Nose Surgery

Excellence in Orange County Rhinoplasty

Rhinoplasty Overview

Definition

Rhinoplasty is the medical term for the surgery that alters the size or shape of the nose.

Characteristics

The ideal nose is one that doesn’t draw attention to itself. Large, deviated, and disproportionate noses can appear to dominate the face making some people self-conscious. A nose that is proportionate to other facial features allows the eyes, chin, and lips to receive equal attention, and creates a facial harmony.

Common Complaints

Examples of noses before and after surgery

Characterized by a bulging, shiny areola and an over-projecting nipple.

Surgery Information

Cruise Plastic Surgery accepts the following forms of payment:

Rhinoplasty Specialist, Dr. Joseph Cruise

Dr. Joseph T. Cruise specializes in rhinoplasty surgery. He is also a member of The Rhinoplasty Society (a very exclusive society of surgeons who specialize in nose surgery throughout the world). He has been dedicated exclusively to plastic surgery in Orange County for over 12 years. Joseph T Cruise, MD and the staff at his Newport Beach office have provided the information found in throughout the Rhinoplasty section as one of the most comprehensive resources for anyone interested in learning how nose surgery can help them achieve their desired look. Cruise Plastic Surgery has also provided a large gallery of before and after photos, so patients can see what type of results can be expected.

Rhinoplasty is one of the essential operations that every surgeon needs to be expert in. It incorporates multiple skills, artistic prowess, and vision, and it is cultivated by extensive training and practice. Each patient’s face is unique, every nose is individual, and only the experienced plastic surgeons are aware of how dramatic the results to the overall face will be.
Joseph T Cruise, MD schedules individual appointments with all rhinoplasty and other cosmetic surgery patients in his Orange County office. At the consultation all patients are given a physical exam and express their concerns, while browsing the extensive collection of before and after nose surgery pictures. Patients will also be able to see a digital modification of their own nose so they can visualize what to expect with their new nose and new appearance.

Rhinoplasty Overview

Rhinoplasty is the medical term for the surgery that alters the size or shape of the nose. The procedure can be performed for various reasons, from traumatic injury to dissatisfaction with appearance. Some of the most common complaints about nose shape include: a hump across the bridge, a deviated nose, flaring or bulbous nostrils, a wide nasal bridge, and a beaked nose. As a rhinoplasty specialist and one of the top Orange County plastic surgeons, Joseph T Cruise, MD has experience correcting all of these conditions.
Some of the most serious health concerns people list when seeking nose surgery are airway and breathing problems. Due to several physiological conditions, a person’s nose may simply be shaped in a way that causes their airway to sometimes be blocked, resulting in difficulty breathing. Rhinoplasty is often the way to correct the underlying problems of nasal shape that cause airway obstruction.
Joseph T Cruise, MD consults with many patients who share the same concerns about their nose and who are seeking cosmetic surgery to achieve a their desired appearance. Since many of the patient concerns are similar, Joseph T Cruise, MD has compiled some of the most important information into one place. Discussed topics include:
Candidates for Rhinoplasty
Almost anyone, who is self-conscious about the way their nose looks, can have something done to either correct the problem or dramatically improve it.

There are people, however, that respond less favorably to rhinoplasty than others. Nasal tips with thick, oily skin are more difficult than those with thin skin. This is because thick skin is less likely to show changes in the underlying nose as readily as thin skin. Thick skin is much less capable of adapting to a new shape. Dr, Cruise will evaluate your skin and tell you what you can expect from rhinoplasty. Summarized below is a brief list of issues that can be corrected by nose surgery:

  • Large dorsal hump.
  • Wide nose out of proportion to the face.
  • Deviated or crooked nose.
  • Wide, flaring nostrils.
  • Bulbous tip.
  • Boxy tip.
  • Irregular contour of nose.
  • Nose that is over or under projected.
  • Nose that is too long or too short.
  • Difficulty breathing caused by airway obstruction within the nose.
It is important to note, surgery may not be an option for those with serious health issues, taking certain medications or habitual smokers. Please be prepared to disclose any relevant information which will help us determine if it safe for you to have rhinoplasty surgery.

Hump Reduction: Many people request a nose surgery that will remove, or lessen, the “hump” across the bridge of their nose. During a consultation in his Orange County office, Joseph T Cruise, MD will digitally modify your nasal profile to show you what sort of hump reduction might be possible, and how it changes the proportion of the entire face.

Dorsal hump correction

Droopy Tip: Some people have an elongated tip at the end of their nose that plunges farther down towards the lips, especially when smiling. Correction of this “droopy tip” is another common rhinoplasty request. Joseph T Cruise, MD is especially adept at shortening the nose and rotating the tip upward to correct this common concern.

 

Droopy Tip Correction

Tip Definition: A thin, proportional nose is the ideal shape, and many people ask Joseph T Cruise, MD to change the shape of their nose’s tip in order to reach this ideal. Shaping cartilage to correct bulbous or boxy nose tip creates a more elegant, refined shape to the nose and face.

 

Narrowing the Nose: Many nose surgery patients are interested in how they can bring more overall definition to their face by narrowing their nose. Joseph T Cruise, MD performs rhinoplasty that can narrow the nose bridge, the nostrils, or both.

