Rhinoplasty Prep: A Few Tips


Rhinoplasty Prep: How to Prepare For Your Rhinoplasty

Undergoing any type of surgery is always a daunting and stressful process. Carefully preparing for your rhinoplasty surgery will build confidence in yourself and your surgeon, and ensure that your recovery yields the best possible results.

Be sure to select a board-certified surgeon who makes you feel comfortable, and has outstanding reviews with a track record of achieving impressive results with past patients.

Here are a few more tips to consider prior to having your rhinoplasty surgery…

Rhinoplasty Preparation: Your Consultation

The most important thing to do before scheduling your rhinoplasty is to meet with your surgeon. A personal consultation allows you to learn whether rhinoplasty will work for you, and how well the surgeon fits your desires.

During your appointment, you should expect to discuss your medical history, undergo a physical exam, and talk about your goals and expectations for rhinoplasty. You may also have photographs taken of your nose at various angles so that your doctor can assess your results.

Be sure to learn what to expect on the day of your procedure. Which staff will you interact with? When should you arrive and expect to leave? What medications will you receive, and what sort of side effects could you experience? Take time to discuss any questions or concerns you have with the surgeon in detail.

Rhinoplasty: Medications

Two weeks before and after your procedure, you should avoid alcohol and medications that can increase bleeding, like aspirin or ibuprofen (Advil, Motrin, and others).

Only take medications approved or prescribed by your surgeon. During this time, you should refrain from smoking, which slows healing and may increase the chance of infection. You may also want to consider taking supplements containing iron and vitamins C and E, which promote healing.

Rhinoplasty: Recovery Time

Plan for about two weeks off of work to recover. If you’re having an outpatient procedure, you should also arrange to have someone drive you home following surgery. You may also want someone to stay with you for a day or two after your rhinoplasty to assist you, as anesthesia often leads to impaired judgment, memory lapses, and slowed reaction time.

Make sure your surgeon knows about any other prescriptions you take, and have any medications your surgeon prescribes filled before surgery to avoid running out while impaired. Stock up on soft foods to make eating more convenient, assemble supplies needed for cold compresses, and make sure any important chores are completed beforehand.

Rhinoplasty: The Night Before

Do not eat or drink past midnight the night before your surgery. Try your best to get a good night’s sleep. In the morning, thoroughly wash your face and make sure that you are not wearing any cosmetics, including nail polish.

Most importantly, follow any directions your surgeon has given you.

Schedule a Consultation With Dr. Binder

If you’re considering a rhinoplasty procedure, the right surgeon is imperative in ensuring that your experience is a pleasant one that achieves the results you want. Schedule a consultation today with Dr. Binder, who takes the time to relieve his patients’ concerns to make them feel comfortable and confident. For this and all of your plastic surgery questions, contact the experts at Beverly Hills Plastic Surgery.

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How to Fix a Crooked Nose: Rhinoplasty

Rhinoplasty Surgery for Better Breathing


Rhinoplasty Surgery Has Many Benefits

Rhinoplasty surgery is a widely sought after cosmetic procedure because of its beauty benefits, but it is also hugely popular for its numerous medical benefits. In particular, rhinoplasties serve as an effective treatment for correcting breathing problems, such as those caused by a deviated septum. These procedures are referred to as functional rhinoplasties, and may or may not involve altering the appearance of the nose based on the patient’s needs and desires.

The right surgeon will be able to address patients’ desires for both aesthetic form and physical function. When selecting your surgeon, read reviews and refer to patient photos to ensure that his or her results will satisfy your desires.

Good Candidates for Functional Rhinoplasty Surgery

Candidates for functional rhinoplasty generally have some sort of airway obstruction. Symptoms indicating such an obstruction can include: chronic nasal congestion, dry mouth, reduced sense of smell, nosebleed, sleep problems, or recurring sinus issues, including infections and headaches. Obstructions can eventually result in insomnia, hypertension, obstructive sleep apnea, and heart disease if left unaddressed.

