At our practice in Miami, FL, Rhinoplasty is our top procedure, attracting patients from all over the United States and even some from other countries. Often referred to as a “nose Job”, Rhinoplasty is one of the most complicated surgical procedures that demands the highest level of expertise. When performed properly, it’s also one of the most gratifying procedures for both Dr. Z and his patients. As a leader in facial aesthetics, Dr. Z has years of experience performing rhinoplasty, revision rhinoplasty, and non-surgical nose treatments.
We strive to provide some of the best rhinoplasty results in Miami, while always practicing patient safety and honesty. It is very important for patients to understand the fine details of Rhinoplasty in order to achieve the best results. The goal of this page is to provide patients with an easy-to-understand, yet comprehensive explanation of the surgery and its surrounding details.
BEFORE & AFTERS
Peruse Dr. Ruslan Zhuravsky’s patient photo gallery to view his work and artistry on facial procedures like Rhinoplasty, Facelift, and more.
before
after
The terms rhinoplasty and “Nose job” are interchangeable, and both refer to surgery that changes the shape and appearance of the nose.
A good cosmetic nasal surgery consists of many different steps, techniques, and maneuvers that are highly specific to each patient’s desired outcome and anatomy. The details of these steps and techniques require a large textbook, but there are different ways to change the shape of the cartilage and bones that make up the nose.
Patients often get confused or swayed by terms like open rhinoplasty, closed rhinoplasty, incision-less rhinoplasty, and preservation rhinoplasty. These simply describe the general approaches to surgical rhinoplasty. The differences are described in a separate section but the main take home for patients is that these are mostly surgeon preferences and the approaches themselves do not guarantee any particular results or outcomes.
Non-surgical and liquid rhinoplasty changes the nasal shape with filler injections. This approach can provide nice but limited results in the properly selected patients by adding and disguising rather than truly changing the actual shape. We provide more details further down this page as well as its own separate page.
Below, we’ve provided some basic, at-a-glance information for patient to know about Rhinoplasty in Miami:
Typical Order of events:
A good rhinoplasty strives to accomplish the following goals:
The goal is to create a beautiful nose that does not look like it was operated on, and that fits in with their natural facial features. Even with dramatic changes, our patients often report that their friends and family compliment them on how great they look but are not able to tell what exactly has changed. However, when they point out the changes or look at before and after photos side-by-side, they frequently gasp in admiration.
This means that when others look at the face, the nose does not draw instant attention from something like an over-scooped bridge, pinched tip, or piggy appearance. The nasal function is also important and must be taken into consideration. If the integrity of the external nasal structure is not maintained, breathing issues can become a big problem for patients.
The nose consists of two nasal bones in the upper part of the nose, two flat cartilages in the middle section, two curved cartilages that make up the tip, and the septum which supports them in the center. The sizes, shape, and orientation of each of these parts, as well as their relative positioning is what gives the nose its shape. The skin and soft tissue is also an important part of the structure as it covers these structures and can influence the overall appearance.
The anatomy is better understood with visual assistance and may help to refer to the video as you read. The upper portion of the nose between the eyes consists of two nasal bones. They can be thought of as a tent, with the peak being the bridge of the nose. Although patients seem to give much attention to these bones, they less than 30% of the nose, and even less in terms of surgical involvement.
Further down, toward the middle portion of the nose, the bone transitions into cartilage. You can feel where the hard bone transitions to soft cartilage by running your finger down the side of your own nose. This central portion of the nose is made from two flat cartilages that are called the “upper lateral cartilages”. Unlike firm bones, these cartilages are softer and more flexible, opening to the possibility for issues with breathing if not adequately supported.
The septum runs down the middle of the nose, like a wall that separates the right and left sides. Its main job is to act like a central support beam for the other cartilages of the nose. The septum is a very important part of the nasal structure and plays a critical role in rhinoplasty surgery.
The lower part of the nose is made from two curved cartilages called the “lower lateral cartilages”. They form two arches that meet in the middle. Each of these cartilages can be broken down into 3 sections; the medial, intermediate, and lateral crus. These are the structural components that determine the shape and size of the tip.
