Orlando Botox Treatments

Rhinoplasty

Orlando's Leading Rhinoplasty Expert - As an Orlando Rhinoplasty expert and facial plastic surgeon, Edward J. Gross, M.D. is one of only 750 surgeons worldwide certified by the American Board of Facial Plastic Surgery (ABFPRS). Dr. Gross is widely recognized for his specialization in nose surgery to improve one's looks, self confidence and health. Rhinoplasty is the most common procedure performed by Dr. Gross.

Rhinoplasty Before & After Photos (Total pictures in this category: 119)

From Dr. Gross

Did you know?

According to the American Society of Aesthetic Plastic Surgeons, the average plastic surgeon does approximately 14 rhinoplasty procedures a year whereas Dr. Edward Gross does approximately 150 – over ten times what the average plastic surgeon does.

Rhinoplasty is the most common procedure performed by Dr. Gross and he is renowned in Florida for his outstanding results and expertise.  Many of Orlando’s most respected plastic surgeons refer their Rhinoplasty patients to Dr. Gross for second opinions,  for revisions or difficult cases. Our referral base includes Dermatologists, Oral Surgeons, Plastic Surgeons, Cosmetic Dentists, and Family Practice specialists in Florida. Rhinoplasty (or Nose job) is a nose-reshaping surgery that can correct deformities or make subtle aesthetic changes for cosmetic purposes. Dr. Gross explains the procedure and the various rhinoplasty techniques.

Rhinoplasty is a surgical procedure that reshapes and can improve the function of the nose. People seek rhinoplasty for a number of reasons, including cosmetic refinement, birth defects, or to correct breathing difficulties. If you are considering a rhinoplasty, it is important that you seek out a capable, experienced surgeon who will provide you with the individualized treatment you need to get the results you want: a more balanced, refined look that will leave you feeling more confident and comfortable in your own skin.

Modern rhinoplasty methods have advanced so that educated patients have expectations for  beautiful and natural -looking results. Our patients are a sophisticated group that want a rhinoplasty surgeon who can avoid some common pitfalls of  inexperience, including: scooped-out bridge, pinched tip, polybeak deformity, and saddle nose. These kinds of problems can be avoided with attention to detail, experience, and sound surgical techniques.  A natural-looking nose should have character, and there should be no distortion of the tip, nostrils, or internal structures.  “A well-done rhinoplasty should look good and function optimally, to allow the patient to breathe well”, says Dr. Gross.

At Primera, we will provide you with Patient References and a large volume of Dr. Gross’  Before and After nose surgery photos. You will be able to see how Dr. Gross has helped many patients achieve a better, more balanced profile. A computer imager can be used to determine the best fit for your individual facial features, and your potential “after” results will be demonstrated on the computer imager by Dr. Gross.

A double board-certified specialist in rhinoplasty, Dr. Gross has more than 17 years of experience in facial plastic surgery. After graduating with honors from the University of Miami School of Medicine, he trained at Tufts and Boston University. Dr. Gross is on staff at Orlando Regional Medical Center and is now the President-elect of the FL Society of Facial Plastic Surgery. He is recognized as a rhinoplasty expert in Orlando and has been named “Best Plastic Surgeon” by Orlando Magazine readers.

Dr. Gross has a detailed understanding of nasal anatomy and function. His background in reconstructive facial surgery and additional board certification  in Otolaryngology (ENT), uniquely qualifies him to perform Rhinoplasty. “Rhinoplasty is arguably the most challenging of all plastic surgery procedures, requiring 3 dimensional knowledge of anatomy, nasal function, and an artistic eye for beauty,” says Dr. Gross.  ”There are many intrinsic rewards in performing nose surgery”, says Dr. Gross.  ”We are changing people’s lives in a positive way by  helping them regain their confidence and improve their appearance. I love being part of the process and the transformation”, says Gross.

