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Rhinoplasty

Introduction to Rhinoplasty Washington, DC

Rhinoplasty (aka cosmetic nose surgery or nose job) is a facial surgery procedure performed on people of all ages. Some seek this procedure because they are unhappy with the nose they were born with or how aging has changed their nose.

Nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration using nasal surgery can greatly improve one’s appearance. If you are dissatisfied with how your nose looks, seek out a rhinoplasty in Washington, DC.

Rhinoplasty Results

  • Real patient Rhinoplasty by Dr.Somenek, Washington D.C.Real patient Rhinoplasty by Dr.Somenek, Washington D.C.
  • Real patient Rhinoplasty by Dr.Somenek, Washington D.C.Real patient Rhinoplasty by Dr.Somenek, Washington D.C.
  • Real patient Rhinoplasty by Dr.Somenek, Washington D.C.Real patient Rhinoplasty by Dr.Somenek, Washington D.C.

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What is Rhinoplasty?

A rhinoplasty, more commonly referred to as a “nose job,” is a surgical cosmetic procedure meant to alter and reconstruct the nose, whether for aesthetic purposes, functional purposes, or both. It is one of the most popular plastic surgeries worldwide and can be performed using several different techniques, depending on the goals of the patient. Rhinoplasty can correct concerns such as asymmetry, unwanted details like a hook or hump nose, and breathing problems. The procedure is completely customizable to the individual, requiring an experienced plastic surgeon to ensure unique, natural-looking results.

What Is a Rhinoplasty Procedure Meant to Do?

A rhinoplasty is an aesthetic surgery focused on nose reshaping, helping you to achieve a more balanced and symmetrical appearance. Some of the features that one may look to correct are the nasal profile, a bulbous tip, a crooked nose, or a deviated septum. For others, an injury may have distorted the nose and caused permanent deformity. In addition to desiring a cosmetic improvement to the nose, some may also be looking to improve obstructed breathing.

Close-up profile of a woman with dark hair and light skin as a blurred hand applies a cotton swab near her forehead. She looks slightly to the side. The background is softly blurred with gray tones and a hint of a dark medical gown. - Rhinoplasty in Washington, DC and New York, NY

What is Rhinoplasty?

Different Approaches to Rhinoplasty

Since rhinoplasty procedures are individualized to a patient’s unique nasal structure and cosmetic goals, the operation could take several possible approaches to facilitate different results. The best strategy depends on the number of cosmetic changes that the patient wants, their nasal structure, and the length of recovery they are willing to go through. A person looking to get a nose job in Washington, D.C., should consider any of the following types of procedures:

  • The typical surgical approach is an open rhinoplasty, in which Dr. Somenek surgically lifts the skin to allow for more substantial and visible cartilage and bone changes.

  • When patients require fewer bone and cartilage alterations, a closed rhinoplasty that uses two incisions within the nostrils may be ideal.

  • A Septoplasty focuses exclusively on correcting issues with nasal anatomy that disrupt breathing, such as a deviated septum.

  • A nasal tip plasty cosmetically changes the tip of the nose, eliminating the need for bone alterations.

  • In some cases, cartilage grafts taken from the ribs or ears may replace volume loss in the nose and strengthen the support of the nasal anatomy.

  • The Ultrasonic Rhinoplasty is a less invasive version of traditional rhinoplasty. It uses piezo electric ultrasonic vibrations, which make reshaping the nose easier while avoiding trauma.

  • This is for patients who have previously undergone rhinoplasty and were unhappy with the results. Since the initial procedure creates additional layers of scar tissue, revision rhinoplasty must be carefully performed, and requires a highly-skilled cosmetic surgeon to ensure the best results.

  • For teens 15 and older, a rhinoplasty can be performed to correct problems such as a deviated septum other issues, as well as reshape the nose if there are prominent concerns. Read our full page on Teenage rhinoplasty.

  • This method of rhinoplasty is non-surgical and minimally invasive. It relies on dermal fillers to create subtle enhancements, such as correcting asymmetry or adding volume. Please read our full page on non-surgical rhinoplasty.

Among these advanced surgical techniques, an open rhinoplasty is the most common procedure as it allows for more cosmetic and structural changes to the nose than a closed or tip procedure. In addition, an open procedure allows Dr. Somenek to have more visibility of the bone and cartilage, making it easier for him to make more precise alterations

Cartilage Grafts for the Nose

Not all cartilage grafts serve the same function and Dr. Somenek employs a number of different grafting techniques, allowing for multiple methods of nasal correction.

