OPEN RHINOPLASTY

Transform Your Look with Subtle, Powerful Refinement.

At Advanced Facial Surgery, Open Rhinoplasty represents the perfect balance of precision, artistry, and medical excellence. Under the care of Dr. Manolis Manolakakis, DMD, FACS, a dual board-certified cosmetic and reconstructive facial surgeon, patients experience a level of expertise and attention that defines elite surgical care.

Whether you visit our Shrewsbury, NJ location or our New York City practice, you can expect a deeply personalized experience designed to refine and elevate your natural features while preserving your individuality.

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The results speak for themselves

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EXPLORE RHINOPLASTY GALLERIES

What Is an Open Rhinoplasty?

    An Open Rhinoplasty is a surgical approach designed to refine and reshape the nose with exceptional accuracy. Through a small incision placed at the base of the nose, Dr. Manolakakis gains direct access to the underlying structure, allowing for precise control over nasal definition, projection, and symmetry.

    Patients often choose Open Rhinoplasty to address:

    • A nasal hump or bridge irregularity
    • Wide, asymmetric, or bulbous nasal tips
    • Nasal deviation or breathing difficulties
    • Previous rhinoplasty concerns requiring revision

    Every Open Rhinoplasty performed at Advanced Facial Surgery in Shrewsbury and New York City is uniquely tailored to your anatomy, goals, and aesthetic vision, ensuring outcomes that feel effortlessly natural.

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    What to Expect: Pre-Operative Phase

    Before your rhinoplasty journey begins, you’ll have a personal and in-depth consultation with Dr. Manolakakis. This is your time to openly share your goals and what you hope to achieve from the procedure. Dr. M. will take the time to carefully examine your nose, including its internal structures, while also considering your skin type, thickness, and overall facial anatomy.

    This compassionate and thorough evaluation ensures that rhinoplasty is the right choice for you and that the results will align perfectly with your unique features. We’re here to support you every step of the way, making sure you feel informed, comfortable, and confident as you move forward.

    There are several other preparations to consider, such as medical evaluations, medication reviews, pre-op lifestyle changes, and recovery plans.

    What to Expect: Operative Phase

    Rhinoplasties are performed under general anesthesia. The type and placement of incisions depend on the chosen rhinoplasty technique. Dr. M. separates the skin from the underlying bone and cartilage, which can then be reshaped, reduced, or augmented. This may involve, but is not limited to, removing or rearranging cartilage and bone, adding cartilage grafts, or correcting structural issues such as a deviated septum. Once the desired shape is achieved, the skin is redraped over the newly sculpted framework, and the incisions are closed with sutures. In the case of an open rhinoplasty, the columnar incision is also closed.

    Depending on the complexity of the procedure, Dr. M. may place splints or packs inside the nostrils to support the nasal structures during healing and minimize swelling. The duration of the operation varies based on individual factors but generally lasts between 2–5 hours.

     

    What to Expect: Post-Operative Recovery and Care

    Following your surgery, you will be taken into recovery, where you'll be monitored until you awake. Your nose may be protected with a splint and external bandages to maintain its new shape and reduce swelling. You may experience some discomfort, which can be managed through prescribed pain medication. Swelling and bruising around the nose and eyes are common and typically subside within two weeks. Keeping your head elevated and using cold compresses can help minimize these effects. emporary nasal congestion and difficulty breathing through the nose are common due to internal swelling and any nasal packing. Non-dissolvable stitches, if used, are usually removed within a week to ten days. Patients should avoid touching or rubbing the incision sites during the healing process. Strenuous activities, heavy lifting, and bending over should be avoided for at least two weeks.

    Most patients can return to work and normal activities within ten to fourteen days, depending on their comfort level and the nature of their job. Dr. M. will provide instructions based on your circumstances. Protecting the nose from sun exposure is crucial. You should always wear hats and apply sunscreen to the nose when outdoors. The office staff will schedule check-ups to allow Dr. M. to monitor your progress and address any concerns.

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      Dr. Manolakakis

      Dr. Manolakakis takes a conservative and integrative approach to medicine, designing personalized treatment plans for each individual that comes to Advanced Facial Surgery in need of a change. He specializes in facial cosmetic surgery and non-surgical treatments, facial reconstruction, maxillofacial trauma management, jaw surgery, and cleft lip and palate repair.

      FACE/NECK LIFT

      RHINOPLASTY

      OTOPLASTY

      BUCCAL FAT PAD

      MYELLEVATE

      RENUVION

      FAT GRAFTING

      RENUVION

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        Testimonials

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          Payment & Financing

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