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Manhattan, New York Rhinoplasty plastic surgeon
William M. Portnoy, MD, FACS
is double Board Certified Facial Plastic Surgeon in Otolaryngology/Head
and Neck Surgery as well as Facial Plastic and Reconstructive
Surgery. The plastic surgeon
specializes in rhinoplasty and is in private practice in Manhattan, New York.
According to the American Society for Aesthetic Plastic Surgery there were
over 200,000 rhinoplasty procedures performed in 2005. Rhinoplasty is one
of the most popular plastic surgeries performed in the United States every
year. Board Certified Facial Plastic Surgeon sees patients from
around the world seeking cosmetic rhinoplasty and functional rhinoplasty
at his NYC (Manhattan, New York) office.
The Facial Plastic & Reconstructive Surgeon performs many primary and secondary (or revision rhinoplasty)
rhinoplasty procedures at his
New York City rhinoplasty practice.
If you are considering rhinoplasty for either aesthetic or functional
purposes, feel free to
contact Doctor Portnoy at his Manhattan, New
York office to schedule a consultation.
  Diplomate, American
Board of Otolaryngology
Diplomate, American
Board of Facial Plastic and Reconstructive Surgery
Fellow, American
College of Surgeons
Diplomat, American
Board of Facial Plastic and Reconstructive Surgery
Fellow, American
Academy of Facial Plastic and Reconstructive Surgery
Fellow, American
Broncho-Esophagological Association
Member, American
Academy of Otolaryngology / Head and Neck Surgery
Member, American Head
and Neck Society
Member, New York Head
and Neck Society
National
Board of Medical Examiners
Doctor Portnoy has been a practicing
surgeon in the New York Metropolitan area since 1993, specializing in
Rhinoplasty, Head
and Neck Oncologic Surgery, Endocrine Surgery, Laryngology, and
Reconstruction of the Head and Neck at his NYC practice. He graduated from Brandeis University
and The George Washington University School of Medicine. He completed
his residency in Otolaryngology at the New York Eye and Ear Infirmary, in
Manhattan, New York and completed a fellowship in Head and
Neck/Reconstructive Surgery under the renowned plastic surgeon, Sebastian
Arena, MD in Pittsburgh, PA. In addition to his private practice in
Chelsea, the Board Certified Plastic Surgeon is on staff at three hospitals in New York City: Beth Israel
Medical Center, St. Vincent's Hospital and Medical Center and The New York
Eye and Ear Infirmary.
Rhinoplasty (surgery to reshape
the nose aka nose job aka nasal surgery) is performed by plastic surgeons for two,
often related, purposes: to correct congenital deformities in an effort to
improve the function of the nose (improve breathing and/or health related
respiratory problems) as well as to enhance the form and/or the appearance of
the nose. Rhinoplasty can reduce or increase the size of your nose, change
the shape of the tip or the bridge, narrow the span of the nostrils, or
change the angle between your nose and your upper lip. It may also correct
a birth defect or injury, or help relieve some breathing problems such as
a deviated septum. Your rhinoplasty procedure is typically performed in an
outpatient surgery center, or a hospital. Dr. Portnoy is affiliated with
the following NYC hospitals: St. Vincent’s Medical Center, Beth Israel Medical Center, New York Eye and Ear
Infirmary.
Most Frequently Asked Questions About Rhinoplasty
What is rhinoplasty? Rhinoplasty (aka a nose job) is plastic
surgical operation on the nose, either for reconstructive, restorative or
cosmetic purposes. "Rhinos" is the Greek word for nose and "plastikos" is
the Greek work for "to shape", so literally rhinoplasty means to
"shape the nose". Rhinoplasty involves the surgical repair of a flaw of the nose, including reshaping or
resizing the nose. Rhinoplasty may be performed to change the size of the
nose, change the shape of the nose, narrow the nostrils, and/or change the
angle between the nose and lips. In addition, Rhinoplasty can involve
reshaping of the nasal cartilages, nasal bones or both. Please feel free
to contact the doctor at his NYC office for more information pertaining
to rhinoplasty.
How is rhinoplasty performed?
The
two most common techniques of rhinoplasty performed (your main options for
the incisions that your surgeon may use) are the closed (or endonasal) and
the open rhinoplasty technique.
Closed rhinoplasty is a more “traditional” technique whereby the incisions
are limited to the inside of your nose. Recovery is a lot faster than
open rhinoplasty. However, not all patients are candidates for the closed rhinoplasty technique. When consulting with Dr. Portnoy at his Manhattan,
New York practice he will advise you if you are better suited for the
closed or open rhinoplasty technique.
An open rhinoplasty procedure involves a small incision across the
columella (the area between the nostrils) in addition to incisions
made inside of your nose. Open rhinoplasty surgery is usually the
preferred technique in the more complicated cases.
Surprisingly, though, there isn’t much more bruising or swelling
associated with an open rhinoplasty.
Typically General Anesthesia is administered during the procedure. If the
patient elects, rhinoplasty can also be performed under light sedation
(“twilight”) with local anesthesia. After you are asleep and your vital
signs are determined to be safe and stable, local anesthesia is then applied
to the nose. The surgery normally takes about 1 1/2 - 2 hours during which
time you should experience no pain. Expect to spend a half-day in the
surgical facility and take the following day off from your usual work
routine for recovery.
What should I expect
post-operatively after my rhinoplasty surgery? After your rhinoplasty
surgery, Doctor Portnoy will have placed a gauze
“drip” pad underneath your nose to assist with any oozing. You may also be
asked to “ice” the nose and region around your eyes with a cold compress
on the day of your surgery to help reduce bruising and swelling. Some
patients require an external “splint” typically worn for several days
following the surgery. On occasion, overnight packing of the nose may also
be required which can be somewhat uncomfortable and compromise your
breathing- however, most patients report no serious pain and overall
little discomfort. Swelling and discoloration, particularly around the
eyes, may persist for 7-10 days post-operatively. Lastly, your nose may be
sensitive for about a month.
When will I be able to see the results from my rhinoplasty surgery? You will see a marked
difference immediately but please recognize that your nose will be swollen
inside and out for quite some time post-operatively. Most of the swelling
disappears within the first one to two weeks. Furthermore, most of
discoloration is usually gone by the end of the second week. However, most
people (including yourself) would not acknowledge that your nose is
swollen. Understand that the overall healing process is a slow and gradual
one- and that can take up to one year to completely heal. What you should
notice is that your nose will become softer, more refined and more natural
in appearance over a 6-12 month period.
Why do most people get rhinoplasty? Patients seeking Rhinoplasty
give many reasons why they want surgery including:
The nose is off-center or crooked
The tip of the nose droops or is overly thick
The nose is too large for the face or too long
A bump or hump on the bridge of the nose
A patient seeks functional nasal changes to help improve
breathing
How old do you have to be to have rhinoplasty? The facial and
nasal bones are still developing during the teenage years which is why
rhinolplasty is usually not recommend before the age of 15 female and 16
male. However, some patients choose to undergo rhinoplasty (commonly
referred to as a nose job) surgery as early as 15. Obviously, parental
consent is required for all patients under the age of 18.
Please click here for more
answers to the most
Frequently Asked Questions About
Rhinoplasty.
If you have any additional questions or concerns about rhinoplasty or if you would like to
schedule a rhinoplasty consultation with Doctor Portnoy, simply contact his Manhattan, New York
(Chelsea, NYC) office to make a rhinoplasty surgery consultation.
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