Dr. Zakhary performs a "min-dissection" rhinoplasty technique in which tiny incisions and minimum surgery are used to attain the maximum results and minimum swelling. Scars are hidden and will fade away in time. Nasal cartilages are reshaped and excess bones and cartilage is gently removed in order to preserve the nasal support and breathing function. Sometimes, Dr. Zakhary uses a cartilage graft (from inside the ear or nose) or an implant, to augment or straighten the nose. This will be discussed with you during your consultation. Infection of the implant is rare but possible. If an infection occurs, the implant is removed and replaced in a few months. Rhinoplasty surgery typically takes 2.5-3 hours and is performed in an out-patient surgery facility, so that you can recover comfortably at home.

Nasal packing is rarely needed. When needed, Dr. Zakhary will use a slender, small dissolvable nasal packing to reduce nose bleeding during recovery. This means that Dr. Zakhary's patients have an easier time with recovery from rhinoplasty surgery since there is no uncomfortable nasal pack to remove.

Rhinoplasty surgery is generally a well-tolerated and painless procedure. Many patients experience minimal discomfort after surgery, and Dr. Zakhary always offers pain medication if needed to help in the first few days after surgery. In all cases, Dr. Zakhary will provide a prescription along with instructions to help you in your recovery stage.

After rhinoplasty, patients will experience swelling and bruising around the eyes, nasal stuffiness and slight nose bleeds, which tends to disappear within the first week after surgery. Dr. Zakhary will remove your nasal cast painlessly one week after surgery. Numbness of the upper teeth and mild blocked nose sensation will resolve over the first few weeks after surgery. On average, patients are socially presentable 2 weeks after rhinoplasty surgery. The nose will continue to improve for at least one year after nose reshaping surgery, and so, while there is a nice result one week after surgery, the final result will not be obvious as soon as the cast is removed. The nose will continue to refine and reshape during the months after surgery.

If a person has thick skin, it will be difficult to make the nose much smaller since thick skin does not shrink around the reshaped nasal bones and cartilages as much as thin skin. This means that individuals with thick nasal skin will have a slightly prolonged recovery time. Special injections may be needed after surgery to help shrink the nasal skin after surgery if you have thick skin, and you must be patient and realistic in the goals of surgery as well.

After rhinoplasty it is normal for the nose to heal by scar formation under the skin. The surgeon has little to no control over this natural healing after the operation has been completed. In spite of this, cosmetic plastic surgery incisions and techniques are designed to allow maximum result with minimum skin trauma, to allow for fine and unnoticeable scars. If an unfavourable scar develops during the healing process, Dr. Zakhary is prepared to perform such a procedure, or she may be able to help the healing process by applying a small dose of steroids injected into the site, depending on the situation

This is why it is very important to attend all postoperative follow up appointments with Dr. Zakhary, so that she can monitor your healing over the course of around one year.

On occasion an additional, refining surgery (revision rhinoplasty surgery) may be needed to optimize the result.

A realistic goal of any plastic surgery, including rhinoplasty surgery, is to aim for improvement rather than perfection. No surgeon can guarantee results because surgery depends not only on the skill and experience of the surgeon, but also on the nature of the patient's concerns, goals, health, skin type, facial anatomy, and healing.

Understanding the benefits and risks of any surgery can help you decide if this surgery is a good option for you. Please prepare for your consultation with Dr. Zakhary by reviewing the following list and discussing with her any concerns you may have.

The Risks Associated with Rhinoplasty Surgery Include:

• Skin swelling and bruising
• Skin numbness, which may persist for weeks
• Infection (which can be treated with antibiotics and other medications)
• Thick scar tissue formation, Poor wound healing, slow healing
• Small surface vessel (spider veins) on the nose
• Internal nasal scars/adhesions
• Involuntary emergence of sutures through the skin requiring removal
• Nose asymmetry
• Changes in breathing after surgery
• Septal perforation (a hole in the nasal septum). Perforations are difficult to repair. These are more common if a patient uses cocaine or traumatizes their nose with fingers or Q-tips after surgery.
• Depression
• Reduced sense of smell
• Reactions to medications
• Possibility of revision Rhinoplasty to refine or improve results or correct unfavorable healing.
• Risks of Anaesthesia

A rhinoplasty consultation with Dr. Zakhary is a very important meeting since Dr. Zakhary will explain to you your individual options for surgery and provide you with a realistic goal for surgery. . Along with the benefits of surgery, Dr. Zakhary will thoroughly explain to you the risks and possible complications of surgery. You will then need to decide if the surgical options available for you will meet your expectations and if you are ready to accept the risks of surgery

Every cosmetic facial plastic surgery carries with it some risks and limitations. One way to minimize these risks is to choose a highly trained, competent and skilled Board Certified Facial Plastic Surgeon, like Dr. Zakhary. Another way to reduce your risks is by carefully listening to and following Dr. Zakhary's instructions before and after your surgery

If you have thick nasal skin, your nose may be improved by surgery, but you must be patient while healing, and realistic in your goals, since thick skin does not shrink as quickly over the reshaped bones and cartilages like thin skin does. In the case of revision surgery, when the nose has undergone one or more previous unsuccessful operations, improvement is possible but the surgery is technically more difficult and the results more limited than in primary rhinoplasty surgery.

In some cases, the appearance of your nose may also be influenced by other features that surround it, such as small chin, flat cheeks, double chin, thin lips, etc. These features can be improved at the same time, or shortly after nasal surgery, in order to enhance the final appearance of your features and of your nose. Even a slightly weak chin can make your nose appear larger. In such a case, increasing the size of your chin, even by a few millimeters may be recommended to improve the final appearance of your nose.