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Rhinoplasty is cosmetic surgery designed to change the size or shape of the nose. This procedure may also be used for medical purposes, to relieve breathing problems, correct a birth defect, or address an injury. The procedure is one of the most popular cosmetic surgeries performed today, with more than a half-million people seeking treatment to change the appearance of their nose each year.
Rhinoplasty may be performed using a variety of techniques, depending on the issue to be addressed and the desired outcome. Scottsdale plastic surgeon Geoffrey Leber, MD customizes rhinoplasty procedures to a patient’s specific needs. The goal of rhinoplasty is to alter the nose to restore a balanced appearance to the face, for beautiful, natural-looking results.
Unlike fillers and non-surgical treatments, rhinoplasty irreversibly changes the framework of the nose. This allows Dr. Leber to refine the nasal cartilage, soft tissue, and bones to make the nose more proportional in relation to your surrounding facial features. By balancing the nose with the rest of the face, patients achieve greater facial harmony. Rhinoplasty may be performed for the following reasons:
The procedure may also be done to improve breathing ability or to correct a defect that has been present since birth. If the nose has been injured, surgery may also be recommended to restore the original appearance prior to injury. However, not all nasal fractures require a surgical procedure to repair and our team can help provide you with effective solutions to restore form and function after evaluating your injury. In some cases, a broken nose can be manually realigned in-office, but this varies from patient to patient.
If you’re unhappy with the size and shape of your nose, rhinoplasty can help. When performed by a qualified plastic surgeon, cosmetic nose surgery can be very effective in improving one’s confidence and self-image. The most important thing to remember when determining whether to undergo rhinoplasty is to ensure you’re making the right decision for yourself. Patients should never pursue nose surgery under pressure from someone else, or to fulfill the wishes of other people. Dr. Leber will listen carefully to your concerns and talk to you about what you hope to accomplish with the procedure. The best candidates for rhinoplasty are patients in relatively good health with reasonable expectations about the potential results. Dr. Leber will also review your medical history to confirm you’re in good health to undergo surgery and the recovery period.
Open rhinoplasty and closed rhinoplasty are the two primary techniques used to perform cosmetic nose surgery. The goals of your procedure and your unique needs will determine which approach is the most ideal to achieve your desired look. During open rhinoplasty, Dr. Leber accesses the nasal framework through an incision made where the base of the columella (the strip of tissue that separates the nostrils) meets the upper lip. This incision location allows a great degree of visibility and control over the procedure and offers a clear access point from which Dr. Leber can recontour the nose. For this reason, open rhinoplasty is often the preferred technique for more complex rhinoplasty procedures, as well as for cases of revision rhinoplasty. Closed rhinoplasty utilizes an internal incision, leaving no visible scarring after the procedure. The closed approach is less invasive than open rhinoplasty and can lead to less post-operative swelling and a relatively shorter recovery period.
Rhinoplasty is typically performed as an outpatient procedure under general anesthesia. Closed rhinoplasty restricts incision to inside the nose, while open rhinoplasty includes an incision between the nostrils. The incisions allow entry for the surgeon to alter the bone and cartilage underneath, producing a new look for the nose. Both result in little, if any, visible scarring.
Rhinoplasty usually takes 3 – 4 hours to complete. Soft material may be placed inside the nose to help it hold its new shape until healing is complete. A splint may also be placed around the nose for the same reason.
Patients usually remain in the recovery area for a period of time after surgery to ensure no bleeding occurs and the effects of the anesthesia wear off properly. After this period of observation, patients are allowed to continue their recovery in the comfort of their own homes. Swelling is a normal reaction to surgery and should improve as the nose continues to heal. It can take up to one year for all inflammation to fully resolve, although the majority of swelling typically subsides within the first few months after your procedure. Dr. Leber will provide comprehensive post-operative care instructions at the time of surgery, which will include recovery tips such as:
Patients can generally return to work and their normal routines within one week, provided that they avoid heavy lifting and strenuous activity. If your work responsibilities involve demanding physical labor, you may require a relatively longer period of absence from work. Dr. Leber will inform you when it is safe to exercise again based on your unique rate of healing.