Mild Cases

There are three specific surgeries that fall into the category of functional rhinoplasty used to correct mild nasal blockages:

1. Nasal Septoplasty

Nasal septoplasty is used to correct a deviated septum, which is when the wall between the nasal passages is in some way misshapen, blocking one or both air passages. Septoplasty straightens this wall, and is usually just a simple 15-30 minute procedure with a quick recovery.

2. Turbinate Reduction

The most common cause of nasal obstruction is enlarged turbinates, which are the mucous membrane-covered bones which extend the length of the nasal cavity. Occasionally, one of these turbinates will develop an air pocket leading to obstruction. Due to the role turbinates play in filtering oxygen and keeping it moist, only a part of the turbinate tissue will be removed. Like septoplasty, turbinate reduction is generally a simple procedure with a quick recovery, though there is a slightly increased chance of bleeding for a few weeks until the membranes have completely recovered.

3. Nasal Polyp Removal

Nasal polyps are benign growths that can block nasal passages. Removal is generally simple, but polyps will often develop again. The chance of this happening can be decreased with comprehensive allergy treatment, especially for fungal allergies.

Severe Cases

More severe cases—such as those involving twisted, collapsed, or pinched noses—cannot be improved simply through internal modifications. In these cases, more significant external revisions are needed to clear obstruction.

Insurance Coverage

Unlike rhinoplasties performed solely for aesthetic purposes, functional rhinoplasties are typically covered by insurance. If a patient is considering rhinoplasty for both aesthetic and functional reasons, insurance will cover both revisions if addressed in the same procedure. Furthermore, addressing both issues at once reduces downtime when compared to multiple, separate surgeries. This also allows the surgeon to design a more comprehensive solution, taking both beauty and function into account.

Schedule a Consultation with Dr. Binder

If you suffer from impaired breathing, schedule a consultation with Dr. Binder today to determine if a functional rhinoplasty is right for you. Dr. Binder has a stellar record of patient satisfaction, and our caring staff are always happy to address any related questions or concerns.

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Open vs Closed Rhinoplasty: How They Compare
How to Fix a Crooked Nose: Rhinoplasty

How to Fix a Crooked Nose: Rhinoplasty

Woman-Holds-Her-NoseA crooked nose can cause considerable insecurity. Fortunately, rhinoplasty can renew confidence in your facial appearance. If a crooked nose is something you desire to correct, here are a few things to consider before making your final decision on rhinoplasty surgery:

Potential Difficulties

A rhinoplasty procedure designed to correct a crooked nose is actually very complex for a number of reasons. First, the deviated cartilage and bone which cause the appearance of crookedness tend to drift back to their undesired positions, even after surgery. Second, plastic surgeons often struggle when operating on patients with asymmetrical faces, which make it difficult to locate the midline plane where the nose should be repositioned.

The Procedure

In short, the goal of this procedure is to straighten the nasal structure through repositioning the septum and nasal bones. Septal deviation must be addressed, or else the nose will be continually pushed out of position. If the caudal septum is off center, it will have to be rebuilt it in the midline; then, the surgeon will address deviations in the nasal bones.

Deviated Nasal Bones

If trauma has forced the nasal bones out of position, the bones must be treated immediately. Otherwise, the bones will heal in their crooked position. Resetting the bones will take about six weeks. After this, the bone fractures can be addressed. By making osteotomies—or bone cuts— with a chisel, the crooked bones may be reset to their proper positions.

Other Causes of a Crooked Nose

Internal and external valve collapse are other common causes of a crooked nose. Patients who have noticed a pinch in their nose that creates asymmetric shadowing likely have this condition. These conditions will create the appearance of a crooked nose, even if the rest of the nose is properly aligned. This is treated with a spreader graft, which will expand the internal nasal valves that have collapsed.

For more information about crooked nose rhinoplasty and other cosmetic procedures, schedule a consultation with Dr. Binder today.

