Dr. Timothy Greco is a facial plastic surgeon who performs rhinoplasty to help Philadelphia and New Jersey patients improve harmony between their facial features. As a rhinoplasty specialist, his goal is to give you a result that fits the characteristics of your face without an over-operated, "nose job" look.
The Eastern Cosmetic Surgery Institute is limited solely to excellence in aesthetic surgery of the face. Dr. Greco treats patients from Philadelphia Main Line, New Jersey, and Delaware. To schedule your appointment at the Eastern Cosmetic Surgery Institute, request a consultation online, or call (610) 664-8830 today.
Enhancing Form & Function
Nasal aesthetic surgery is a procedure where form and function are of equal importance. The rhinoplasty procedure should provide the patient with a pleasing appearance and improved breathing. When his New Jersey and Philadelphia rhinoplasty patients complain of difficulty with breathing in addition to an obvious aesthetic deformity, Dr. Greco can make corrections during the cosmetic procedure. He often performs septoplasty, which straightens and opens the nasal septum, to correct nasal obstructions.
Most nasal surgeries are performed by making small incisions in the nose and a small incision across the skin between the nostrils. This technique is known as an open rhinoplasty. At times the procedure may be performed without the incision between the nostrils (closed rhinoplasty). Sometimes it is necessary to make small incisions at the base of the nostrils to help narrow the nose.
If you are not happy with the results of a rhinoplasty procedure performed previously, come in to talk with Dr. Greco about revision rhinoplasty. He may perform a rib-harvest technique to correct structural deformities. This technique significantly improves results for his patients with severely deformed noses secondary to previous surgery or trauma.
Frequently Asked Questions
What will I look like immediately after surgery?
A small splint will be placed on the nose immediately after the surgery and remain for one week at which time the splint will be removed and the nose cleaned. There may be some bruising and swelling around the eyes. Cold compresses and anti-swelling medication aid in recovery.
Is there a difference between a "nose job" and rhinoplasty?
No. When they talk about a "nose job," Philadelphia and New Jersey residents are just using a slang term for nasal surgery. Rhinoplasty is the technical medical term for cosmetic nasal surgery.
Is there much pain involved with the surgery?
Usually there is mild discomfort with nasal surgery. Oral medication will be prescribed to help with the discomfort. Cold compresses also help with discomfort.
Will my nose be packed?
Dr. Greco uses a small, gentle cotton ball coated with antibiotic ointment that is placed in each nostril. This is because a special quilting suture is used to control any bleeding and greatly decrease the amount of discomfort associated with formal nasal packing. A small drip dressing will be applied after surgery.
How long will my nose be swollen?
As a rule, 80% of the swelling is gone after 2 weeks; another 10% after 2 months. The tip of the nose may retain swelling longer and continued improvement in the tip can be seen over the next several months. There may be some temporary numbness of skin of the nose which improves with time.
When will I be able to return to my usual activities?
Most patients can be seen in public in a week, after the splint is removed. It is important to avoid strenuous activity for 2 weeks. At this time you can gradually work back to your usual routine, including exercise. Contact sports should be avoided for 6 weeks.
Will the surgery affect my breathing?
Yes, it should improve it! Usually the nose will be stuffy after the surgery but after several weeks improvement should be noticeable, particularly if you had significant obstruction before your surgery.
Will I need to have more surgery on my nose?
The individual goals of nasal surgery can usually be obtained in one surgery. There are times when a "touch up" procedure needs to be performed. Noses that have been fractured, crooked noses, and noses that have had previous surgery are generally more difficult to correct. These situations may require a revision procedure. Sometimes injection of fillers into the nose can be used to correct minor contour abnormalities.
What are the risks?
There are risks with any surgical procedure; however, the risks of facial plastic surgery are minimal. Bleeding, infection, unfavorable scarring, asymmetry, septal perforation (hole in septum), and persistent nasal deformity are rare. These will be discussed during your consultation as well as ways to avoid them.