More than any other facial feature, teenagers are most keenly aware of their noses. It’s there in the mirror every day, front and center. The embarrassment of a big or distorted nose extends into adulthood, distracting from an otherwise glowing personality. Rhinoplasty (“nose job”) was originally designed for reduction of nasal hump and projection and straightening deviation. The operation today is directed toward both appearance and strength. Providing cartilage support of the nasal top is extremely important for long-lasting results — as important as size, shape and position.

Sometimes nasal airway obstruction can be dealt with simultaneously by adjustment of a deviated septum, while utilizing the septal cartilage removed for nasal tip correction. The open rhinoplasty approach, through small incisions beneath the nose, allows an excellent access for alteration of internal structures which shape the external appearance. Adjusting nasal bone position, nostril flare, and angulation relative to the upper lip, hump and nasal tip all combine to make rhinoplasty the most complex of cosmetic surgeries that we perform. The greatest challenge of rhinoplasty continues to be the cleft lip individual, where marked nasal distortion requires the most imaginative of surgical endeavors for improvement.

Rhinoplasty is best planned for after completion of facial growth, normally age 16 for girls and a few years later for boys. After surgery, as swelling resolves over several months, the nose will continue to improve in size and shape. A good rhinoplasty should not bring attention to itself, but rather allow the nose to blend naturally with the other facial structures.