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RHINOPLASTY IN WASHINGTON DC

Also Serving Mclean, Alexandria, Loudoun County and Arlington

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Overview of Rhinoplasty Surgery in Washington DC

Ariel N. Rad, M.D., Ph.D. is experienced in rhinoplasty, septoplasty, and non-surgical nose job techniques. Dr. Rad trained with world-renowned rhinoplasty surgeons and his rhinoplasty experience as Director of Aesthetic Plastic Surgery and Assistant Professor at Johns Hopkins attracts regional, national, and international patients who seek world-class results without downtime. Particularly in Washington DC, limiting downtime for nose surgery is often as important as the result itself and Dr. Rad is one of the few Washington DC and northern Virginia rhinoplasty surgeons offering the “closed” approach, a scarless and minimally invasive technique to achieve natural results with a fraction of the recovery time. Although Dr. Rad is skilled in the “open” approach patients seek his expertise in the scarless approach. In Washington DC Dr. Rad’s experience with nose surgery strikes the perfect balance of nuanced and refined results without excessive recovery.

 

Am I a Good Candidate for Rhinoplasty Surgery?

If you are healthy, have breathing obstruction, and/or desire an improvement in the appearance of your nose, regardless of whether you’ve had nasal surgery or procedures in the past, then you may be a good candidate for rhinoplasty, also known as nose job surgery. Dr. Rad focuses his rhinoplasty techniques on improving both aesthetic shape and airflow while minimizing tissue trauma, swelling, and recovery. Self-confidence and breathing can be significantly improved.

Functional goals:

  • • correct a deviated septum (to improve breathing)
  • • open collapsed nostrils (“external valve” problems)
  • • open collapsed internal airways (“internal valve” problems)
  • • enhance airflow through the nasal passages
  • • improve comfort during nasal breathing

Aesthetic goals:

  • • refine and define a bulbous or ball-shaped tip
  • • reduce a large dorsal hump
  • • elevate or rotate a drooping tip
  • • narrow a widened nose
  • • shorten a long nose
  • • improve projection (not to increase the length) of the nasal tip
  • • lift a hanging columella (the column of tissue between nostrils on the underside of the nose)
  • • reduce nostril retraction
  • • restore symmetry
  • • straighten deviation

 

 

How Does Dr. Rad Approach Rhinoplasty Surgery?


Rhinoplasty is a delicate procedure requiring skill and experience to restore proportion, and Dr. Rad is one of the few plastic surgeons offering the “closed” scarless nose job. Very few surgeons can perform scarless rhinoplasty. However, the advantages of scarless techniques are many: aside from achieving equally excellent results, Dr. Rad’s closed technique involves no visible scar across the base of the nose, minimal invasiveness, limited swelling, and short recovery (7 days).

For your comfort and safety, light general anesthesia is administered by a Board-certified anesthesiologist in a hospital operating room and a breathing tube protects your airway. Dr. Rad makes incisions hidden inside the nostrils, not across the base of your nose as in the “open approach,” then he creates a precise tunnel through which a dorsal hump can be reduced and straightened. Dr. Rad then borrows cartilage from the septum (thus straightening a deviated septum, called septoplasty) and uses it as graft material to make refinements in nasal shape. When extra cartilage is required, the ear or rib are good sources. Dr. Rad places cartilage grafts in key areas to enhance and refine the shape and also improve airflow. Dr. Rad narrows the nasal bones and nasal base when necessary. Splints are placed inside and outside the nose for approximately 1 week, after which time patients can return to work and most activities with little restriction.

 

Learn The Nuance Of The Washington DC Rhinoplasty

Rhinoplasty Washington DC
Rhinoplasty Washington DC

Rhinoplasty

Dr. Rad’s approach is unique for each patient, and it combines sophisticated, state-of-the-art techniques to achieve natural and long-lasting results.

 

WHAT RESULTS CAN I EXPECT?

Your vision for your results will emerge through detailed consultation with Dr. Rad, meticulous examination of your anatomy, and careful pre-surgical planning. While Dr. Rad’s surgical approach is unique for each patient, the goal of naturalness remains constant.