Rhinoplasty is considered a permanent way to alter the appearance of the nose and goals are usually achieved in a single surgery. Since the cartilage and bones of the nasal framework are surgically adjusted, patients can enjoy their results for a lifetime. The full outcome of rhinoplasty may not be seen right away, due to the swelling and bruising that often occurs after surgery. The results will be evident soon after the procedure; however, it usually takes 6 – 12 weeks for swelling to resolve and around 12 months for full resolution of tissue induration.
While every surgical procedure leaves scars, patients usually do not have visible scarring after rhinoplasty. Incisions are skillfully placed either inside the nose or within the natural crease of the columella — the specific technique depends on the type of rhinoplasty procedure most beneficial for your needs. In both cases, scars are very discreetly and inconspicuously placed in areas not easily detectable to outside observers. To further improve the appearance of any scarring, patients should carefully follow Dr. Leber’s post-operative instructions to help ensure a smooth recovery — particularly his recommendations on proper wound care. More often than not, an optimal healing process can increase the chances of scars fading to some extent after surgery. Brightening creams can also be applied to help encourage the lightening of scars over time.
Rhinoplasty generally costs between $5,000 and $10,000, depending on the technique used during your procedure, whether a deviated septum was corrected, and the overall complexity of the surgery. This range includes expenses for anesthesia, post-operative care, surgeon’s fees, and surgical facility fees, among other potential costs. Because each nose surgery is a highly personalized procedure, it is impossible to determine an exact cost estimate without first evaluating your unique concerns. Our office will be happy to provide you with a personalized quote after your consultation with Dr. Leber.
Our accepted payment methods include financial plans from leading healthcare lending institutions, CareCredit® and Prosper® Healthcare Lending. These plastic surgery financing companies can help make rhinoplasty more affordable by offering qualified patients an array of low- to no-interest payment plans to choose from, allowing them to make the most ideal selection for their budgetary concerns. If you would like to learn more, please contact our practice to speak to a member of our team.
Since rhinoplasty is designed to reconstruct structures within the nasal framework, there is currently no non-surgical treatment that can address the same scope of aesthetic concerns, nor achieve the same quality of results, as nose surgery. However, if you would rather avoid surgery, certain dermal fillers—such as JUVÉDERM® and Restylane®—can be combined to fill humps in the nasal bridge and recontour some aspects of the nose shape. Referred to as a “liquid rhinoplasty,” this minimally invasive technique can enhance the nose without the need for extensive recovery time. While the outcome will be temporary, dermal fillers may be an effective solution to improve the appearance of the nose before weddings, events, or other special occasions. If you’re interested in learning more about a liquid rhinoplasty, Dr. Leber can determine whether dermal fillers can effectively address your concerns in a consultation.
While rhinoplasty is considered the most effective procedure for enhancing the nose, other treatments may be more beneficial for certain patients to achieve their desired results. In some situations, chin implants may be a better solution to offset a dominant nose and balance the facial features. A chin implant is a customized biocompatible prosthesis attached to the chin bone to improve the jawline and enhance a weak or recessed chin. This can provide a more proportional look for patients whose lower face does not appear balanced with their nose and upper face. The results can complement your natural beauty, achieving results that often last decades. If you’re unsure whether chin augmentation or rhinoplasty would be the most ideal choice to achieve your goals, Dr. Leber would be happy to evaluate your concerns and discuss your options with you.
