Rhinoplasty

“The most attractive nose is one that is not noticed.”

The goal of rhinoplasty is to put the nose in balance with the facial features. Patients often come to the office with concerns of prominent “humps” or feeling that the nose is too large for the face. These concerns may make one feel self-conscious, when in social situations, and especially when being photographed.


Not every plastic surgeon performs rhinoplasty because of the high level of expertise needed for the procedure.

Dr. Tate is uniquely qualified to perform nasal procedures because he is Dual board certified in Facial Plastic and Reconstructive Surgey and Otolaryngology-Head and Neck surgery. Dr Tate is also a Fellow of the American Academy of Surgeons (F.A.C.S.). Only experienced board certified surgeons with the highest qualifications attain this certification.

Dr. Tate will carefully analyze your nose and facial structures and discuss a customized approach.  This will include careful analysis of your chin, because often a gentle chin augmentation will improve the overall balance of the face.

Whether the surgery is desired for functional or cosmetic reasons, your choice of a qualified facial plastic surgeon is of paramount importance. Many facial plastic surgeons are trained in both ear, nose, throat, and facial cosmetic surgery, which provides you, the patient, with the highest level of training and expertise. Your surgeon will examine the structure of your nose, both externally and internally, to evaluate what you can expect from rhinoplasty. You are most likely to be pleased with the results of your surgery if you have a realistic idea of what nasal surgery can and cannot do.

You can expect a thorough explanation of the surgeon’s expectations and the risks involved in surgery. Following a joint decision by you and your surgeon to proceed with rhinoplasty, the surgeon will take photographs of you and discuss the options available. Your surgeon will explain how the nasal structures, including bone and cartilage, can be sculpted to reshape the nose and indicate how reshaping the chin, for example, could enhance the desired results.

After conducting a thorough medical history, your surgeon will offer information regarding anesthesia, the surgical facility to be used, and the costs for the procedure.

Understanding the Surgery

The definition of rhinoplasty is, literally, shaping the nose. First, incisions are made and the bone and cartilage support system of the nose is accessed. The majority of incisions are made inside the nose, where they are invisible. In some cases, an incision is made in the area of skin separating the nostrils. Next, certain amounts of underlying bone and cartilage are removed, added to, or rearranged to provide a newly shaped structure. For example, when the tip of the nose is too large, the surgeon can sculpt the cartilage in this area to reduce it in size. The angle of the nose in relation to the upper lip can be altered for a more youthful look or to correct a distortion.

The tissues are then redraped over the new frame and the incisions are closed. A splint is applied to the outside of the nose to help retain the new shape while the nose heals. Soft, absorbent material may be used inside the nose to maintain stability along the dividing wall of the air passages called the septum. Alternatively, soft nasal supports that permit nasal breathing post-operatively can be placed.

Immediately after surgery, a small splint will be placed on your nose to protect it and to keep the structure stable for at least five to eight days. If packing is placed inside the nose during surgery, it is removed the morning following the surgery. Your face will feel puffy,especially the first day after surgery. Pain medication may be required. Your surgeon will advise you to avoid blowing your nose for seven days after surgery. In the immediate days following surgery, you may experience bruising and minor swelling in the eye area. Cold compresses often reduce the bruising and discomfort. Absorbable sutures are usually used that do not have to be removed. Nasal dressing and splints are usually removed six or seven days after surgery.

It is crucial that you follow your surgeon’s directions, especially instructions to keep your head elevated for a certain period after surgery. Some activities will be prohibited in the weeks after the procedure. Sun exposure, exertion, and risk of injury must be avoided. If you wear glasses, special arrangements must be made to ensure that the glasses do not rest on the bridge of the nose. Tape and other devices are sometimes used to permit wearing glasses without stressing the area where surgery was performed.

Follow-up care is vital for this procedure to monitor healing. Obviously, anything unusual should be reported to your surgeon immediately. It is essential that you keep your follow-up appointments with your surgeon.

Insurance does not generally cover surgery that is purely for cosmetic reason?. Surgery to correct or improve nasal function or surgery for major deformity or injury may be reimbursable in whole or in part. It is the patient’s responsibility to check with the insurance carrier for information on the degree of coverage.

  1. Is Rhinoplasty right for me? We will provide you with a customized consultation that will fully analyze your face.
  2. What should I expect in preparation for surgery? Dr. Tate will carefully listen to your goals of surgery, and make sure that your expectations are reasonable. Detailed photographs will be taken for reference during surgery.  Preoperative medications and instructions will be given. You will have plenty of time to discuss surgery with Dr. Tate and have all of your questions answered.
  3. What should I expect after surgery? eThere will be a small amount of bruising and swelling around the eyes. This is normally concealable after approximatey 3-5 days. A nasal splint will need to be worn for 6-7 days. After 7 days, all sutures and splints have been removed. The majority of nasal swelling will be gone after 3 weeks, and at that point, most patients are very happy with their nose.  A small amount of swelling will last for about 9-12 months as the skin redrapes to the new nose.
  4. Should I expect scarring? Most incisions are made on the inside of the nose. Sometimes a small incision is made on the outside of the nose. These incisions typically heal up without any evidence of scar after about 2-3 months.
Before/After