The high degree of variability of each of these parts in terms of size, shape, thickness, rigidity, positioning, and orientation relative to each other is what makes the anatomy so unique in each case. When factoring in skin thickness and each person’s facial structures, we start to see why every nose surgery is so unique, and why rhinoplasty cannot be performed in the same generic way every time.
The nose is the centerpiece of the face. Its shape and size should fit in harmony with the rest of the facial features. The issues that bother most people are those that draw extra attention to the nose, making it a focal point and distracting from that harmony. This includes characteristics like the nasal “hump”, a crooked nose, a bulbous tip, a drooped tip, flared nostrils, or other issues that patients dislike about their nose. This also holds true for features that give a fake-looking, operated nose appearance from a bad rhinoplasty.
Although it may seem as simple as altering those “undesirable” characteristics to achieve aesthetic harmony, there are some very important things to consider, even when the changes are subtle. In fact, one of the most common things that we hear from revision patients is that they underestimated the complexity of rhinoplasty, often making the mistake of thinking things like “it’s just a small bump” or “it’s just a minor tip change”.
A few important concepts to keep in mind are as follows:
Here are some examples of scenarios and how these concepts are applied in various aesthetic situations:
These are just a few of the many examples that we encounter when finding the ideal nasal shape. It is very important to see these changes on morphed images and make sure the final result is something that would make you happy and look natural.
Septoplasty is primarily a surgery to correct a wall inside the nose (the septum) that can obstruct breathing, while rhinoplasty is surgery to change the external structure and appearance of the nose.
The nasal septum is the central wall that separates the two sides of the nose. If you put your finger in your nose, that smooth part you feel in the middle is the front of the septum. In many cases, the septum is not a perfectly straight wall and often bends (or “deviates”) more to the right, left, or back and forth. This bending is called a deviated septum, because the septum deviates from its ideal path straight down the middle.
One way to visualize this is to imagine the nose as a long hallway. Now imagine a wall going down the middle that divides this hallway into two sides (two nostrils). If that wall is not straight and bends more to one side, then that side will be more narrow. The same thing happens inside the nose if a septum deviates to one side. The bent septum blocks airflow and makes it harder to breathe through that side.
Septoplasty refers to surgery that corrects this bending inside the nose in order to allow for better breathing. This is done through a small incision inside the nose and does not typically change the external appearance of the nose. However, as you may recall from the anatomy section, the septum is the central support structure for the nose that the other cartilages rest upon. Therefore, deviations in these support areas of the septum will cause the nose to be crooked and will influence the external nasal appearance.
Correcting areas of the septum that lead to a crooked nose goes beyond your typical septoplasty. It requires more advanced techniques and involvement of other nasal cartilages that alter the external shape of the nose, and thus falls under the scope of rhinoplasty.
Rhinoplasty, as described throughout this entire page, focuses on changing the external shape of the nose. Since a good quality rhinoplasty requires adequate support and shaping with cartilage, it almost always requires cartilage from the septum. It also requires that the septum is straight in the important areas of support. Therefore, most (if not all) good rhinoplasties will include a septoplasty.
The two of the biggest factors that we look at when considering rhinoplasty candidacy are the patient’s health and mental / emotional state in relation to their appearance.
In regards to health, we want to make sure that patients do not have any medical conditions or take any medications that can increase their risks. This includes issues that may interfere with healing, increase the risk of bleeding, or make them more susceptible to infections. It is VERY important to be completely honest with your surgeon about all your health conditions, as well as family history that may contribute to problems. Rhinoplasty is an elective cosmetic surgery, it’s not a life saving or “necessary” procedure, so if a significant risk exists, it is not worth proceeding.
On a mental or emotional level, the best candidates are those that have realistic expectations of the outcome, as well as what it will do for them. This is where computer imaging helps a great deal. Looking at other people’s noses and imagining them on yourself seems like common practice, especially with social media. However, patients need to be very careful and understand a few important points:
The best candidates will have at least some idea of the nasal appearance that they desire or features that they wish to change, but they also understand that it must fit within the limitations of what is possible to achieve with their nasal anatomy.
Those with body dysmorphic disorder, or those that are chronically dissatisfied with their appearance are NOT good candidates. In these cases, surgery changes the physical appearance, but does not result in a happier patient.
