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Explore what others have to say about Rhinoplasty Plastic Surgery of the Nose with answers by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
  • How was the recovery?
  • Were there any complications? How were they resolved?
  • How do you feel about the results?
  • Did it have any effect on your life
    • emotionally
    • socially
    • sexually
    • professionally
  • How did others react to your surgery?
  • Did you learn any lessons?
  • What would you advise others?
Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

E-mail to Dr. Bermant

Rhinoplasty Nasal Surgery Important Information

Question: Re: Rhinoplasty

Help! I have consulted with two plastic surgeons in my area regarding a rhinoplasty. I was disappointed that each only had two photographs of examples of rhinoplasties. Also, I am concerned that they had very different approaches to my surgery. One would do an open rhinoplasty and the other a closed. I do not know of anyone in my area who has had a rhinoplasty that could give me a referral. My family doctor refers to one of the surgeons but is not aware of his experience with rhinoplasties. I would like to have a large hump removed and the tip reduces in size and turned up just a bit.

I have been searching the web and looking at examples of other surgeons' work and have noticed a large difference in results from similar noses to mine. I have also been reading about revision rhinoplasties and the unsatisfied patients.

I have an appointment with a third surgeon. How should I decide on a plastic surgeon? How do I know if an open or closed technique is best suited to my case?

Thanks so much, M

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

There are no simple formulas to follow in choosing a plastic surgeon. Reputation, skill, experience do not mean much if you do not feel comfortable. The education experience does not need to start in the doctor's office. My web pages are designed to show others a little about my practice and our commitment to education.

Yes there are many different types of operations that can be done on a nose. That is why the education experience is so important. You need to learn what is available and the doctor needs to learn what you want. Realistic expectations are essential for a happy patient. Some doctors prefer an open approach for a particular nasal problem while others chose the closed approach. It depends on the problem, the surgeons training, and surgeon's preferences. Many of the cases on my website were done with an open approach.

With the ease of air travel, patients now have easy access to a wider spectrum of doctors than ever before. Surgery close to home of course is the most convenient. Try to find someone you feel comfortable with that has the experience and reputation you seek. Remember the boards of patients complaints about secondary surgery are from the patients who have had problems. The common satisfied patient is much less likely to be looking for a place to learn or vent anger.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Rhinoplasty

Dr. Bermant,

I recently had my septum repaired, turbinates enlarged, and a pyramid repair. I did not have a CT scan or any other type of x-ray done. Is this unusual?

Your reply is appreciated. Thanks.

C

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

A CAT scan is not necessary for this surgery. I request a CAT scan when I cannot understand the anatomy or if there are possible sinus drainage or obstruction issues that my endoscopes (thin tubes that let me see deep into the nose) reveal. Such x-rays are very common in severe facial fracture cases but not in the type surgery you seem to describe.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: rhinoplasty

Dear Dr. Bermant,

I just got done looking at your web page and I really enjoy it. I was wondering if you can send me some information on rhinoplasty surgery. I am really considering having this operation done on me. I want to know everything about this operation that you can tell me (Including an estimate on the cost). So please send me all the information that you can. Thank you for your time. I hope to hear from you soon.

My address:

B Texas

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

I am glad you liked my website. It provides a good starting point for the education process. Your next step is an in office evaluation and examination. Prices for rhinoplasty vary depending on what needs to be done, the type of anesthesia, and the location of surgery. I cannot spend the time with each E-mail request "send me all the information that you can". E-mail information does not replace the continued education process of the in office consultation. That is where patients learn what plastic surgery has to offer, the risks, and alternate methods of care.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Question about rhinoplasty: Removal of hump

I am having a rhinoplasty in two weeks, to remove a hump at the top of my nose. It is something I have wanted to do since I was 13 (I'm now 27). My surgeon has told me he will use internal incision, remove the hump, and therefore reduce the tip to be in proportion. Also, he does not use packing, unless it is necessary. My problem is, as the surgery draws nearer, I am terrified. I'm worried about the surgery itself, the outcome, etc.. Is this a normal feeling? Does it mean I should back out? I know that if I back out, I will always regret it, because every time I look in the mirror, all I see is my nose. And everyone (familt, friends) keep telling me I shouldn't do it - they say what if I don't like it, etc. But I am doing this for me. Not my husband, not my family, not my co-workers r anyone else. Do you have any advice to give me on how to deal with my pre-surgery fears? Thank you so much!

