There is perhaps no other structure on the human body more visible than the nose. For this reason, nose shaping (rhinoplasty) requires a great deal of care and precision. In effect, it involves a strategy of millimeters and requires astute surgical skill and judgment. In addition to the appearance of the nose, one must not forget its primary function of breathing. Thus, examining the nose both externally and internally and accounting for medical conditions such as allergies and snoring are absolutely critical. 

The surgeon should carefully analyze a patient’s nose and outline the plan with drawings or photographs.  In my practice, I use 3D photographic imaging to demonstrate the planned changes and make sure these changes are in line with the patients expectations.  3D photographic imaging is critical in both formulating a plan and in communicating with the patient.

Rhinoplasty usually involves several steps which, if done correctly, can change the shape of the nose without affecting a patient’s ability to breathe.  For men, nasal aesthetics are different from women.  For example, men typically have a straight nasal dorsum (profile), less acute angle between the nose and forehead, and a 90 degree angle between the nose and upper lip.  Understanding the subalities of the male nose is critical for an excellent result and to avoid feminizing a male face.

A well-done rhinoplasty can dramatically improve a patient’s appearance without damaging the structural support of the nose. 




2 - 4 hours (depending on the extent of procedure)


General (occasionally local with sedation for smaller procedures)


Usually outpatient


Temporary swelling, bruising, some pain, mild bleeding from the nose


Pain, bleeding, infection, incomplete improvement, breathing problems


Back to work with makeup: 1 - 2 weeks
More strenuous activity: 2 - 3 weeks


6 months for swelling to completely resolve (most swelling has resolved in 2 months)