  • Actual Patient of Dr. Ariel Rad
  • Actual Patient of Dr. Ariel Rad
  • Actual Facial Cosmetic Surgery Patient
  • Rhinoplasty Results Washington DC
  • Actual Facial Cosmetic Surgery Patient
  • Actual Facial Cosmetic Surgery Patient
  • Actual Facial Cosmetic Surgery Patient
  • Actual Facial Cosmetic Surgery Patient
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Scarless Rhinoplasty Men Results Washington DC
  • Scarless Rhinoplasty Men Washington DC
  • Scarless Rhinoplasty Washington DC
  • Scarless Rhinoplasty Washington DC
  • Scarless Rhinoplasty Washington DC
  • Scarless Rhinoplasty Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Rhinoplasty Results Washington DC
  • Closed Rhinoplasty Before & After Washington DC
  • Closed Rhinoplasty Before & After Washington DC
  • Closed Rhinoplasty Before & After Washington DC
  • Closed Rhinoplasty Before & After Washington DC
  • Closed Rhinoplasty Before & After Washington DC

Actual Washington DC Rhinoplasty Patient of Dr. Rad’s
See More Top Rhinoplasty Results

Sherber+Rad cannot guarantee specific results.
Individual results may vary.

 

How Is Rhinoplasty Done?

Dr. Rad uses a closed “preservation” rhinoplasty approach. “Closed” means that skin is left mostly intact over the underlying nasal skeleton (not separated), and “preservation” means that key ligaments (scroll and Pitanguy) are not sacrificed. The combination of closed preservation rhinoplasty is focused on minimizing invasiveness. Dr. Rad makes small incisions within the nostrils which gives him access to the bridge, tip, nasal bones, septum and turbinates. Dr. Rad accesses only the structures that require modification and by “preserving” ligaments and the soft tissue envelope, nasal stability is maximized. Also, avoiding excess surgical dissection reduces tissue trauma, swelling and bruising and recovery time is 1-2 weeks.

Open rhinoplasty is done through nostril and columellar incisions, the overlying skin is separated from underlying structures, and then cartilage, nasal bones and septum are exposed. The surgeon modifies those structures to change their shape, and then places the skin back down. This approach is called “structural” rhinoplasty and is different from closed preservation. Open rhinoplasty may be useful in difficult corrective rhinoplasty.

Closed Rhinoplasty Washington DC
Open Rhinoplasty Washington DC

 

Q+A

WHAT IS A RHINOPLASTY?

Rhinoplasty (“nose job”) surgery aims to improve external nasal appearance and to improve nasal breathing. Particularly in Washington DC, limiting downtime is often as important as the result itself. Dr. Rad specializes minimally invasive rhinoplasty with “closed” (no external scar) “preservation” and “endonasal” approaches. These two different but related approaches offer multiple advantages: no visible scars, minimal tissue trauma, recovery time is minimized, nasal stability is optimal, and results can be excellent.

AM I A GOOD CANDIDATE FOR A RHINOPLASTY?

If you have breathing obstruction and/or desire an improvement in the appearance of your nose, then you may be a good candidate for rhinoplasty. Rhinoplasty surgery focuses on improving aesthetic shape and improving airflow through the nostrils. As a consequence, self-confidence and breathing can be significant improved.

CAN RHINOPLASTY IMPROVE MY BREATHING?

About 80% of people have a deviated septum, large turbinates or some other anatomical reason for impaired airflow. Poor nasal airflow impairs sleep which can lead to fatigue, lack of concentration and poor work performance. Rhinoplasty and septoplasty can significantly improve airflow through nasal passages which can improve sleep and restfulness. Even in the absence of a deviated septum, Dr. Rad employs airway preserving techniques, called “dorsal preservation”, as well as other methods such “spreader grafts” (cartilage pieces placed in the internal nasal valve) to open the airways further. Improved breathing and beautiful aesthetic results are always Dr. Rad’s goal for his patients.

WHAT IS A NON-SURGICAL RHINOPLASTY?

