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About Rhinoplasty Surgery Procedures

Welcome to one of the most comprehensive, scientific and unbiased Rhinoplasty information sources online. This is our original “Online Textbook of Rhinoplasty & Revision Rhinoplasty.” Here, you will learn about the specific anatomy of your nose, as well as about your various Rhinoplasty surgical options. You will learn about benefits as well as risks of Rhinoplasty without any goals of “sales or marketing.” Most importantly, you will read first-hand, “Dr. Naderi’s straight talk.” This is where you will “hear it like it is” from the doctor with the global reputation for honesty, compassion and directness. You will be able to use the information on this site during your search for a Rhinoplasty specialist, no matter where you live, to help with your decision making process and increase your chances for a successful outcome. Planning to undergo elective nasal surgery can be overwhelming and our goal is to provide you with plenty of research tools and information.

This Rhinoplasty website is your guide to a complete and better understanding of your own particular nose type and your realistic available options. Using the specific information here, as it relates to your own unique nose, you will be able to have a more productive dialogue with your own Rhinoplasty Plastic Surgeon. Active participation in the decision making process will unveil the mystery of Rhinoplasty and increase your chances for a satisfactory post-Rhinoplasty outcome. This website has helped countless patients in their research and planning towards a successful Rhinoplasty surgery.

Dr. Naderi’s elegant and easy to comprehend teaching style will allow you to learn all about Rhinoplasty, as related to different ages, sexes, ethnicities and nose types. For years, Dr. Naderi has instructed other surgeons as well as informed his many happy patients, and now the information is gathered collectively on this comprehensive Rhinoplasty website.

Surgical anatomy of the nose is outlined using original diagrams and artwork. Endonasal or Closed (scar-less) Rhinoplasty and External or Open Rhinoplasty are discussed in length. Different types of cartilage and fascia grafts, as well as sutures, are detailed and illustrated. The surgery of “nose reshaping” and its potential limitations and complications are clarified and classified. The more you know, the higher your chances of being happy after a Rhinoplasty. The more informed you become, you will increase your chances of choosing the correct kind of nose reshaping surgery and the best Rhinoplasty Plastic Surgeon. Dr. Naderi outlines the key factors for men and women of all ages. Different aspects of white, black, hispanic, middle-eastern or asian Rhinoplasty are addressed. Important issues to consider for thick-skinned and thin-skinned patients are outlined. Primary and Revision Rhinoplasty are distinguished and highlighted. Boxy nasal tips, bulbous nasal tips, “meaty nose tips,” asymmetric tips and their variations are covered. Techniques for increasing as well as decreasing nasal length in Rhinoplasty are discussed. Rhinoplasty for droopy nasal tips as well as tips that are too upturned or over-rotated are covered. Crooked and twisted noses are addressed. Surgery for the septum and turbinates to improve breathing and decrease nasal airway obstruction are covered during Rhinoplasty. Nasal bumps or humps as well as saddle noses are outlined. Importance of computer imaging is stressed. Different types of Anesthesia for Rhinoplasty are outlined with their benefits and risks. Even “Nonsurgical Rhinoplasty” is discussed and the ideal patient for non surgical Rhinoplasty is clarified. And finally a range for Rhinoplasty cost across the country as well as the possible role for insurance is covered. You will gain the know-how and the vocabulary to better understand your options and better discuss your surgery with you own Plastic Surgeon. This website has the information you need to know before you undergo any Rhinoplasty or Revision Rhinoplasty surgery. Please read it carefully and feel free to book mark it and use it as a reference throughout your pre and post operative course.

More importantly, it is well known and published that medical education and surgical training in Rhinoplasty is sorely inadequate in the vast majority of Plastic Surgery residencies across the country. Furthermore, most Plastic Surgeons perform too few Rhinoplasty operations to be able to perform this intricate and most unique surgery adequately and consistently. While after performing only a 100 of any surgery nearly guarantees consistent great results, the same is not true even after performing 10,000 Rhinoplasties. Unique variations in patient healing is what makes Rhinoplasty such a complex operation. But good surgical technique can increase the chances for success significantly. Many surgeons have been using the same old improper techniques for many years due to this lack of initial training. This website gives medical students, Plastic Surgery residents, Cosmetic Surgery fellows and practicing Plastic Surgeons the opportunity to re-educate and refresh their knowledge base in the proper and safe techniques of successful Rhinoplasty and Revision Rhinoplasty. While certain post-op results are completely out of the hands of the surgeon and are ultimately due to each patient’s healing forces, other “infamous” post-op results such as the late Michael Jackson’s nose, are not due to patient healing, but rather due to poor surgical judgement and improper technique.

Whether you are curious about a Rhinoplasty, are looking to get a Rhinoplasty or have already faced the disappointment of an unsuccessful Rhinoplasty, you can learn more about your own nose and your nose’s possibilities as well as limitations. Many times patients undergo Rhinoplasty without completely understanding their own unique nasal features as well as surgical options and end up trusting inexperienced plastic surgeons only to end up disappointed when the cast is removed. The goal is for each Rhinoplasty patient to be completely familiar with the anatomy of the nose as well as the different aspects of the nose which make each nose and each Rhinoplasty unique. Surgical maneuvers are thoroughly discussed and illustrated in simple to understand but comprehensive terms. This website will be your guide and your reference source throughout your search, whether you live in Washington DC, Maryland, Virginia, Los Angeles, Miami, New York, Canada, Europe, Asia or anywhere else, as long as you have access to the internet.