The Look You Have

Take a look at the graphics below to determine which cosmetic issue or issues you have now. There may also be internal functional issues, which can only be determined with a physical examination.
Aside from the graphics shown here, which represent the dorsum (bridge of the nose), septum, and tip, take a look at the width of your dorsum and the shape of your nostrils. If there are characteristics you don’t like (flared nostrils. wide nose, too narrow, etc.), make note of these concerns so you can address them with Joseph T Cruise, MD.

Design Your Look

The “Design Your Look” interactive diagram below was created by Joseph T Cruise, MD to help you identify what you don’t like about your nose now and what you would like your nose to look like after surgery.
Click the images below to select the look you want in each category. If you would like to submit the form for review, one of Joseph T Cruise, MD’s patient care coordinators will review your selections and contact you to discuss further. You can also click TLIW in PDF format to print for your own use.

What Do You Want to Change?

It is important that you have a clear idea of what you want changed when you go for your rhinoplasty consultation. The last question a plastic surgeon wants to hear is: “What do you think I need done”?
Look in a mirror and identify what bothers you. Be specific. It is helpful to break up the nose into four parts. 1) Dorsum 2) Tip 3) Alae 4) Airway obstruction. Evaluate each one of these areas individually as this is what the plastic surgeon does in his exam.

Common complaints

  • Dorsum: Too wide, too narrow, too big, too small, deviated.
  • Tip: Too big, too pointy, too long, too pushed up, droopy, deviated.
  • Alae: Too wide, too bulbous, nostrils too big.
  • Airway: Breathing issues. This must be examined individually

Patient Testimonial -

I love my new look! My goodness what a big differernce. Thank you Joseph T Cruise, MD!

Anatomy of the Face

It is important to understand the anatomy of the nose; both inside and out. Joseph T Cruise, MD has outline the most important points in the anatomy overview section, along with addressing each section of the nose which patients are most commonly concerned with.

Nose Anatomy Overview

External nose anatomy
Internal nose anatomy

Surgical Options

Joseph T Cruise, MD will work with you to determine the best surgical plan to obtain your desired result. He will take into consideration the “Look You Have” and the “Look You Want,” along with a physical examination of the exterior and interior of your nose.

Rhinoplasty Techniques

Most doctors perform rhinoplasty in two different types of procedures: a “closed” technique and an “open” technique. Joseph T Cruise, MD has experience working with both of these approaches, but he also performs a highly-specialized combination of the two known as the “delivery” technique. Each nose surgery technique has its own advantage, depending on the results the patient wants.

When the patient’s major concerns are with the nasal tip, Joseph T Cruise, MD finds it beneficial to use the open technique. A thin incision is made along the skin between the nostrils, which normally heal without a visible scar. With this technique, a patient can have more extensive rhinoplasty work done on the tip of their nose, and achieve better tip definition and narrowness.

Joseph T Cruise, MD is one of the few rhinoplasty cosmetic surgeons in Newport Beach who has developed a specialized technique for patients who need a moderate amount of work done along the whole nose – both the bridge and tip. The delivery technique does not leave visible scars, and gives patients a way to achieve the best overall look.
Below you will find the common issues associated with the nose. Click each heading to be taken to the appropriate page which outlines the issue and treatment options.

Common Dorsum (Bridge of the Nose) Issues

Large hump
Wide nasal bridge
Under-projected dorsum

Dorsum (bridge of the nose)

  • Large dorsal hump
  • Wide nose & open roof deformity
  • Under-projected dorsum

Common Deviated Nose Issues

One-sided deviation
Two-sided deviation
Pinched dorsum

Deviated Nose

  • Deviated nasal bones
  • Deviated upper lateral cartilages
  • Deviated septum
  • Deviated tip

Common Tip Issues

Under-projected tip
Over-projecting tip
Droopy tip

Tip

  • Droopy tip
  • Over-projecting tip (Pinocchio tip)
  • Under-projecting tip
  • Boxy tip
  • Bulbous tip

Other Issues -

Nasal Alae (nostrils)

  • Wide nostrils
  • Nostril flaring (alar notching)

Airway Obstruction

  • Deviated septum
  • Enlarged turbinates

Surgical & Recovery Timeline

Recovery Timeline – Understanding what to expect during recovery as well as how long it will take you to be fully healed, is key when deciding when to having your surgery.

Before and After Photos

View Full Rhinoplasty Before/After Gallery

Look Years Younger

Patient Testimonials

When considering rhinoplasty it can be very helpful to hear from others who have already recovered from surgery. Real Self, the number one online resource for learning about elective cosmetic procedures, is a great resource. You can even talk to others to get answers to your questions, receive emotional support, as well as get tips and advice.

FAQs

Can a nose job make your nose smaller?
A nose job can make your nose smaller especially when the dorsum is reduced in size.
It can take up to one year for the swelling to go completely away after rhinoplasty. This does not mean the swelling will be noticeable for this length of time, just that the nose appearance will continue to improve.
As with any surgery, there are risks involved. It is extremely uncommon for someone to die from rhinoplasty when performed by a board-certified plastic surgeon with a good reputation. It is also important to be in good health before having any surgery to reduce the risk of complications.