So to sum it up in one phrase, patients who are in generally good health with achievable and realistic expectations are usually the best candidates for Rhinoplasty.
The best way to determine candidacy is to discuss your desired outcomes with a qualified plastic surgeon and review morphed images. Those who feel the surgeon understands and can honestly achieve their desired outcomes, are generally good candidates. Patients who are not sure if the morphed images convey their desired outcome or are still unhappy with their appearance may not be good candidates.
A good rhinoplasty delivers the patient’s desired changes, appears natural to their face, avoids the classic unwanted appearance of a rhinoplasty, and maintains or improves nasal function.
Below are 4 main components that are critical for a successful rhinoplasty.
This should leave the patient confident that the surgeon clearly understands their desired outcome, and is skilled enough to accomplish it. We cover the specifics of what a good consultation should entail in a section below.
Everyone has their own anatomic configuration. It is very important to understand the shape, size, position, and orientation of the nasal bones and cartilages that are responsible for each person’s nose. Two noses may have similar appearances but have different anatomic reasons for them. This is important because it dictates the correct surgical maneuvers that are required.
If each nose was treated with the same few basic techniques, a few might turn out fine, but the majority would fall well short of good results or even turn out botched. There is a great variety of techniques that we can use to change the shape of the nose, and it is important to know how we combine these for the best results. Rhinoplasty is like a puzzle, you have to use all your resources and ongoing critical thinking to solve it. Patients are often misled into thinking that a specific approach like open vs. closed vs. preservation rhinoplasty, or a fancy surgical tool will give them great results. The truth is that any of those methods or tools can give great results as long as the surgeon chooses the proper menuevers / techniques and executes them well.
Knowing the right answers to the puzzle is not enough. Some techniques and maneuvers take a great deal of time and effort to perform. The surgeon must not only know the right techniques and be able to perform them well, but must also be willing to dedicate the effort. Most people can think of things in their life that they can do faster and be “good enough” or put in the extra work and make them better. The same goes for rhinoplasty, except when you take the shortcut, it might not be good enough and lead to problems that are hard to correct.
A good consultation is the first critical step to a successful rhinoplasty. There is a lot that happens during the consultations, or at least a lot that SHOULD happen. Here are several important aspects that you should look for:
You want to make sure that both you and the surgeon are clear on what results will make you happy. This is greatly facilitated by computer morphing software, which allows the surgeon to show you what they think you are describing, and also to allow you to see what the nose would look like on your face. It also allows surgeons to advise you based on your desires, facial aesthetics, and their experience. Dr. Z refers to this as a collaborative process between the surgeon and the patient.
The surgeon should explain what they believe to be the underlying anatomic issues of your nose, and how they plan to change them in order to achieve your results. For example, is the tip bulbous because the cartilages are broad, convex, cephalically positioned, or a combination of these. Each case is treated differently, so have them explain how they plan to address those areas. You may not always understand the answers but you will be able to compare what two or more surgeons describe.
It’s not just about liking the surgeon’s personality. A Salesperson may have a great personality, but their goal may not always be for your best interest. Also, some surgeons may be good at what they do, but not be great socially. Make sure you feel that the surgeon truly cares about getting the best results possible, and is willing to put in the necessary time and effort.
The cartilage and bones that give the nose its shape are altered to produce the desired outcomes.
There is no one set way of performing a (good) rhinoplasty as each case is unique and requires a different set of techniques. A good rhinoplasty is less like a standardized set of steps and more like a creative puzzle-solving task. In both open and closed rhinoplasty, the skin is elevated from the cartilage and the bone. The surgeon then performs the necessary techniques to achieve the desired results. These techniques are all different ways of changing the size, shape, and orientation of the nasal bones and cartilage.
Nasal bones are usually shaved to reduce the classic dorsal hump. They must then be brought inward by creating precise cuts, which are often referred to as “breaking the bones”. This is a small part of the entire process and not nearly as traumatic as patients imagine. Cartilage techniques involve cutting, folding, rearranging, reshaping, and reinforcing them, primarily by using dissolvable sutures and pieces of cartilage from the septum.