Non-surgical rhinoplasty is an in-office procedure whereby Dr. Rad injects dermal filler in precise areas of the nose to improve nasal shape and proportion. It is ideal for patients who have volume deficiency in specific areas. The ideal candidate for non-surgical rhinoplasty are those who have a dorsal hump or downward curving shape of the nose and for whom the radix (upper bridge at eye level) is concave. Dr. Rad carefully studies and measures nasal proportions, and he also pays attention to patients’ ethnicities, in order to optimize nasal shape. With topical numbing medicine pain is minimal, no recovery time is necessary, and results are immediate. The results last 6-12 months depending on the filler used and the amount of volume placed. Dr. Rad uses hyaluronic acid-based fillers such as Juvèderm, Voluma, Vollure, or Radiesse depending on patient characteristics and desired goals.

WHY DOESN’T EVERY SURGEON PERFORM CLOSED RHINOPLASTY?

There are many methods for rhinoplasty and choice of technique depends on many factors. Surgeons-in-training are usually exposed first to the open method because the nasal skeleton is visible during surgery, whereas closed rhinoplasty can be challenging to learn because of limited visibility (by design to minimize invasiveness). However, many skilled rhinoplasty surgeons, especially those who perform rhinoplasty frequently, are capable of open and closed methods. While Dr. Rad has expertise in open methods, he chooses to specialize in closed and preservation techniques which gives patients access to the full spectrum of rhinoplasty surgery.

IF I’VE HAD A RHINOPLASTY BEFORE AND I NEED FURTHER IMPROVEMENT, AM I ABLE TO UNDERGO RHINOPLASTY AGAIN?

Primary (1st time) and revision (2nd, 3rd or more) rhinoplasty patients can have an improvement, and this depends on many factors. In revision rhinoplasty, typically open or closed (endonasal) approaches are used, and ear or rib cartilage graft is needed. These sources of cartilage are essential because the septum likely has been used in prior surgery and no longer has the additional cartilage needed to correct the shape. There is no “one size fits all” approach in revision rhinoplasty and the specific plan develops through careful consultation to assess your anatomy, challenges, goals, downtime and probability of success.

HOW DO I CHOOSE A RHINOPLASTY SURGEON IN WASHINGTON DC?

Particularly in rhinoplasty, surgery can’t be reversed and correcting inexperienced work is more challenging (but not impossible), so choose right the first time. When vetting a plastic surgeon, use this checklist: S/he should be certified by the American Board of Plastic Surgery, trained in an accredited (by ACGME) program at renowned institutions, have years of experience performing rhinoplasty regularly (every week), show extensive before/after photos of patients, and the surgeon’s aesthetic should resonate with you. Patients always should be well informed and it is important to spend time in consultation to discuss your goals, examine your nose, and answering questions and address concerns. Surgery is a significant undertaking with many details to review, and your consultation should be unhurried. Sometimes Dr. Rad offers computer simulations however primarily for hump reductions. Attention to detail is crucial. Note how the surgeon addresses the details of your surgery. Also pay attention to the cleanliness of the office, friendliness and competence of office staff, presentation of information on the website, and other clues to how attentive to detail the surgeon is. Rhinoplasty revision surgery is not uncommon and can be costly. Invest in quality rather than focusing solely on cost. This will give you the best chance of a successful result for the long term.

WHAT IS SEPTOPLASTY?

The septum is a flat piece of cartilage that is the barrier between your twin nasal passages. Sometimes the septum is bowed to one side (called “deviated septum”), causing airway obstruction. A septoplasty is a surgical procedure Dr. Rad performs to (1) straighten the septum to provide better airflow in patients who are suffering from a deviated septum, and (2) obtain cartilage grafts which Dr. Rad uses to reshape the nose for cosmetic improvement. Dr. Rad performs rhinoplasty and septoplasty together. If you’ve already had a septoplasty in the past and now want cosmetic improvements to the shape of your nose, then Dr. Rad may need to borrow cartilage from other areas (the inner “bowl” of the ear, or a rib) to obtain enough cartilage for grafts.

SHOULD OTHER PROCEDURES BE CONSIDERED WITH RHINOPLASTY?

