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Frequent Asked Questions

Deciding to get facial plastic surgery is a significant decision, and it’s natural to have questions before moving forward. Dr. Mark Ginsburg believes that informed patients feel more confident throughout the process, which is why he takes the time to educate each patient. Below are answers to some of the questions patients most often ask during their consultations.

Rhinoplasty

Who is a good candidate for rhinoplasty?

You may be a good candidate if you are in good overall health, have realistic expectations, and are looking to improve either the appearance or function of your nose. Whether you're bothered by a cosmetic concern, breathing difficulties, or both, Dr. Ginsburg will carefully evaluate your facial anatomy, medical history, and goals to determine whether rhinoplasty is right for you.

How should I prepare for rhinoplasty?

Preparing well before surgery helps create the best possible experience. Dr. Ginsburg will provide detailed pre-operative instructions tailored to you. In general, you should be in good overall health and stop smoking at least four weeks before surgery if you use marijuana or tobacco products. Dr. Ginsburg may ask you to get a medical clearance if you have any preexisting health issues.

You'll also receive instructions on recommended vitamins, an antibiotic ointment to reduce nasal bacteria before surgery, and simple preparation steps, such as trimming nasal hair. Having your recovery supplies ready and arranging for someone to help during the first few days after surgery can make your recovery much more comfortable.

What should I expect immediately after surgery?

Most patients wake up wearing a protective cast over the nose, along with a few small sutures near the base of the nose or inside the nostrils. It's normal to experience light bloody nasal drainage during the first two or three days.

Many patients are pleasantly surprised that rhinoplasty is less painful than expected, with most no longer needing pain medication within about 48 hours. Dr. Ginsburg will provide detailed post-operative instructions, so you know exactly how to care for your nose.

How long does rhinoplasty recovery take?

Recovery happens gradually and varies from person to person. About one week after surgery, you'll return to the office so Dr. Ginsburg can remove your cast and any sutures. Swelling is still expected at that stage, although some patients already look remarkably natural. Swelling can be uneven or worsen during recovery, but it does not affect the final result.

Most visible swelling improves enough within three to four weeks that others may not realize you've had surgery. However, rhinoplasty requires patience. Final results typically develop over a year, while revision rhinoplasty may continue refining for 18 months or longer.

What kind of support will I receive from your office?

Our relationship with you doesn't end when your procedure is complete. From your consultation through your recovery, our team is here to answer questions, review instructions, monitor your healing, and provide reassurance whenever you need it.

You'll have scheduled follow-up visits with Dr. Ginsburg so he can evaluate your progress, remove your cast and sutures, and ensure your recovery is progressing as expected. We ensure you feel supported throughout every stage of your rhinoplasty journey.

Why should I choose a facial plastic surgeon for rhinoplasty?

Rhinoplasty is one of the most technically demanding procedures in facial plastic surgery because it requires balancing both appearance and function. Dr. Ginsburg specializes exclusively in facial plastic surgery, with rhinoplasty serving as his primary area of expertise. His training and experience allow him to evaluate the intricate anatomy of the nose while considering how every change will affect overall facial harmony. He aims to help you achieve a nose that looks natural, functions well, and complements your unique facial features.

Why is my smile different after rhinoplasty?

Patients often notice changes in their smile during the first few weeks after rhinoplasty. This temporary change is usually caused by swelling, not by any permanent effect on the muscles of the lip or smile.

After surgery, swelling from the nose can gradually move downward due to gravity, often affecting the upper lip. As a result, the upper lip may feel stiff or swollen, and you may notice that less of your upper teeth show when you smile. While this can be surprising or concerning, it is a normal part of the healing process.

The good news is that this swelling is temporary. As the swelling in the nose and upper lip improves, your smile will gradually return to its normal appearance. For most patients, this process takes several weeks, although healing timelines can vary.

Rhinoplasty should not cause permanent changes to your smile. Any temporary differences you notice during recovery are typically related to swelling and resolve as healing progresses. If you have concerns about your recovery or feel your healing isn't progressing as expected, contact your surgeon for guidance.

Key Takeaway: A temporarily different smile after rhinoplasty is usually caused by swelling of the upper lip. This is a normal part of the healing process and should improve as the swelling subsides over the following weeks.

When can I wash my face and resume my normal skincare routine after rhinoplasty?

Many patients wonder when they can return to their usual facial cleansing and skincare routine after rhinoplasty. In most cases, it is best to keep things simple during the first week of recovery.

During the initial healing period, focus on caring for your nose, cleaning any incisions as directed, and letting your body heal. You can shower and gently wash the areas of your face not affected by surgery, but most patients do not need to use their normal skincare products during the first week.

