Surgical procedure

Rhinoplasty

Reshapes the nasal framework to refine appearance, restore balance, and — when needed — improve breathing.

What it addresses

Rhinoplasty modifies the bone and cartilage framework of the nose. It is widely regarded as one of the most technically demanding operations in facial surgery because millimeter changes are visible and function must be preserved.

Functional and cosmetic goals are often addressed together: airway obstruction from a deviated septum or weak nasal valves can be corrected in the same operation.

Who it suits

  • Concerns such as a dorsal hump, drooping or bulbous tip, asymmetry, or post-traumatic deformity.
  • Facial growth should be complete — generally age 16–17 or later.
  • A clear, specific understanding of what you want changed; computer imaging during consultation helps align expectations.

Recovery

A splint is typically worn for about one week; most bruising resolves within two weeks.

Roughly 70% of swelling resolves in the first month; the tip refines slowly and the true final result takes up to a year.

Glasses may need to be taped or supported away from the nasal bones for several weeks.

Risks worth understanding

  • Persistent asymmetry or contour irregularity; revision rates in the literature are meaningful even among experts, which makes surgeon selection critical.
  • Airway compromise if support structures are over-reduced — a reason modern rhinoplasty emphasizes structural preservation.
  • Bleeding, infection, and anesthesia risks.

Common questions

Open or closed rhinoplasty?
Both are legitimate. Open approaches add a small columellar incision in exchange for direct visibility; your surgeon should explain why one suits your anatomy.
Will insurance cover it?
Cosmetic changes are not covered, but documented functional airway repair sometimes is. Billing is separated between the two.