If you have concerns for improving other areas of the face then Dr. Rad will advise you. While rhinoplasty can improve the appearance of the nose itself, facial balance and proportion are crucial to consider. Dr. Rad will evaluate your facial architecture to determine if you would benefit from enhancement or refinement of other areas of your facial skeleton. The most popular adjunct to rhinoplasty is chin augmentation (genioplasty) for a receded or diminutive chin. When the chin is too small the nose often looks disproportionately large. Chin augmentation can improve the projection, shape, and size of the chin. In combination with rhinoplasty, the facial balance can be improved. Facial width is also important to consider: some patients benefit from enhancement of the cheekbones either through facial fat grafting or malar (cheek) implant augmentation, whereas others may benefit from slimming of “chipmunk” cheeks via buccal fat pad removal. Patients in later years may combine facelift or neck lift surgery with rhinoplasty. The bottom line is that combining surgeries is generally safe and requires careful assessment of your facial architecture and your goals. Overall combining procedures are generally safe, cost-effective, and involves one recovery period, making it a popular approach.

HOW ARE COMPLICATIONS AVOIDED?

Rhinoplasty surgery in skilled hands is very safe. Dr. Rad takes every precaution to minimize risk through careful pre-surgery preparation and exceptional post-surgery care. Rather than performing surgery in a small office surgicenter that cannot handle potential, albeit rare, complications from anesthesia (such as airway obstruction), Dr. Rad performs surgery at hospitals in DC and northern Virginia wherein Dr. Rad works only with Board-certified anesthesiologists and experienced staff. This assures the lowest risk of complications.

HOW LONG CAN I EXPECT MY RHINOPLASTY RESULT TO LAST?

In the right hands surgical results last a lifetime.

WHAT IS PRESERVATION RHINOPLASTY?

Preservation Rhinoplasty is a minimally invasive approach that was initially proposed over a century ago and has recently resurged in importance. The philosophy is centered on preserving, rather than dissecting or cutting through, nasal structures, specifically ligaments, the soft tissue envelope and cartilage. The idea is that minimal disturbance of the intrinsic, native structures that provide support to the nose will preserve stability. Can preservation rhinoplasty offer equally good results to other methods? Absolutely yes. This is why it has gained tremendous interest because minimizing invasiveness and achieving beautiful results should always be prioritized.

TELL ME MORE ABOUT PRESERVATION RHINOPLASTY!

There are two main components: dorsal preservation and tip preservation. “Dorsal” refers to the “dorsum” or the bridge of the nose. Commonly patients who desire rhinoplasty wish to have a “hump” or convex bridge reduced to either a straight or slightly curved appearance. There are different methods of doing this. The traditional approach is “component dorsal reduction” which basically means removing (cutting off) the top of hump. Preservation methods use a “push down” or “let down” which involves shifting the hump downwards without cutting off the top. Tip preservation means that we are preserving most of the ligaments that support tip shape, shaping the tip to the degree necessary, and then re-attaching the ligaments. The ligaments that are crucial to preserve are the “scroll ligament complex” and the “Pitanguy ligament”. By repairing these ligaments after tip shaping, the surgeon has more control over the supra tip break point, lateral alar definition and columella position. There are many technical details about preservation and closed methods, however the most important takeaway for patients is that Dr. Rad’s goals are focused on achieving best results while minimizing surgery and preserving native structures. This gives patients the best chance for enjoying a beautiful and functional nose with minimal risk of complications.

 

Consultation with Dr. Rad

WHAT CAN I EXPECT FROM MY CONSULTATION WITH DR. RAD?

First, Dr. Rad will determine if you are a good candidate for rhinoplasty surgery. Your safety is Dr. Rad’s primary concern, and he will review your medical history and perform an examination. You should inform Dr. Rad of any medical problems or medications that may affect your healing.

If you are medically appropriate to undergo surgery then Dr. Rad’s focus will be to understand your specific aesthetic concerns. Dr. Rad will spend time carefully listening to your concerns, asking clarifying questions, and then helping you understand how your nose can be improved.

Dr. Rad will then present his expert opinion about which procedures would be best to help improve your facial anatomy. He will present all options available in modern-day surgery, both non-surgical and surgical. Dr. Rad’s goal is to determine the most comprehensive approach for long-lasting natural results while minimizing downtime.

Dr. Rad will go over photos of his patients’ results (many of which you’ll not find online due to privacy concerns) to highlight his aesthetic approaches and skill. He will take photographs of your nose and face to assist with the planning of your surgery; these photographs will remain confidential.