He performs nose surgery to correct or improve the appearance of common conditions, including crooked nose, long nose, saddle nose, wide nose, ethnic nose, short nose, nasal blockages, sports injury, childhood injury of nose, nasal hump reduction, tip elevation, tip plasty, tip lifting and shortening, nostril narrowing, nose bridge narrowing, and breathing improvement. The most challenging and demanding portion of nose surgery is the tip. “Controlling and re-shaping the tip, or tip plasty, requires in-depth and detailed knowledge of nasal anatomy, tip dynamics, healing processes, ethnic variations, and physiologic function,” says Dr. Gross.  “Proper treatment of the tip is the major determinant to a successful aesthetic outcome in cosmetic Rhinoplasty,” he adds. This is where experience and case volume is very important and Dr. Gross has the most experience in this area, bar none. Many respected doctors including; dermatologists, dentists, ophthalmologists, oral surgeons, ENT ‘s,  & plastic surgeons, refer patients to Dr. Gross for his expertise in Rhinoplasty.

He also performs correction of deviated septum and nasal turbinate cautery, which improves nasal airway function. Nasal implants can improve the appearance of the nose, and cartilage grafts using either septal nose or conchal ear cartilage can augment or correct the shape of the nose. Dr. Gross routinely performs osteotomies to reset the nasal bones and bring in the sidewalls to reduce the wideness of the bridge and tip. Dr. Gross also provides revision rhinoplasty, a corrective procedure for a prior nose job or botched nose job.

Dr. Gross perfoms ethnic rhinoplasties as well, a procedure that refines the function and form of the nasal shape while preserving the distinct ethnic features of the nose. Ethnic nose variations include Asian, African-American, and Hispanic, which may need structural support. Caucasian noses typically require  hump reduction or straightening and have good overall support. A popular procedure for ethnic rhinoplasty  is nasal bridge elevation (or reduction) and nostril reshaping. Dr. Gross’ artistic judgment and understanding of ethnic facial variations are a key to his success in performing ethnic rhinoplasties.

Careful pre-op measurements, internal and external nasal exam, and computer images combined with Dr. Gross’ artistic eye are the foundation of balanced and natural rhinoplasty results. According to Dr. Gross, “a good rhinoplasty should whisper across the room….not shout”.  Natural results, he notes, are key in rhinoplasty. He is described as a controlled and delicate surgeon, a gentle sculptor who uses new and advanced techniques to achieve refined yet noticeable results. Dr. Gross uses Open Approach Rhinoplasty for greater visualization and direct control of nasal tip. This technique is mandatory for Revision Rhinoplasty and provides more predictable outcomes which substantially improve the aesthetic look and function of the nose, according to Dr. Gross.

We are one of a very few practices that use a  Computer Imager to show potential results. The computer analysis  allows Dr. Gross to take careful measurements of each patient’s nose, facial profile angles, and show possible surgical results. Computer Imaging is an excellent teaching aid for our patients and serves as the template or roadmap in surgery. “With this technology, I can reliably tailor a surgical treatment plan for each patient’s needs for Nose Job.”

Orlando Plastic Surgery CFBride Rhinoplasty – From Dr. Gross

Dr. Gross examining a patient using the Computer Imager.

Minimally invasive techniques help preserve the inner lining of nasal membranes as Dr. Gross takes into consideration skin thickness, nasal height, nostril symmetry and width, nasal labial angle, chin position, and ethnicity. His extra care and precision combine with nearly two decades of experience in the rhinoplasty procedure to result in perfectly targeted treatment with less downtime and a natural appearance, as well as minimal bruising and pain. At Primera, we prescribe Homeopathic remedies such as Arnica and Bromelain (SinEcch) to reduce swelling and bruising. It’ s all part our attention to detail and patient-oriented focus that makes Primera and Dr. Gross a valued partner in rhinoplasty in Orlando.

The rhinoplasty procedure is approximately 2 1/2  hr.  procedure at Primera Surgery Center, our  AAAASF accredited, on site surgery center.  The same day surgery is an outpatient procedure, with general anesthesia provided. After anesthesia, an adult driver is needed to take the patient home, where they will experience an easy at-home recovery process. Ice compresses applied to the forehead for the first two to three days will minimize swelling. Arnica tablets are provided to reduce bruising and speed healing. Because there will be no packing in the nose, patients enjoy greater comfort during the recovery process. “Patients are really quite surprised that there is so little pain after surgery.  This is shown consistently in our Post-op Surveys where 95% of our patients rate their discomfort as a “1″ on a scale of 1-10″, says Dr. Gross.

