ACTUAL RHINOPLASTY PATIENT
Achieve Facial Harmony with Rhinoplasty
Rhinoplasty is more than just a cosmetic procedure; it’s a life-changing experience that offers a multitude of benefits. From enhancing facial harmony to improving breathing, this transformative surgery by expert surgeons can significantly boost your confidence and overall well-being.
Achieve a balanced, aesthetically pleasing face with a nose that complements your features. Elevate your beauty effortlessly.
Say goodbye to breathing issues. Rhinoplasty can correct structural problems, making breathing easier and more comfortable.
A well-proportioned nose can dramatically elevate your self-esteem, empowering you to face the world with newfound confidence.
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. Rhinoplasty Procedures 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, although most rhinoplasty patients are between 18 and 30 years old. Most patients seek out rhinoplasty as post-traumatic cosmetic surgery after experiencing trauma to the nose, 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 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 open rhinoplasty 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 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.
Dr. Bustillo is an expert in both structural rhinoplasty and preservation rhinoplasty. Structural rhinoplasty is performed by changing the structure of the nasal skeleton using grafts. This is by far the most common type of rhinoplasty performed. Preservation rhinoplasty is performed by reducing the size of the nose by working underneath and altering the septum to achieve the ideal nose. Not all noses are candidates for preservation rhinoplasty, but when they are Dr. Bustillo prefers this technique.
The piezo ultrasonic machine is a novel instrument that Dr. Bustillo uses to reduce the bony nasal hump and narrow the nasal bones. It is very precise and its use limits bruising and swelling after the closed rhinoplasty procedure. Dr. Bustillo utilizes the piezo so that all of the rhinoplasties he performs are ultrasonic rhinoplasty.
Why Do People Choose Rhinoplasty?
There are several different rhinoplasty techniques available today. Some surgeons use a combination of these techniques, depending on the patient’s needs.
Dr. Bustillo performs all rhinoplasties using the piezo ultrasonic machine. The piezo is used to reduce the bony portion of the hump instead of using rasps. The advantage is less trauma to the soft tissues which leads to less swelling and bruising. The piezo is also used to cut the bones instead of using osteotomes (chisel and hammer). This also helps to prevent or diminish bruising and swelling, ensuring a comfortable recovery.
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.
The decision to undergo aesthetic surgery is a very important and private one. You should discuss your options in your initial consultation with your doctor and family before scheduling any cosmetic procedure. Most people who have had rhinoplasty say that the results were worth the wait. A lot of our nose job procedures can be done quickly, without much downtime, allowing for strenuous activities to be resumed after a certain period.
Realistic expectations are very important. Although modern rhinoplasty techniques produce better results than ever, there are still limitations. Surgery can never achieve perfection, but it can get you closer to your cosmetic goals.
The initial consultation process begins with a discussion about the patient’s specific issues and concerns regarding the appearance of the nose, a deviated septum, or functional breathing problems. The medical history is discussed to make sure the patient can undergo surgery, considering any potential risks.
A thorough physical exam is then performed. Dr. Bustillo will examine the external nose, nasal cavities, and septum. Common aesthetic issues he looks for are a nasal hump, a bulbous nasal tip, a droopy and weak nasal tip, a deviated septum, and enlarged turbinates causing nasal obstruction. Pictures of the nose are then taken and computer imaging projections are created to get a better understanding of your aesthetic goals and help set your expectations.
Candidates for Rhinoplasty
Cosmetic concerns, or breathing issues, are the two main reasons why people get their noses done. If you’re bothered by something about your nasal structure, like the size or the way it looks, or if you’re struggling to breathe properly, then you might be a good fit for rhinoplasty. Rhinoplasties are usually performed to correct structural irregularities, like a deviated septum (a deviation from the normal position of the cartilage separating the nostrils). The ideal candidate for rhinoplasty surgery is a healthy person who is dissatisfied with the appearance of their nose or nasal tip, has a deviated septum, or has significant breathing problems and would like to have these issues improved.
You should be in excellent physical and mental condition and not drink alcohol (or quit drinking before surgery). It is very important that you have reasonable hopes of surgery and are searching for improvement, not perfection. Informed patients with realistic hopes are usually the most satisfied after surgery. Dr. Bustillo explains what rhinoplasty is able to do and what it cannot accomplish, and helps you set realistic surgical objectives, during your consultation. He may also talk about chin augmentation if you wish to improve your appearance.
Cost of Rhinoplasty with Dr. Bustillo
When considering rhinoplasty, it’s important 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 rhinoplasty can vary, it reflects the expertise and personalized care you’ll receive.
Risks of Rhinoplasty
There are risks associated with rhinoplasty, including bleeding, infection, scarring, nerve damage, and death. However, these risks are rare. Potential risks should be thoroughly discussed with your doctor before undergoing the procedure.
Before undergoing any surgery, patients should be aware of these risks and discuss them with their doctor. Patients who smoke or use illegal drugs may not be candidates for this type of cosmetic surgery.
Patients considering rhinoplasty should consult with several doctors to find out whether rhinoplasty is right for them. They should ask questions about the surgeon’s experience, training, and qualifications. They should also inquire about the hospital’s policies regarding insurance coverage and payment plans.
Can you get a nose job while pregnant?
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 rhinoplasty during or after pregnancy.
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 rhinoplasty.
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 rhinoplasty. This helps to reduce bleeding during surgery and swelling after the surgery, aiding in a comfortable recovery.
How is Rhinoplasty Surgery Performed
Dr. Bustillo performs rhinoplasty 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. Rhinoplasty surgery is performed with general anesthesia to help protect the airway during surgery.
Using the latest techniques employed by modern rhinoplasty 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 rhinoplasty approach, either using structural rhinoplasty techniques or preservation rhinoplasty techniques. Dr. Bustillo utilizes the piezo ultrasonic machine in all rhinoplasty surgeries. The rhinoplasty procedure usually takes between two to three hours, depending on the complexity and whether it involves external incisions or not.
- Non-Surgical Rhinoplasty.
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
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.
The nose must be finished growing before rhinoplasty can be performed. Dr. Bustillo performs rhinoplasty for female patients ranging from age fifteen and over and male patients from sixteen and over. Age is particularly important in facial surgery to ensure that the patient’s bones and cartilage are fully developed.
The average rhinoplasty procedure performed by a board-certified plastic surgeon takes between two and three hours. However, you should also factor in time for pre-operative preparation and post-operative recovery time.
The postoperative period after rhinoplasty is typically not painful. Tylenol is usually enough to control any minor discomfort, even if you’ve had work done on your nasal bridge or nasal skin.
There will be some swelling after rhinoplasty. Because Dr. Bustillo performs ultrasonic rhinoplasty, most of his patients bruise a very small amount. Most patients can return to school or work about six days after the rhinoplasty.
Most patients notice an improvement in nasal appearance and function right when the cast comes off in the immediate postoperative period. There will be some swelling, but you should see about 70% of the swelling go down within about four weeks after surgery. It will take several months to see the final results of the surgery, especially as your nasal profile settles into its new shape.
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.