Rhinoplasty is, in many ways, the most technically precise operation that we perform in plastic surgery (with facelift and eyelid lift surgery following closely behind). A one-millimeter difference one way or the other can have a significant effect on the postoperative result. This is where experience and technical expertise are vital. It is important to properly reshape the nose so that it appears perfectly natural and blends in seamlessly with the rest of the facial features. After surgery, you want your nose to appear as though Mother Nature got things right the first time around. Far too often I see cookie-cutter nose jobs that can be easily pointed out. In the vast majority of rhinoplasty cases, if you can easily tell that surgery has been performed, then the plastic surgeon has missed the ideal mark in my opinion.
A well-performed rhinoplasty must also improve, when required, the functional aspects of the nose. This includes properly straightening the septum and opening up the airway passages so that breathing is improved. Both aspects can be treated at the same time.
Subtle ethnic differences (e.g. thick skin, wide bridge, flatter tip, etc.) often require even greater precision and artistry on the part of the plastic surgeon in order to obtain a beautiful nose that ‘fit its face’. An ideal Anglo-Saxon nose would not appear natural on someone of a different ethnic background, and yet it is not uncommon for surgeons to use similar approaches on very dissimilar cases.
Through 28 years of experience (including a fellowship at Manhattan Eye, Ear, and Throat Hospital (MEETH) under Dr. Thomas D. Rees and Dr. Sherrell Aston, who are considered by many to be the ‘fathers’ of facial plastic surgery, and a long-term accounting of results, I have been able to predict which rhinoplasty techniques may not only offer my patients the best looking outcome but also results that hold up the best over time. Because nose reshaping is a game of millimeters and millidegrees, the differences between “good” and “great” nose jobs are small and often depend on very small decisions a surgeon makes during the procedure. Technical precision on the part of the surgeon is obviously key, but so too is their eye for beauty and innate sense of aesthetics. I’ve spent over two decades perfecting my approach to rhinoplasty, and while some may claim that proficiency can be achieved in a shorter period of time, I still believe that when it comes to rhinoplasty, there’s really no substitute for the 1-2 combo of extensive experience and a history of beautiful, natural-looking results.
— Dr. William F. DeLuca, 2011
My experience with Dr. DeLuca from start to finish was a pleasant and successful journey. I was very unhappy with the bump in the bridge of my nose, and I also felt it could be taken in a bit as well. I have a slender nose already; I just wanted it to be shaped correctly but naturally. I was very pleased with the professionalism and care that I have received. He explained the procedure and recovery very well and answered any questions. I am extremely happy with the result, and it has only been about two and a half months!! I feel like I have the most perfect nose now! I also had a septoplasty in addition to the rhinoplasty. It has resolved my breathing issues while sleeping, entirely. The difference is night and day! I could not be happier, and I am so very grateful to have found such a wonderful doctor to do my surgery!*
— Heather H. / Rhinoplasty
Rhinoplasty is a surgical procedure to improve the appearance of the nose. The specific features that may be addressed include:
In some cases, the nasal contour may not be the only factor contributing to facial imbalance. Other facial features, especially a small chin (which can be corrected with a chin augmentation) and weak (flat) cheeks, may also contribute to facial imbalance. In these cases, rhinoplasty may be performed in conjunction with placement of facial implants or other procedures to achieve the desired appearance. When performed to improve breathing function, an obstructed airway is most often the cause. Correction of obstructed breathing is considered reconstructive and may be covered by insurance and requires a detailed examination to verify the cause of your breathing impairment. Whether you have a personal desire to improve your appearance or you seek to improve breathing function, surgery is best performed when facial growth is complete, starting around age 15.
I have been a client of Dr. DeLuca’s for 20 years. I am also in the medical profession. The skill with which Dr. DeLuca performs surgery is artistic, aesthetic, and by far the most natural I have seen.
I have had several surgeries over the twenty-year span, rhinoplasty as well as breast augmentation. After each recovery, people ask what I am doing differently, why do I look so good? No one can place surgery as the reason, which is the greatest compliment to a plastic surgeon, in my mind. Dr. DeLuca has an amazing way with his patients. He really pays attention to what is important to each individual. I have recommended Dr. DeLuca to over 15 people, both friends and family, all of whom have undergone surgery with him with phenomenal results and more referrals.
Words can’t express the difference Dr. DeLuca has made in my life on so many levels (with increased confidence being the most important). Whether someone is seeking a plastic surgeon for an elective or medically necessary reason, there is truly no one else I would trust or recommend more than Dr. DeLuca.*
— E.J.G. / Rhinoplasty
Saratoga Springs, New York
Cosmetic nasal surgery is an individualized procedure that takes into account the specific characteristics that contribute to the overall appearance and relation to other facial features. Appropriate techniques may include:
The goal of most rhinoplasties is to improve facial balance and proportion. Surgery to improve an obstructed airway is also an individualized procedure. It requires careful assessment of the nasal structure as it relates to airflow and breathing. Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to gain better alignment.
Nasal surgery is performed either by using a closed procedure or an open procedure. In a closed procedure, the incisions are hidden inside the nostril, whereas in an open procedure the incision is made across the columella (the narrow strip of tissue that separates the nostrils). Through these incisions, the soft tissues that cover the nasal skeleton will be gently raised, allowing access to reshape the structure of the nose. Surgery can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body.
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is re-draped and incisions are closed. Most likely, splints and packing will support the nose as it begins to heal.
