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.

Am I a Candidate For Rhinoplasty?

Like all cosmetic surgeries, rhinoplasty is most successful for patients who maintain realistic expectations of what the procedure can achieve. Exploring before-and-after photos from previous rhinoplasty procedures can help give you an idea of the results that are possible with aesthetic nose surgery. Good candidates for rhinoplasty are generally:

  • Healthy enough to undergo surgery, with no uncontrolled medical conditions
  • Seeking long-term improvements in the appearance of their nose and/or their ability to breathe
  • Willing to quit smoking before the procedure and during the healing process

Most importantly, patients interested in rhinoplasty should be pursuing the procedure for themselves, and not to fulfill someone else’s desires or ideals of beauty. Dr. Ayala will speak to you about your goals and reasons for surgery during your consultation. He will explain the risks and limitations of rhinoplasty, as well as go over surgical details such as techniques, recovery, and scars to help ensure you have a thorough understanding of the procedure.

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.

Will I Have Visible Scars After Rhinoplasty?

With both the open and closed technique, rhinoplasty typically produces very inconspicuous scarring that is well-concealed—if not undetectable—to outside observers. If an incision was made on the undersurface of the nose, the resulting scar can often blend into the natural crease where the nose meets the upper lip. For patients whose procedure utilized a closed incision, there should be virtually no external scarring after the procedure. In any case, Dr. Ayala is very careful to place incisions so that the outcome of surgery looks as natural as possible. After your procedure, he will also provide post-operative instructions to encourage the best possible healing of your incisions. This can increase the likelihood of any scars fading to some extent over time.

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. 

Can I Get a Rhinoplasty Without Surgery?

There is no way to permanently recontour the framework of the nose without surgery; however, some non-surgical options can still temporarily enhance the size and/or shape of your nose. Namely, dermal fillers have proven to be a simple, effective med spa treatment that can straighten bumps in the nasal bridge and provide slight augmentation. Sometimes referred to as a “liquid rhinoplasty,” this treatment involves meticulous injections of JUVÉDERM® or RADIESSE® to targeted regions of the nose based on your cosmetic goals. While this cannot offer long-term improvement, fillers can be an excellent way to rejuvenate your appearance before an event or special occasion. Dr. Ayala or our licensed nurse injector can give you additional details about a liquid rhinoplasty during your consultation.

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.