Parker Center for Plastic Surgery:
Paul M Parker MD
122 East Ridgewood Ave
Paramus, NJ 07652
Call Us: (201) 967-1212
Text us: (201) 231-8662
Office Hours
Monday - Tuesday: 9 a.m. – 5 p.m.
Wednesday: 9 a.m. – 7 p.m.
Thursday - Friday: 9 a.m. – 5 p.m.
Saturday: 9 a.m. – 2 p.m. (Med Spa only)
Facial harmony begins with an attractive nose.
One of the most common reasons people feel self-conscious about their appearance is an overly large or misshaped nose that detracts from other attractive features. Dr. Paul M. Parker performs rhinoplasty surgery (nose job) for patients from Paramus, Hackensack, Ridgewood, Mahwah, Somerset, and other Bergen County or North New Jersey communities to create a more refined, natural nasal contour that complements their other facial features.
Dr. Parker is a member of The Rhinoplasty Society, a prestigious organization whose exclusive membership includes 150 rhinoplasty specialists worldwide who are known for specializing in some of the most innovative nasal contouring techniques available. Membership is limited to board-qualified surgeons whose credentials, experience, and innovative techniques are thoroughly vetted before they can become members.
Featured
Rhinoplasty can improve the size and shape of your nose. Dr. Parker can also correct breathing problems at the same time if you have a deviated nasal septum or related internal nasal structural issues. Rhinoplasty performed by Dr. Parker can:
Review more details about the many issues Dr. Parker can correct with rhinoplasty (and see patient photo examples) in this blog post and this rhinoplasty infographic.
Plastic surgeons regard rhinoplasty as the most complicated procedure they perform, and it takes years to master the precise techniques needed to produce exceptional results. Dr. Parker honed his expertise while training with master rhinoplasty surgeons during plastic surgery residencies at NYU Medical Center and Manhattan Eye, Ear & Throat Hospital in New York City.
Dr. Parker loves the technical challenge and satisfaction of a well-performed rhinoplasty. He has continued to refine his rhinoplasty expertise throughout his career and is now considered one of the top rhinoplasty surgeons, not only in New Jersey but throughout the Northeast and nationally. He performs cosmetic and functional rhinoplasty using “the best of the best in rhinoplasty techniques,” setting him apart from most other plastic surgeons.
My rhinoplasty has been a great experience with Dr. Parker and team. Surgery and recovery went smoothly and staff was always very easy to get in contact with for questions or concerns. The results are exactly what I asked for and it’s only been three weeks! Highly recommend Dr. Parker for any procedure.”
-5-Google Review, August 2024
Your consultation is a critical part of getting the results you want. Dr. Parker spends as much time with you as needed to ensure he understands your goals and fully educates you about your options so you can make a well-informed decision.
When he first meets with you and examines your nose, he considers:
Dr. Parker devises a surgical plan tailored to your specific needs based on the information he gathers during the consultation.
I don’t leave the operating room until everything looks as perfect as I can make it.”
Dr. Parker
During your consultation, we generate a computerized image of your nose using Vectra’s 3D imaging system, allowing you to understand what rhinoplasty can accomplish. It will give you a very good idea as to how your nose should look after Dr. Parker performs your rhinoplasty. During your actual rhinoplasty procedure, Dr. Parker will have your Vectra computerized images displayed on a larger monitor in the operating room and use them as an artist does their sketches. Dr. Parker has found a high rate of correlation between the Vectra computerized images and patients’ actual rhinoplasty results.
One to two weeks before your scheduled rhinoplasty, you will undergo a one-hour, in-office, face-to-face education session with one of Dr. Parker’s Nurse Educators. During this session, the nurse educator thoroughly reviews a detailed information packet to further educate you about your rhinoplasty. This includes a discussion of what to do to prepare for surgery, what occurs on the day of surgery, and what to expect after surgery during your recovery. It’s a detailed session that really educates our patients about the entire surgical process at the Parker Center. Patients tell us they love it because they feel so well-prepared for their surgery. Learn more about what to expect during your pre-op education session.
Dr. Parker customizes his rhinoplasty techniques based on the unique anatomical structure of your nose, your concerns, and your desired results. The most common techniques are open structural rhinoplasty, closed rhinoplasty, and tip plasty.
The anatomy of the nose is complex. (See illustration.) The upper 40% of the framework consists of paired nasal bones, with the lower 60% composed of cartilage. Unlike bone, cartilage can be manipulated. The septum—composed of bone and cartilage—separates the nasal passages.
Dr. Parker uses the open approach for most rhinoplasty procedures. During an open rhinoplasty, Dr. Parker makes a well-concealed incision on the thin strip of skin separating the nostrils (columella) which wraps around on the inside of both nostrils so it cannot be seen. Using a fiberoptic headlight, he then gently lifts the skin to expose the nasal structures. An open rhinoplasty gives Dr. Parker a direct and very clear view of nasal anatomy, enabling him to make precise adjustments.
Dr. Parker will most often use the open technique when reducing a dorsal hump and changing the appearance of the nasal tip. In this procedure, he uses a sharpened tool called an osteotome to precisely narrow the nasal bones and sculpt away the hump without creating an unnatural-looking flat spot on the bridge—called an “open roof deformity.” Open rhinoplasty also gives Dr. Parker optimal control to shape a beautiful, natural-looking nasal tip using struts and shaping stitches.
If the procedure involves only reducing a dorsal hump without changes to the nasal tip, Dr. Parker performs a closed rhinoplasty. This can be performed as a “preservation rhinoplasty” because it preserves the bone and cartilage while lowering the nasal bridge. A closed technique does not require an external incision across the columella.