At the end of the case, the skin is laid back down and the incisions inside the nose are closed with dissolvable sutures. The incision under the nose is closed with 5 tiny sutures that are removed in 1 week. If nostril reduction is required, it is performed as the last step. There are a few variations in nostril reduction techniques but all require a small part of the nostril (approx 3-5mm) to be excised and sutured. A splint is placed on the outside of the nose at the end of the case. Dr.Z does not use splints or packing inside the nose.
Our awake rhinoplasty is unique and not the same as advertised by many others. This is NOT IV sedation or “twilight”. It is truly an awake procedure that uses mild medications for pain relief and relaxation, while numbing the nose entirely. Patients are awake, and able to speak and breathe throughout the procedure without feeling the surgical pain. This is similar to a dental procedure but patients do not have to keep their mouths open and there is no drilling involved. Dr. Z has developed and evolved this method for the maximal safety and comfort of the patient.
A safe but effective amount of pain reducers and anti-anxiety medications are given approximately 1 hour before the procedure. During this time, topical numbing ointment is applied on the outside and inside of the nose. Once patients are comfortable and numb, additional numbing is injected with a very small needle. Thanks to the oral medications and topical numbing, these injections are typically very well tolerated with several very quick (1-2 seconds) pinching sensations.
Once the injections are completed, the entire nose and surrounding area are completely numb. Patients often say they feel like they have a “big rubber nose” that is not theirs. At this point, even the most nervous patients begin to relax as they see for themselves that they cannot feel surgical pain, including the notoriously feared part of “breaking the bones”. Some patients take a nap, others lay calmly with their eyes closed listening to music, and yet others converse with us throughout the entire procedure.
A common concern that has been brought up regarding the awake rhinoplasty is for safety of breathing / airway and bleeding. Most of this stems from fears instilled by other surgeons and advertisement of IV sedation as “awake” surgery. Our patients are able to manage their airways. They can talk, breath, and swallow throughout the surgery. Bleeding if often minimal and wiped or suctioned away. In the case that there is more bleeding from an area like the septum inside the nose, this can also be suctioned. Any blood that goes down the back of the nose is swallowed in the same way as mucus or saliva.
Open and closed rhinoplasty are both surgical approaches to changing the shape of the nose that differ primarily in the types of incisions used to get under the nasal skin. Closed rhinoplasty involves several incisions, all of which are inside the nose. Open rhinoplasty requires a few of the same incisions inside the nose, plus one small incision underneath the nose on an area called the columella.
In both approaches, the skin has to be lifted up away from the cartilages and the bones in order to make surgical changes to these areas. When lifting the skin in a closed approach, we leave the small island of skin at the columella attached and thus often have to stretch the skin or distort the cartilages to get a view of the anatomy. However, in the open approach the columella is cut in order to give a direct and full view of the anatomy.
There are several advantages and disadvantages that are often claimed by surgeons for each approach, but these are debatable and controversial. The biggest claim in favor of closed rhinoplasty is that it does not require an external incision on the columella. While this is true, the columellar incision is very small, heals extremely well, and in many cases it is hard to find even when examining up close. A major advantage to making this incision with the open approach is the ability to fully see and operate on the nasal structures directly without distorting them. It also limits the number of incisions inside the nose. Another point that is frequently discussed is in regards to the recovery. The only times that closed rhinoplasty leads to faster recovery is in the limited cases of a very small dorsal hump reduction or very minimal change, otherwise the surgeries require the same amount of surgical work to achieve adequate results, and thus the same amount of recovery.
What matters most in rhinoplasty is not the approach but the specific techniques that are used for each part of the nose and how they are performed. Traditionally, closed rhinoplasty focused more on techniques that simply reduce cartilage, reshape it with sutures, or use camouflaging grafts. Unfortunately, these types of surgeries often lead to very poor results as they lack the proper structural support, regardless if done by open or closed approach. One problem is that the typical closed approach that is often advertised as a “quick” or “minimal” approach is usually of this type of reductive surgery.
