Rhinoplasty New Jersey


Rhinoplasty, or as it is commonly referred to as a “Nose Job”, is one of the most fascinating, intricate, and complex surgeries in plastic surgery. The nose is not only the central aesthetic feature of the face, but it is also a functional organ that controls our breathing. The cosmetic and functional aspects are inseparable, and must be thoroughly considered in EVERY case.

Rhinoplasty can sound very intimidating. The links above are designed to explain the basics of rhinoplasty in a simple, yet thorough and honest way. Please browse through the links to learn more about rhinoplasty and if anything is unclear, or you have additional questions, Dr. Z will be happy to answer them.

“I am so happy that I trusted him with my surgery”

5 5 Star Rating Written onAugust 11, 2019 I originally went to Dr. Z because of the difficulties I was having when it came to my breathing and sleeping because of my nose. I had no idea he could fix all of those things and give me the nose I have always wanted. My nose was always my biggest insecurity, and he not only helped me to breathe better, sleep better, and perform better at the gym, but also gave me so much confidence that I never knew I could have. He immediately made me feel comfortable, and I am so happy that I trusted him with my surgery. It was an overall amazing experience that I am so happy I did!  

by Gerilyn Heinz

Before & After
Before & After
* Individual results may vary.

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      A rhinoplasty (nose job) refers to changing the external shape of the nose. This involves altering the nasal cartilages and bones, and is done mostly for cosmetic reasons. A septoplasty primarily refers to addressing the nasal septum INSIDE the nose, without touching the nasal benies and cartilages, and is performed primarily for functional reasons to improve breathing. This does not result in external changes, “breaking nasal bones bones”, bruising, or swelling.

      HOWEVER, sometimes a Rhinoplasty must be performed for functional reasons. This is done when the external nasal shape results in obstruction of breathing (as described above in NASAL FUNCTION).

      When performing a rhinoplasty, it is often neccesary to also perform a septoplasty as the shape of the septum plays an important role in nasal shape. These are parts of the septum that often affect shape but not necessarily function. The septum is also a great source for cartilage that we often use to achieve a desired result with rhinoplasty.


      Your surgeon should evaluate your nose aesthetically and functionally, inside and out. They will then discuss your goals for surgery, asking questions to understand which aspects you would like changed, what degree of change you hope to accomplish, and the type of nose that would make you happy. The surgeon will take pictures from at least 6 different angles. I personally use these photos with computer morphing software to further communicate the desired changes and assure that I clearly understand my patients’ goals, and that they have realistic expectations.


      The short answer is 7 – 14 days.

      The long answer is it depends on the extent of surgery, your personal recovery, and what you intend on doing. I discuss each patients personal postop plans with them prior to surgery.

      During the first week patients experience a general fatigue, headache, nasal congestion, and have a runny nose with occasional blood tinge. That combined with a splint on the nose, some swelling under the eyes, and possibly some bruising makes going back to any line of work unfavorable. However, you are not limited to strict bed rest so it is ok to work from home and take it easy in general. On caveat is it may be difficult to stare at a computer screen for prolonged consecutive periods of time. Also, most patients find it more difficult to focus the first few days as the anesthesia wears off, or if they require pain medication beyond tylenol. Do NOT drive if taking pain medication.

      After the splint comes off (1 week) you can resume activities that do not involve heavy lifting or physical exertion. Avoid returning to work for another week if your job is of a physical nature.

      For most individuals, plan on taking 7 – 10 days off work/ school.

      You may start exercise in the form of brisk walking or mild-moderate stationary bike after 10/14 days, but avoid any lifting or higher intensity exercises until approximately 3-4 weeks.

      Avoid activities / sports that are high risk for nasal injury for at least 6 weeks. (Examples: cheerleading, soccer, basketball, baseball, wrestling, football, diving etc)


      For those with a significant degree of change, the nose will have an improved appearance when the splint comes off, and many are immediately happy a this point. HOWEVER, there is still a significant amount of swelling and the nose may even swell a slight bit more after the splint is removed. This will be dramatically less at week 2 and week 3.

      Most people are very satisfied with their results and ready to show off their new nose at approximately 3 – 4 weeks, but the dramatic improvements continue on a weekly basis for the first 6-8 weeks.

      The nose continues to change and refine, with noticeable changes every few months for an entire year after surgery. This can be even up to 2 years for those with thicker skin.


      This refers to using injectable filler material to alter the shape of the nose.​

      There is a limit as to what can be accomplish with this method as it can only ADD volume under the nasal skin. Thus a nasal hump cannot be taken down, but it can be disguised by placing filler around it and elevating the surrounding structures. The nasal tip can be refined, but will also be projected more.

      Only specific nasal characteristics are amenable to this method and must be evaluated by carefully.

      It is a temporary fix, as filler material degrades.

If you have any additional questions, please feel free to contact Dr. Z.

For more personalized answers and a complimentary rhinoplasty consultation call 732.851.1231 or, email [email protected]