A return visit will be necessary at one week post-op for cast and suture removal. Patients can return to school or work the day the cast is removed, looking quite normal and natural. Although the reveal is exciting, patients should expect their rhinoplasty results to continue improving over the first year as swelling gradually subsides. It is expected that there may be some temporary numbness at the tip of the nose.

When you are in the experienced, capable hands of Dr. Gross, you will enjoy smooth, precise results from your rhinoplasty procedure and a quick, comfortable recovery.

Dr. Gross is one of only 750 Board Certified Facial Plastic Surgeons worldwide. According to Dr. Gross,  the trend in modern Rhinoplasty(Nose surgery) is toward specialization (i.e.  Facial Plastic Surgery) and is moving away from over-reduction of the nose. “I prefer individualized treatment of each segment of the nose to give a balanced, refined look without compromising function, and the Computer Imager is an invalauble tool in the process”, says Dr. Gross.

If you are interested in Rhinoplasty (Nose Surgery-Nose Job) in Orlando,  call one of our trained professionals at 407.333.3040 to schedule your Consultation with Dr. Gross.  A transforming experience awaits you at Primera.

Orlando Plastic Surgery default Rhinoplasty – From Dr. Gross Katie’s Rhinoplasty Story

Orlando Plastic Surgery default Rhinoplasty – From Dr. Gross Computer Imaging Video    Orlando Plastic Surgery tr 187 11 plat Rhinoplasty – From Dr. Gross

Orlando Plastic Surgery default Rhinoplasty – From Dr. Gross  Erin’s Rhinoplasty

 

    ”Trust Your Face to a Facial Plastic Surgeon.” ™

Commonly Asked Questions

How long does the Rhinoplasty ( Nose Surgery) take and what kind of anesthesia is used?


Dr. Gross performs Rhinoplasty in approximately two to three hours depending on the complexity and the condition of the nose. Rhinoplasty is done under general anesthesia at Primera Surgery Center as an outpatient surgery with at home recovery for one week.

How accurate is the Computer Imaging session? 

Dr. Gross has over 15 years of experience with Computer Imaging and approximates his surgical outcomes very closely with those provided on the Imager.  Barring any unforeseen problems, most patients will be very satisfied with the final results Dr. Gross simulates on the Computer Imager. Dr. Gross will examine each patient individually and advise each patient  if their expectations are realistic, based on this comprehensive analysis. These images are emailed to the patient containing a standard Disclaimer.

Is there a lot of bruising afterwards and how long will the swelling last?


This depends again on how complex the procedure is, but in general most of our patients experience limited discoloration and swelling around the eyes and this is resolved within one week. This due to the experience and skill of our surgeon. “Delicate care in surgery and handling the tissues gently is critical for rapid healing”, says Dr. Gross. We also prescribe homeopathic Arnica and Bromelain (Sinecch) to reduce swelling and bruising.

I have trouble breathing through my nose; will cosmetic Rhinoplasty help my breathing?


Yes. The condition described is usually associated with a deviated septum or a bent internal framework of the nose. “Most of the time this results from trauma such as a broken nose, but many of my patients cannot recall an episode where this might have occurred,” says Dr. Gross. Careful examination by a qualified Facial Plastic Surgeon is needed to determine the best course of treatment for each patient. Dr. Gross is double board certified which allows for his unique skills combining cosmetic as well as functional improvement during surgery. Although correction of a cosmetic deformity of the nose is not covered by insurance; Dr. Gross will correct breathing problems, as needed, at the time cosmetic Rhinoplasty(Nose Surgery) is performed.  Keep in mind that Dr. Gross is one of only a very few doctors with dual board certification and training to handle both the cosmetic and breathing portions of your surgery.  Although we do not accept insurance;  Dr. Gross may advise you on the benefits of correcting your breathing problems during surgery .