Broad Nasal Tip Rhinoplasty: What You Need to Know

Portrait-Of-A-Beautiful-Young-61158956-727x409A larger nose—a broad nasal tip, specifically—is a common source of insecurity. With your surgeon’s approval, nasal tip rhinoplasty would be an excellent step towards achieving a more refined facial structure. This procedure focuses specifically on the nasal tip, which is the most protrusive part of the face. While it may sound like a minor adjustment, a more refined nasal tip works wonders for transforming your facial appearance.

The Results

A tip refinement procedure will be catered to the needs of the patient and the recommendations of the surgeon. The procedure can either make the nasal tip appear more pronounced, or reduce the tip considerably. It all depends on your facial structure. Consult a trusted plastic surgeon to discuss your personal options.

The Procedure

The procedure typically lasts from one to two hours, or longer if extensive alterations are required. After sedation, the plastic surgeon will examine the internal nasal structure using a 3D, high definition camera. Cartilage under the nose is then exposed so that structural alterations can be made.

The remaining steps are then determined by your personal preferences. Fat tissue may be removed or repositioned, creating more definition. Implants may be placed to fortify cartilage and reorient the nasal tip. Grafts may also be used to improve tip projection. When the surgeon has finished, the incisions will sealed with dissolvable sutures.


Fortunately, the mucus lining heals quickly, reducing the risk of scarring. Moreover, since every incision is made internally, any scarring that does occur will not be visible.

Following the postoperative regimen prescribed by your surgeon is crucial to achieving the results you desire. Avoid contact sports or other forms of strenuous exercise, which may stress the nose and cause inflammation. Nasal canals should be kept clean to prevent infection. Purchase a nasal kit that will irrigate your nose and sinuses. If you experience pain or discomfort, your doctor can recommend pain-relievers that are safe to use. Contact your doctor immediately if you experience symptoms such as excessive bleeding or intense pain.


Rhinoplasties carry the same risks as any surgical procedure. Infection may occur, but antibiotics and regular cleansing of the nasal passages reduce the risk dramatically. In rare cases, patients have experienced adverse reactions to anesthesia. Make certain that you are medically cleared for the procedure before deciding on surgery.

If a broad tip rhinoplasty sounds right for you, schedule a consultation with Dr. Binder today to discuss your personal desires and options.

Nose Reconstruction: Traditional Versus Non-Surgical Rhinoplasty

Eyes-Woman-Closed-Eyebrow-EyesWhen you are not happy with how your nose looks, it can greatly affect your self-esteem and the way you look at your life. Even your best features can sometimes be clouded by an unsightly nose. Fortunately, there are options for those who are looking to make a change and who might want to consider rhinoplasty. There is also the option for those who would like to try a rhinoplasty without surgery, if the thought of a procedure sounds unappealing.

Traditional Surgery

Surgery has been an option for many years, and patients tend to choose it when they want intense alterations made to their noses. Most plastic surgeons recommend that you take the time to consider the repercussions of surgery and whether or not they will be changes you want for the long term. While surgery can tend to yield great results and many often tend to be happy with how they look after the procedures, the effects can be difficult to fix if it is not what the patient is thinking.

Surgery can also end up costing the patient more in the long run. You will want to discuss how much the procedure will cost with your plastic surgeon before you decided to agree to it. Sometimes, insurance will also cover the cost if the plastic surgery is needed because of an accident or injury. Recovery time is also much longer when surgery is performed.

Non-Surgical Rhinoplasty

Non-surgical rhinoplasty is often the insertion of dermal fillers. It often takes as little as fifteen minutes and only a little bit of anesthesia in order to make changes. However, any major alterations can be difficult to fix only be doing non-surgical rhinoplasty. It also cannot diminish the size of a large nose, a common operation that has to be fixed with surgery—but it can add to the contouring, making it appear smaller overall.

Results tend to vary and often last only a total of a few months. Most report that their new look usually remains for 6-18 months, so if you are thinking about a more permanent solution, surgery might be a better option. Most patients can go back to work the same day of the operation, and it is often much less expensive than investing in a surgical procedure.


