As a focal point and anchor of your facial structure, the nose plays a subtle, but important role in your appearance and overall facial harmony. Without balance and proportion of the nose, the rest of your appearance may be thrown off. The rhinoplasty, also known as nose surgery, can realign your facial harmony and create a balanced and beautiful facial structure.


In the U.S., many thousands of rhinoplasties are performed annually across the country, making it one of the most popular cosmetic treatments. Though it is a popular treatment, no two rhinoplasty procedures are exactly the same due to the highly unique features of an individual’s nose. The procedure is designed to address issues such as a large, bulbous nasal tip, large nasal hump, or a deviated septum.

The rhinoplasty has one of the highest rates of patient satisfaction, achieving subtle, yet profound results for restoring facial harmony and balance. With this treatment, patients improve their sense of self-confidence and overall quality of life.


The rhinoplasty is a procedure indicated to repair or correct the appearance of an individual’s nose that has been thrown off due to trauma, or deformity, or asymmetry. The surgical strategy that is appropriate for a rhinoplasty will depend on the patient’s goals and is always weighed in consideration of the overall harmony of the face.

With its central position on the face, the nose is a prominent structure that impacts your entire appearance. Structural defects may also interfere with proper nasal function and impair breathing. Breathing issues are corrected through a septoplasty. This treatment corrects issues with breathing by aligning the internal walls of the nasal passages.


The size, shape, projection, orientation, and proportion of the nose can be treated. The nose is an intricate structure made of cartilage, bone, and skin. Due to the wide range of issues treatable with a rhinoplasty, there are many types of rhinoplasty treatments.

Issues treatable with a rhinoplasty:

  • An enlarged, bulbous nasal tip
  • Crooked position due to a deviated septum
  • An enlarged “hump” on the bridge or dorsum of the nose.
  • Disproportionately large nostrils
  • Impaired breathing
  • Repair of nasal shape damaged by trauma, congenital deformity or injury
  • Reduce protrusion of nasal tip
  • Correct asymmetry


Those who are getting a rhinoplasty for the first time are undergoing a “primary” rhinoplasty. Those who are undergoing a second procedure to achieve additional adjustments or correct issues caused by an initial rhinoplasty are receiving a “secondary” rhinoplasty.


A rhinoplasty may be performed in an “open” or “closed” technique, which describes where incisions are made during the surgical procedure. In a closed technique, two incisions are made intranasally, or inside each nostril, which keeps incisions completely out of view. The incisions are made to access the cartilaginous structures of the nose.

In the open technique, an additional incision is made on the columella, or the narrow strip of tissue that separates the nostrils. The skin is then lifted or pulled aside to access the cartilage and bony structures of the nose.

Each method has its own set of pros and cons. For example, in the closed technique, surgical scarring is much more well-hidden, however, this method has limitations in terms of giving the surgeon access to certain structures of the nose. The open technique gives the surgeon a direct view and access to important structures of the nose, which may be necessary for more extensive or ambitious treatments.


Those who are considering a rhinoplasty should be in good overall health and of the age where their facial growth is complete. For males, this occurs around the age of 16 and for females, around the age of 14. Men and women with breathing problems caused by a misshapen nasal passage are strong candidates for a septoplasty.

Ideal candidates for rhinoplasty should have the following characteristics:

  • Be non-smokers
  • Have reasonable expectations of the procedure
  • Be physically healthy enough for surgery
  • Choose a rhinoplasty to meet their personal goals and not the expectations of others


Dr. Murphy and his team will meet with each patient during a consultation to discuss the details of the rhinoplasty and create a tailored treatment plan that fits the goals and personal anatomy of the patient. During your consultation, you can bring up any questions or concerns you have about the procedure as it is essential to Dr. Murphy that each patient feel 100% confident and comfortable about their procedure.

Every rhinoplasty is a fully customized treatment that is designed to address the specific issues presented by the patient. No two treatments are identical. You will undergo a physical examination and will need to discuss your medical history.

We often recommend patients bring in photographic examples that closely represent their goals. Dr. Murphy can also provide examples to help you get a clear idea of the results you can achieve.


Looking ahead to your procedure, preparing your living space and making appropriate arrangements can make your recovery and experience as stress-free as possible.

Firstly, we insist that you arrange transportationto and from the surgical center on the day of your procedure. Due to the use of anesthetic, you will be unable to drive. In the weeks leading up to your treatment date, cease taking any anti-inflammatory medication as that may interfere with your body’s ability to heal from surgery. Smokers will be required to quit at least two weeks before their treatment date.

The staff at Pearwood Plastic Surgery are just phone call away and more than happy to provide you with assistance and tips on how to ensure you have the best experience possible.


On the day of your treatment, you will be taken to our accredited surgical center and prepped. A rhinoplasty is typically performed under general anesthesia to ensure you are asleep, perfectly comfortable and safe during the procedure.

Then, Dr. Murphy will make decisions based on the pre-discussed surgical method. As each operation is completely tailored to the individual’s case, the surgical method is 100% customized and will be discussed with you during your consultation. Reshaping structure of the nose requires extreme attention to detail, experience, and technique. The underlying bone may be reduced or augmented with cartilage taken from other areas of the body.

Nasal tip reductions, for example, may involve cartilage reduction from the “alar tip” or the cartilaginous structure that forms the tip of the nose. Sutures can tighten or adjust the shape of the nose as well. Reducing the dorsal hump on the bridge may require removal of excess cartilage and bone. The excess cartilage can be used to support the new structure of the nose. If additional supportive cartilage is needed, donor cartilage may be taken from the ribs or ears.

Finally, the incisions are closed with sutures and you are taken to a recovery area to rest and receive instructions on your aftercare. There will be splints placed inside the nostril and bandages applied on the outside to retain support for your nose’s new structure.


There will likely be swelling and bruising in the immediately week after your treatment, mostly localized around the nose and sinus area. Discomfort can be managed with pain medication and ice. About a week into your recovery, the bandages, stitches, and splints are removed. Most of the bruising and swelling will dissipate after a week, but some swelling can linger for months after the procedure.

Patients should avoid blowing their noses with significant force or placing pressure on the nose as it heals. Most patients can return to light, daily activity within five days.


The improved shape of your nose may be immediately visible for more significant reshaping procedures, but the final results of a rhinoplasty can take months to settle into form.


The price of a rhinoplasty will vary considerably between patients as every procedure is highly customized. The surgical technique and the specific goals of the patient will make a difference in the final cost breakdown.

At the end of your consultation with Dr. Murphy, you will receive a detailed quote for your customized rhinoplasty.

Contact Pearwood Plastic Surgery today and you can be on your way to achieving a restored, balanced and harmonious nose!

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