Carolina Facial Plastic Surgery

Primary Rhinoplasty

RealSelf - Top Doctor Rhinoplasty - Dr. KulbershA primary rhinoplasty, also known as a ‘nose job’, is designed to refine the nose.  I believe a beautiful nose blends in with the surrounding facial features.  A nose that does not blend with the face will draw attention from the eyes and smile.  I believe the eyes and a smile are the 2 most important features that I want my patient’s family, friends, and associates to focus after a procedure. There are some common features that draw attention to the nose that patients seek to improve such as a nasal hump/bump, asymmetric nasal tip, crooked nose, or large nose, small nose, wide nostrils or difficulty breathing through the nose.

As a fellowship trained facial plastic surgeon in Charlotte, I have extensive experience in rhinoplasty surgery and facial aesthetics. Rhinoplasty is the most delicate and intricate facial aesthetic surgery.  I strive to make a variety of small changes to different areas of the nose.  When all of these changes are put together, it creates a refined and improved nose, but will not change the character of the nose.  During an initial consultation, we will discuss your concerns, goals and treatment options. As your surgeon, I will go over a detailed description of the techniques, pre-surgery preparation, and post-surgery care and expectations. I am here to assist you through the process.

Who is a Good Candidate for a Primary Rhinoplasty?

Before_And_After_Rhinoplasty_Fillers1Rhinoplasty is appropriate for healthy men and women who have reasonable expectations for improving their nasal appearance and/or breathing.  A nose job can be performed for either aesthetic or functional reasons. Aesthetic reasons to undergo a surgery include but are not limited to:

  • A nose that is too big for the face
  • A nasal “hump”
  • Long nose
  • Crooked nose
  • Fat or poorly defined tip
  • Wide nose
  • Asymmetric nose
  • Too masculine nose on a female face
  • Collapsing or shrinking nose from previous surgery
  • Upward turned or pig nose

At Carolina Facial Plastics in Charlotte, many patients also undergo a procedure to improve breathing. Improving breathing through your nose can also improve your quality of sleep, improve snoring, and increase your energy level.

The Rhinoplasty Procedure

There are 2 general techniques that I use during a procedure, which are an open or closed technique.   Both techniques have their advantages and disadvantages.  Generally, I will use the open technique for:

1)    Major nasal tip work
2)    Ethnic rhinoplasty
3)    Revision rhinoplasty
4)    Correcting a collapsed nose

And the closed technique for:

1)    Noses with large humps
2)    Minor tip changes
3)    Camouflage rhinoplasty

Rhinoplasty Surgeon in Charlotte, NC

Example of the open rhinoplasty technique

The incisions for a closed rhinoplasty are made entirely on the inside of the nose, whereas open rhinoplasty requires an additional small incision on the underside of the nose on the skin between the nostrils.  This incision heals wonderfully and typically becomes imperceptible over time.   After making the incisions, I will then separate the nasal skin from the underlying nasal framework that is composed of bone and cartilage. The bone and cartilage is then sculpted to create the nose that patient requested.

The ability to breath clearly out of the nose is as important as the change to the appearance.  All techniques that I use during the procedure will either maintain or improve the breathing.  Older techniques only remove cartilage and bone from the nose.  This removal weakens the nose and can cause a collapse and nasal obstruction years later.  For this reason, whenever I am removing cartilage and bone from one area, I will add cartilage to another area to strengthen the nose to prevent collapse of the nose years later.

Dr. Kulbersh Discusses How to Narrow the Nose with Rhinoplasty

Recovery After A Rhinoplasty

The next day after surgery, you will come to my office to go over the procedure and allow me to check on the nose.  A splint or cast is placed on the nose and will be removed in 1 week. At the 1 week appointment, I will also remove the sutures on the skin.  The procedure is not particularly painful, but medication will be prescribed to minimize symptoms. There will be other medications to help with swelling, bruising, prevent infection, and treat nausea.  For the first week you will be given specific instructions to clean the nose, the proper diet, and ways to speed up healing.

To see before and after photos of a rhinoplasty procedure, please visit our photo gallery.

Rhinoplasty FAQs

Q: What should I expect during a consultation for my first nose job?
A: During your consultation, we will spend time discussing your goals for the surgery. I will ask you questions about your lifestyle and health to ensure you are a good candidate for surgery. I will take pictures of your nose and morph the pictures on the computer to help me understand your goals.  I will go over the techniques, preparation, and aftercare of your surgery.

Q: How long does it take to see the final results of a nose job in Charlotte?
A: The nose heals rather fast, but it takes a long time for the swelling to resolve.  After 1 month, you can appreciate the changes in your nose, but the nose will continue to improve over 1 year as the swelling continues to resolve.  The swelling in the tip of the nose is the last area to resolve.

Q: When can I return to normal activity after rhinoplasty surgery?
A: Recovery from a surgery generally lasts between 1-2 weeks. The nasal splint will be removed after 1 week. Most patients are able to return to work or their daily activities, within moderation, 7-10 days after the surgery.

Q: Can nasal obstruction be corrected at the same time as rhinoplasty?
A: Yes.  As part of my procedures, I focus on both function and form when it comes to surgery of the nose.  

Q: Is my procedure covered by insurance?
A: It depends. Any procedure that improves the function of the body may be covered by insurance.  This would include nasal surgery to improve breathing (septoplasty, turbinate reduction, repair of a collapsed nose). You will have to check with your specific insurance provider to determine if a cosmetic nasal procedure is covered. In any event, we offer payment options. If you have questions about a particular procedure and its coverage, please contact our office.

Q: Do I need a nose job?
A: This is entirely up to you. If you feel that you could benefit physically and emotionally from undergoing a rhinoplasty in Charlotte, I encourage you to contact my office today to schedule your initial consultation.

Determine if Rhinoplasty is Right for You

Through my training with top Beverly Hills surgeons, Dr. Babak Azizzadeh and Dr. Paul Nassif, I am able to provide patients with the highest level of skill and expertise for their nose surgery. If you’d like to learn more about undergoing a primary rhinoplasty in Charlotte and determine whether or not the procedure is for you, I encourage you to schedule a consultation at Carolina Facial Plastics today by calling (704) 908-3063, during which your every question and concern will be tended to, as well as determining the best procedure to achieve your nasal goals.

Trained with the Top Rhinoplasty
Surgeon in Beverly Hills

Dr. Paul Nassif Hear what Dr. Paul Nassif of Botched says about Dr. Kulbersh

E-Newsletter Sign-Up