Although I perform both types, my personal preference is generally for the open approach (in most cases) as it allows for more precision and thus better results in my opinion. I find that I do not have to stretch the skin and cartilage as much, and can perform more specific techniques with the open approach, especially for the tip region. The only difference to patients is the incision on the bottom side of the nose, which heals extremely well and has never been an issue for any of my patients. I generally reserve the closed technique for small dorsal hump reductions, as long as the nose is not significantly deviated. I do NOT find that there is a difference in the recovery process.
The most important take-home for patients is not to choose based on the approach of open vs. closed, but to choose the surgeon that will give you the best results.
Ultrasonic rhinoplasty is somewhat of a misnomer, as it does not refer to an actual type of rhinoplasty, but rather to the use of a specialized device for the bone cutting portion of the surgery. This device is called a piezotome and it works by vibrating at such fast (ultrasonic) speeds that bone is instantly broken down into nearly dust. There are some pros and cons to the use of this device, but the truth is that it comes down to surgeon preference and marketing.
The big advantage of the piezotome is that it can cut bone like a power tool without cutting the surrounding soft tissues like skin. Some surgeons feel that this gives them better control over the cuts that they make. However, there are a few very important things to remember;
There are also some disadvantages to using the piezotome, which is why the majority of rhinoplasty surgeons do not use it regularly. The skin of the nose has to be lifted to a greater extent in order to get the device inside. The piezotome creates heat, which can burn surrounding tissues and so requires a great deal of water to be constantly flushed through the area. It requires more setup and equipment, thus making the surgery more cumbersome and lengthy.
The bottom line is that ultrasonic rhinoplasty is neither good nor bad. It can be a nice tool in the hands of a good rhinoplasty surgeon who prefers the use of this device. However, the use of a piezotome to perform ultrasonic rhinoplasty is NOT what produces the results, nor guarantees a particular outcome.
A major negative point for ultrasonic rhinoplasty is that some surgeons chose to use it as a marketing tactic to lure patients. Choosing a rhinoplasty surgeon is hard enough. This adds further confusion as it distracts from what patients should really be looking for; a surgeon that will give them the best results possible.
Rhinoplasty is an outpatient procedure, so you will be able to return home after you are released from our care. The recovery is typically less dramatic than most people imagine or as some portray it on social media.
We cover all the aspects in more depth below, but let’s start with the summarized overview of what all patients want to know first. Recovery after a rhinoplasty is usually around 7 days, and varies amongst patients in regards to pain, swelling, bruising, bleeding and congestion. Pain is often a mild to moderate pressure like a headache centered around the nose, but most find it to be less intense than they anticipated. Swelling begins immediately after surgery, increases during the first two days, then decreases to socially acceptable levels by day 7. Bruising and the typical “black eyes” after rhinoplasty are not as common as most people think, but when they do occur, a majority of it fades to light yellow by the 7 day point. Bleeding is typically mild and only during the first 24 hours. Congestion is the symptom that patients most commonly report as the most bothersome. Although there is a significant improvement in congestion 1 week after surgery, some will still feel a mild to moderate level for another 7 – 10 days. Aesthetically, patients are generally “socially acceptable” after splint removal on day 7.
Pain after rhinoplasty is the most feared part of the recovery, but it turns out to be the one patients mention the least after surgery. This is in part due to the inaccurate assumption that the pain is proportionate to the way someone looks with swelling and bruising, but it is certainly not the case. The level of discomfort and pain varies as most patients describe feeling a mild to moderate pressure that is tolerable and well controlled with low dose pain medication during the first 12 – 24 hours after surgery. In our practice, almost all patients switch from the low-dose prescribed pain medications to tylenol the very next day after surgery. Many of our patients are even able to switch over the same day as the surgery, especially if they follow instructions for cycling cold compresses on a regular basis.
NOTE: It is VERY IMPORTANT to AVOID taking Tylenol and prescription pain medications at the same time, as they both contain Tylenol (acetaminophen) and can lead to overdose. All other pain medications are to be AVOIDED unless cleared by your surgeon, as they can increase bleeding risk.
