Achieve Facial Harmony with Rhinoplasty
Rhinoplasty is more than just a facial procedure; it’s a life-changing experience that offers a multitude of benefits. From enhancing facial harmony to improving breathing irregularities, this transformative surgery by expert surgeons can significantly boost your confidence and overall well-being.
Patient Testimonials: Real Stories, Real Results
Rhinoplasty Before and After Photos
Each patient is unique and individual results may vary*.
What is Rhinoplasty?
Rhinoplasty, also known as a nose job, is a surgical procedure that changes the appearance of the nose. It’s used to reduce the size of the nose or to narrow the nostrils. Modern rhinoplasty techniques can be categorized into different types, such as Ethnic Rhinoplasty, cosmetic rhinoplasty, and functional rhinoplasty. The surgery is usually done to fix a deviated septal cartilage, remove excess skin, or correct breathing issues. A Primary Rhinoplasty can be performed at any age for rhinoplasty, although most rhinoplasty patients are between 18 and 30 years old. Most patients seek out rhinoplasty as post-traumatic cosmetic surgery after experiencing nasal trauma, such as a Crooked nose, burns, or cuts due to different reasons. Some patients seek out rhinoplasties due to dissatisfaction with their facial shape and bone structure, aiming to achieve their cosmetic goals.
Dr. Bustillo’s personal philosophy regarding rhinoplasty is a fusion of the craft he learned from his mentors and his personal evolution after performing over 4500 nasal surgeries. His philosophy continues to evolve as he serves informed patients and works to provide the best possible rhinoplasty results.
For the last twenty years, there has been a great debate on whether the rhinoplasty operation should be approached in an open or closed fashion. The preferred rhinoplasty method or external incision approach involves an incision in the column between the nostrils. The closed technique or endonasal approach involves a series of incisions made inside the nose.
One surgical approach is not universally better than the other. Each is used for different types of noses and surgical goals. Dr. Bustillo believes that some noses may be better served with the closed approach and others better treated with the open approach. He uses either approach, depending on the nose.
Questions about your procedure?
Schedule a consultation with Dr. Andres Bustillo.
Why Do People Choose Rhinoplasty?
- Improvement in the size of the nose
- Correct an over-projected tip
- Refined nasal tip
- Correction of weak and droopy tip
- Dorsal hump removal to improve the facial profile
- Enhanced harmony between the facial features
- Improved nasal function and breathing
- Increased confidence and self-esteem
Rhinoplasty Techniques
There are several different rhinoplasty techniques available today. Some surgeons use a combination of these techniques, depending on the patient’s needs.
Structural Rhinoplasty
Dr. Bustillo is an expert in structural rhinoplasty, which is performed by changing the structure of the nasal skeleton using grafts. This is by far the most common type of rhinoplasty performed
Ultrasonic Rhinoplasty
Dr. Bustillo performs all rhinoplasties using the piezo ultrasonic machine, ensuring each procedure is an ultrasonic rhinoplasty. The piezo is used to meticulously reduce the bony portion of the nasal hump and narrow the nasal bones, instead of using traditional rasps. This method is much more precise and limits bruising and swelling post-procedure due to less trauma to the soft tissues.
The piezo ultrasonic machine is also employed to make precise cuts in the bones, replacing the need for osteotomes (chisel and hammer). This technique not only reduces the risk of bruising and swelling but also enhances patient comfort during recovery by ensuring minimal soft tissue trauma. Dr. Bustillo’s utilization of the piezo so consistently across all rhinoplasty surgeries emphasizes his commitment to providing the most advanced and patient-friendly surgical options available.
Preservation Rhinoplasty
Preservation rhinoplasty refers to a series of different techniques with the main goal to preserve the cartilaginous framework of the nose. While Dr. Bustillo has always practiced preservation of the nasal tip cartilages, he now performs dorsal (nasal bridge) preservation in certain cases. This technique minimizes visible scarring and speeds up the healing process.
Dorsal preservation involves the reduction of the nasal hump by bringing it down from below instead of removing the cartilage from the top of the hump. Think of reducing the height of the building (the nasal hump) by removing a floor underneath (dorsal preservation) instead of removing the top floor (structural rhinoplasty). The advantage is that the dorsum or bridge of the nose is preserved and not destroyed. This typically results in a very natural and soft-appearing bridge. The other significant advantage is that one of the preservation techniques available (low septal strip) is the technique that can maximally straighten a deviated nose. One downside of the dorsal preservation technique is that there is a small percentage of cases where there can be a small 1 mm residual hump. Luckily, this can usually be managed in a small 15-minute retouch done under local anesthesia. The other downside is that there are some patients that may not be candidates for this procedure.
Rhinoplasty Consultation
Deciding to undergo rhinoplasty is a significant choice. Discuss all options in your initial consultation with your doctor and family before any cosmetic procedure.
- Consultation and Discussion:
- Address concerns about nasal appearance, structural issues like a deviated septum, or breathing problems.
- Includes evaluating medical history to assess surgery risks.