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Pre surgical fears are common. We I spend a good deal of time with our patients to help them deal with these valid issues. Such concern and care is part of our package of care for our patients. We consider this care included in the price of surgery. Have you asked your doctor these questions? I would want to know about concerns of my patients. Going into the operating room terrified is not very healthy. Surgery should be for you, not anyone else. I have had patients with similar concerns bring their families to my office to discuss such problems BEFORE SURGERY.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: rhinoplasty tip

Hello.

I'm a 17 y/o female with a problem: what should I do with a "cabbage patch nose"? From what I read, most nasal operations focus mainly on the bridge of the nose. My problem isn't there.. it's more at the bottom. What do I do about that?

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Most nasal surgeries are about nasal tip reshaping and remodeling. Tip surgery correction can do much to refine and sculpt the nose. Browse through the various cases on my web pages to see such differences to the nasal tip.

To learn what plastic surgery has to offer, schedule an in office consultation. That is where patients start their education process. The computer imaging patient education I do in my office is the best way to learn what plastic surgery has to offer.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Barbie nose

Hi I am really impressed about your website. so many things to learn. I am Asian women, 36 years old, and you know how most of the Asian' s noses are. I mean flat nose.. I would be greatful if you will show a sample of one of the asian women who had a rhinoplasty. I'm going to have a surgery in February. My goal is to have a nose like Barbie.. Thank you so much. I'll keep on checking on your homepage and wait for the sample... thanks again

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

There is a section for the Asian Nose:

Ethnic Rhinoplasty the Asian Nose

You should be asking this question of the doctor you are trusting to do your nasal operation. If you have found someone to make your nose look like "Barbie" that is who you need to talk to. Over resection of a wider Oriental or black nose (something like Michael Jackson had) can destroy the beauty of the face. Unreasonable expectations also can result in an unhappy patient. By the way, Barbie's nose is so small for her face that it probably would not function for breathing through. My Oriental nasal reductions tend to be much less extreme.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Rhinoplasty Bulletin Board

Dear Dr. Bermant,

I recently had surgery and located your bulletin board for rhinoplasty and found it to be very interesting. The letters stop in September and I dont see any current postings since then. Have you stopped updating this bulletin board? I would appreciate a response because I would like to ask you a couple of post op questions. Thank you M

Dr. Bermant answers:

I have been working on other aspects of the site. The questions and answers have not stopped, just the posting to the board. I have several hundred questions & answers to post at the various pages. The site has just grown out of the original design and needed a major overhaul. It is hard to maintain such a large website by myself and run a plastic surgery practice. Many questions that are sent to me each day are better answered by the patient's own doctor, but I try when possible to help.

Michael Bermant, MD


Question: Re: nasal deformity

My name is S and I'm 16 years old. I have a very big problem. I have a large hump in my nose. I look like the witch from the Wizard Of Oz. I think I have very low self esteem because I consider myself unattractive. I hate my nose and I wish I had a different one that would make me look better. Everyone says that I shouldn't do something so drastic but I'm sick of feeling ugly and I'm never going to learn to live with my nose. Could you please tell me if this is right for me? I know I'm going to have it done and I want to know if you think I should. Thank you.

S

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Nasal deformity can have a major impact on what we think about ourselves. The nose is the most prominent part of our face. Much has been written about trying to deal with nasal deformity. Cyrano de Beragerac (the book was better than the movie - either the older Jose Ferra or Steve Martin's Roxanne) are examples. Do not misunderstand me, I do not advocate leaving deformity alone and living with it. That is how I make my living, modifying deformity and restoring a more natural shape. Such surgery is called Rhinoplasty and you may benefit from my office educational package. Learning about rhinoplasty can start from my webpage but needs an in office consultation to establish what can and cannot be done. Yes surgery can be done on younger patients, it depends on how much the nose has yet to grow.

Some nasal deformities are growths that need to be evaluated for other reasons.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Post rhinoplasty Swelling

I had a rhinoplasty done about six months ago. However, I am concerned because I still have some significant swelling in the tip. The swelling seems to aggravate after I engage in exercise or travel to locations with higher elevations (?) and takes weeks to even minimally subside. What could explain this problem? I had something called a "Medpor" strut put in my nose. Could my body be rejecting the implant? I have no soreness or redness, but the swelling is really getting to me. After six months I would expect my nose to look somewhat normal. What can I do?

A

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

I tell my patients that the nose evolves over 2 years after a rhinoplasty. A major part of the swelling and change occurs during the first 6 months.

