Rhinoplasty FAQ

Dr. Houtan Chaboki is board-certified in otolaryngology (head and neck surgery) and facial plastic and reconstructive surgery. He offers rhinoplasty for patients from Arlington, Silver Spring, and Washington, DC, who want to enhance the appearance of their noses. This page contains answers to some of the most common questions he is asked about this procedure.

To find out if rhinoplasty can give you the look you want, request a cosmetic consultation with Dr. Chaboki online or call his office at (202) 800-2085. He serves men and women from Northern Virginia, Maryland, and surrounding communities.

Can I have a nonsurgical nose job, if I’m thinking of getting a real rhinoplasty later?

Try to avoid any nonsurgical rhinoplasty before traditional cosmetic nasal surgery. Nasal injections may have complications or side-effects that may interfere with future cosmetic rhinoplasty. Scar tissue may form and nasal cartilage may be altered with any procedure, even nonsurgical rhinoplasty. Some residual injected material may still be present in the nasal tissue long after the initial treatment, which may interfere with rhinoplasty surgery.

Can septoplasty or functional nasal surgery be combined with cosmetic rhinoplasty?

Yes. Combining septoplasty with rhinoplasty is beneficial for several reasons. First, by combining surgery, insurance may cover a portion of the procedure, and you may save money on fees. Secondly, cartilage modified from the nasal septum during the septoplasty may be used for grafts during the rhinoplasty. Dr. Chaboki may need to obtain cartilage from your ear or rib for grafts, if you have already had deviated septum surgery, since cartilage from the septum would not be available. Lastly, the recovery process following surgery would only be once, and you minimize downtime by avoiding two separate procedures.

Does a deviated septum affect the appearance of the nose?

The nasal septum is the foundation of the nose and contributes to its appearance. Deviated septums are very common. However, most patients are not aware of having a deviated septum, as their external nose is symmetric. A deviated septum may present itself on the external nose as a big or large nose, crooked or twisted nose, a overprojected nasal tip, a rounded nasal tip, or a hump.

What is functional rhinoplasty?

Rhinoplasty, plastic surgery to reshape the nose, when perfomed along with a septoplasty, turbinate surgery, or sinus surgery is often called functional rhinoplasty or septorhinoplasty. This type of rhinoplasty is performed primarily to restore nasal function of breathing and airflow. Surgery may be performed on various components of the internal and external nose to improve nasal breathing: nostrils, lower nasal tip cartilage, septum, upper nasal cartilage, turbinates, sinuses, and nasal bones. Each one of these areas can contribute to difficulty breathing through the nose and may need to be addressed separately or together to get the best possible results. Dr. Chaboki has specialized training in the anatomy, physiology, and cosmetic aspect of the nose. His expertise on both the internal and external nose will help treat your sinus nasal symptoms of allergy, nasal obstruction, snoring, nasal congestion, sinusitis, and post nasal drip. He performs minimally invasive rhinoplasty, functional rhinoplasty, revision rhinoplasty, septoplasty, deviated septum surgery, turbinate reduction surgery, and endoscopic sinus surgery.

What is endonasal rhinoplasty?

Also known as closed or incisionless rhinoplasty, it’s a rhinoplasty approach that uses no external incisions. This surgical approach may be applied from the most simple to the most difficult revision rhinoplasty cases. There is also less swelling and nasal numbness too, as compared to the open rhinoplasty approach. Any surgical approach for rhinoplasty should be specific to the particular patient and surgeon. Dr. Chaboki performs all methods of rhinoplasty, but primarily endonasal nasal surgery and will determine if endonasal rhinoplasty is right for you.

  • No external incisions
  • Less swelling
  • Less numbness

How much time passes between the initial consultation and rhinoplasty?

Generally, a minimum of 2 weeks are allowed from the consultation to prepare for surgery. Select procedures may be performed earlier. Nonsurgical procedures may be performed at the same time as the initial consultation.

Can I combine cosmetic rhinoplasty with other facial surgery?

Yes, it’s generally preferred to combine procedures. First, by combining surgery, insurance may cover a portion of the procedure, and you may save money on fees. Secondly, tissue modified from one area may be used for another surgical area, such as cartilage from septoplasty used for rhinoplasty. Lastly, the recovery process following surgery would only be once, and you minimize downtime by avoiding two separate procedures. Commonly combined procedures with rhinoplasty include the following:

When can I resume regular exercise after rhinoplasty?

Strenuous activities or exercise after plastic surgery will increase the risk of bleeding, swelling, and bruising, until an appropriate healing time has been allowed. This restriction during the recovery period varies based on the operation performed and patient’s medical condition. Light activities, such as slow walking, may be performed soon after anesthesia. Heavy activity, such as aerobics, yoga, cycling, running, heavy lifting, or similar vigorous activities, is allowed after 2 weeks from the procedure. Contact sports are generally allowed after 6 weeks from surgery.

Will I need time off work after rhinoplasty?

Most patients plan at least one week off from work. A longer period of recovery may be necessary for combined procedures.

How long is the procedure?

Rhinoplasty surgery is not one procedure, but rather many potential procedures. The length of surgery varies based on the specific needs of each patient, and may range from a few minutes to a few hours. Most rhinoplasty procedures, however, are only a couple of hours.

What health conditions threaten a successful recovery after rhinoplasty?

Dr. Chaboki performs a complete history and physical on all patients prior to undergoing cosmetic treatments. In Washington, DC, rhinoplasty may usually be safely performed on many chronic, stable medical conditions. However, rhinoplasty surgery may be delayed or cancelled as needed for patient safety. Dr. Chaboki will work with his cosmetic patients to help find a safe, appropriate plastic surgery option for them.

Will smoking affect my recovery after rhinoplasty?

Smoking adversely affects your recovery. One may develop pneumonia, and treated areas don’t heal as well or may become infected. The blood vessels that supply oxygen and nutrients to the tissues shrink up and prevent the necessary healing of the area. Patients must stop smoking for a minimum of two weeks prior to surgery to decrease the risk of these complications, and continue smoking cessation after the procedure.

What is recovery like after rhinoplasty?

Downtime after cosmetic procedures may be a few hours to several days, depending on the specific procedure and areas treated. Office procedures are performed under local anesthesia, if any anesthesia is required. Surgical procedures are performed with either IV (twilight) sedation or general anesthesia and require a longer recovery period. Anesthesia normally wears off within the first 24 hours after surgery.

Where is rhinoplasty performed?

Dr. Chaboki practices facial plastic surgery at several DC area surgical facilities to accommodate his patients. Minor procedures with local anesthesia are performed in the DC office. Surgical procedures with IV (twilight) sedation or general anesthesia are performed at accredited facilities with a board-certified anesthesiologist.

  • Georgetown University Medical Center
  • MedStar Surgery Center

Does insurance cover rhinoplasty?

Dr. Chaboki provides the finest in both cosmetic and reconstructive plastic surgery at affordable prices, and participates with most insurance plans. Plastic surgery covers a broad area of medicine, which includes both reconstructive procedures and cosmetic procedures. If your procedure is medically indicated, some portion of the cost may be covered. The office accepts insurance in applicable cases and will, if you wish, contact your insurance company to find out if your procedure will be covered. Insurance coverage varies greatly for patients, however, rhinoplasty may be partially or fully covered.

How much does rhinoplasty cost?

The cost of each rhinoplasty is determined by the patient’s unique needs, so there’s no set price for everyone. However, the cost of most procedures typically falls between $6,500 and $15,000 *.

* Price information is an estimation and individual pricing will vary. All prices are subject to change and costs are non-refundable.