You will receive a customized price quote for your nasal surgery procedure. Once approved, we may then move forward with pre-operative preparations, and you will meet with Dr. Rad again at your final in-person consultation prior to surgery.

Dr. Rad’s reputation as one of the most technically gifted surgeons attracts patients nationally and from around the world. We cater to patients from across the globe by arranging virtual consultations, luxury accommodations at The Jefferson Hotel (Washington DC’s most luxurious 5-star boutique hotel), and private nursing care. Protecting your privacy, providing comfort, and safely achieving exceptional results are our top priorities.

What are Dr. Rad’s patients saying?

“We consulted with three plastic surgeons before choosing Dr. Rad for my 17-year-old son’s rhinoplasty and chin implant in March 2017. From the first meeting, we felt confident that Dr. Rad is a skilled, experienced and talented surgeon who pays attention to every detail. He is also a super guy – warm, caring, attentive and welcoming. Everything went smoothly and we are extremely happy with the results. We are very pleased with the whole experience and recommend him without hesitation.“

A.B. in Washington, DC | October 3, 2018

 

Rhinoplasty Washington DC

About your Washington DC surgeon

Dr. Rad’s credentials speak for themselves: Princeton (B.S.E, Magna Cum Laude), Duke School of Medicine (M.D.) and University of London (Ph.D.) educated and Johns Hopkins Plastic Surgery trained, he is a Diplomate of the American Board of Plastic Surgery, Assistant Professor at Johns Hopkins, and long-standing member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery. Dr. Rad is considered an expert in facial plastic surgery and microsurgery. He is ranked the #1 plastic surgeon in Washington DC based on aggregate ratings from all independent ranking websites: “top rated local“, “three best rated” top plastic surgeon and “top plastic surgeon reviews“. SHERBER+RAD have never engaged in paid advertising, and all rankings, reviews are from vetted and respected sources.

Meet Dr. Rad

What are Dr. Rad’s patients saying?

  • I scheduled a consultation with Dr. Rad and his team. Not only was the office well kept & clean , but the staff was excellent as well & very friendly ! Dr. Rad met all of my aesthetic needs ! The day of surgery went amazing, the nurses were very welcoming & professional. I was absolutely in shock at how rapid my scarless rhinoplasty procedure had healed after one week ! I couldn’t be happier with my results. The process from pre to post surgery was flawless ! I couldn’t imagine anyone more skilled at their craft than Dr. Rad & his team !
  • My rhinoplasty with Dr. Ariel Rad was one of the best decisions in my life. It was well worth coming to DC from Michigan to get the best possible specialist to do the job. Dr. Rad is very knowledgeable and very attentive. He has outstanding bedside manners in addition to his skills as a plastic surgeon. His is not just very good – he is a perfectionist with a good eye and excellent taste. If my family member or close friend needed plastic surgery, I would refer them to Dr. Rad with confidence.
  • Phenomenal experience – gave me a fantastic new nose that looks super naturalDr. Rad is fantastic. He took time to explain the procedure, listened to what I was trying to achieve, and gave me a fantastic new nose that looks super natural and like it belongs on my face. He’s the BEST.

 

What is the cost of rhinoplasty surgery in DC?

The cost of rhinoplasty in Dr. Rad’s DC practice ranges from $950 – $1,900 ($950 / syringe of filler) for non-surgical rhinoplasty, and from $8,500 for tip rhinoplasty to $15,500 for primary surgical rhinoplasty, and up to $28,000 for complex surgery, corrective work and/or additional procedures such as rib graft. The total cost depends on many factors: your unique anatomy, your goals, and preferences, complexity of the surgery, first-time or corrective work required, in-office (non-surgical) or hospital-based operating facility (surgical), and the training, experience, and skill of your surgeon. Johns Hopkins trained, and Assistant Professor and former Director of aesthetic surgery there, Dr. Rad is a board-certified plastic surgeon with over a decade of experience having done thousands of rhinoplasty and facial aesthetic surgeries.

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Sherber+Rad1101 15th St. NW, Suite 100, Washington, D.C. 20005