Ideally, a doubly board-certified plastic surgeon (one who is board certified in both plastic surgery and ENT [otolaryngology]) will have the most experience doing noses. This surgeon can not only make the nose look better, but if you have problems breathing s(he) can address that too.
Go to: https://www.certificationmatters.org/is-your-doctor-board-certified/search-now.aspx (you will have to register but it is free).
I specialize in a technique called “closed rhinoplasty,” where all incisions are inside the nose. If you need to have your nostrils narrowed, or have an extremely difficult nasal tip, there may be a small but almost inconspicuous scar in the crease outside your nostrils.
If you have a minor deformity, a dermal filler such as Radiesse® or Juvéderm® can be used to fill it. This is temporary and only works for very minor nose deformities.
I use deep sedation and local anesthesia. You are asleep, feel no pain, and are not aware of the surgery taking place.
The surgery is usually done in my AAAASF-certified operating room, but you may choose to have your procedure at Lenox Hill Hospital or Manhattan Eye and Ear Hospital. If you choose the less expensive option of office-based surgery, you will rest in the recovery room for a couple of hours and go home with a companion later in the day.
You will need to keep ice compresses on your eyes to keep down bruising and swelling. You will need to rest for the first day or two, and if you experience any discomfort you will be given an analgesic. Minor bleeding from your nose can occur and usually stops after the first 24-48 hours. A small nasal splint will stay in place for 4-5 days. I almost never use uncomfortable packing inside your nose. This makes for a more comfortable recovery.
You will return for a follow-up visit 4-7 days after your rhinoplasty. The splint will be removed and you will see your new nose. It will still be swollen. If you had a large bump, your new profile will be seen. It can take up to 6-12 months for all of the fine swelling in the tip to resolve. If you have any bruising, it usually disappears within 1-3 weeks. You can usually gently blow your nose after 10-14 days and you can use a mild saline spray to clean the nostrils after 5 days.
It all depends on the type of work you do. Usually you can return within the first week. I prefer you wait 10 -14 days before very strenuous activities are started. There is minimal down time with a well done rhinoplasty.