When deciding between the traditional method of plastic surgery or non-surgical rhinoplasty, you should think about what are the exact results you want and to make sure to talk to a professional who can decide which option is right for you.

Open vs Closed Rhinoplasty: How They Compare

-young-woman-eyes-and-nose-portRhinoplasty has opened new avenues in the sphere of plastic surgery: improved nasal contours, enhanced facial harmony, and better breathing are just a few of the benefits made possible by this popular procedure. Regarding procedure options, rhinoplasty utilizes either the open or closed technique. When discussing rhinoplasty procedures, consider the comparisons differentiating the open and closed techniques to determine which approach is right for you:

Open Rhinoplasty

With open rhinoplasty, a small incision is made in the columella: the section of skin between the two nostrils. The skin is then lifted, allowing the surgeon better view of the nasal cartilage as he performs the desired adjustments to the nasal structure. This is the main advantage of the open technique. Generally speaking, open rhinoplasty is the preferred method when the details of the surgical procedure are complex.

Despite the benefits of increased visibility during surgery, the open technique has the unfortunate potential to leave a scar. The scar may fade if healed properly, but this is not guaranteed. Moreover, the open technique usually results in increased postoperative swelling and recovery time.

Closed Rhinoplasty

In closed rhinoplasty, all of the incisions are made internally within the nostrils. The downside to this technique is less visibility for the surgeon. However, due to the lack of an external incision, it reduces the potential for noticeable scarring. Closed rhinoplasty also produces less bruising, swelling, and decreases postoperative healing time.

Scheduling Your Rhinoplasty Consultation

Dr. William Binder has decades of experience reflecting his talent in the art of plastic and reconstructive surgery. Through these impressive rhinoplasty results, his patients have gained new inner confidence, self-esteem, and glowing radiance.

Dr. Binder will carefully review your needs and desires, and determine which technique is best suited for you. Call us at (310) 858-6749 today to schedule your appointment.

What to Consider Before Having A Rhinoplasty

healthcare-medical-and-plastiA Rhinoplasty, or nose job, is the oldest and most common plastic surgery procedure around, it is also one of the most difficult. So before deciding on whether this procedure is right for you, it is important to know what to expect after the surgery. Here’re a few things to consider before getting a rhinoplasty.

Take Time Off Work

You will need to take at least 7-10 days off before returning to work after your rhinoplasty. You can cut down your healing time if you stop taking fish oil, non-steroid anti-inflammatories, or aspirin, two weeks prior to your procedure.

Be Prepared for the After-Effects

While getting a Rhinoplasty is not as painful as other plastic surgery procedures, there is some pain related to the procedure as well as, swelling, bruising and slight bleeding, especially right after the procedure. Make sure you have cold compresses and ice gels to help manage the swelling, and bruising, around your nose and eyes. The swelling and bruising are at their worst in the first 3 to 5 days and should completely be gone, within ten days. However, the residual swelling, particularly at the tip of the nose, can last up to 12 – 15 months. This residual swelling may cause your nose to seem asymmetrical, until you hit the 12-15 month mark. It is normal within the first few days to experience some slight nasal bleeding and tiredness. It is also important to keep you wounds clean and manage your recovery with your doctor.

Avoid Exercise

You should avoid exercising for 2 to 5 weeks after your procedure. Elevating your heart rate can cause more swelling, bruising and even bleeding.

The Healing Process

Because it takes about 12 to 15 months for the residual swelling to dissipate, you will not truly see your final results until that time. You must be be patient and monitor your progress with your surgeon. Your internal splints will not be removed until the first post-op visit, seven days, after your rhinoplasty.

Manage Your Expectations

There is no such thing as a perfect nose and is not possible to just “add” any nose to your face. Noses are very specific, and there is a limitation to how yours can be shaped. The best way to manage your expectations is to be in constant communication with your surgeon, prior to the procedure, providing them with as many pictures or descriptions of your ideal nose, as possible. This way you can get an idea what you can expect to look like after your procedure.