- Setting Realistic Expectations:
- Essential to have realistic expectations; modern rhinoplasty can improve but not perfect nasal imperfections.
- Dr. Bustillo uses imaging to visualize potential outcomes and align with your goals.
- Physical Examination:
- Comprehensive exam of the external nose, nasal cavities, and septum.
- Assesses nasal hump, bulbous tip, droopy tip, and enlarged turbinates.
- Procedural Efficiency and Recovery:
- Efficient procedures with minimal downtime, allowing quick return to strenuous activities after the recovery period.
- Positive results, often worth the wait.
By meticulously planning and discussing every aspect of the procedure, Dr. Bustillo ensures that patients are well-informed and prepared for their nose surgery, leading to more satisfactory outcomes and a smoother recovery process.
Types of Rhinoplasty
When contemplating rhinoplasty, understanding what you aim to achieve—whether enhancing appearance, correcting functional issues, or addressing past trauma—is crucial. Realistic expectations are vital, and Dr. Bustillo dedicates time during consultations to align outcomes with your aesthetic goals.
- Asian Rhinoplasty:
- Designed for individuals of Asian descent, emphasizing natural-looking enhancements and respect for unique facial features.
- Dr. Bustillo’s expertise blends results with ethnic characteristics.
- Closed Rhinoplasty Technique:
- Incisions inside the nostrils prevent visible scarring.
- Suitable for those seeking subtle modifications.
- Open Rhinoplasty:
- Adds an incision across the columella for better access and visibility, ideal for significant structural adjustments.
- Provides precise control over the outcome.
- Non-Surgical Rhinoplasty:
- Uses dermal fillers for temporary shape and symmetry improvements.
- A quick, minimally invasive option with minimal downtime.
- Reconstructive Rhinoplasty:
- Dr. Bustillo’s method restores function and appearance, tailoring the procedure to individual needs for ideal outcome.
Candidates for Rhinoplasty
Whether you are unhappy with the way your nose looks or you face difficulties in breathing due to its structure, this surgery might be suitable for you. It’s designed to correct a variety of issues, from aesthetic dissatisfaction to structural defects that can affect breathing. Below are detailed criteria that help determine if you are a good candidate for nose surgery:
- Cosmetic Concerns:
- Ideal if you are bothered by the size or shape of your nose.
- Suitable for individuals looking to alter the appearance of their nasal tip.
- Structural and Functional Issues:
- Necessary for those struggling with breathing issues due to nasal structure.
- Recommended for correcting structural irregularities such as:
- A deviated septum — when the cartilage separating your nostrils is off-center.
- Nasal irregularities that impact airflow and aesthetics.
- A broken nose that requires realignment and repair.
- Health and Lifestyle:
- You should be in excellent physical and mental health.
- It’s crucial to not consume alcohol, or be willing to quit prior to surgery.
- Expectations and Consultation:
- Important to have realistic expectations about what rhinoplasty can and cannot achieve.
- Looking for improvement rather than perfection.
- During your consultation, Dr. Bustillo will discuss what the surgery can achieve, set realistic goals, and may also consider chin augmentation to enhance overall appearance.
Cost of Nose job Surgery with Dr. Bustillo
When considering a nose job, it’s essential to view it as an investment in your self-confidence and well-being. Dr. Bustillo in Miami offers a range of options tailored to your specific needs. While the cost of nasal surgery can vary, it reflects the expertise and personalized care you’ll receive.
Risks of Nose Surgery
Undergoing nasal surgery involves several risks and considerations that must be thoroughly evaluated with your healthcare professional. Although rare, potential complications can include bleeding, infection, scarring, and more severe outcomes such as nerve damage or even death. Here’s what you need to know before deciding on this surgical procedure:
- Common and Rare Risks:
- Minor complications might include residual swelling and scar tissue formation.
- Serious risks involve bleeding, infection, scarring, and nerve damage.
- In extremely rare cases, complications can be life-threatening.
- Health and Lifestyle Considerations:
- Smokers or individuals using illegal drugs are generally advised against undergoing this surgery due to higher risk profiles.
- Discussing all potential risks with your doctor prior to surgery is crucial.
- Scar Tissue and Collagen Issues:
- A common issue post-surgery is the development of a scar tissue lump, often resulting from excessive collagen formation by the body.
- This is particularly noted in cases requiring revision nose job or corrections from previous surgeries.
- Consultations and Decisions:
- It is advisable to consult multiple doctors to thoroughly assess whether nose surgery is the right choice for you.
- Key topics to discuss include each surgeon’s experience, training, and qualifications.
- Understanding the hospital’s policies on insurance and payment plans is also important.
Preparation for Rhinoplasty
Patients undergoing cosmetic nasal surgery are required to obtain pre-operative labs before surgery. If the candidate is over the age of forty-five or has certain medical conditions, Dr. Bustillo will request a medical clearance before the procedure.
Patients should stop taking any products that affect blood clotting at least 10 days before the procedure. These include aspirin, ibuprofen, and naproxen, plus supplements such as vitamin A, Ginkgo Biloba, and St. John’s wort.