Swelling is the main symptom that everyone gets and sees after rhinoplasty surgery due to the relatively lower lymphatic drainage of the central face. The level of swelling varies very widely from moderate to severe, and can be limited to around the nose, or extend as far as the upper eyelids and forehead. The course of swelling follows a similar pattern in most people. It increases during the first 1 – 2 days, often reaching peak swelling the day after surgery, and maintaining this level for approximately 1 day. Swelling begins to improve on day 3 with a relatively rapid improvement each day until patients reach a socially acceptable level around the 1 week mark. As swelling resolves, some it drops downward with gravity, giving a full “chipmunk” cheek appearance around day 5 – 6. Most patients will still notice mild levels of swelling underneath the eyes, around the sides of the nose, and along the upper lip, but these should not stand-out so dramatically as to catch the attention of others in public. We see many patients from other states who fly out on day 7, and they do not report any odd stares or unwanted attention at the airport. This mild facial swelling continues to improve dramatically over the following week until it reaches a level that patients find imperceptible around days 10 – 14.
Swelling of the nose itself also improves dramatically during the same time period with the essential shape being evident at the one week mark. More subtle but significant improvements are then noted on a weekly basis until around the 4 – 6 week point, when most patients are very happy with their nasal appearance. At this time, many patients even think that they have reached their final result, but additional refinement continues to occur for 1 or more years after surgery. The refinement process depends largely on skin thickness and each patient’s propensity for swelling. Taping and steroid injections can help accelerate this process in properly selected cases.
Bruising around the eyes is another feature that is often associated with rhinoplasty recovery, but does not occur as frequently as most imagine. In our practice, well less than 50 percent of patients get the typical black eyes after rhinoplasty. The occurrence of bruising seems to be less related to the intensity or extent of the surgery itself, and more to the individual patient. Older patients and those that bruise easily with other injuries are more prone to post-rhinoplasty under eye black and blues. In cases when bruising does occur, it typically fades to a light yellow 1 week after surgery. On occasion, a small bruise can persist for up to 2 weeks but is usually light enough to cover with makeup.
Bleeding occurs primarily during the first day of rhinoplasty and the quantity varies. Most of our patients report light bleeding up until the evening of surgery, at which point it changes to blood-tinged mucus. More significant bleeding is possible but not common to our practice as it is often more associated with surgery of the sinuses or turbinates. A small piece of gauze is taped under the nose, called a “mustache dressing”, to catch the bleeding and prevent patients from constantly wiping their noses. As the gauze absorbs blood it is changed depending on the amount of bleeding, typically 1 – 3 times. While most bleeding subsides by the next day, patients often have a mild runny nose and may choose to use the mustache dressing to avoid constant wiping.
Nausea and vomiting is another potential post-surgical issue that patients may encounter. This is much more common with general anesthesia, but it can occur with awake surgeries as well. Most nausea and vomiting resolve by the evening.
Dr. Z calls his patients on the evening of the surgery to make sure they are doing well. The vast majority do very well with minimal pain and bleeding, spending their evening with some TV and relaxation time. In some cases, patients have even caught up on computer work or online classes, but we advise against this as the medications may not have you at your best. In other cases, patients just lay quietly in a dark room with ice to nurse their headache and/or nausea away. This varies by the patients themselves and does not seem to be related to the extent or duration of the surgery. In the end, we have never heard patients report that the recovery was unbearable or not worth it. In fact, what we usually hear is that it wasn’t as bad as they imagined.
We provide all patients with detailed written postoperative rhinoplasty instructions, which are then reviewed in person, and can also be recorded on video by the patient or their caregiver. These are usually very similar for all patients, but it is important to follow the instructions given to you specifically by your surgeon.
Some things that we encourage patients TO DO after rhinoplasty include:
Some things TO AVOID during the 1 week of rhinoplasty recovery include:
Most patients return to their normal daily lives after 1 week, however with certain restrictions. The following are some of the most commonly asked about topics regarding return to normalcy after rhinoplasty: (NOTE: these are general guidelines and may change for each case, so discuss these with your surgeon)
Liquid rhinoplasty involves the use of dermal fillers to alter the shape of the nose, giving instant results with a quick in-office procedure. Although the results can sometimes be very similar to those of surgical rhinoplasty, other times they either fall short of what can be accomplished surgically, or patients may not be good candidates. Additionally, liquid rhinoplasty is temporary, lasting 9 – 15 months. When considering liquid rhinoplasty, it is very important to consult with not only a qualified injector but also one who has a lot of experience with noses specifically.
