Skip to main content

Rhinoplasty is a popular procedure designed to recontour the nose for functional and/or cosmetic purposes. Often simply referred to as “nose surgery” or a “nose job,” rhinoplasty can create more aesthetic balance in the face by making the nose larger or smaller, smoothing a hump on the nasal bridge, enhancing the angle of the nasal tip, or adjusting the width of the nostrils. The procedure can also repair breathing problems caused by a deviated septum. If you are interested in rhinoplasty, plastic surgeon John Ayala, MD can develop a treatment plan to achieve your goals and improve your facial harmony in relation to your surrounding features.

What Concerns Can Be Treated With Rhinoplasty?

Rhinoplasty can reshape the nasal bones and cartilage to create more proportion in your facial features. Depending on your concerns, the procedure can be performed to correct common aesthetic issues like:


Overprojected Tip


Underprojected Tip


Long Nose


Dorsal Hump

In many cases, a small or slight change in the nose can have a substantial impact on the rest of the face. Dr. Ayala can personalize the rhinoplasty procedure to increase nasal symmetry, improve the profile of the nose, and/or balance the shape of the nose with the rest of your features. If your airways are blocked by an obstruction, Dr. Ayala can also realign your nose to optimize breathing.

Open vs. Closed Rhinoplasty

In general, rhinoplasty can utilize either open or closed incisions to access the nasal framework. The open technique places an incision on the natural crease of the columella, which is the strip of tissue between the nostrils. This location offers optimal visibility and control in reshaping the nasal bones and cartilage. However, in some cases, the closed incision may be a better technique to achieve your goals. Closed rhinoplasty utilizes an internal incision and offers the benefit of little to no external scarring. This approach is only suitable for a select number of rhinoplasty procedures, but rest assured Dr. Ayala places incisions discreetly in either case for inconspicuous post-surgical scars.

How is Rhinoplasty Surgery Performed?

During your consultation, Dr. Ayala will go over the unique details of your procedure, such as which incision is the best technique for your goals. He typically performs rhinoplasty as an outpatient procedure utilizing IV sedation, which patients often report is more comfortable than general anesthesia. If your treatment plan involves decreasing the shape and/or size of the nose, refining the nasal tip, or removing a hump in the nasal bridge, Dr. Ayala will separate the overlying skin and subsequently reshape the bone and/or cartilage. The skin is then re-draped over your new nasal structure and incisions are closed. In cases where flared nostrils are being addressed, Dr. Ayala will make a discreet incision on the undersurface of the nose.


What is Recovery From Rhinoplasty Like?

Following rhinoplasty, a lightweight splint is placed to protect the nasal structure and help facilitate the new contours of the nose. Swelling and bruising is common after the procedure, but should gradually resolve as your nose begins to heal. Most patients return to non-strenuous work within one to two weeks, but strenuous work and exercise should be avoided for at least four to six weeks. To reduce swelling, Dr. Ayala advises sleeping and resting with the head elevated above heart level. You will be provided with more detailed post-operative instructions when Dr. Ayala sees you in person. Most swelling should dissipate within three months after your rhinoplasty procedure, although it may take up to one year to see the final outcome.

How Much Does Rhinoplasty Cost?

Rhinoplasty can cost anywhere from $5,000 to $10,000 depending on your location and the experience of your plastic surgeon. The details of your treatment plan will also affect the total price, such as:

  • The surgical technique utilized
  • The complexity of the procedure
  • Whether a deviated septum was corrected

Ultimately, our patient care coordinator will provide you with a personalized cost estimate once your needs are assessed in a consultation. Ayala Plastic Surgery offers plastic surgery financing for qualified applicants through CareCredit®, a highly trusted healthcare lending company that allows patients to pay for their treatment through low monthly installments. For patients who pursued rhinoplasty to improve breathing issues, some medical insurance plans may provide partial or full coverage for certain costs. If you have any questions, our office team would be happy to speak with you about your concerns. 

Rhinoplasty can be a highly effective cosmetic surgery to achieve a more balanced, harmonious facial appearance. If you are ready to schedule a consultation, or if you would like to learn more about our otherfacial plastic surgery procedures, please contact our practice today.