Rhinoplasty in NJ

A rhinoplasty, also known as a nose job, is a surgery performed to change the shape of the nose. Rhinoplasty surgery helps improve the proportions and size of the nose, correct impaired breathing due to structural defects, and enhances nasal asymmetry. I use a closed rhinoplasty approach to blend the nose with the face, creating a facial balance where the nose does not stand out as a separate entity.

With my 27 years of experience, I enjoy rhinoplasty surgery and providing my patients with truly natural results that complement their face shape. Rhinoplasty is a highly customized procedure, and every patient deserves a one-of-a-kind approach. Patients have come from more than 25 states and 17 different countries for our surgical treatment because of our results. We want every patient to remember us for having been a positive, life-changing influence.

Schedule a consultation by calling (973) 736-5907 or complete our online form to learn more.

Real Patient Result
Real Patient Result

Why You Might Consider Rhinoplasty

Rhinoplasty is one of the most challenging surgeries to perform because it has cosmetic and functional purposes. You might consider rhinoplasty if you are unhappy with your nose’s appearance because:

  • You feel that it is out of proportion with your other facial features — too large, too small, too wide, too narrow, or projecting too far.
  • It has a visible hump.
  • The nostrils are wide or upturned.
  • The tip of the nose is enlarged or hooked.

You might also choose to have rhinoplasty surgery if you have breathing problems such as a deviated septum.

Your nose’s appearance significantly influences your other features, and vice versa. For example, a receding chin might make your nose look too large. During your consultation, I will consider the proportions of your facial anatomy and recommend an approach to bring everything into attractive balance.

Rhinoplasty Before and After

After your surgery, you will experience long-lasting results and a new nose shape that complements your facial features. View our rhinoplasty before and after photographs to see our patients’ amazing facial transformations!

Rhinoplasty Candidates

Rhinoplasty surgery is ideal for individuals who are looking to improve the shape and size of their nose. Candidates may have a deviated septum, visible humps on the bridge of the nose, nostrils that are wide or upturned, or enlarged or hooked nasal tip cartilage.

Ideal rhinoplasty candidates are dissatisfied with their nose’s appearance or function and share the following qualities:

  • Are in good physical health
  • Do not smoke, or are willing to quit for several weeks before and after the procedure
  • Have realistic expectations for their surgical outcomes

What to Expect During a Rhinoplasty Consultation

During your rhinoplasty consultation, I will talk to you about your previous medical treatment and surgeries, current medications, alcohol and drug use, drug allergies, and surgical goals. My team and I will also evaluate your general health status, examine and measure your face, take photographs, discuss likely outcomes and potential risks, as well as the options available for surgery.

Meet Scott SpiRo, M.D., F.A.C.S.


I am a board-certified plastic surgeon specializing in breast cancer reconstructive surgery and cosmetic procedures of the breast, body, and face. To me, every patient is unique and deserves results tailored to their concerns. You can understand my approach to care by reviewing the testimonials and before and after galleries on this site and learning about the many “Top Doctor” awards I have won.


Art is my other passion, and my artist’s vision guides my work as a surgeon. I have done technical illustrations for many journal articles, book chapters, and patient resource pamphlets for national societies. I am also an accomplished painter, sculptor, and photographer. When you visit our office, you’ll see a gallery of reproductions of many of my pieces in oil, graphite, and photography.

How to Prepare for a Rhinoplasty

In preparation for your rhinoplasty, you may need to get a lab test, adjust your current medications, and avoid taking aspirin or other over-the-counter drugs that may increase bleeding. If you smoke, vape, or use any nicotine, cannabinoid, and/or ADHD medication, you must be willing to stop for several weeks before and after your surgery. You should also arrange for someone to transport you to and from the surgery.

Rhinoplasty Surgery in NJ with Dr. Spiro

I usually perform rhinoplasty surgery while patients are under general anesthesia. I use a closed rhinoplasty technique, also known as an endonasal rhinoplasty, that leaves no external scars. With this technique, I make incisions inside the nose to make moderate changes to:

  • The cartilage at the tip of the nose
  • The cartilage along the bridge of the nose (cartilaginous dorsum)
  • The bone of the bridge of the nose (bony dorsum), for hump reduction
  • The angle of the nose tip
  • The three-dimensional structure of the nose (bony vault)

If you have a deviated septum, I will alter and straighten it to improve breathing.

Rhinoplasty Surgery Recovery

Following surgery, packing material is placed on the inside and outside of your nose to support the new structures. After your procedure, you can expect swelling and bruising around the eyes which, generally subsides within the first few weeks. After that, your results will become visible, gradually improving over the next several months. It may take a year for the last of the residual swelling to fade and your ultimate outcome to appear.

My team and I will give you specific instructions on how to care for your surgical site, medications to apply or take orally, specific concerns to look out for, and when to schedule a follow-up appointment to take off your splint and bandages.

Frequently Asked Questions About Rhinoplasty Surgery

I perform rhinoplasty surgery on patients after their noses have stopped growing and their facial features have reached their adult proportions. Usually, this age is about 15 for girls and 18 for boys. Beyond that, there is no “right” age for rhinoplasty. The surgery can benefit adults of all ages, including people in their later years.

Yes. I take an individualized approach to every cosmetic procedure. I take great care in planning and performing nose surgery to enhance the facial features’ aesthetic harmony. The only way to achieve that goal is by changing your nose to be uniquely your own, in a new way.

Thanks to the anesthesia, you won’t feel anything during surgery. You may have a sense of pressure or congestion in the first couple of days of recovery, but should not feel pain. You can reduce any initial discomfort with pain medication.

Patients can generally return to work or school about 10 days after their rhinoplasty surgery, sometimes sooner if their jobs or academic studies involve no strenuous activity.

You can resume light exercise about three weeks after your surgery, then gradually work up to more strenuous exercise over the next few weeks.

Because I use the closed rhinoplasty technique, I make the incisions on the inside of the nose, where the resulting scars will not be visible.

Yes. Improving facial harmony with rhinoplasty sometimes involves combining cosmetic procedures. For example, you might wish to pair your nose job with eyelid surgery or fillers. In your consultation, we can discuss options for combined procedures, and I can advise on an approach that will give you the results you’re seeking in the safest and most comfortable way.

Rhinoplasty Plastic Surgeon

Dr. Scott Spiro is a board-certified plastic surgeon at Spiro Plastic Surgery in West Orange, NJ, specializing in rhinoplasty surgery. He served as an adjunct Plastic Surgeon for the New Jersey Devils Hockey team early in his career and helped author a textbook on Rhinoplasty during his fellowship training. Schedule a consultation by calling (973) 736-5907 or complete our online form to learn more.


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Graphite/Pencil Hybrid-Painting by Dr. Scott Spiro