  • Spreader Graft: Widens – or “spreads” – the middle portion of the nose. This addresses the internal nasal valve that can be narrowed in some patients and contribute to nasal obstruction.
  • Septal Extension Graft: A piece of cartilage placed on the tip of the nose in order to extend and shape it. It adds greater long-term stability to the nasal tip.
  • Columella Strut: Cartilage that is placed within the nasal tip structure to add support to the tip position.
  • Rib Graft: Taking a piece of the patient’s rib cartilage and repurposing it to restructure the nose.
  • Ear Cartilage Graft: Taking a piece of the patient’s ear cartilage and repurposing it to restructure the nose. (This does not alter the look of the ear in any significant way.)
  • Lateral Crural Strut Graft: Grafts that can enhance breathing capability by reinforcing the existing cartilage within the nasal tip. It is particularly useful for cartilage that is weak or misshapen within the nasal tip.
  • Shield Graft: A small shield-shaped graft that can add length to the nasal tip and project the nose further, contributing to the overall definition and refinement to the nasal tip.
  • Onlay Graft: Grafts which can augment the shape of a nasal area which lacks sufficient cartilage.
    Batten Graft: Often used to treat collapsed nasal valves and improve a certain form of nasal obstruction.

*Check out our blog on cartilage grafting to learn more about this process.

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What Are the Benefits of Rhinoplasty?

The overall satisfaction rate for rhinoplasties in both men and women is 83.6 percent, with many reporting that their new nose has helped to increase their self-confidence. In addition to this, rhinoplasty can provide the following benefits:

  • Correct the appearance of a crooked, broken, or asymmetrical nose
  • Correct congenital abnormalities
  • Improve nasal breathing and sinus problems
  • Reduce snoring
  • Enhance facial symmetry

What Is The Best Age To Get a Rhinoplasty?

Patients can seek out a rhinoplasty as young as age 14. The key is to make sure they are done growing and the nose is fully formed so that their results are not altered following their procedure.

However, there is no ideal age to get a rhinoplasty. If you are interested in altering the appearance of your nose, cosmetic nose surgery can help.

Conditions That Limit Rhinoplasty Candidacy

Though many people who dislike the look of their nose or experience breathing difficulties due to nasal irregularities are suitable rhinoplasty candidates, some medical conditions might be disqualifying. Severe diabetes or blood disorders that impact the body’s healing process may prevent someone from getting a rhinoplasty procedure in Washington, D.C.

Further, individuals with severe cardiovascular concerns are at a higher risk of general anesthesia complications during surgery, limiting their candidacy. This is why Dr. Somenek performs a thorough review of the patient’s medical history during the consultation. Patients must also not be pregnant or actively smoking nicotine for at least several weeks before and after the procedure.

Though a patient may resume smoking at least four weeks after rhinoplasty, the nose could take up to one year to fully recover, so refraining entirely from nicotine is the preferred option.

However, if a patient is generally healthy and has realistic expectations, they are suitable for this procedure. If this is not a patient’s first nose job, the secondary surgery must be at least 12 months after the initial one to ensure the nose is healed completely.

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Meet Your Rhinoplasty Surgeon

This is one of the most complex and intricate procedures of the face. For this reason, one should go to a surgeon with a great deal of experience and knowledge of this procedure. Dr. Michael Somenek is specially trained in plastic surgery of the face with a particular focus on rhinoplasty in Washington DC.

Dr. Somenek has extensive training and experience with this surgery. His fellowship training was under the tutelage of some of the best rhinoplasty surgeons in the country, Drs. Regan Thomas and Dean Toriumi at the University of Illinois at Chicago. Since 2018, Washingtonian Magazine has named him a Top Doctor and highlighted him as the “Face of Rhinoplasty.” Even more importantly, patients have taken notice too – Somenek+Pittman MD was the 2021 readers’ choice for plastic surgery and MedSpa services in DC Modern Luxury Magazine.

Dr. Somenek brings a unique perspective and understands how to not only make the nose look good but also preserve the structure for long-lasting and satisfactory results for the patient.

Due to his vast expertise, Dr. Somenek is often sought by patients for some of the most complex rhinoplasty cases.

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What To Expect During Your Rhinoplasty Consultation in Washington, D.C.

During the initial consultation, Dr. Somenek uses this time to understand your motivation and expectations for nasal augmentation. It is an opportunity to develop a mutual level of trust and understanding. A detailed physical examination is performed to determine the areas that will require correction in the nose to provide the best results.