Dr. Shervin Naderi is a double Board Certified Facial Plastic Surgeon, and more specifically, a Rhinoplasty Specialist Surgeon. Rhinoplasty and Revision Rhinoplasty make up well over 95% of Dr. Naderi’s busy surgical practice. He has authored major textbook chapters on the topic of Revision Rhinoplasty and now he has translated his work into easy to understand terms for the general population, as well as other Plastic Surgeons trying to better understand Rhinoplasty. He has taken the mystery out of Rhinoplasty and broken it down to simple, clear facts, pearls and illustrations.

Dr. Naderi is an effective and passionate educator and teacher. He has instructed surgical residents the proper techniques of Rhinoplasty. More importantly, he enjoys taking time to educate his many patients so that they may be able to make the best decision regarding their nose and their surgery. Dr. Naderi’s patients come to him from all over the United States, Canada, Asia, & Europe as well as locally referred by other Plastic Surgeon in Washington DC, Chevy Chase Maryland and Northern Virginia. Dr. Naderi is also a Board Examiner for the American Board of Facial Plastic & Reconstructive Surgery. His main office is located in Northern Virginia in Fairfax County just minutes from the popular Reston Town Center. His satellite office is located in the busy city of Chevy Chase, on the border of Maryland and Washington D.C..

So why should you do so much research before going through a Rhinoplasty? Simply, because Rhinoplasty is the most complex and intricate surgery in all of cosmetic surgery. Many Plastic Surgeons are very competent at doing liposuction or breast augmentation or tummy tucks or even face lifts. Yet it is well known that Rhinoplasty is done poorly by many Plastic Surgeons due to various factors outlined on this website.

Rhinoplasty is by far the most unique surgical procedure in all of plastic and cosmetic surgery. Rhinoplasty is an operation requiring a focused plastic surgeon with precise skill, meticulous attention to details, artistic sense and scientific knowledge of the nose. Rhinoplasty requires a surgeon with extensive specialized training, unique anatomic understanding and a lifelong dedication to this one and only operation. A Rhinoplasty Surgeon is not a ‘jack of all trades’ but rather a ‘master of one!’”



The nose sits in the central portion of the face and plays a crucial role in balancing the entire face. A “nose that fits” enhances the beauty of the eyes and intrigue of the lips, but a disproportionate nose distracts attention away from the eyes and lips. Therefore “a successful Rhinoplasty is seen in the eyes.”

Rhinoplasty is unique amongst plastic surgery operations because changing a few millimeters makes a significant impact on the outcome, even years later. The same is not true with face lifts, breast augmentation, tummy tucks or liposuction. It is extremely important to demonstrate to patients, using computer imaging, how a bridge that is slightly higher or lower can make the nose and face look significantly different. A few millimeters can be the difference between a refined, beautiful nose or a fake-looking, unattractive nose.

The external nose (skin, cartilages, bones, and soft tissue) and the internal septum are intimately connected. A Rhinoplasty Surgeon must be well versed in the cosmetic and functional surgery of the nose. The internal framework or septum is the support structure for the external nose. Most Rhinoplasty Surgeons are exclusive Facial Plastic Surgeons with a background in ENT surgery as well as further specialization in Plastic Surgery of the face, head and neck. There are some exceptional general Plastic Surgeons as well who have taken it upon themselves to educate and dedicate their careers to this one complex structure and operation.

Rhinoplasty is the only 3-dimensional operation of millimeters! Changing one view or aspect of the nose will affect the other views. A Rhinoplasty Specialist Surgeon has the thorough understanding and tools to be able to predict and correct such changes. Rhinoplasty is not a “cookie cutter” operation. Each nose has to fit each face. Each Rhinoplasty surgery is individualized for the best outcome.

The nose continues to mold and change after a Rhinoplasty. This process takes years. Although patients can enjoy their new nose as soon as 7 to 10 days after surgery and will often look completely healed and beautiful at 1-3 months post Rhinoplasty, the nose continues to mold even years later. The nose after a Rhinoplasty has to be able to withstand the changes in scar tissue maturation and healing forces, in order to maintain beautiful results years after the Rhinoplasty.

There is an unacceptably high rate of Revision, after a Rhinoplasty, around the world, due to a combination of factors. These include inadequate pre-operative patient-doctor communication, neglect of computer imaging, poor surgical technique, unrealistic goals and expectations as well as unpredictable healing post Rhinoplasty. The more you know about your nose, the higher the likelihood for finding the best Rhinoplasty Surgeon and ending up happy and satisfied. Sometimes, this may involve being talked out of a Rhinoplasty. Your surgeon must be able to take the time and interest to discuss all of your options including avoiding surgery if it is not in your best interest. Your surgeon must put your interest and safety above all else.