Nose Surgery (Rhinoplasty)

Individuals who are dissatisfied with the appearance of their nose—either due to its natural shape and characteristics or changes created by trauma—can potentially benefit from rhinoplasty surgery performed by board-certified plastic surgeon Paul LoVerme, MD. Customized rhinoplasty can cosmetically alter and/or reconstruct the nose to achieve a more aesthetically pleasing shape and balanced facial appearance, as well as more functional nasal passages.

To learn more about rhinoplasty and the techniques Dr. Loverme can use to improve your nose, please explore the informative sections provided below:

What Is Rhinoplasty?

face5Rhinoplasty, often called nasal enhancement or a “nose job,” is a plastic surgery procedure that can improve the shape and/or size of the nose, as well as improve nasal breathing and function (when combined with septoplasty). Rhinoplasty is among the most complex plastic surgery procedures, and is also one of the most commonly performed procedures.

Rhinoplasty is a procedure that can be performed at almost any age, with patients ranging from 14 years old (this procedure can be common for teenagers), to 70 years old (often combined with facelift). Patients typically desire rhinoplasty to increase or reduce the size of the nose, to shape the tip or bridge of the nose, or to alter the slope or angle of the nose. Rhinoplasty may also be performed to correct an injury or birth defect.

What Are the Benefits of Rhinoplasty?

A rhinoplasty can improve both the form and the function of the nose. From an aesthetic perspective, rhinoplasty can enhance the symmetry of the nose, smooth a hump or dips along the length of the nose, narrow the nasal bridge, adjust the angle of the nose’s tip, or alter the size of the nostrils. Dr. LoVerme’s goal with all rhinoplasty procedures is to achieve facial harmony with natural-looking results. From a functional perspective, rhinoplasty can improve breathing through the nasal passages by adjusting the width and position of the septum for optimal airflow. For patients who have difficulty breathing but do not wish to have the shape of their nose altered, a septoplasty can be performed by itself. Rhinoplasty may be performed to repair problems from a prior injury or fracture.

Combining Rhinoplasty with Complementary Procedures

Rhinoplasty is often combined with additional procedures or non-surgical treatments to enhance the overall quality of the final outcome. For some patients, a chin augmentation (performed with either the addition of an implant or dermal filler injections) can improve facial balance between the new nose and chin. Men and women who are noticing signs of facial aging may choose to add an eyelid lift, facelift, forehead lift, or laser skin resurfacing to their treatment plan to achieve a more youthful, vibrant appearance. Unwanted wrinkles and diminished facial volume can also be addressed with facial fat transfers or cosmetic injectables, such as BOTOX® Cosmetic, JUVÉDERM®, and or Revance® RHA®. Based on your cosmetic needs and goals, Dr. LoVerme can design a customized surgical plan to create the look you want to achieve.

Who Is a Candidate for Rhinoplasty?

Ideal candidates for rhinoplasty have realistic expectations and wish to improve the shape of the nose for improved appearance. Patients who have difficulty breathing due to a deviated septum or other structural issue of the nose may also be good candidates for this procedure. Occasionally, patients choose to undergo rhinoplasty with Dr. LoVerme because they are unsatisfied with the outcome of a previous rhinoplasty.

What Happens During the Rhinoplasty Consultation?

During the consultation process, Dr. LoVerme will perform a physical examination and review your medical history. Dr. LoVerme will take 2D and 3D photos and perform computer imaging in order to define your goals and determine whether rhinoplasty can deliver the results you desire. Each rhinoplasty procedure is customized to meet your unique needs and goals, and Dr. LoVerme takes into account factors such as age, skin thickness, the appearance and proportions of the facial features, and, when suitable, your ethnic background to achieve results that look natural and beautiful.

Open vs. Closed Rhinoplasty

There are two basic rhinoplasty techniques that plastic surgeons use—”open” and “closed”. The “open” technique more easily reveals the structure of the nose so that it can be precisely sculpted, and it offers the surgeon the greatest level of control (this technique is described in greater detail in the section below). Dr. LoVerme uses the “open” approach in most rhinoplasty cases because he can achieve more exacting results. In national studies, this approach has a much lower complication rate than the “closed” rhinoplasty technique. During a “closed” rhinoplasty, incisions are made through the nostrils, which can offer the benefit of less visible scarring. Even with the “open” technique, Dr. LoVerme is very careful to keep incisions as hidden as possible, and scars are typically indiscernible after the healing process is complete.

What Happens During the Rhinoplasty Procedure?

Rhinoplasty is usually performed under general anesthesia and you are able to go home the same day. The exact details of your surgical plan will dictate the process Dr. LoVerme uses to accomplish your rhinoplasty. For patients undergoing an “open” rhinoplasty, Dr. LoVerme makes a small incision in the columella (the “column” between the left and right nostrils) as well as other incisions inside the nose—this allows him to lift the skin of the nose away from the bone and cartilage framework beneath, which is then shaped and sculpted as desired. The skin is then redraped over the “new” framework. With a “closed” rhinoplasty, the nose is reshaped through small incisions made inside of the nostrils. Once the nose is reshaped, the incisions are closed and the nose is carefully bandaged.

Dr. LoVerme,
The other day someone told me I had a perfect profile! No one had ever said that to me before! Thank you for making that possible. You are amazingly talented! Your work changed my life.


What Is Recovery after Rhinoplasty Like?

Following rhinoplasty surgery, bruising, swelling, and discomfort can be expected, but all can be alleviated with cold compresses and medication prescribed by Dr. LoVerme. Most visible swelling and bruising are usually gone within one to two weeks. If used, packing is removed 24 to 48 hours after surgery, and you can usually return to work or non-strenuous activities within a week. There will be tape on your nose for two weeks after surgery. Strenuous activities and unprotected sports may be resumed in four to six weeks.

What Results Can I Expect After Rhinoplasty?

When your stitches, bandaging, and protective splint are removed, you will get your first look at your new nose. Once the swelling goes down completely, you’ll be able to appreciate the finished result. In some cases, minor swelling may linger for six months to a year. Any visible scarring should continue to fade with proper post-operative care. The majority of Dr. LoVerme’s patients are thrilled with their results, which allow them to enjoy a more proportionate, beautiful nose and/or breathe with greater ease.

How Much Does Rhinoplasty Cost?

The average price range for a rhinoplasty performed by Dr. LoVerme is $6,500 to $10,000. Since the details of each rhinoplasty surgery are unique to the individual, the cost of the procedure can vary. Factors that impact the price can include the complexity of the procedure, the nature of the surgical adjustments being performed, anesthesiologist’s fees, and any post-operative medications. Patients who undergo rhinoplasty due to an obstruction of the airways often qualify for insurance coverage. In these cases, Dr. LoVerme and our staff can work with you and your insurance provider to complete any necessary paperwork or pre-authorization before the date of your surgery. Many patients also take advantage of our financing options to help make the cost of rhinoplasty more affordable.

For more information on rhinoplasty, please contact the LoVerme Center for Plastic Surgery.

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