The nose is the focal point of the human face, and other people's eyes are naturally drawn to it. If your nose is out of proportion with the rest of your facial features, or if an injury or other health-related issue has impaired your ability to breathe properly through your nose, you may benefit from rhinoplasty, also called nose surgery. Men and women who want the best rhinoplasty results visit board-certified plastic surgeon Dr. Dax Guenther in Boston, Hingham, and Nantucket, MA.
If you are ready to learn more about how Dr. Guenther can improve your facial balance or your breathing in Boston with rhinoplasty, request a consultation online, or call us at (781) 740-7840 (Hingham), (508) 901-9239 (Nantucket), or (617) 306-3175 (downtown) to speak with one of our team members today.
Before & After Photos
Woman in her 20s unhappy with her nasal profile. Shown 3 months after rhinoplasty with dorsal hump reduction, cartilage grafting, and tip refinement. View Case
Woman in 40s bothered by nasal contour. Shown after rhinoplasty. View Case
Male in 20s unhappy with nose after multiple prior rhinoplasties. Underwent secondary rhinoplasty utilizing rib cartilage to correct saddle nose deformity and overresected nasal tip. Specifically requested re-creation of more masculine and "ethnic" nasal dorsum. View Case
Woman in her 20s unhappy with her nasal bridge, wide tip, and nostril flair. Shown two months after rhinoplasty with cartilage grafting of bridge, tip narrowing, and nostril reduction. View Case
Dr. Guenther assesses each rhinoplasty candidate carefully before forming a detailed plan to match the results of the surgery with the patient's distinctive facial features. Your initial consultation will allow you to speak in-depth with Dr. Guenther and define your aesthetic and/or functional goals, such as:
- Eliminating a prominent dorsal hump
- Correcting a bulbous or over-projecting tip
- Straightening a crooked nose
- Revising the unsatisfactory results of a previous rhinoplasty
- Treating physiological irregularities, such as a deviated septum, that contribute to nasal breathing problems
- Repairing damage due to trauma or injury
Dr. Guenther's in-depth education and experience in all facets of plastic and reconstructive surgery ensure that he will use advanced techniques and a highly developed sense of aesthetics to shape the best nose contour for your unique facial structure.
Advanced Techniques & Options
Dr. Guenther usually performs rhinoplasty as an outpatient procedure. The surgery may take a few hours, depending on the extent of correction and whether rhinoplasty is being combined with other procedures. Dr. Guenther's extensive training enables him to perform both open and closed rhinoplasty.
- Open rhinoplasty allows the most direct access to the interior of the nose and requires a small incision on the thin strip of tissue between the nostrils called the columella (see illustration below). The tiny scar that results from this technique is typically so faint that it is virtually undetectable.
- Closed rhinoplasty requires incisions only on the interior of the nose, which leave no visible scarring. This technique is appropriate for making minor changes such as removing a small bump from the bridge of the nose.
The patient's individual anatomy and desired changes will determine whether the procedure approach is open or closed.
Open Rhinoplasty Incisions
Nasal packing with gauze or cotton is generally not necessary with Dr. Guenther's rhinoplasties. In some cases, he will place rubber Doyle splints inside the nostrils to preserve the integrity of the surgery during the initial healing process. These splints are removed during the postoperative visit 1 week following the surgery.
Revision rhinoplasty, also called secondary rhinoplasty, is performed to correct the results of one or more previous rhinoplasty procedures. Although rhinoplasty is a complex procedure, revision rhinoplasty is even more so. In some cases, too much cartilage has been removed and must be replaced. Dr. Guenther may use bone or cartilage from another part of the body such as the rib. Another difficulty that may need to be addressed is scarring or tissue contracture (tightening). Dr. Guenther has the expertise, skill, and experience gained from performing many revision procedures for a variety of reasons to help women and men attain the attractive noses they envision for themselves.
Before-and-After Photos of Real Patients
|This man in his 20s came to Dr. Guenther after multiple rhinoplasties by other surgeons because he wanted his nose to look more masculine and "ethnic." Dr. Guenther performed secondary rhinoplasty utilizing rib cartilage to correct a saddle-nose deformity and an over-resected nasal tip. For additional rhinoplasty patient photos, visit our photo gallery.|
What Does Rhinoplasty Cost?
Medical insurance typically does not cover the cost of elective procedures such as cosmetic rhinoplasty. If you are seeking rhinoplasty to improve breathing, called a functional rhinoplasty, or to correct a birth defect or injury, called reconstructive rhinoplasty, your procedure may be covered by your medical insurance.
The cost for rhinoplasty depends on several factors, including whether:
- Your rhinoplasty is cosmetic, functional, or reconstructive
- You've had a rhinoplasty before, and if so, how many
- You are having other procedures performed with your rhinoplasty
Although cost is a consideration for most patients, it shouldn't be the deciding factor when choosing a plastic surgeon. Experience, board certification, and demonstrated results are all important when making a decision.
Visit our Rhinoplasty FAQ page to learn answers to more questions about the procedure.
Healing & Enjoying Your New Look
After rhinoplasty at our Boston practice, you will need to apply cold compresses for the first 48 hours after surgery. To minimize swelling and bleeding, keep your head elevated at all times for the first week. You will need to sleep propped up with pillows or in a recliner.
Most of the postoperative swelling will resolve itself after a few weeks. No trauma or pressure on the nose can take place for 6 weeks. Complete resolution of edema and the final result generally occur 6 months to 1 year after surgery, although most patients enjoy significant improvement within the first month.