In addition to the before & after rhinoplasty photos that have been uploaded to the website, DeLuca Plastic Surgery also has several photo binders full of recent cases that you will be able to look through and discuss during your consultation.
Initial healing may include some common conditions such as: swelling, bruising, headache, and discomfort that can be controlled with medication and a cold compress. You will be instructed to keep your head elevated at all times until initial swelling has subsided and to keep any nasal packing in place. Any packing or internal splints will most likely be removed after the first week, although you may need to wear the external splint for an additional week or two. The healing process will continue for several weeks as swelling continues to dissipate and the improved appearance begins to come apparent. You must also protect your nose from injury during any physical activity for the next four to six months. The outcome of the surgery will appear gradually over time. At a minimum, a year is considered normal for the outcome of a nose reshaping to fully refine. Generally, the results are permanent; however, the main supporting structure of the nose, cartilage, is continually growing and moving tissue that may change the outcome over time.
The expense involved in a nose job varies depending on the patient’s condition and desired outcome. DeLuca Plastic Surgery works with several financing companies to offer payment options, including CreditCare.com. Because a superlative rhinoplasty result requires superlative post-procedure care, the surgeons and staff members of DeLuca Plastic Surgery will be available 24/7 to answer any questions you may have until you are fully recovered.
Every rhinoplasty patient is required to see Dr. DeLuca the day after their operation to assure that everything looks exactly as it should. Patients then typically come in for their post-op checkups one week, one month, six months and one year after the nose job. Some patients prefer to come in more often while others less. Some patients have lots of little questions while others have only a few. How you approach your recovery from rhinoplasty is entirely up to you. At DeLuca Plastic Surgery, there is no charge for any post-op visits and they will open up their schedule to see you anytime following your surgery.
I had been unhappy with the bump on my nose since I was a teenager. After years of not feeling good about myself, I finally decided to have a rhinoplasty. I chose Dr. DeLuca over another local doctor because I felt he and his office staff were more professional. It’s been 4 months since my surgery and I couldn’t be happier. Dr. DeLuca gave me exactly what I wanted while keeping my nose in line with my other features. He was so professional and patient during our consultations both before and after the surgery. I would recommend Dr. DeLuca to anyone who is thinking that maybe this is the time to do something for yourself. His experience, along with his kind and gentle bedside manner, are just what you want in a surgeon. I only wish I had done this sooner. Thank you Dr. DeLuca and your wonderful staff!*
— Sally D. / Rhinoplasty
Albany, NY – November 7, 2011
I had a great experience working with Dr. DeLuca for my rhinoplasty. I told him when I first walked in that I still wanted to look like me, so I didn’t want anything drastic. I just wanted my profile to improve because it was the one feature that I had never been comfortable with. I was starting a new job in five weeks so I felt like it was the right time in my life to make the change I had been thinking about for years. At the same time, I was nervous that I wouldn’t be healed in time to meet a bunch of new people and feel confident. It was very easy to talk to Dr. DeLuca about what I was looking for and what kind of concerns I had. Dr. DeLuca honed in on what he could do to make it better in ways that I hadn’t even considered, and we talked about what changes he was going to make. Before the surgery, he stopped by to talk with me before I went under, and as a last request, I mentioned something that had been on my mind in the days leading up to the surgery that I wanted refined, and he reassured me that my nose was going to look great.
During my recovery, I had some normal surgery complications that had nothing to do with my nose, but Dr. DeLuca answered my 11 p.m. phone calls with advice on what I could do to get better. When the splint first came off, I was very nervous about what it would be like to look in the mirror and see something different, but I was pleasantly surprised that I still looked like me, only the side view of my nose was refreshingly straight and feminine, and that last request I had made before going under had been taken care of!
I am very happy with the results even just a month out of surgery, and can’t wait to see what it will look like once everything is refined over the next year. Overall, I feel much more confident about how I look and am excited to start a new chapter of my life.*
— Jennifer I. / Rhinoplasty
Albany, NY – August 10, 2012
For 15 years, I had been very insecure about my nose. It projected out too far and was simply too strong for my face. Finally working up the courage to get some consultations for a rhinoplasty, Dr. DeLuca was the first surgeon I saw… and the last. I know it is advised that you should have several consultations with different surgeons before making a decision, but I felt so comfortable meeting with Dr. DeLuca and his staff that to visit other doctors just seemed irrelevant. Naturally, in the final weeks leading up to the surgery, I began to experience a lot of anxiety and second thoughts. Thankfully, I shared my concerns with Dr. DeLuca, and, without any pressure, he answered all of my questions honestly and thoroughly. He even encouraged me to hold off on the procedure if I wasn’t 100% comfortable.
With confidence, I went through with the surgery, and the results are precisely what I was hoping for. Dr. DeLuca made subtle changes to produce a dramatic effect. I no longer experience the insecurity I lived with for so long, and I am only five weeks post-op at the time of this writing. My nose, long considered a cosmetic weakness, is now a strength and compliments the rest of my facial features perfectly. Dr. DeLuca has clearly mastered the art and science of facial plastic surgery, and my results are the proof. I would recommend his services to anyone!*
— Brandon / Rhinoplasty
Albany, NY – October 1, 2012
*Disclaimer: The individuals featured in the above testimonials are all actual patients of DeLuca Plastic Surgery. Please note that outcomes from plastic surgery procedures may vary and the experiences shared in the testimonials are specific to that particular patient and may not be representative of the experience of others.