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People that are dissatisfied with their noses often suffer from low self-esteem and self-consciousness. A disfigured or dysfunctional nasal shape may also lead to health issues, such as difficulty breathing. Thankfully, these issues can be corrected with a rhinoplasty procedure from board-certified plastic surgeon Dr. Engineer.

A consummate aesthetic artist, Dr. Engineer has been performing rhinoplasty in Las Vegas for years. Under his skilled and gentle care, this procedure may be able to redefine the entire face, attaining an aesthetic that is more symmetrical and pleasing. Imperfections in areas such as the nasal bridge, nose tip, and nostrils can be redefined to help draw a person’s gaze away from the nose towards the eyes and the smile. Dr. Engineer curates a personalized, carefully crafted rhinoplasty procedure that is unique to every patient, achieving facial harmony and balance.

Beyond conventional primary rhinoplasty, Dr. Engineer also performs revision rhinoplasty procedures to help patients that are dealing with dissatisfactory results from prior surgeries. He also offers ethnic rhinoplasty, which is able to induce cosmetic and structural changes in clients of Asian, African, Native American, Middle Eastern, and Hispanic/Latino descent, providing them with a sense of relief and a boost in confidence.

What is rhinoplasty?

There are many reasons that patients may decide to receive a rhinoplasty procedure, most often referred to as a nose job.

Rhinoplasty is able to treat a nose that is overly large to make it more proportional to the shape of the face. By using implants and skin grafts, a nose that is excessively small can also be addressed with rhinoplasty. In addition to that, rhinoplasty has the ability to improve nasal symmetry and redefine the nasal tip. 

Rhinoplasty is usually employed to treat humps, bumps, and dents on the bridge of the nose. Noses that have exaggerated drooping or an enlarged, bulbous appearance at the tip can also be addressed with rhinoplasty. It can also be employed in cases where a nose has a markedly hooked or upturned shape. 

People struggling with abnormally shaped or overly wide nostrils can also benefit from this procedure. The same goes for upturned nostrils, which can often cause a patient dissatisfaction or discomfort. More serious issues such as a deviated septum, which can cause breathing problems, are also a common reason that people seek out rhinoplasty in Las Vegas.

As rhinoplasty can be used to address a wide variety of issues, it is a procedure that requires considerable customization in order to meet the unique medical needs and cosmetic goals of the patient. 

Who is a good candidate for rhinoplasty?

Provided that a patient is of adult age and their nose has fully developed, they can safely and effectively receive a nose job to help attain a symmetrical and proportional nasal shape and size. Ideal candidates for surgery will be non-smokers who are in both good mental and physical health. People that are struggling with conditions such as hypertension may not be good candidates, as it might impede surgery and/or the recovery process.

Finally, patients should have realistic expectations about the outcomes from their rhinoplasty in Las Vegas. While Dr. Engineer can make his patients look like the best version of themselves, it is not in his power to make them look like entirely different people.

Nose Surgery Las Vegas

What are the benefits of rhinoplasty?

  • Elegant, subtle, and real-looking results
  • Improved symmetry of the facial features
  • A younger-looking nose
  • Correction of imperfections in the nasal bridge, tip, and nostrils
  • Improved symmetry of the nasal region>
  • Improvement in the substructure
  • An increase in self-confidence and self-esteem
  • Long-term results

What are the risks of surgery?

Rhinoplasty is one of the most complicated elective cosmetic procedures. As with any other surgery, it comes with all of the typical risks, such as excessive bleeding, scarring, and numbness.

Other risks that come with this treatment are related to the final look and outcome of the procedure. Issues such as asymmetry and poor integration with the other features of the face can be evaded by referring to an experienced and well-renowned surgeon.

Why choose Dr. Engineer?

At Engineered Aesthetics Plastic Surgery Institute, our fellowship-trained plastic surgeons provide only the best in care. Our founder, CEO, and principal surgeon, Dr. Nitin J. Engineer, is highly-revered for his expertise in aesthetic, reconstructive, hand, and microvascular surgery. He listens intently to his patient's goals and concerns to ensure that their desired appearance is achieved. His dedication to his craft and determination to deliver the most excellent care possible are what have made him a well-renowned name in the Las Vegas metropolitan area.

His extensive education and training include an undergraduate degree and Doctorate of Medicine from Vanderbilt University in Nashville, Tennessee, a General Surgery internship at the University of Washington in Seattle, and a General Surgery residency and a fellowship in Hand and Microvascular Surgery at Southern Illinois University.

With more than 10 years of experience and training under his belt, Dr. Engineer provides a completely individualized and relaxed rhinoplasty experience. He knows how stressful dealing with aesthetic qualities and the medical function of the nose can be. He treats all of his patients with incredible kindness, compassion, and competence to ensure that they leave his office with a feeling of serenity.

Plastic Surgeon Las Vegas - Dr. Nitin Engineer

How to prepare for rhinoplasty?

Leading up to your rhinoplasty, patients may be asked to:

  • Get bloodwork done
  • Start taking certain medications or stop the use of current medications
  • Temporarily stop smoking
  • Refrain from taking aspirin, certain drugs, and herbal supplements, as they can lead to excessive bleeding

What are the steps of a rhinoplasty procedure?