Dr. Somenek will go over a thorough list of expectations and risks that are involved in surgery. He will explain the various structures in the nose, including the various nasal bones and cartilage, and how sculpting these can alter the appearance of the nose.

Photos will be taken of the patient’s face, and with the help of sophisticated imaging software, computer imaging will be performed. This will aid in creating realistic expectations for the patient that are in line with the patient’s needs and desires based on their individual anatomy.

In addition, Dr. Somenek may suggest other procedures such as chin augmentation and blepharoplasty surgery that can enhance the overall harmony of the face. It is always beneficial for the patient to compile a list of questions to ask during the consultation, as this can clarify any concerns about the procedure and help better delineate if your expectations are in line with Dr. Somenek’s aesthetic goals for your nose.

Dr. Somenek believes in creating a natural-looking and aesthetically pleasing nose for the patient. Rhinoplasty is one of the most difficult operations in facial plastic surgery. The difficulty lies in the anatomy of the nose, as this varies from patient to patient. For this reason, Dr. Somenek creates an individualized surgical plan for each patient and utilizes comprehensive techniques to achieve this plan.

What to expect after a Rhinoplasty | Dr. Michael Somenek Washington DC

The Rhinoplasty Procedure in Washington, D.C.

Dr. Somenek emphasizes preservation of the nasal structures and minimal excision of the supporting tissues. Removing more tissue and cartilage than necessary may lead to a pinched tip and nasal obstruction.

For primary rhinoplasty, Dr. Somenek uses cartilage grafts harvested from the nasal septum to reinforce critical structures and regions in the nose. These allow him to create a long-lasting result not only aesthetically but functionally for nasal breathing. In more complex cases, cartilage from the ear or rib may be used.

Skin thickness is an important consideration when thinking about getting a nose job. Special attention must be given to thin-skinned individuals, as they are at a higher risk for visible or palpable abnormalities post-operatively. Medium-skinned patients are more ideal candidates for rhinoplasty because as the skin contracts over the underlying cartilaginous structures, any abnormalities are more easily camouflaged.

Rhinoplasty recovery timeline?

Rhinoplasty Recovery Timeline

The surgery is typically performed on an outpatient basis under general anesthesia at our fully accredited, ambulatory surgery center in the West End. Dr. Somenek does not routinely use packing for the nose, as he believes it adds unnecessary discomfort for your recovery.

At your one-week post-op visit, the nasal cast and the fine sutures that were used to close the incision will be removed. It is important to realize that your nose will be swollen when the cast is removed. Dr. Somenek will place tape on the nose when necessary to decrease the overall amount of swelling. The majority of swelling will resolve within two weeks.

Your face will feel puffy, especially the first day after surgery. Dr. Somenek will advise you to avoid blowing your nose for seven days after surgery. In the days immediately following surgery, you may experience bruising and minor swelling in the eye area. Cold compresses often reduce the bruising and discomfort. Your nasal splints and sutures are removed seven days after surgery.

Following up with Dr. Somenek

Follow-up care is vital for this procedure to monitor healing, so it is essential that you keep your follow-up appointments with Dr. Somenek. Much of the swelling will decrease about two weeks post-operatively. However, the healing process will continue to occur for many months after surgery.

Persistent swelling of the nasal tip can occur in some patients depending on their individual anatomy and thickness of their skin. Throughout the follow-up period, Dr. Somenek may recommend steroid injections to the nose or nasal taping to aid in resolution of the swelling and produce the best outcome for his patients. Occasionally, a minor revision to the nose is required and will be discussed with the patient if needed.

Insurance does not generally cover surgery that is purely for cosmetic reasons. Surgery to correct or improve nasal function or surgery for major deformity or injury may be reimbursable in whole or in part. The office will work with the patient to provide the best care possible. Dr. Somenek looks forward to meeting you and working to provide the best aesthetic result to meet your needs.

How Much Does a Rhinoplasty Cost in Washington, D.C.?

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The cost of a Rhinoplasty in Washington, D.C., can vary based on factors such as the method used for surgery, the skillset and experience of the surgeon, anesthesia feessurgery method, the plastic surgeon’s skillset and experience, and the procedure’s difficulty. The cost of rhinoplasty varies for each individual, as it depends on the specific details of your procedure and your unique goals. During a personalized consultation, Dr. Somenek will assess your needs and develop a treatment plan, at which point a detailed cost estimate can be provided. We also offer financing solutions if needed. If you’re in need of a rhinoplasty due to functional concerns, insurance may cover part of the cost, depending on your plan.