Once your nasal cast is removed, you can generally resume washing your face and using your usual cleansers and skincare products. Some patients notice clogged pores, breakouts, or increased oiliness on the nose after cast removal. This is normal and often occurs because the cast has covered the skin for several days. Acne treatments, including benzoyl peroxide products, are typically safe to use at this stage unless your surgeon advises otherwise.

Although you can return to most skincare activities after the first week, be gentle around your nose. The nasal bones continue healing for several weeks after surgery, and excessive pressure could affect the healing process. Avoid vigorous scrubbing. Aggressive facial treatments, extractions, pore strips, or anything that places significant pressure on the nose should be avoided in the first 3 months after surgery. Do not use abrasive agents or exfoliants, such as retinol and facial scrubs, on your nose in the first 3 months after surgery.

For most patients, the following are generally safe after the first week: washing and cleansing the face, using regular skincare products, applying acne treatments as needed, shaving, and resuming a basic skincare routine. The key is to treat your nose gently while it heals and follow any specific instructions your surgeon provides.

Key Takeaway: Most patients can return to washing their face and using their regular skincare products after the first week of rhinoplasty recovery. Just avoid excessive pressure on your nose and follow your surgeon's postoperative care instructions.

How much downtime should I expect after rhinoplasty?

Most patients take about one week completely off to rest and recover. During that first week, it's normal to experience swelling, congestion, and some bloody drainage from the nose. You'll want to spend most of your time relaxing at home with your head elevated while the initial healing takes place. Many patients return to desk work after about a week, with manageable swelling and bruising that can be covered with makeup.

When can I return to exercise or physically demanding work after rhinoplasty?

Even if you're feeling well, it's important to avoid strenuous exercise, heavy lifting, and physically demanding work for three weeks after surgery. You can return to your regular workout routine at 3 weeks post-op. Activities that raise your heart rate or blood pressure too soon can increase swelling and interfere with healing. Wait 6 weeks before playing any contact sports or swimming with your head underwater.

When can I wear glasses after rhinoplasty?

Patients are advised to avoid wearing glasses directly on the nose for 6 weeks after rhinoplasty, as the pressure from frames can affect the healing nasal bones and cartilage. During the early recovery period, even lightweight glasses can place pressure on the surgical area and potentially impact your results.

If you rely on prescription glasses, alternatives include wearing contact lenses during recovery, taping glasses to your forehead to keep them off the nose, or using special support devices, like a head strap, designed for post-rhinoplasty patients.

This directive includes sunglasses and any type of goggles.

What should I expect during the first week of recovery after rhinoplasty?

The first week is all about rest. Most patients notice swelling, bruising, congestion, and light nosebleeds. You won't feel completely like yourself right away, but discomfort is usually manageable, and many patients are pleasantly surprised by how quickly they start feeling better. Some patients may feel well enough to work from home or do schoolwork at home after 3-4 days.

Facelift

How do I know if I'm a good candidate for a facelift?

Many patients start considering a facelift when they notice changes that fillers, skincare products, or non-surgical treatments can no longer fully address. Common concerns include sagging along the jawline, deeper facial folds, loss of neck definition, skin and soft tissue laxity in the neck, and an overall tired or aged appearance. Many patients also notice their cheeks have shifted downward over time, creating a more tired or aged appearance. Good overall health and realistic expectations are also important factors.

Why aren't fillers or non-surgical treatments giving me the results they used to?

Fillers, skincare products, and skin-tightening treatments can provide excellent improvement, but they can't fully correct significant skin laxity or deeper structural changes. Many patients begin exploring facelift surgery when they feel they've reached a plateau despite consistently using non-surgical treatments.

Do I need to be a certain age to get a facelift?

No. There isn't a "right age" for a facelift. The best candidates are healthy individuals who have legitimate concerns related to facial aging and who have realistic expectations about what surgery can achieve.

What's the best way to find out if I'm a candidate for a facelift?

A consultation is the best place to start. We'll evaluate your anatomy, discuss your goals, and help you understand whether a facelift or another treatment option is most likely to achieve the results you're looking for.

Schedule Your Consultation Today!

Providence Facial Plastic and Cosmetic Surgery is dedicated to helping you achieve refined, natural-looking results. Mark Ginsburg, DO, FAACS, is a triple board-certified facial plastic surgeon with extensive training in facial plastic surgery, cosmetic surgery, and head and neck surgery. Whether you’re considering rhinoplasty or another facial procedure, you can expect compassionate guidance and an individualized treatment plan. Schedule your consultation today to explore your options with Dr. Ginsburg.