  • Anesthesia – Either IV sedation or a general anesthetic will be administered so that the patient feels comfortable throughout their rhinoplasty procedure.
  • The incision –Nose surgery can be carried out in one of two ways. One way is by utilizing a closed procedure, in which incisions are made inside the nasal cavity to keep them hidden. The other option is an open procedure, where the incision is made in the region of tissue that sits between the nostrils (columella), allowing the physician to lift the soft tissues and reach the underlying structure of the nose.

    In cases where nasal augmentation is needed, cartilage may need to be harvested from other regions of the body. Surgeons are typically able to use cartilage from the step (middle of the nose), though in some cases, cartilage from the ears or ribs may be needed.

  • Closing the incisions – After the substructure of the nose has been sculpted to match the patient’s desired look, the nasal skin and tissue are then draped back onto the nose, and the incisions are sutured closed. In some cases, additional incisions are made in the natural creases of the nostrils to change their size.

What will my recovery entail?

Following the surgery, patients usually experience some swelling, which takes some time to dissipate fully. In most cases, this swelling is drastically reduced by the 2 week-mark, by which time it is basically only detectable by the patient, the surgeon, and their close friends. Pain can be easily mitigated by using pain medication, though most patients notice a deep tenderness or pressure while the nose is healing.

What is the cost of rhinoplasty?

Costs associated with a rhinoplasty procedure usually vary depending on the extent of the treatment and the type of work that is being performed. Beyond that, other costs such as facility fees, anesthesia fees, recovery fees, and surgeon’s fees need to be factored in. Overall, the total cost of rhinoplasty in Las Vegas can go anywhere from $7,000 to more than $12,000.

Types of Rhinoplasty

Ethnic rhinoplasty

For many years, rhinoplasty procedures have focused on attaining a westernized look, as it was considered to be the best aesthetic for most clients. Today, cosmetic professionals take care to preserve and respect every patient’s unique ethnicity and culture, adjusting the results so that they celebrate the patient’s natural beauty while reducing cosmetic imperfections. Dr. Engineer is well-versed in performing individualized ethnic rhinoplasty on patients of African, Native American, Asian, Middle Eastern, and Hispanic/Latinx descent.

Revision rhinoplasty

While most patients hope to have a successful surgery the first time around, it sometimes happens that the initial procedure did not accomplish the patient’s goals of correcting nasal imperfections of the bridge, tip, or nostrils. In other cases, the first surgeon may have gone too far, extracting too much cartilage, skin, or bone. In even rarer cases, patients may need a revision rhinoplasty in order to fix breathing problems that are a result of the original nose surgery.

Functional Rhinoplasty

Functional rhinoplasty is designed to attenuate physical abnormalities in the nose that restrict breathing, such as those caused by congenital defects. They are also able to treat the effects of physical trauma. This procedure works by redefining and repositioning the bones and cartilage of the nose. Rhinoplasty surgeons can help patients by creating new nasal contours that help them breathe easier and feel more confident in their looks.

Male Rhinoplasty

It’s no secret that the male nose is different from the female nose. When seeking out a nose job procedure, patients want to be sure that their plastic surgeon will be able to restructure their nose and create a look and projection that complements their other features. In order for men to appear attractive, the nose should not have a pointed or pinched look at the tip.

What is the difference between open and closed rhinoplasty?

During an open rhinoplasty procedure, incisions are made at the base of the nose, at the columella. From there, the surgeon is able to raise the skin and perform corrections on the bridge, tip, and nostrils without any resistance. For more complicated surgeries, such as revision rhinoplasty, open rhinoplasty is often needed.

With closed rhinoplasty, on the other hand, no external incisions are required, and there is no scarring. The surgeon can make all of the needed adjustments by going through the nostrils. Unfortunately, however, this approach is best suited for clients that need only a small amount of changes.

Before & After Rhinoplasty

Rhinoplasty FAQs

Will health insurance pay for rhinoplasty?

If rhinoplasty is being done solely for cosmetic reasons, most insurance plans will not cover it. If rhinoplasty is being done to fix a deviated septum (septoplasty), or to fix breathing issues and other structural problems that present a health risk or concern, health insurance is more likely to cover it.

Is rhinoplasty painful?

The procedure is done under anesthesia so it is not painful. After the procedure, pain can be mitigated with medication. You should, however, be prepared for a recovery period of about 2 weeks, during which time you will feel pressure and tightness in and around the nose.

What anesthesia is used?

Rhinoplasty is done under either general anesthesia, or local anesthesia with IV sedation.

How long is the surgery?

Most rhinoplasty surgeries are done in 1 to 2 hours.

Can I drive home after the procedure?

As the effects of the anesthesia tend to last for a while after surgery, you should have a friend or family member drive you home after the procedure.

Will rhinoplasty help my breathing?

Rhinoplasty can improve breathing in patients with functional issues.

Is there a non-surgical option?

Patients that don’t want to go under the knife can receive a ‘liquid nose job,’ which uses injectables.

When can I exercise?

Patients are discouraged from exercising for at least the first six weeks following their procedure.

At what age can a person receive a rhinoplasty?

It is recommended that patients be at least 15 to 17 years old, as the nose will still be developing prior to this age.

How much school or work will I miss?

Most people miss only a week or two of school and/or work.

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