Primary Rhinoplasty Surgery

Primary Rhinoplasty refers to a type of surgical procedure performed on a nose not operated on before. Rhinoplasty, or a ‘nose job’, is a popular surgery that can make significant improvements to the balance of one’s facial features and to one’s self-esteem. It can also help to correct structural defects causing breathing problems.

Rhinoplasty: A Complex Procedure

Rhinoplasty is regarded as the most difficult operation in Facial Cosmetic, Plastic and Reconstructive Surgery. It requires precision, planning and experience. The procedure itself requires a different skill set from most other cosmetic surgical procedures. Rhinoplasty demands the mastering of, intricate nasal anatomy, specialized surgical techniques unique to nasal surgery, as well as experience and judgement needed to obtain consistent good rhinoplasty results. The procedure is also complex because it requires a range of rhinoplasty techniques to treat each patient’s unique nose. This variation amongst patients requires a surgeon who is able to perform a complete nasal analysis in order to identify each patients aesthetic and functional deformities. The surgeon must also be highly competent in a number of corrective surgical techniques including open rhinoplasty and closed rhinoplasty and be able to execute the best techniques for each circumstance in order to obtain excellent surgical results.

Visit Dr. Solomon’s illustrated Cosmetic and Facial Procedure videos to learn more about facial surgeries and skin treatments.

Trust Your Face to a Otolaryngologist Head and Neck Surgeon practicing Facial Plastic Surgery

Specialist Expertise

When considering any surgery, particularly those involving the head and neck, it is best to seek a specialist surgeon whom you can trust.

Dr. Solomon, based in Toronto, Ontario, Canada, is one of very few Canadian surgeons to be distinguished both as an Otolaryngologist – Head and Neck Surgeon and as a Facial Plastic and Reconstructive Surgeon.

Certification by the American Board of Facial Plastic and Reconstructive Surgery requires extensive training and experience. The credentialing process is next to none in setting the highest educational standards in facial plastic surgery both during the certification process and afterward through continuing professional development. To learn more, please visit Dr. Solomon’s Biography.

Please visit Dr. Solomon’s Guide for Choosing a Surgeon

A Wide Range of Rhinoplasty Experience

Dr. Solomon’s expertise as a specialist rhinoplasty surgeon has been built upon over a decade in practice and 1000s of procedures he has performed. His vast experience as a Otolaryngologist Head and Neck surgeon subspecializing in Nasal and Facial Plastic Surgery has allowed Dr Solomon to perform rhinoplasty on patients from of all ethnicities and varied noses. An experienced Rhinoplasty surgeon knows that each nose is unique. The more noses and different combinations of anatomy a surgeon experiences, the better the surgeon will be able to effectively correct the problems he encounters. Even the more common and less complicated problems like a small dorsal hump or bulbous nasal tip, require the attention to detail and precision in execution that experience imparts.

Dr. Solomon’s depth of knowledge and experience allow him to plan the best procedure for each patient and to anticipate how a patient’s nose will heal and respond to Rhinoplasty surgery. It takes a great deal of experience to accomplish these steps.

A Confident and Caring Surgeon

Dr. Solomon is on surgical staff at three hospitals in the Greater Toronto area: St. Michael's Hospital, Toronto, Etobicoke General Hospital and York Central Hospital, Thornhill, where he is the Chief of Surgery. Dr. Solomon is sensitive to his patients’ concerns and understands that the decision to undergo appearance-enhancing procedures involves many choices. Making such decisions requires having a surgeon who listens and provides education through traditional consultations, up-to-date website information and Advanced Computer Imaging. Also with education in mind, and confident in his surgical abilities, Dr. Solomon is regularly filmed during surgical procedures by the media.

To view programs featuring Dr. Solomon and several of his patients, please visit the Media Gallery.

Assessment for Rhinoplasty

Dr. Solomon strives in every Rhinoplasty surgery to individualize his treatment plan. The key to a happy patient and a good outcome in Rhinoplasty surgery is good planning. Dr. Solomon will meet with each and every patient in consultation first to assess their nose, general health, current use of medications, supplements, alcohol, tobacco and drugs. Dr. Solomon will listen to the patient’s expectations and discuss the surgical options and risks. Dr. Solomon will recommend a plan based on what can be realistically achieved with Rhinoplasty surgery.

Prior to the Rhinoplasty procedure, a second consultation will take place. This meeting is considered a planning session. At the planning session photographs will be taken and advanced computer imaging will be used to estimate what can be achieved with the Rhinoplasty surgery. Computer imaging is an excellent tool in providing patients with a realistic, rather than absolute, representation of what Rhinoplasty surgery may achieve.

Rhinoplasty Surgery and Recovery

Rhinoplasty surgery generally will take between one and two hours to complete. The surgery is typically done with general anesthesia. Patients will stay in one of our Toronto hospital facilities for a few hours after surgery until ready for discharge. The recovery from Rhinoplasty is variable but typically most swelling subsides in 7-10 days. The nasal splint is typically removed from the nose a week after surgery. At this time the nose will not be its final shape. The nose will take an additional few weeks to improve in appearance and requires about a year to refine and heal completely. Dr. Solomon will see each patient one week after surgery, then a month later, followed by every few months for about a year.

Rhinoplasty Revisions

Up to ten percent of Rhinoplasty patients may develop minor imperfections of their nose while healing. These imperfections typically are small bumps along the nasal bridge where the nose has been altered. Imperfections from Rhinoplasty surgery often resolve themselves without treatment. At one year following Rhinoplasty surgery, Dr. Solomon will assess the final result of the surgery. If any further improvement is believed to be possible, Dr. Solomon will offer options to improve the result. Some patients may need revision Rhinoplasty surgery done by Dr. Solomon to optimize results. Generally, revisions for Dr. Solomon’s initial surgery are minor may not have additional fees. The Rhinoplasty surgery experience is generally a very positive one for most patients. Dr. Solomon’s ultimate goal is to achieve an excellent Rhinoplasty result and a happy patient. In the rare situation that a patient requires a more extensive revision procedure, Dr. Solomon will provide all options available prior to the subsequent surgery.

For more information on surgical procedures, please visit Dr. Solomon’s illustrated videos.

For more information on Rhinoplasty for patients who have already had a previous Rhinoplasty procedure, please visit Dr. Solomon’s Revision Rhinoplasty page.

Blog Links

• A Rise in Rhinoplasty Surgery in Patients Who Have Undergone Laser Eye Surgery
• Beautiful Earlobes
• Teenage Cosmetic Surgery in Canada – Dr Solomon Interviewed by the National Post

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