Hopefully the information provided will help you decide whether this procedure is right for you. If you have further questions or if you would like to discuss the procedure, feel free to contact us at your earliest convenience. Our expert staff will be happy to address any concerns you may have. To schedule a consultation visit doctorbinder.com today.


When Is It Safe To Blow My Nose After Rhinoplasty?

Dr. William J. Binder, M.D., F.A.C.S. is a highly respected global leader in the field of facial contouring. Surgeons around the world now replicate his techniques and breakthrough advancements in facial plastic surgery. His peers recognize him as the premier surgeon in the field of rhinoplasty.

Rhinoplasty, the number one surgical procedure in the U.S., can be a very difficult procedure. Let the expertise of Dr. Binder guide you through your procedure as well as any questions you may have.

Blowing your nose after rhinoplasty is only one of many questions that patients have after surgery. Other frequently asked questions are:

  1. Will there be any visible signs of a scar?
  2. How painful is the procedure?
  3. How long after surgery should I expect the pain to persist?
  4. What type of pain reliever should I take?
  5. Will I have bruising after surgery?
  6. How long should I expect swelling?
  7. How should I clean the nose after the bandages are removed?
  8. When can I wear start wearing glasses?
  9. How long before I can expect a full 100% recovery?

All these questions and concerns should be discussed with the doctor during the consultation.

Now to address the question at hand: When is it safe to blow your nose after rhinoplasty?

  • When you can blow your nose and how hard you can blow depends on the type of rhinoplasty procedure you have undergone.
  • The timeframe can be as little as two weeks after surgery and as long as 12 weeks after surgery.
  • You should wait for your doctor’s explicit approval before you blow your nose. Until you get that approval, you should apply a saline spray inside the nose and then gently dab.
  • Doctors emphasize that when you do blow your nose, it must be done gently to avoid a nosebleed.

The key take-away is that your doctor is your best source of information for all your questions regarding rhinoplasty and your specific questions regarding blowing your nose after surgery.

Everyone’s nose is different is some way. During your consultation with Dr. Binder he will discuss with you your desired goals and results. He will also use the consultation to educate you on the procedure and the uniqueness of your specific goal. The most important aspect of the consultation is to address any and all your questions and concerns. Ultimately, his overarching philosophy is to create a natural looking appearance for you.

Revision Rhinoplasty

What if I already had a nose job but don’t like the results? Can I get another one?


A rapid exploration on the web will highlight this is not an unprecedented event. Rhinoplasty is thought to be a standout amongst the most challenging corrective surgical techniques.

Pick your specialist carefully. Ensure that he/she has the experience and effective reputation for your particular surgery.

If you have had unpleasant nose work, you will probably be furious, negative, and incredulous of every single plastic surgeon. Your chief emphasis should be to plainly impart to your second plastic surgeon what precisely it is that you are troubled about. You need be to a great degree clear and exact with reference to what you need repaired and/or rectified and what your objectives are from the second surgery.

Bad nose jobs will characteristically fall into one of numerous major categories identified as corrective prospects. There are particular demonstrated remedial methods that will repair each of these with surgery. Your specialist will have the capacity to instruct you with reference to what should be possible to rectify the issue and how he/she will revise it. There are times when the nose must be remade for both appearance and proper breathing.

Before you consider remedial modification Rhinoplasty surgery, ensure that you’ve given your body adequate time to recuperate. The perceptible results one month after your first surgery will look significantly changed 6 months after surgery. As a rule, restorative Rhinoplasty surgery ought not be performed under 12 months after the starting surgery.

What would it be advisable for you to do in the event that you’ve had terrible nose work?


  1. Give your nose time to mend. In case you’re still troubled following the 1 year update, .

rhinoplasty may remedy the issue.


  1. Choose another specialist with the demonstrated reputation in correction rhinoplasty.


  1.      Consult with your specialist (no less than 2 or 3 times) and inform yourself on all parts of

the corrective surgery.


