Trends may come and trends may go, but one thing is for sure: According to the American Society of Plastic Surgeons (ASPS), rhinoplasty was yet again amongst the top five most popular plastic surgery procedures in 2018 with almost 214,000 patients last year alone. New York City facial plastic surgeon Dr. Sam Rizk didn’t need the official stats to know about the patient demand for nose reshaping, because he has seen a steady rise in rhinoplasty patients first-hand—not only in the past 12 months, but in recent years as well.

Rhinoplasty is unique in that although this procedure targets a defined area, it has a significant impact on the overall look of the face. This is because of the vital role rhinoplasty plays in facial harmony—which is how the individual features of the face work together to create a natural-looking harmonious balance.

Most potential rhinoplasty patients initially focus on the shape and size of their nose alone, and are often surprised by the improvement this procedure has on the look of their face as whole. Dr. Rizk has an astute artistic eye that allows him to create the “ideal” nose for every face based on the proportions, projection, symmetry and aesthetic geometry that help achieve the “Golden Ratio” that was first identified by the ancient Egyptians and Greeks.

Dr. Rizk customizes every rhinoplasty procedure for each patient, taking other factors such as ethnic background into account. The key to successful rhinoplasty results is considering a patient’s heritage in order to refine the appearance of the nose while ensuring that it seamlessly blends with other facial features and enhances overall facial appearance—and Dr. Rizk has extensive experience with patients of Asian, African, Middle Eastern, Mediterranean, Latino, Indian and other descents.

Dr. Rizk uses both open and closed rhinoplasty techniques, and the ideal approach is generally based on the patient’s unique nasal anatomy (including skin thickness and the degree of grafting required during surgery) as well as their goals. An “open” approach requires a small incision below the nostrils, while a “closed” approach is limited to incisions inside the nose. Dr. Rizk has also developed his own methods for removing excess fat and precisely sculpting grafts to obtain smooth, natural-looking outcomes—and has taught plastic surgeons around the world how to perform these techniques.

Rhinoplasty is generally performed on an outpatient basis with either local or general anesthesia, and the procedure generally takes from one to two hours. Although patients can have surgery in the morning and be home by the afternoon, healing takes time. Most patients go home wearing a splint and may have packing that remains in the nostrils for up to five days. Bruising and swelling can last for a week or more, and the shape of the nose continues to improve for up to a year.

It’s important to know that Dr. Rizk as a facial plastic surgeon may recommend additional procedures such as chin augmentation in conjunction with rhinoplasty to help achieve optimal facial harmony. In many cases, it’s essential to address facial contours beyond the nose to create the ideal profile that helps maximize a patient’s appearance.

To learn more about rhinoplasty, complementary non-surgical treatments and other facial plastic surgery procedures, call 212-452-3362 today to schedule a consultation with New York City double board-certified facial plastic surgeon Sam Rizk, MD.

The Foods to Eat (and Avoid) Before and After Surgery

Any type of surgery can be stressful on the body and being well prepared means more than just avoiding certain medications and supplements, alcohol, smoking and anything else your doctor advises. A healthy diet both before and after surgery can help your body cope with the trauma of surgery itself—and promote healing in the days and weeks following your procedure.

Before surgery
The most important dietary change before surgery is cutting out processed foods, as well as carbohydrates like foods like bread, rice and sweets. If you’re in doubt, anything that comes pre-packaged in a box is likely processed, and you’re better off preparing foods from scratch. Another food group to keep to a minimum is dairy, as all of these aforementioned foods have been found to increase inflammation in some men and women.

As you probably guessed, you should up your intake of antioxidant-rich fruits and vegetables before surgery. Vitamin C is among the most important nutrients to get plenty of since it plays a crucial role in the collagen production necessary for good healing. In addition to citrus fruits, dark, leafy greens, broccoli and Brussels sprouts are vegetable-based sourced of vitamin C.

Protein is a vital part of pre-surgery prep, and lean meats such as chicken, eggs and beans are healthy ways to get it. Fish rich in omega-3 fatty acids (such as salmon and tuna) are helpful for curbing inflammation—and you can also add a protein powder to fruit smoothies to ensure you get the benefits of both. However, most surgeons advise avoiding heavy meats like beef that take longer to digest, especially in the day or two before surgery—and it’s best to eat a light meal the night before your procedure.

After surgery
You may not have much of an appetite the night after surgery, but if you’re hungry, be sure to keep your first post-procedure meal light. Clear liquids such as broths and juices are ideal, and you should reintroduce heavier foods slowly over the coming days as not to stress your digestive system.

You should adhere to your pre-surgical diet after surgery as well, but it’s important to increase the amount of protein you’re eating to give healing tissues the amino acids they need. You should still limit carbohydrates during the recovery period since this can help minimize swelling. The body also needs extra energy for optimal healing, so you may want to increase your daily caloric intake for the week or two after surgery. Healthy foods with higher fat contents include nuts, olive oil, coconut oil and avocadoes.

Dr. Rizk responds:
The key to an ideal pre- and post-surgery diet is focusing on foods that can help minimize inflammation and swelling. The wrong diet can actually impede healing by decreasing collagen synthesis and immune function. I often tell patients that surgery is an opportunity to “reset” their eating habits, as this pre- and post-procedure diet provides the body with all the essential nutrients it needs—and none of the “junk” that it doesn’t. After a few weeks, most patients become accustomed to healthier eating, and many stick with it once they see how much better they feel.