Does Insurance Cover Rhinoplasty?

Cosmetic rhinoplasty is dedicated to improving the aesthetic aspects of the nose, such as refinements of the nasal tip, narrowing the nasal bones, or smoothing out a dorsal hump. Elective cosmetic procedures are not covered by insurance. Functional rhinoplasty techniques are used to address breathing concerns that come from septal deviations or valvular collapse to the nose. Functional improvements, such as straightening the septum and adding support to the nose, are included in a cosmetic rhinoplasty with Dr. Somenek when required. The goal is to optimize airflow and make the nose a stronger version of itself so that the cosmetic changes can last!

Our focus is on delivering comprehensive care without the complexities of insurance interactions, allowing us to prioritize your needs directly. The practice does not bill insurance companies or participate with any health insurance program. Additionally, the practice will not communicate directly with your insurance carrier at any time. Please note that to streamline our processes and ensure clarity in financial matters, we operate on a bundled total cost basis within the S+P surgical facility. We often achieve operational cost savings by combining procedures which we are able to pass on to our patients. We are happy to provide patients with a receipt for the total cost paid, as well as other appropriate documentation. The practice is unable to provide itemized breakdowns of bundled fees. If you plan to pursue reimbursement, please contact your insurance provider to learn their requirements ahead of the first visit. Patients are encouraged to reference their Surgical Cost Analysis to review what is included in the fee for their procedure(s).

Why Choose Dr. Somenek?

Dr. Somenek’s extensive training in the intricate anatomy of the face, head, and neck sets him apart from other plastic surgeons in Washington, D.C. He is a sought-after educator and trainer for physicians across the country on a variety of injectable treatments and regularly consults on complex cases that require specialized expertise. His aesthetic philosophy focuses on enhancing facial proportions and balance, prioritizing natural, refreshed results that avoid an overly artificial appearance. By staying true to the principles of facial harmony, Dr. Somenek ensures that each patient’s distinct facial features are beautifully accentuated, achieving a rejuvenated and authentically radiant look.

Rhinoplasty FAQ’S

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Patient Reviews

  • Rhinoplasty Surgery

    Two months post-revision rhinoplasty with Dr. Somenek, and I couldn’t be happier After a previous rhinoplasty (nearly 40 years ago), time revealed I needed a revision. I thought about it and put it off, but from the moment I met Dr. Somenek and his team, I knew I was in the right hands. And have things changed.

    This experience has been exceptional from start to finish. Dr. Somenek and his team are truly top-notch – professional, caring, and highly skilled. Dr. Somenek himself is a gem. He possesses that rare combination of technical expertise, artistic vision, and genuine thoughtfulness that you look for in a physician. I shared my concerns and my spouse shared his concerns, most notable was for corrections and straightening to be addressed, while still retaining my character.

    While the healing process takes time and patience, the results so far are already remarkable. It’s clear that I made the right decision. Investing in my health and well-being was a priority, and Dr. Somenek’s expertise was worth every penny. Thank you, Dr. Somenek and staff, for everything!

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    G.G., Google

  • Rhinoplasty

    I cannot imagine a more positive experience with a medical procedure than the one I recently had performed by Dr. Somenek. He and his entire staff make me feel so comfortable and valued as a person. They are just so darn nice and so professional. I leave each visit elated that I am so lucky to get this level of care. Wouldn’t go anywhere else. The results of my rhinoplasty are far better than I could have imagined. Superb medical artistry.

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    S.S., Google

  • Rhinoplasty Surgery

    Absolutely amazing staff and Dr. Somenek is incredibly knowledgeable. They make the process of everything so seamless. You feel like you’re truly being taken care of. I had a botched rhinoplasty where I couldn’t breathe. Dr. Somenek knew exactly how to fix it and I can breathe infinitely better. 100% recommend, like please if you’re gonna pick a plastic surgeon pick them!!

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    S., Google

Discover The Difference

Rhinoplasties are becoming more and more common, and Somenek + Pittman MD is proud to be your destination for nasal surgery and all other plastic surgery decisions. We are committed to your health and privacy, and can even schedule an overnight stay at a nearby hotel after your operation, for your convenience. If you have further questions regarding rhinoplasty in Washington, D.C., please call or contact our office today to schedule your initial consultation with Dr. Somenek.

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