The unfortunate truth is that in a few occurrences, the scar tissue from the first surgery is severe to the point that it makes it for all intents and purposes difficult to accomplish certain outcomes. You and your specialist need to concur on reasonable desires amid your discussion. Dr. William J. Binder, M.D., F.A.C.S. will take the time during your consultation to inquire what your needs and wants are. A co-plan will be implemented so that you will receive the most effective care and results possible.


Your First Nose Job Didn’t Go as Planned. So What Next?


You spend hours debating about it. You spend even more hours researching the perfect surgeon. You finally undergo a rhinoplasty procedure, only to be disappointed with the results. Your nose is the focal point of your face, and you can’t hide poor results. Maybe your results need to be tweaked to give you the perfect nose, or maybe your original nose issues were never properly corrected. It can be easy to feel discouraged and upset after such an ordeal. Because you may not know what your next step should be, we are here to help you make the best decision and  plan your revision rhinoplasty.

What Should You Do Now?

Revision rhinoplasty can give you a second chance to improve your nasal contours and help you achieve the results you desire. Revision rhinoplasty, sometimes called secondary rhinoplasty, is a surgery that reinforces weakened nasal structures and corrects further aesthetics. There can be many reasons for a second nose surgery, but most often, the procedure is performed to help address an issue that was either not impacted by the first treatment or an issue that has since developed as a result of the surgery.

Taking the time to do some simple research can help you determine for yourself if you would benefit from another nose job.  Rhinoplasty Society can provide you with insight on the procedure process. Getting  information from physicians can also be helpful in making your decision.

Revision Rhinoplasty is a Complex Procedure

Rhinoplasty is a very detailed facial plastic surgery to begin with. But, understanding the ins and outs of the procedure can help put your mind at ease. The nose is delicate and easily damaged, so this procedure must be performed with tender care and fine attention to detail.

What’s the Best Approach for Revisions?

The closed approach works well for minor revisions and does not involve any incisions being made on the outside of the nose. This method relies mostly on the skill of the surgeon to play to his or her strengths regarding nasal adjustments. For major conceptual nose job repairs, an open approach is often used. An incision is made in the columella, or the area between the nostrils at the tip of the nose, in order to address the complexities of the inner anatomy of the nose.

Certain revision rhinoplasty cases may require the use of cartilage grafts. A rhinoplasty often involves repositioning or trimming nasal cartilage. If more cartilage is required to support the nose or repair the columella separating the nostrils, a cartilage graft from the septum, ear or ribs may be recommended. This gently removes a small amount of cartilage to restore anatomical components.

Finding a Surgeon to Fix Your Nose Job

After understanding the complexity of the surgery, you will understand the need for an experienced and certified plastic surgeon to perform it. You certainly don’t want to be disappointed with your results yet again, so taking the time to find a professional who pays very close attention to detail is of the utmost importance.

How to Make the Most of Your Consultation

Once you have decided on a surgeon, you’ll want to have an in-depth consultation. You’ll want a surgeon who is detail-oriented in his or her treatment plan. Also make sure that he or she completes a thorough examination of the inside and outside of your nose. Here are some additional tips for making the most of your consultation:

  • Provide your surgeon with before and after pictures of your previous rhinoplasty to help clarify your concerns.
  • Ask your physician about his or her rate of rhinoplasty revision.
  • Discuss your expectations with your surgeon and get their honest opinion on the likely outcome of your surgery.
  • Keep a running list of questions as you think of them and bring the list to your consultation to ensure that your needs are addressed.

Allow a Master Facial Plastic Surgeon to Correct Your Nose Issues

Don’t settle for a bad nose job. An experienced facial reconstructive surgeon can repair your nasal issues thoroughly and help you achieve the look you’ve been striving for. Make sure the surgeon is an expert in the complex art of revision rhinoplasty. Dr. William J. Binder is considered one of the top revision rhinoplasty experts. His technical skill and wonderful communication can help turn your nose job nightmare into a thing of beauty.

Schedule a consultation today. With our advanced techniques and dedicated staff we can help you achieve the nose you deserve.

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