Yes, rhinoplasty is often able to address concerns related to breathing difficulties. While many patients elect to undergo nose surgery for cosmetic reasons, the ability to enhance breathing and increase airflow for blocked airways are some of the major motivations behind patients’ decisions to pursue rhinoplasty. If you have a deviated (crooked) septum or other structural irregularities potentially causing an obstruction, Dr. Leber can examine the state of your nasal framework to determine whether rhinoplasty is the right treatment to correct the problem. Discussing your concerns and/or symptoms with a board-certified plastic surgeon is essential to developing the best treatment plan to achieve your goals. As an adjunctive benefit, individuals who are interested in rhinoplasty to improve their breathing can also recontour their nose aesthetically if desired. This can potentially achieve functional and cosmetic benefits during one procedure and recovery period.
When performed correctly and with patients’ cosmetic goals in mind, rhinoplasty can be an extremely rewarding procedure that enhances your entire facial appearance. That said, finding the right plastic surgeon for you is key to bringing your desired look to fruition. While you are researching your options, the following tips can help you pick the most qualified rhinoplasty surgeon for your needs:
If you have any questions about the rhinoplasty procedure or Dr. Leber’s experience with nose surgery, we encourage you to book an initial consultation with him to discuss your concerns.
Similar to all procedures, rhinoplasty is only as safe as the quality and experience of the plastic surgeon performing surgery. When you’re under the care of a skilled aesthetic plastic surgeon accredited by the American Board of Plastic Surgery (ABPS), rhinoplasty is considered a safe cosmetic procedure that has the potential to be life-changing. You can help protect your safety, health, and appearance by carefully researching your plastic surgeon and asking them how often they perform rhinoplasty each year. Dr. Leber is not only board-certified by the ABPS, but he is also one of few plastic surgeons in the country who has received fellowship training in Beverly Hills exclusively focusing on aesthetic procedures. When researching the right plastic surgeon to achieve your goals, be sure to choose someone who diligently reviews the benefits, limitations, and risks of rhinoplasty with you so you have the information to make an educated decision.
Rhinoplasty itself is performed according to a patient’s unique needs, concerns, goals, and nasal framework. Although there are certain differences in the ideals of beauty and anatomical features (skin thickness, height of nasal bridge, etc.) between men and women, cosmetic nose surgery is still essentially performed using the open and closed techniques. The structural distinctions between a male and female nose may influence your procedure, but rhinoplasty usually has the same goals for all genders—to improve facial balance according to your natural characteristics and/or make it easier to breathe.
Septoplasty is performed to alleviate functional concerns, such as difficulty breathing, while rhinoplasty is meant to address issues that are more cosmetic in nature. Septoplasty specifically aims to straighten a crooked septum, which is the strip of bone and cartilage that separates your nostrils. A crooked, or deviated, septum is very common and may restrict airflow to varying degrees. When septum asymmetry is severe, it can even prevent easy breathing on an entire side of the nose. For this reason, some individuals undergo septoplasty to reposition the septum to the middle of the nose and improve airflow.
Rhinoplasty is a cosmetic procedure that is not usually covered by medical insurance policies. However, we do accept financing from CareCredit® and Prosper® Healthcare Lending. These companies offer qualified patients low- to no-interest financing plans to make their rhinoplasty expenses more manageable.
Rhinoplasty involves the inherent risks that are present with any type of surgery, such as anesthesia complications, infection, poor wound healing, and unfavorable scarring. Potential negative outcomes that are unique to nose surgery include the possibility of nasal perforation, changes in skin sensation, and breathing problems, which are complications that may require revision rhinoplasty to resolve. These risks are very rare as long as patients select a well-qualified plastic surgeon to properly assess their candidacy and perform their procedure.
You should wear a nasal splint for at least one week after your procedure depending on which concerns were corrected during rhinoplasty. This is necessary to help protect and support your new nose contours while they heal into place. Dr. Leber does not typically pack the nose after a rhinoplasty procedure, therefore nasal breathing is possible immediately after surgery. No pressure should be placed on the nasal bridge during recovery, therefore patients who wear glasses should switch to contacts until the majority of healing has been completed.
Dr. Leber and his staff are here to help you achieve your aesthetic goals in a safe and caring environment. If you’re interested in scheduling a procedure, reach us by phone (480) 945-5522 or contact us online.