- Nose Job - Revision Rhinoplasty
in New York
Every year over half a million people will consult a facial plastic surgeon to improve
the appearance of their nose, an operation called a Rhinoplasty, or nose plastic surgery.
Since the nose is the most defining characteristic of the face, even a slight alteration can
greatly improve one's appearance.
The definition of rhinoplasty is shaping the
nose. First incisions are made and the skin
of the nose is lifted off of the underlying
bone and cartilage framework. The majority
of incisions are made inside the nose and
thus are invisible. Next precise amounts of
underlying bone and cartilage are removed
or rearranged to provide a newly shaped
structure. For example,when there is a large
hump on the nose in profile, the excess bone
and cartilage is removed resulting in a
straighter and flatter appearance. The skin
is then redraped over the new framework,
and the incisions are closed.
Doctor Jacono favors creating a natural
rhinoplasty result, similar to
Ashlee Simpson plastic surgery result.
One that is aesthetically balanced to
wake up every morning thinking my nose is going
to get bigger and then I look in the mirror and
it seems to be getting smaller. You are a great
doctor!!! Thank you so much. You are my doctor
for life!" - K.S. Click
here for more patient testimonials.
During your consultation Doctor
Jacono will perform a thorough
examination of your nose,
taking into consideration all
factors including skin type,
ethnicity, age, degree of
deformity, and degree of
function of the nasal structures.
After this Doctor Jacono uses
digital photography and
computer imaging software
to simulate how you will look
after surgery. Doctor Jacono feels
that Digital morphing is crucial to
help define how his patients want
their nose to look.
The patient to the left is an
actual result and not a computer
generated image. Here a dorsal
nasal hump was removed and tip
definition and rotation was
Jacono has published in the medical
regarding cutting edge
procedures in rhinoplasty surgery, including revision
Here to See Dr. Jacono's Publications).
specializes in revision
rhinoplasty, using your own bodies cartilage
and bone for restructuring the nose instead of synthetic
implants. Structural cartilage grafts are often required
due to collapse of the nasal tip and twisting of the
nose from overly aggressive or poorly executed rhinoplasty
surgery. Revision rhinoplasty is often performed with
cartilage from the nasal septum. When it is not available
due to prior surgery, cartilage from the ears or ribs
can be used. In the most severe cases calvarial bone
from the skull can be harvested and used to re-structure
a competely collapsed nose called a "saddle nose."
can be performed through an "open" or "closed"
approach, with the "open" approach requiring
a small incision across the base of the nose. Some surgeon's
only perform all rhinoplasty "open" and some
perform all "closed." Doctor Jacono performs
Rhinoplasty "open" and "closed",
and chooses the approach depending upon the goals of
Jacono has patented a Quick
Recovery RhinoplastyTM Technique that minimizes
the incision lines for rhinoplasty, does not require
the nose to be broken, and reshapes rather than cuts
away cartilage. He combines this less invasive approach
vitamin supplementation and homeopathic therapies
healing after surgery and minimize bruising. Research
has shown that surgical results are improved when these
regimens are part of your surgical treatment. He also
does not pack the nose of surgery minimizing any discomfort.
photographs above as well as those that follow are
before and after photographs of some of Doctor
Jacono's rhinoplasty patients. These are actual results
and have not been altered for presentation here.