Dr Bentkover
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Rhinoplasty
Overview

For Dr. Bentkover, Rhinoplasty is a Passion


Operating in Worcester and Boston, Dr. Bentkover has dedicated his career of over 28 years to the art and science of rhinoplasty.  For Dr. Bentkover, Rhinoplasty is a true surgical passion.  He has been an innovator in the field and welcomes the most difficult and challenging cases.  He does primary (first time) and secondary (revision) rhinoplasty (See Revision Rhinoplasty), treating patients from all over New England and other parts of the United States.  His goal is always to give you a natural looking nose, not a nose that has an operated look.  The decisions he makes with regard to the appearance of your nose will take into account such factors as the shape of the rest of your face, your overall profile (including your forehead to your chin), the thickness of your nasal skin, and your sex.  Most importantly, he will listen carefully to your desires and try to meet them if they are feasible.

Double board certified in facial plastic surgery and ear, nose and throat, Dr. Bentkover will always pay particular attention to the important marriage of form and function.


Rhinoplasty is the art and science of restructuring the nose so that it looks and works better.  It was one of the first facial aesthetic operations and is among those most frequently performed today.  In rhinoplasty, deformities of the nose are corrected by removing, adding, rearranging, or reshaping cartilage and/or bone.  It is the most complex and challenging of the facial operations.  In rhinoplasty, form (appearance, style, the look) is always tied to function (the ability to breathe through the nose).  In every rhinoplasty the experienced surgeon must make sure that changes in form do not compromise function and vice versa.  
 

Some people refer to rhinoplasty as a “nose reshaping” or a “nose job”.  To call such a sophisticated operation a “nose reshaping” or “nose job” misses the point.  A surgeon cannot just “reshape” a nose.  The surgeon must also pay attention to the airway and to strengthening the underlying bone and cartilage framework. 

Dr. Bentkover strongly believes that his rhinoplasties should look natural.  It should not be obvious to the casual observer that you had a rhinoplasty.  Also, while every aesthetic nasal surgeon certainly should have a personal sense of "how a nose should look", this should never get in the way of trying to please the patient with an appropriate marriage of form and function.  All an individual surgeon's noses should not "look alike".  As you go through the before and after photos on this website, keep in mind that Dr. Bentkover has chosen many different types of noses to display...natural noses that fit the patient's face.

Reasons for Surgery
The reasons for having a rhinoplasty are highly personal but commonly include reducing the size of the nose, removing a bump, narrowing the nose, straightening the nose, and refining the shape of the tip.  Deformities of the nose may be natural or due to trauma.  Frequently, young ladies who love their fathers dearly unfortunately inherit "daddy's nose"--complete with thick skin and large cartilages.

Difficulty breathing through your nose can and should be improved at the time of a rhinoplasty.  The wall in the middle of your nose (the nasal septum) may be excessively crooked (a deviated septum).  When you breathe in through your nose, you may find that one or both sides of your nose collapses inward.  This is called nasal valve collapse or nasal vestibular stenosis.  Both of these conditions should be corrected at the time of a rhinoplasty.
 

The Consultation
After reviewing your medical history, Dr Bentkover will ask you why you want to change your nose.  He will give you a mirror and ask you to point out exactly what you do not like about your nose.  Your desires are important.  Dr. Bentkover will carefully examine your nose and evaluate your airway.  He will take digital images of your nose and “morph” them with you to get your input and to determine what is reasonably possible to achieve

Insurance

A word about insurance coverage...

Unless you were in a recent accident or have sustained an athletic injury that has severely disfigured your nose, your insurance company usually is not concerned about the appearance of your nose.  Even then, they often still do not cover a full rhinoplasty.  They might cover the straightening of your nose within a few weeks of the incident and surgery to improve your breathing, but no other changes. 

If you are truly have difficulty breathing through your nose, your insurance may cover the surgeon's fee, hospital fees and anesthesia fees only to improve these functional problems.  However, your insurance will not cover any part of the cosmetic rhinoplasty...surgeon's fees, hospital fees, or anesthesia fees.  You will need to pay these in addition to what is billed to your insurance company for your functional surgery.  Dr. Bentkover will bill your insurance company for functional surgery only if you truly have a breathing problem prior to surgery. 

In the Before and After section we have posted a few of our patients who have kindly consented to have their photos on our website.  We have many more images to show you in the office.

Photo before rhinoplasty
photos
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