Nose Reshaping (Rhinoplasty)

Aesthetx draws much of its approach to rhinoplasty from principles of architecture: meticulous planning, combined with an appreciation for beauty, the laws of mother nature, and balance and proportion.

Like most architectural wonders, your nose is an exquisite structure whose function depends on its form. At its very essence; rhinoplasty reshapes the framework of bones and cartilage in the nose for a perfectly balanced shape. Every rhinoplasty procedure at Aesthetx goes through a thorough stage of planning, precise measurements, imaging, and design to get the most refined and realistic results.

Rhinoplasty has a reputation as one of the most complex and sophisticated procedures in plastic surgery; rhinoplasty has the difficult task of creating naturally beautiful results while ensuring that the airways are clear and that the patient can effortlessly breathe. Only the best results can come from surgeons with advanced training in plastic surgery, decades of practice, and skill wielding the most advanced technology.

In that regard, Dr. Berkowitz is a leader in the field of rhinoplasty, and his background in reconstruction provides the foundation of his architectural approach to combining form and function. To this day he has honed his craft through more than a thousand rhinoplasties, but continues to find more innovations and improvements that change the field of rhinoplasty. He has imparted his wisdom and experience to Dr. Zeidler, who takes all these principles into account when approaching rhinoplasty.

Rhinoplasty Topics

The History of Rhinoplasty

Rhinoplasty was one of the first cosmetic procedures ever performed in the history of medicine. Although it had been performed in various degrees for thousands of years in ancient societies in India and Egypt, modern rhinoplasty truly emerged in Europe in the beginning of the last century. At the time, very few people underwent surgical procedures unless it was to treat a painful or life-threatening condition. During that time, however, there was great emphasis on how facial characteristics reflected a person’s inner character, which caused great emotional stress and anxiety for people with ill-proportioned noses. It was then that an orthopedic surgeon by training realized that he could alleviate personal suffering through a cosmetic procedure, and in 1898 Jacques Joseph performed his first rhinoplasty on a young man who experienced ostracization for his overly-large nose.

The operation was a resounding success, and young men and women from everywhere flocked to Jacques Joseph for a chance to better assimilate to Western Society. Jacques Joseph and his techniques eventually formed the basis of the modern rhinoplasty. Nowadays, the rhinoplasty is widely accepted as a way to boost a patient’s confidence by improving their appearance and creating a nose more fitting to their face.

Advancements in Rhinoplasty Procedure

Traditional rhinoplasty involves the use of mallets, chisels, and saws—all tools useful for sculpting marble or crafting wood, but might not be sophisticated enough for a delicate part of your anatomy like your nose. In the centuries since the inception of the modern rhinoplasty, Aesthetx’s Dr. Berkowitz is now at the forefront of cutting-edge techniques for rhinoplasty through his use of high-frequency Piezo electric tools, a type of technology that shapes the bones of your nose with such precision and delicacy that it leaves surrounding tissue completely untouched. The use of the precise power tools has allowed an unprecedented reduction in tissue trauma allowing for less bruising and quicker recovery. High-frequency power tools also allow, for the first time, the ability to easily thin and reshape cartilage. Dr. Berkowitz is world-renowned for developing power tools for use in rhinoplasty and has lectured worldwide on the benefits of this approach for achieving perfect results.

In the interest of giving your surgeon enough time to perform your surgery with great care and incredible detail, our rhinoplasty procedures take about 3-5 hours, almost double the time of typical rhinoplasty procedures. We also use the open rhinoplasty technique, fiber optic lighting, and magnification to afford the greatest amount of control and precision. To make the procedure as safe as possible for the patient, we use desmopressin before the procedure to reduce bleeding.

 

 

 

 

We use high-frequency Piezoelectric tools, which provide the following benefits:

  • shapes the bones of your nose precisely
  • thins and reshapes cartilage easily
  • leaves surrounding tissue untouched
  • reduces tissue trauma
  • decreases bruising
  • speeds recovery

 

PRP for Rhinoplasty

Aesthetx is located in the heart of Silicon Valley in San Jose, a community known for fostering the innovative and the cutting edge. We share that same spirit for innovation, and our surgeons always strive to offer techniques and methods that improve on the safety and effectiveness of traditional methods. That’s why we incorporate one of the latest innovations in regenerative medicine into our rhinoplasty procedures: PRP, also known as Platelet Rich Plasma. PRP is a type of serum extracted from the patient’s own blood that contains a concentration of platelets, a component of the blood that’s essential for wound healing and damage repair. Aesthetx uses PRP as a sort of organic adhesive that encourages healing and fast recovery.

PRP is all-natural; it’s created by extracting a small sample of blood from the patient and processing it to create a concentrated solution of platelets. For processing, Aesthetx uses the Harvest® Platelet Concentration System, which thanks to its immaculately sterile techniques and method of infection prevention, was awarded Certificate of Sterility by the Harvard Immune Diseases Institute. Thanks to PRP, our patients experience less swelling and bruising during their recovery. The combination of PRP and cutting-edge techniques have led to significantly reduced recovery times and a far more comfortable procedure.

Your Consultation for Rhinoplasty


One of the ways that Aesthetx helps patients achieve their desired results is by making sure that they are active participants in planning their rhinoplasty. We care about helping them fulfill their aesthetic desires, and that can only be achieved by working closely with them and listening intently to their concerns and aesthetic goals. Our surgeons are known as thought leaders in the world of plastic surgery, but we’ve made our mark as rhinoplasty specialists in San Jose by allowing our patients to feel heard. We’ll answer any questions you might have, but we also emphasize informing our patients on every single aspect of the rhinoplasty procedure.