These are good questions for your doctor. Without an examination and evaluation, I cannot comment on your problem. Is the "swelling" the implant or the design of the operation? Your doctor has been in there and should be able to advise you.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Nasal Augmentation

Hello my name is R and I am planning on having cosmetic surgery on my nose. I am oriental and most asians have flat noses with wide nostrils. I was just wondering what you would recommend for augmentation of the nose. I have heard of using bone or cartilage. I think good for long term effects but does not shape very well. I have heard of using plastic or silicone implants that shape well but have various complications. Also can you tell me is their any difference between silicone, Gore-tex, or Porex when used for augmentation? I have been told by a doctor that it is near impossible to form a straight tip at the end of the nose with a nasal tip implant?

Could you further explain to me exactly how the surgical procedures go in putting a nasal -tip implant inside the nose? I know of two types of nasal implants. One with a straight bridge extending into the tip and one that has an L-shaped which works in extending the bottom portion of the nostrils to look less wide. Please reply back soon. Thankyou.

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

As you have described, there are many different types of material for nasal augmentation. Some are better than others. It depends on what problem they are trying to solve. Each has its own risks and benefits. There is no "typical" Oriental nasal augmentation. There are different problems and solutions. The surgery depends on the problem being solved.

Typical boney (dorsal) augmentation is done with an incision from inside the nose. I do not use the silicone struts that I saw so frequently placed in China. I feel the complication rate is just too high. That implant is softer than our bone and larger strut cartilage grafts however.

I have seen many disasters from attempts to over operate and radically change the nose (from other doctors). In my office we try to emphasize the good features and modify the less desirable. Unusual expectations, such as wanting to establish a major height and length change, result in frequent unhappy results. More modest desires are more reasonable. That is what an in office consultation is all about, continuing the education process that my website starts. Such extended information belongs there, in the consultation.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Rhinoplasty

To the many folks inquiring about post op couse of a rhinoplasty: I waited until my mid fourties due to fear. It was a snap. No post op breathing difficulty, no pain. Done on an outpatient basis. It is now three months post op and even though there remains some residual swelling, I could not be more pleased with the result!! If something about your appearance realy concerns you and your expecttions of the outcome are realistic, go for it!

Dr. Bermant answers:

Thank you. Your experiences are much more common than the problems posted around the web. At least that is what I see with my patients. Good luck on your continued recovery.

Michael Bermant, MD


Question: Re: Rhinoplasty Bulletin Board

Thank you Dr. Bermant for your quick reply. I had rhinoplasty surgery 3 weeks ago and the swelling is really starting to come down except for the tip and collumella. They told me the tip takes the longest to soften but I am concerned about the size of the collumella. They did an open rhinoplasty on me with 3 main objectives:

1. Remove small hump and decrease length of nose. I am 100% happy with result

2. Decrease turbinates due to breathing problems. I am 100% happy with result.

3. Lift collumella so that you could not see in the nose. This is where I am concerned because I can still see in the nose just as much from a profile view. The collummella is still very swollen and sore. Is there a chance that as the swelling decreases that the profile will improve.

I traveled to Florida from Tennessee to have the procedure done so I will have to fly back for another consultation and then another surgery if results dont improve. Since I have 2 small children that have to go with me I am hoping that results improve. I would really appreciate some advice from you about the collumella and how long it normally takes for the swelling to do down and does the end result tend to look better as the collumella swelling goes down.

Thank you very much for the time you take for others.

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Swelling and detail development on the columella do take some time. It sounds like you are describing a "hanging columella" a problem where the central post of the nose hangs below the outside edges so much that the inner aspects of the dividing wall show too much. This is a difficult problem to improve but in most cases the degree of correction is fairly apparent early in the healing phase. Without examining you, I am at a disadvantage.

Your questions are reasonable concerns. The best place to direct them is your doctor who knows your problems, has seen you, and knows what was done surgically. Why wait until your next visit? My patients are encouraged to call me and my staff for their questions.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Post-op concerns rhino

I am seriously considering having rhinoplasty surgery done next month but am a bit concerned about the recovery process. Being new to this area, I won't have anyone to stay with me immediately following the operation. I do have transportation home from surgery arranged, but am on own after that. Could you tell me what complications could arise the first 24 hours after surgery and do you think it un-wise to try and deal with them on my own? Also, I have very thick skin on my nose and heard that this can adversly effect the outcome of rhinoplasty. What are your thoughts on this? Thanks!

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

This are good questions you raise. We go over such information with our patients during the extensive in office consultation and education experience. You should direct the questions to your operating doctor. Each doctor has their own methods and beliefs. There are many types of rhinoplasty, each has different limitations of activity. Different types of anesthesia also have different recovery needs. I would be very unhappy with a doctor telling my patients their after surgery limitations.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

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