Where are the incisions placed during nose surgery?


Dr. Gross places most of the incisions for Rhinoplasty( Nose Job) hidden in the inside of the nostril. External incisions may be hidden in the creases where the nose meets the cheek to narrow the nose. An incision will also be hidden under the nasal tip for Open Rhinoplasty.

When will I see my final results from surgery?


It takes one year for all of the swelling to subside , especially at the tip and following tip plasty. This may be longer for revision Rhinoplasty patients or previous trauma cases, which we frequently care for. However, most patients see immediate pleasing results when the cast is removed at the end of the first week. The typical patient returns to work or school at the end of one week with very little signs of nose surgery.

Will the bump re-grow on my nose after my nose surgery?


No. The bump will not re-grow on your nose; however, we recommend our patients follow strict guidelines to avoid contact sports for one month following surgery. This will avoid any unnecessary trauma or injuries.

Will I have packing inside my nose?
No. Dr. Gross performs cosmetic Rhinoplasty with minimal invasiveness. His advanced techniques allow for minimal trauma and bleeding in surgery resulting in less pain and swelling; therefore, no packing is required. “Our patients experience minimal discomfort and bruising during their recovery” says Dr. Gross. Arnica and Bromelain (SinEcch™)are prescribed to our patients to minimize bruising and swelling- a homeopathic remedy of great benefit in the healing process.

What is tip plasty?

Any modification of the tip of the nose is considered tip plasty. Dr. Gross re-shapes, sutures, and trims the cartilage at the tip of the nose for a more refined tip, which is less round or bulbous. Tip plasty is an advanced form of technique in Rhinoplasty and requires a great deal of experience and training to even perform these maneuvers. Many plastic suregons don’t address the tip because of it’s complexity and challenges. However, Dr. Gross performs tip plasty routinely for more harmonious results.

Testimonials

Dear Dr. Gross,

I could never have imagined how wonderful this experience of Primera has been. I was only interested in finding a good plastic surgeon and researched several in Florida. Dr. Gross had the experience, skill and credentials I was looking for and once I met with him I knew I had made the right choice. Everything from the point of my surgery on has exceeded my expectations. Could not be happier with my results or the atmosphere at Primera, the staff always make you feel warm and welcome. I came to the surgery after an abusive relationship changed not only the way I looked, but felt. I could only fix the inside and to achieve the next level of confidence going forward with my life, I needed to have Dr. Gross for that. I can’t ever thank him enough for the sense of joy he restored. When I look back now I have that sense of power-yeah I made it and its going to be ok. I will never let anyone take that from me again. It meant that much. – Pam

As you know I was very hesitant; waiting almost 10 years since my last attempt at rhinoplasty, because of the intense pain and poor service from my prior Surgeon in Tennessee. When you originally told me the the pain would be “3 out of 10″, I was extremely skeptical. I am now a convert and would hope that anyone hesitant doing a revision or a new rhinoplasty because of the pain or poor service, seriously consider you as their Surgeon. I also wanted to let you know that my experience with you and your support staff has been excellent and I was very happy to see that throughout the entire process that the quality service remained. Lastly, I would like to tell you that I am convinced that you genuinely care about your patients and that’s a nice change.  –  Clint

My journey with Dr. Gross and the staff at Primera has been amazing!   The care, my results, and the professionalism at Primera has been beyond excellent! I appreciate the extraordinary care! It’s been wondeful to brag about Dr. Gross and the Primera staff!!  — Michelle

I just wanted to say thank you for everything you have done for me. I feel really blessed that I found the right place and the right people to work on my nose. With heartfelt thanks, — Noelle

I visted four other surgeons before meeting Dr. Gross. His wonderful demeanor, as well as the professionalism of his staff, instantly put me at ease. I did not want to drastically change my appearance, rather I wanted to look like a “better version” of myself. I couldn’t be any happier with the results and would highly recommend Dr. Gross to anyone seeking facial plastic surgery. — Jodi