During your consultation, we’ll focus on meticulously planning your procedure and customizing it. The best way we can personalize your procedure is by analyzing your tissues, taking a close look at your facial features, and taking detailed measurements. In the steps leading up to your rhinoplasty, we’ll extensively plan your procedure so that we can fine tune your results to fit perfectly with your unique features.

Rhinoplasty Recovery

What was once a 6-week recovery has been shortened to about a week. Our rhinoplasty only takes about a week for initial recovery and cast removal. Afterwards, our patients can return to work or school with some possible taping for an additional week. After 6 weeks, around 80% of the swelling should subside, and after one year all the swelling should disappear.

Frequently Asked Questions About Rhinoplasty

Dr. Zeidler and Dr. Berkowitz are passionate about educating the San Francisco Bay Area community on all things rhinoplasty; that’s why we’ve gathered some of the most commonly asked questions from our San Jose patients and provided detailed answers.

Why Use Piezo Power Tools?

Traditional rhinoplasty has gained a reputation for having a particularly painful, strenuous recovery. Traditional medical tools used for rhinoplasty reshape the bones using considerable trauma, often breaking the bones or manually sawing it down to get it to the right form. By using advanced technology like Piezo power tools, innovative surgeons like Dr. Berkowitz have reduced the trauma to the bone and the nasal tissues, leading to a more comfortable recovery and faster healing times. Ultra high-frequency power tools like Piezo are so precise that they can cut through bone without harming the surrounding tissue.

Why Perform an Open Rhinoplasty?

There are two basic approaches to rhinoplasty: an open rhinoplasty and a closed rhinoplasty. Open rhinoplasty involves making incisions outside the nose, while a closed rhinoplasty uses an incision inside the nostrils. Many surgeons prefer the open rhinoplasty because it allows for greater control, predictability, and precision. Creating outstanding rhinoplasty results relies on predictability, which is why the open rhinoplasty technique is favored by surgeons (and patients) around the world.

In an open rhinoplasty, an incision will be made in the skin covering the columella, the part of the bottom of the nose that divides the opening of your nostrils. This allows your surgeon to separate the skin from your nasal structures so that they can gain access to those nasal structures and other tissues. Performing an open rhinoplasty allows your surgeon a better view of your nasal structures and makes it easier for them to reshape it. Once the nose has been reshaped, Dr. Berkowitz and Dr. Zeidler will put the skin back in its place and close the incision.

How Do I Sleep After Rhinoplasty?

It goes without saying that you need to sleep on your back while you’re recovering from a rhinoplasty; however, it’s also important for you to keep your head elevated at all times, even when you’re sleeping. Keeping your head elevated is essential for reducing swelling, which can also help make your recovery more comfortable. One thing you can do to protect your nose and keep your head elevated is by propping your head up with pillows, or buying an incline pillow. You can also sleep with some pillows on your side to block you from turning over and sleeping on your side.

How Do I Find a Good Rhinoplasty Surgeon in the San Jose area?

Rhinoplasty is considered to be one of the most sophisticated plastic surgery procedures of all time, so you should truly search for the best when it comes to choosing a surgeon in the San Francisco Bay Area. Look for a board-certified surgeon, who would have the years of training and specialization to ensure a safe and well-performed procedure. You should also look for a surgeon who has extensive experience with rhinoplasty and regularly performs the procedure.

With those criteria in mind, Dr. Zeidler and Dr. Berkowitz set the standard for rhinoplasty specialists in the San Francisco Bay Area. An innovative surgeon that’s performed thousands of rhinoplasties over his decades-long career, Dr. Berkowitz continues to change the field by advocating the use of state-of-the-art Piezo power tools. Dr. Berkowitz is not just an esteemed rhinoplasty specialist, but he’s also on the board of directors of the Rhinoplasty Society.

Like Dr. Berkowitz, Dr. Zeidler has a background in reconstruction that informs her rhinoplasty procedures, allowing her to focus on both structure and function. Dr. Zeidler is known for her ability to create natural-looking results by creating a nose that’s perfectly balanced with a patient’s other facial features.

When’s the Perfect Age to Receive Rhinoplasty?

Because a large part of the rhinoplasty procedure involves reshaping the bone, it’s highly recommended that patients be completely matured by the time they undergo the procedure. This age will vary with different patients, so it’s important that they schedule a consultation with Dr. Zeidler and Dr. Berkowitz to discuss whether rhinoplasty is right for them.

What Should I Expect After Rhinoplasty Surgery?

After your rhinoplasty, you will be able to go home on the same day. You should, however, have a trusted friend of family member available to drive you home. Patients will be given a cast to wear to help shape and protect the nose. With our shortened recovery period, it’s advised that patients take a week off from work or school to rest and recover. After a week, the cast can be taken off. Patients tend to experience swelling, soreness, and bruising for a few weeks after their rhinoplasty, but an Aesthetx rhinoplasty will have a shortened and less severe recovery. Patients should see swelling disappear over the coming months, with the swelling disappearing completely after a year.

Aesthetx is renowned for extremely informative and in-depth consultations. To schedule your private consultation in our office in the San Jose area for rhinoplasty or to learn more about the procedures, contact Aesthetx by visiting HERE or calling (408) 559-7177.

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