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Facial Procedures

Meet The Surgeons

Dr. James Romanelli, Dr. David Pincus, and Dr. John Layliev make up the uniquely qualified team of plastic surgeons at Romanelli Cosmetic Surgery.

Dr. James Romanelli Dr. David Pincus Dr. John Layliev

Nose Surgery

Nose surgery, technically called rhinoplasty, is one of the most popular cosmetic procedures for men and women on Long Island. Rhinoplasty is a surgery that improves the appearance of the nose by decreasing or increasing its size and refining its shape. This procedure can also be performed to correct common disorders of the nose that impact breathing, such as a deviated septum.

If you're bothered by the appearance or function of your nose, request a consultation online, or give us a call at (631) 424-3600 to determine if rhinoplasty is right for you.

Nose Surgery
Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • Nose Surgery case #1 before photo
    Nose Surgery case #1 after photo

    Case #1

    What an attractive 20 year old college woman!  She came to our Huntington, Long Island office for a "nose job" or rhinoplasty.  She was unhappy with the wideness of her nose, as we... View Case 

  • Nose Surgery case #2 before photo
    Nose Surgery case #2 after photo

    Case #2

    This 19 year old young man came into the office, tall, and athletic, but looking for a change with his nose.  His requests were simply, stating he needed a nose job (or rhinoplasty), and that ... View Case 

  • Nose Surgery case #25 before photo
    Nose Surgery case #25 after photo

    Case #25

    View Case 

  • Nose Surgery case #26 before photo
    Nose Surgery case #26 after photo

    Case #26

    View Case 

  • Nose Surgery case #29 before photo
    Nose Surgery case #29 after photo

    Case #29

    When this attractive college student came to see us for a rhinoplasty  at our Long Island office, she told us she wanted her nose less wide.  She was not looking for a dramatic "nose jo... View Case 

  • Nose Surgery case #46 before photo
    Nose Surgery case #46 after photo

    Case #46

    This young man from Suffolk County came in for a rhinoplasty, to reduce the bump on his nose and reduce its overall size.  We used computer imaging to "preview" his rhinoplasty and agre... View Case 

The Consultation

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Patients considering rhinoplasty come from New York City, Long Island, and even out-of-state for a personalized, 1-on-1 consultation with Dr. Romanelli, Dr. Pincus, or Dr. Layliev. During this initial appointment, your surgeon will review your medical history and discuss the goals and expectations you have for your rhinoplasty. He will develop a customized procedure to fit your needs and explain the incision pattern, cartilage reshaping, and other adjustments that may be made.

Your consultation is a good time to inform the doctor if you have previously had nose surgery, or if you have a condition related to your nose, like seasonal allergies. The doctors encourage you to bring pictures of your ideal nose to ensure that both you and your surgeon have the same goal in mind. Our office also uses computer-imaging tools to help set clear expectations and help you better understand the possible outcomes of your procedure.

The Procedure

At Romanelli Cosmetic Surgery, we perform rhinoplasty as an outpatient procedure. General anesthesia is administered by our board-certified M.D. anesthesiologist, and the surgery usually takes about 1 hour.

Most of our rhinoplasty surgeries are done using a "closed rhinoplasty" technique, which means that the incisions are made inside the nostrils. This technique is preferred because it leaves no visible scarring. After the incisions have been made, cartilage and/or bone will be reshaped or removed to achieve your desired shape. The nose may also be fractured and re-set if necessary.

In less than 5% of our surgeries, a small incision is made across the strip of skin between your nostrils called the columella. This is called an "open rhinoplasty," and may be recommended based on your pre-operative examination. Recovery from swelling with an open rhinoplasty is usually longer than that of a closed rhinoplasty, but in some cases, it's the best option. Dr. Romanelli, Dr. Pincus, or Dr. Layliev will discuss with you in advance which method will be used during your rhinoplasty.

Recovery & Results

Many patients are pleased to discover that the pain following a rhinoplasty is minimal. Some discomfort is normal, and can usually be managed with oral pain medication. You'll wear a plastic splint for the first 5 or 6 days after surgery to ensure your nose stays stable and supported. Internal sutures are self-absorbing, and external stitches will be removed at around 5 days post-procedure.

Some bleeding is normal, and bruising may last for up to 2 weeks. Cold compresses will minimize bruising and swelling, which may be worse in the morning. Patients are usually advised to return to light exercise 1 week after surgery, and most people resume school or work within 7 to 10 days. Nose numbness and sensitivity are normal and may persist for several months after your surgery. It's important to be careful with your nose throughout the healing process—avoid contact sports, and wear sunscreen whenever you'll be outside.

The results of rhinoplasty are usually observable immediately after surgery, though you'll get a better idea of your final outcome as swelling reduces over the coming months. It may take up to 1 year for your nose to settle into its enhanced, new shape.

Common Questions

Who is a good candidate for rhinoplasty?

Rhinoplasty may be performed on patients as young as 15 or 16, if the patient has largely completed their growth. Candidates should be physically healthy nonsmokers who understand the limitations of the surgery and have realistic expectations for the outcome of the procedure.

How long will my rhinoplasty results last?

Though our bodies change throughout our lives, the results of rhinoplasty surgery are long lasting, barring any unforeseen trauma. Cartilage may shift and settle as you age, but those changes are usually minor.

What can I do to prepare for my rhinoplasty?

Dr. Romanelli, Dr. Pincus, or Dr. Layliev will develop a customized pre- and post-surgical plan to optimize your results. In general, it's advisable to stop smoking well in advance of your procedure. You may also be asked to stop or adjust your use of herbal supplements and other medications until after your surgery.

For more answers to other common questions about nose surgery, visit our Nose Surgery FAQ page.

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