(603) 775-7444
137 Portsmouth Avenue Stratham, NH 03885
(603) 775-7444

Plastic & Cosmetic Surgery Skin & Laser Center


noseWith its prominent location on the face, the nose can have a significant impact on one’s appearance, particularly if the shape, size, or angle disrupts the harmony of the other features. In addition to cosmetic concerns, the nose may have functional issues that can make breathing difficult or cause problems in other ways. Dr. Richard Zeff is an experienced plastic surgeon who performs rhinoplasty, also known as nose surgery, at our state-of-the-art practice. For this facial plastic surgery, he utilizes the latest techniques to enhance the aesthetic appearance of the nose while addressing any anatomic problems that can obstruct the nasal passage.

Rhinoplasty is one of the most popular cosmetic procedures available. If you would like to know more about this treatment, or if you would like to schedule a consultation, please contact us today.

Rhinoplasty Procedure

One of the most complex procedures to perform, rhinoplasty requires skill, precision, and artistry to achieve the desired result. During the initial consultation, Dr. Zeff will go over your cosmetic goals and functional needs to formulate the most accurate treatment plan possible, which will be designed to optimize your outcome. Nose reshaping surgery can address a wide range of concerns, including nasal humps, bridge width, nasal tip angle, nostril size, nose height, and other perceived issues. If you have a deviated septum, a septoplasty may be recommended to straighten and reposition the bone and cartilage in this area. Each person’s aesthetic preferences and anatomic indicators will be unique. Additionally, women and men may also have singular taste regarding the appearance of the nose, and Dr. Zeff will take great care to tailor the technique to best suit each patient.

There are several approaches that can be used in rhinoplasty, including “open” and “closed” techniques. A rhinoplasty that is “open” allows for direct access to the internal structures of the nose. This method requires an incision on the columella, which is the section of skin that separates the two nostrils. A “closed” rhinoplasty typically requires no external incisions and may result in less swelling, but this procedure will not be appropriate for every person. During the first meeting between you and Dr. Zeff, he will discuss the ideal treatment based on your needs and goals.

Septoplasty Procedure

Many patients suffer from the effects of a deviated septum. This occurs when the bone and cartilage that divides the nostrils is displaced or poorly positioned. This can occur as a result of genetic predisposition, injury, or another factor. Individuals with a deviated septum may have difficulty breathing or experience nosebleeds or pain. A septoplasty can be performed alone or in conjunction with a rhinoplasty. In this procedure, Dr. Zeff will realign the affected tissues to correct the septum’s location. As with rhinoplasty, there are several techniques that can be used to accomplish the objective, and Dr. Zeff will inform you which approach offers the best possible result during your initial meeting.

Recovery Following Nose Surgery

Most individuals will be able to return home following nose surgery, as this procedure is typically performed as an outpatient operation. For the first week after surgery, it’s essential for you to keep your head elevated above your chest. Sleeping on a stack of pillows can help maintain the desired elevation while lying down. Dr. Zeff recommends that most patients rest for about a week, although this estimate will vary depending on your unique treatment plan and rate of healing. You should also avoid strenuous exercise and other activities for about one month, and you should take extra care to avoid recreation that could injure the nose. Bruising, swelling, and some discomfort are normal, and these effects should fade with time. We will provide medication to manage your pain and make your recovery as pleasant as possible. Within a few weeks, bruising should be gone and swelling should be minimal enough to go unnoticed by others; however, some minor swelling may continue to resolve over the next year, although it may not be perceptible to you.

Liquid Nose Job/Non-Surgical Rhinoplasty

Some common aesthetic concerns affecting the nose can be addressed without the need for surgery. Commonly referred to as a “liquid nose job,” non-surgical rhinoplasty can be used to reshape the nose and reduce the appearance of imperfections using minimally invasive dermal fillers. Although not appropriate for every patient, this approach typically can smooth bumps, enhance symmetry, and correct indentations. The results are temporary and occasional maintenance sessions will be necessary to preserve the outcome. If you think non-surgical rhinoplasty may be right for you, Dr. Zeff can discuss your options during your initial consultation.

Would you like to know more? Contact our practice today to receive additional information about rhinoplasty and septoplasty or to schedule a consultation.

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