Alcohol should also be avoided for five days before surgery to decrease bleeding and swelling. Patients are required to start taking 2000 mg of vitamin C a day, starting one week before the surgery and then for two weeks after the procedure. This helps to reduce bleeding during surgery and swelling after the surgery, aiding in a comfortable recovery.
How is Nose Job Surgery Performed
Dr. Bustillo performs nasal surgery as an outpatient procedure at his certified surgical facility. Anesthesia is provided by board-certified anesthesiologists (MD), who are part of the Baptist Hospital Anesthesiology Department. The procedure is performed with general anesthesia to help protect the airway during surgery.
Using the latest techniques employed by modern nose job surgeons, Dr. Bustillo will then reshape the nose according to the patient’s specific needs and goals. This could include using the open or closed approach, either using structural techniques or preservation techniques. Dr. Bustillo utilizes the piezo ultrasonic machine in all his surgeries. The procedure usually takes between two to three hours, depending on the complexity and whether it involves external incisions or not.
Related Articles
- Non-Surgical Rhinoplasty.
Rhinoplasty Videos
About Dr. Andres Bustillo
Dr. Andres Bustillo performs over 300 nasal surgeries a year, making him one of the most experienced nasal surgeons in South Florida. In addition to creating a beautiful nose, he is also an expert in nasal function.
Dr. Bustillo has been practicing facial plastic surgery for over 17 years. He is one of the nation’s few double board-certified facial plastic surgeons, and he does not perform any breast or body surgery. Approximately 50% of his practice is devoted to rhinoplasty and revision rhinoplasty.
Dr. Bustillo is well known for providing the most natural and conservative rhinoplasty results. He delivers a look that fits and blends harmoniously with the patient’s other facial features. Dr. Bustillo has extensive experience with different types of noses and as an ethnic rhinoplasty surgeon too.
Andres Bustillo teaches students, residents, and other physicians the art and science of rhinoplasty. He has been invited to Asia, South America, and the Caribbean where he has taught other plastic surgeons his rhinoplasty techniques. He has also written and published several chapters on nose surgery.
He holds the following credentials:
- Best Doctor’s 2020-2021
- Castle Connolly Top Doctor for more than 10 years
- Diplomate American Board of Facial Plastic and Reconstructive Surgery
- Diplomate American Board of Otolaryngology-Head and Neck Surgery
- Facial Plastic & Reconstructive Surgery Fellowship at The New York University
- Otolaryngology-Head & Neck Surgery Residency at The University of Miami, Jackson Memorial Hospital
- General Surgery Internship at The University of Miami, Jackson Memorial Hospital
Rhinoplasty FAQs
If you’re searching for rhinoplasty in Florida, look no further. Dr. Bustillo’s clinic is conveniently located at 6705 Red Rd #602, Miami, FL 33143. Here, you’ll receive expert care tailored to your specific needs.
The cost of nasal cosmetic surgery varies depending on your unique needs and facial structure. Our office will give you an approximate fee schedule when you contact our office. An exact quote will be given once you have consulted with Dr. Bustillo, who has extensive training and will assess your nasal anatomy and discuss advanced techniques that may be suitable for you. A surgical plan will be customized to your needs, especially if you’ve had previous surgery.
Patients can typically undergo nasal surgery once their nasal bone is fully developed, usually around age 15 or 16 for girls and a bit later for boys. However, it’s important to consult with a board-certified facial plastic surgeon like Dr. Bustillo to determine if the patient is physically and emotionally ready for the procedure.
Nasal surgery typically lasts between 1 to 3 hours, depending on the complexity of the procedure. It’s crucial to ensure the patient is physically and emotionally prepared for surgery, follow all pre-operative instructions, and adhere to post-operative care guidelines for optimal results. Consult with a board-certified facial plastic surgeon for personalized advice.
Nasal surgery is generally not painful during the procedure due to anesthesia. After surgery, patients may experience discomfort or mild pain, managed with prescribed medications. Adhering to post-operative care instructions and attending follow-up appointments is crucial for a smooth recovery process and optimal results. Consult a board-certified facial plastic surgeon like Dr. Bustillo for personalized guidance.
Recovery from nasal surgery typically takes 1-2 weeks for initial healing, followed by several months for full recovery. Patients should follow post-operative care instructions, avoid strenuous activities, attend follow-up appointments, and communicate any concerns with their surgeon. Consult a board-certified facial plastic surgeon like Dr. Bustillo for personalized guidance on recovery timelines.
It is important to understand the risks and changes that may occur during this time. It is best to speak with a qualified medical professional before making any decisions about nasal surgery during or after pregnancy.
It’s important to have realistic expectations for nasal surgery. While modern techniques significantly enhance appearance, achieving perfection is unrealistic. Discuss potential outcomes with your surgeon using tools like computer imaging to align expectations.
Rhinoplasty is not typically covered by insurance. However, you may want to check with your insurance company, as some will cover facial plastic and reconstructive surgery procedures when they are medically necessary.