Treatments and Procedures: Rhinoplasty

Rhinoplasty is a cosmetic procedure to change the size or shape of the nose to achieve more balance and symmetry of the facial features and improve appearance. A rhinoplasty can also be simultaneously performed with procedures to improve the function of the nose by correcting obstructed breathing.

Learn more about:
Our Team | What to Expect | Before and After Photos | Ethnic Rhinoplasty | Educational Videos

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Why Choose Johns Hopkins for Rhinoplasty

Choosing the right specialist is very important in rhinoplasty. This procedure is considered by many to be the most complex and delicate plastic surgery operation, requiring surgeons to think on their feet. Our surgeons are board certified in both facial plastic surgery and otolaryngology–head and neck surgery. This means they have each spent decades becoming experts in the inside and outside of the nose.

Tailored Approach

We consider each patient’s general health, age, ethnicity and skin type, and approach each procedure with an eye for balance and harmony among each area of the face and its proportions.

Experienced Team

Our experienced team includes internationally renowned experts in facial plastic surgery who perform a large number of rhinoplasties ranging from small corrections to complex revision surgeries. 

Minimal Scarring Techniques

The advanced skills of our facial plastic surgeons in scarless and hidden scar techniques mean you can look forward to a more natural appearance after a rhinoplasty.

What to Expect When Getting Rhinoplasty at Johns Hopkins

Rhinoplasty Before and After Photos

There are many reasons why our patients come to us to reshape the nose. Some are cosmetic and some are health-related, such as to improve breathing. See the many ways we have helped our patients achieve their desired results.

Rhinoplasty for a Nose Hump Reduction

Procedure: Cosmetic rhinoplasty and septoplasty
Surgeon:
 Shaun C. Desai, M.D.
Description: A 20-year-old woman (pictured one year after the surgery) had a cosmetic rhinoplasty and septoplasty to improve the appearance and help repair a deviated septum to help her breathe better. She was unhappy with the bump on her nose (dorsal hump).

A 20-year-old woman pictured one year after the surgery.
A 20-year-old woman pictured one year after the surgery.
A 20-year-old woman pictured one year after the surgery.
  • Left: Before | Right: After


  • Left: Before | Right: After

  • Left: Before | Right: After

Procedure: Dorsal hump and droopy tip reduction 
Surgeon: Shaun C. Desai, M.D.
Description: A 30-year-old woman (pictured six months after the surgery) had a cosmetic and functional rhinoplasty for dorsal hump (nose bump) reduction, lifting of a droopy nose tip, as well as a deviated septum repair to help her breathe better.

A 30-year-old woman pictured 6 months after the surgery.
A 30-year-old woman pictured 6 months after the surgery.
A 30-year-old woman pictured 6 months after the surgery.
A 30-year-old woman pictured 6 months after the surgery.
A 30-year-old woman pictured 6 months after the surgery.
A 30-year-old woman pictured 6 months after the surgery.
  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

Rhinoplasty for a Deviated Septum and Crooked Nose

Procedure: Deviated septum repair
Surgeon: Shaun C. Desai, M.D.
Description: A 17-year-old man (pictured several months after the surgery) has a functional open septo-rhinoplasty for a severely crooked nose and a severely deviated septum from previous trauma.  

A 17-year-old man pictured several months after the surgery.
A 17-year-old man pictured several months after the surgery.
  • Left: Before | Right: After

  • Left: Before | Right: After

Procedure: Crooked nose and deviated septum repair 
Surgeon: Shaun C. Desai, M.D.
Description: A 49-year-old woman (pictured one and a half years after surgery) had a cosmetic and functional rhinoplasty for a severely crooked nose and a severely deviated septum.

A 49-year-old woman pictured 1.5 years after the surgery.
A 49-year-old woman pictured 1.5 years after the surgery.
A 49-year-old woman pictured 1.5 years after the surgery.
  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

Revision Rhinoplasty (Correcting a Previous Rhinoplasty)

Procedure: Revision of a previous rhinoplasty 
Surgeon: Shaun C. Desai, M.D.
Description: A 52-year-old woman (pictured one year after the surgery) had a complex revision cosmetic and functional rhinoplasty for an “upturned” nose, asymmetry and twisted nasal tip, retraction of her nostrils (too much inside nose showing), and to fix a deviated septum and a nasal valve collapse to help her breathe better.    

A 52-year-old woman pictured one year after the surgery.
A 52-year-old woman pictured one year after the surgery.
A 52-year-old woman pictured one year after the surgery.
A 52-year-old woman pictured one year after the surgery.
A 52-year-old woman pictured one year after the surgery.
A 52-year-old woman pictured one year after the surgery.
  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

Procedure: Revision of a previous rhinoplasty 
Surgeon: Shaun C. Desai, M.D.
Description:  A 63-year-old woman (pictured one year after the surgery) had a complex revision cosmetic and functional rhinoplasty for a drooping nose (ptotic tip), asymmetry and twisted nasal tip, and pollybeak deformity (side profile not straight), as well as to fix a deviated septum and nasal valve collapse to help her breathe better.

 A 63-year-old woman pictured one year after the surgery.
 A 63-year-old woman pictured one year after the surgery.
 A 63-year-old woman pictured one year after the surgery.
 A 63-year-old woman pictured one year after the surgery.
 A 63-year-old woman pictured one year after the surgery.
  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

Rhinoplasty to Reshape the Nose Tip 

Procedure: Wide and droopy nose tip correction
Surgeon: Shaun C. Desai, M.D.
Description: A 30-year-old woman (pictured one year after the surgery) had a cosmetic and functional rhinoplasty for a droopy and wide (“bulbous”) nose tip.   

A 30-year-old woman pictured one year after the surgery.
A 30-year-old woman pictured one year after the surgery.
A 30-year-old woman pictured one year after the surgery.
A 30-year-old woman pictured one year after the surgery.
A 30-year-old woman pictured one year after the surgery.
  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

  • Left: Before | Right: After

Rhinoplasty Educational Videos

Rhinoplasty | What Patients Should Know

When is Rhinoplasty (Nasal Surgery) Medically Necessary | Q&A

Tip Rhinoplasty | What Patients Need to Know

Revision Septo-Rhinoplasty | FAQ with Dr. Shaun Desai


Ethnic Rhinoplasty

The rhinoplasty techniques taught to plastic surgeons do not always translate to patients of diverse ethnic backgrounds. No two patients are alike. Skin thickness and strength, shape of nasal cartilages and nostril size vary between people and ethnicities. Research suggests that some people with medium to darker skin are at a higher risk of scarring and hyperpigmentation, which our team considers when planning for rhinoplasty. Kofi Boahene, M.D., the director of plastic surgery, and the rest of our team are experts in ethnic rhinoplasty and understand these nuances. Our goal in ethnic rhinoplasty is to enhance the individual beauty of each person without changing or losing the uniqueness of their ethnicity.