Dr. Parker performs a closed rhinoplasty using a highly specialized surgical technique that involves making incisions deep within the nose. He carefully and strategically removes certain segments of cartilage and bone, creating space for the bridge to drop down or be pushed down to the desired location. This results in an attractive profile that complements your facial features.
If the appearance of the nasal tip is the patient’s only concern, Dr. Parker uses this technique to shape a beautiful, natural-looking nasal tip. He can increase or decrease the tip’s projection, rotate or de-rotate the tip, or improve its shape. Dr. Parker commonly uses septal cartilage during the procedure. If there isn’t sufficient septal cartilage available, Dr. Parker will often use alloplastic rib cartilage.
At the time Dr. Parker performs a cosmetic rhinoplasty, he can address structural issues related to decreased breathing through the patient’s nose. This includes a septoplasty to help straighten a deviated septum and/or remove the crooked portion of that septum. In addition, he can perform septoturbinotomies, which involve pushing out the enlarged side wall structures called turbinates to mechanically open the airway. If nonsurgical issues such as allergies or chronic inflammatory rhinitis cause the patient’s breathing issues, their improvement in breathing may be limited.
Balanced facial features are the hallmark of an attractive face, particularly the refined facial profile people seek in “selfies.” Together, the nose and chin are important in helping determine your profile. Many patients achieve optimal facial balance with a chin augmentation at the same time as rhinoplasty. This combination procedure is performed on approximately 20% of Dr. Parker’s rhinoplasty patients and adds no extra recovery time.
Dr. Parker performs secondary rhinoplasty, also called revision rhinoplasty, to help Bergen County patients correct deformities from prior rhinoplasty surgery. These procedures are typically more complicated than primary, or first-time, rhinoplasty. Secondary rhinoplasty surgeries are almost always performed after waiting at least 12 months following the prior procedure.
The intricate nature of the nasal structures, scar tissue, and altered cartilage and bone from prior surgery most commonly make secondary rhinoplasty a more complex procedure. Accordingly, Dr. Parker almost always uses an open rhinoplasty technique for these surgeries. Cartilage grafts are often needed to replace or support the nose as part of a secondary rhinoplasty procedure.
The best rhinoplasty is commonly the first or primary rhinoplasty and one that will not have to be redone. Dr. Parker’s revision rate following primary rhinoplasty surgery ranges from 5% to 10% and most often is needed for simply rasping a dorsal callus, scar tissue that can develop over the nasal bones after reducing a dorsal hump.
For your safety, Dr. Parker performs all rhinoplasties (nose jobs) using general anesthesia, administered by an experienced, board-certified anesthesiologist who is present throughout the procedure. Surgery may take anywhere from 30 minutes to 3 hours, depending on its complexity.
Dr. Parker inserts several very fine sutures into the columellar incision in an open rhinoplasty. All sutures are inside the nose and dissolvable in a closed rhinoplasty. A light plastic splint is applied to protect the nose in almost all cases. Dr. Parker never uses nasal packing because patients don’t like it and it is unnecessary. You will recover in our Post Anesthesia Care Unit (PACU), assisted by one of our experienced, nurturing registered nurses. Patients typically return home after 1 or 2 hours.
The columellar sutures and external splint are removed 1 week after surgery.
Our rapid recovery protocols help patients avoid extensive bruising, swelling, and pain after rhinoplasty surgery. To make your recovery as smooth as possible, we use a combination of oral medications both before and after surgery, as well as other medications during surgery, that help minimize swelling, bruising, and pain. Most commonly, TYLENOL® or TYLENOL® Extra-Strength is all that is necessary to supplement the medications we give you. We also use postoperative lymphatic drainage massage to accelerate healing. Our specially trained massage therapist performs lymphatic drainage massage once weekly during the first 3 weeks after your surgery.
Even though the recovery timeline can vary depending on the patient, this is what you can expect in general:
We will spend time during your preoperative education visit to carefully walk you through the details of recovery.
Our Signature
Our surgical procedures, anesthesia, medications, and aftercare are tailored to minimize post-operative discomfort and accelerate recuperation.
Learn MoreOur Patient Coordinator will provide you details of the costs for a rhinoplasty at the Parker Center. The total cost will depend on your anatomy, desired results, and the complexity of the procedure. At your consultation with Dr. Parker, we will provide a detailed price quote that includes surgeon’s fees, operating room and anesthesia costs, supplies, and preop and postoperative care.
If you’re self-conscious about the size or shape of your nose, rhinoplasty can be a life-changing way to improve and balance your facial features. But when is the right time for rhinoplasty in New Jersey? Are you a good candidate for a nose job at Parker Center for Plastic Surgery…
Read MoreLike many patients who visit Parker Center for Plastic Surgery, this 18-year-old male was unhappy and self-conscious about the size of his nose. Following a referral from a former patient, this young man and I discussed how could enhance his appearance. The Procedure During the patient’s consultation, I explained how…
Read MoreThe chin and nose are two of the most important components of a well-proportioned face and profile. If one is too weak or too prominent, it can throw everything out of balance. That’s why at my Paramus, New Jersey practice, I often recommend a combined surgical approach. Keep reading to…
Read More5 Reasons to Choose
We believe plastic surgery should be accessible to as many people as possible. That's why we offer financing through lenders that specialize in setting up payment plans for elective cosmetic surgery. We can discuss financing during your consultation.
Results: Dr. Parker is known for remarkable results that may surpass your expectations
Your ResultsSafety: Our state-of-the-art, fully licensed, Medicare-accredited surgical center meets the highest standards of safety
Your SafetyEducation: We give you all the information, empowering you to make informed decisions
Your EducationRapid Recovery: Our protocol includes massage, medications, and advanced surgical techniques for reduced downtime
Your Rapid RecoveryPatient Experience: We create a positive, supportive environment in our beautiful, private facility
Your Atmosphere