If unsure which procedure is better, we advise a consultation with a rhinoplasty surgeon to review the level of augmentation that is possible for your particular nose with filler vs. surgery. Dr. Z believes in giving patients the critical knowledge they need to help make that decision. Patients fall into 3 general categories based on their current anatomy and desired outcomes. Those that are great candidates will get results that are very close to those possible with surgery. Moderate/average candidates are those who get good results and have a nose that has significant improvement but still falls short of what surgery can accomplish. Poor / non-candidates are those that have features that cannot be changed with filler, and in fact, would likely make the nose look worse. This is described in more detail on our dedicated liquid rhinoplasty page.
As one of the top rhinoplasty surgeons in the country, Dr. Z has seen patients of all different ages, ethnicities, and genres. Please check our other resources on the following topics:
BEFORE & AFTERS
Peruse Dr. Ruslan Zhuravsky’s patient photo gallery to view his work and artistry on facial procedures like Rhinoplasty, Facelift, and more.
before
after
Dr. Zhuravsky is a board-certified facial plastic surgeon and rhinoplasty expert. He is highly experienced and passionate about rhinoplasty surgery, as well as each and every single patient’s results. His combination of training, experience, surgical abilities, artistic vision, and care for patients is what has allowed him to develop into the top-tier surgeon that he is today.
Furthermore, Dr. Zhuravsky has become very popular for revision rhinoplasty surgery, which requires the highest level of skill in rhinoplasty techniques, extreme patience, and even greater level of problem solving abilities. These cases have also given him deeper insight into the pitfalls and mistakes that are made during other surgeries, as well as how to avoid them.
Dr. Zhuravsky believes there are several factors to his success in rhinoplasty, with the overriding theme being that each nose is treated like its own individual puzzle that he cares to solve in the best way possible.
When looking for a Miami rhinoplasty surgeon, it’s important you feel comfortable with his expertise and personality. Dr. Z is a board-certified facial plastic surgeon, meaning he’s an expert in facial aesthetics. Dr. Z is passionate about his craft and believes that extended training and learning are life-long responsibilities. He prides himself on offering his patients effective and up-to-date procedures that are the most appropriate for their specific needs. Dr. Z is an active member of the American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS) and believes in continued education.
The cost of a rhinoplasty in Miami and in the US in general is going to vary widely. As far as we are aware, the range in the US for primary rhinoplasty can be as low as $4,000 or as high as $25,000, with some outliers above and below those amounts. Most of the higher quality surgeries in Miami fall between $10,000 and $20,000.
An excessively low price is not likely to get you the best results, and may in fact end up costing more in the long run as revisions are even more expensive. However, a higher price does not guarantee you a good result either. Dr. Zhuravsky performs revision rhinoplasty surgery on a frequent basis and has noticed that most of the issues come from the lower end of the price range. However, he has also revised numerous rhinoplasties from the more expensive range, including those from “celebrity plastic surgeons”, “The best plastic surgeons”, and “top plastic surgeons”. So price cannot be used as the main metric for choosing a surgeon. It can help guide you, but there are other more important factors to consider. If financial constraints limit you to surgeons that you do not feel comfortable with, it is much better to wait, keep looking, and save until you are confident that the surgeon is right for you.
We maintain our price at a very competitive rate relative to the high level of care and expertise that we provide, keeping us near the middle of the range. As the economy, demand, and world change, so does pricing, usually increasing with time. Thus we do not disclose our exact pricing directly online to avoid false promises or confusion. Pricing will also depend on the level of complexity, which is determined at the time of consultation. We will be happy to discuss the typical price range if you give our office a call.
If you’d like to book a consultation with Dr. Z for Miami Rhinoplasty surgery, please call our office today. Our practice is in Aventura next door to the renowned Aventura Mall. We see patients from many different states, with most coming from all over southern Florida, including but not limited to Fort Lauderdale, Sunny Isles, Aventura, Miami, Westin, Plantation, and Boca. Dr. Z Prefers to meet and examine his patients in person but also understands that it is not always possible for those located great distances away. Virtual consultations can be arranged for out-of-state patients and those over 2 hours away.