To learn more about how diet and other lifestyle changes can help prepare the body for surgery and optimize recovery, call 212-452-3362 today to schedule a consultation with double board-certified facial plastic surgeon Sam Rizk, MD.

5 Facial Traits Women Find Attractive in Men

There are distinct differences between masculine and feminine features, so it’s no wonder that women tend to find specific facial attributes attractive—even on a subconscious level. New York City facial plastic surgeon Dr. Sam Rizk has extensive knowledge about male and female anatomy, as well as the subtle differences between the two. When approaching plastic surgery in men, he is mindful of maintaining and enhancing masculine traits, especially the ones that have been found to be most appealing to women.

A strong jawline
A study published in the Nature Communications journal found that men with higher levels of testosterone and other stress hormones had stronger immune systems—and more defined jawlines. This leads researchers to believe that an attractive jawline may be an evolutionary signal of a male’s virility, which in turn helps attract mates. In a different study that was published in Proceedings of the Royal Society B, a man’s jawline served as an indicator of their overall fitness based on the degree of fat in this targeted area.

A strong brow
Another study from Evolution and Human Behavior revealed that women are especially drawn to masculine features such as a strong brow, especially when they are ovulating. The authors suggest these physical traits may be an indicator of stronger genes—or at least perceived that way by females.

Numerous studies have confirmed a link between perceived attractiveness and facial symmetry. One theory called Evolutionary Advantage focuses on symmetry as an indicator of one’s overall health. This is because although our DNA is designed to result in a perfectly symmetrical face, factors such as age, disease, infections and parasites can get in the way and lead to minor imperfections. As a result, those with less asymmetry are perceived as having stronger immune systems and better genes to pass along to offspring. However, it’s important to note that symmetry of individual facial features seems to carry more weight in terms of attractiveness than having each side of the entire face perfectly mirror each other.

Facial scars may contribute to a “bad boy” image, and these unique facial markings have been found to be appealing to women. In a study that asked 147 women to rate the sexiness of men with and without facial scars, those with scars were the clear winners—however the study also found that women preferred these men for a short-lived fling as opposed to a long-term relationship.

Dr. Rizk responds:
Facial plastic surgery takes all of these measures of attractiveness into consideration, both in men and women. It’s no surprise that the jawline and brows are areas of concern for many male patients, but it’s important to consider the cheekbones, nose and chin as well in order to create facial harmony. This can occur when the shape, contour and projection of all the facial features complement each other.

To learn more about non-surgical treatments for enhancing the jawline, brows and facial harmony as well as other special considerations for male plastic surgery, call 212-452-3362 today to schedule a consultation with double board-certified facial plastic surgeon Sam Rizk, MD.

Advancements in Scar Treatments

Inevitably, your body will form scars after injury which can be from many sources, including accidents, burns, and post surgery. Scars come in many types and can be painful, itchy, tight, red or thick, depending on your skin type and how you heal, which is very individual.

Scar revisions can be undertaken to improve the quality and appearance of scars, after they have had a chance to heal and often very soon after surgery. Dr. Sam Rizk counsels patients on the potential scars that may result from facial plastic surgery and how best to prevent them from becoming an unwanted side effect. In addition to improving the appearance of a scar, treatments can be selected to manage discomfort and pulling and keep the surrounding skin soft and supple.

Facial plastic surgeon Dr. Sam Rizk provides relief for severe scarring through various methods, including compression, silicone patches, botulinum toxin or BOTOX injections, and laser treatment. Although all scars are permanent to some degree, this range of treatment options can help to improve the appearance of a scar and speed up the healing process.

Dr. Rizk responds:
Facial plastic surgeon Dr. Sam Rizk weighs in on the medical and surgical management of scars and works with every patient to provide the optimal treatment plan for facial scars. The type of treatment he may recommend will vary depending on the scar and location, and patient’s goals. In some cases, a single treatment will deliver sufficient improvement. In other instances, a series of injections or laser treatments, or combination therapy will be recommended to achieve the best results.

Injectable treatments may include intralesional steroids or BOTOX to prevent the scar from spreading. A course of several injections may be required over time.

Silicone patches or gels may be helpful to keep the scar soft and hydrated and improve its appearance by reducing redness and lightening discoloration.

Laser therapy using state-of-the-art CO2 and Erbium:Yag technology can also help to improve the elasticity of skin and improve discoloration, swelling and thickening.

In some cases, surgery may be recommended for complex scars from injury or accident. In severe instances, Dr. Rizk may opt to surgically remove the scar tissue and reclose the wound for better healing.

To learn more about non-surgical and surgical treatments for scar revisions, as well as other facial plastic surgery, call 212-452-3362 today to schedule a consultation with double board-certified facial plastic surgeon Sam Rizk, MD.

Related Blog Posts

Sam Rizk, MD

By Dr. Sam S. Rizk, M.D., FACS.

Dr. Rizk is a double board-certified facial plastic surgeon who specializes in rhinoplasty surgery and a recognized expert on the latest advances in facial plastic surgery techniques. He performs a range of facial plastic surgeries at his New York practice.

Learn more about Dr. Rizk | Dr. Rizk's Google Scholar