the nose. Rhinoplasty may dramatically improve facial harmony.

Need more information? 

If you would like to learn more about having a rhinoplasty techniques that will suit you best, we invite you to meet with Dr. Nabil Fakih for a private consultation at our office.


Please contact us to schedule an initial consultation with Dr. Nabil Fakih to make an appointment. You may also fill out our contact form to make an appointment.

What is Rhinoplasty? 

Rhinoplasty procedure, commonly, but somewhat less glamorously, known as a “nose surgery”, describes a wide array of techniques performed to sculpt and refine the appearance of your nose. In a rhinoplasty, the nose reshaping can be achieved by reducing or increasing size, changing the shape of the bridge or tip, removing a hump, narrowing the span of the nostrils, changing the angle between the nose and the upper lip, or modifying the dynamic action of the nose. As with any cosmetic surgery or plastic surgery procedure, balance and proportion is always the goal, and rhinoplasty is the paramount example of this; the nose must be internally balanced (the tip should not be too large or prominent relative to the bridge area, or the bump should not dominate a smaller, more refined tip), and the nose must also be in balance with the rest of your facial features. Even tiny changes in nasal contour with rhinoplasty can improve facial balance and proportion, and how you feel about yourself.


• Prominent nasal bump

• Wide nose

• Nasal tip needs refinement


• Improvements and enhancements of nasal appearance

• Improvement of airways and breathing


• Closed Rhinoplasty

(Internal Approach Rhinoplasty)

• Open Rhinoplasty

(Open Structure Rhinoplasty)


• Length: 2 to 3 hours

Discharge home on same day

• Back to Work: 7 to 8 days

• Return to Exercise:

4 to 5 days (light cardio)

2 to 3 weeks (more strenuous exercise)

What may be achieved with Rhinoplasty? 

You may have a detailed discussion with Dr. Nabil Fakih to best determine your goals and realistic outcome of the surgery. With cutting edge three dimensional computer imaging, we may modify your nose on the computer screen to come to a better understanding of your needs and desires. More importantly, we may demonstrate the limitations of surgery to ensure realistic expectations. Only with careful considerate discussion and education about the procedure may one be adequately prepared to achieve a satisfactory outcome. Just as each nose is different, each rhinoplasty is different as well. There should be no “cookie cutter” rhinoplasty. Various techniques will be adapted to your special circumstances to achieve your best possible result.

Who is a candidate for Rhinoplasty? 

Adolescents and young adults compose the largest group seeking rhinoplasty. Minimum age is guided by the concern that nasal growth is complete prior to surgery. Surgery is usually permitted in normally developed females and males by age of sixteen. Most patients are primarily motivated by the prospect of better appearance but some are interested in improving breathing at the same time. A much smaller group of patients seek improved breathing without wanting to change their appearance.

There is a second group of patients, usually older, who seek corrective rhinoplasty. These patients have had an unsuccessful procedure previously and typically have very specific aesthetic and functional issues to address. Most are good candidates for correcting the problem areas.


What should I expect from my consultation? 

During your consultation, you will learn about the surgery, its limitations and risks, and discuss your needs and concerns. This will help Dr. Nabil Fakih understand your expectations and determine whether they realistically can be achieved. Dr. Nabil Fakih will carefully examine your nose to assess the shape of the airway function and asymmetries to determine what type of procedure would best maximize your result.

After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information. All our patient are prepared by Dr. Paula Martin-Marfil with the Pre / Post surgical preparation program to enhance a quick recovery.


What to avoid before surgery? 

It is vitally important to avoid all blood thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). It is generally fine to be take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multi vitamins, omega 3 fatty acids such as fish oil and flax seed oil. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.



All our patient are prepared by Dr. Paula Martin-Marfil with the Pre / Post surgical preparation program to enhance a quick recovery.

Recovering from rhinoplasty is not as difficult as one might expect. During surgery Dr. Nabil Fakih uses local anesthetic in addition to the IV sedation or general anesthesia. Upon waking from surgery the local anesthetic is still on board and usually does not wear off for several hours after surgery. Mild throbbing and facial pain around the nose and eyes is common but is easily treated with pain medication. This is usually present for the first 24-48 hours and many patients do not take pain medication past this time. A splint will be placed on the outside of the nose. Sutures will used both internally and externally. The internal sutures will dissolve on their own. The external sutures are placed right inside the nostrils and right below the nose. The sutures and splint will be removed five to seven days after surgery. At this time most all bruising and swelling is gone. Swelling can linger for many months in the tip of the nose but this is not noticeable and changes are minimal.

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