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.
Rhinoplasty: Before and After Pictures
Rhinoplasty: Why Choose Johns Hopkins
Our expert facial cosmetic surgeons 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.
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.
The advanced skills of our facial plastic surgeons in scarless and hidden scar techniques means you can look forward to a more natural appearance after a rhinoplasty.
Choosing a specialist is very important in rhinoplasty. This procedure is considered by many to be the most complex operation in all of plastic surgery. Our surgeons are double board certified in both facial plastic surgery and otolaryngology–head and neck surgery (ear, nose and throat — ENT — surgery). This means they have each spent decades becoming experts in both the inside and outside of the nose. In addition, they focus on rhinoplasty, including revision cases that make up a large part of our practice.Contact Us
Rhinoplasty: What to Expect
One of our experts will conduct a thorough examination and discuss your personal goals for your rhinoplasty. Some procedures can address cosmetic concerns and breathing issues at the same time.
During your consultation, our staff will take photographs and review your medical history, skin type, age and ethnic background. The surgeon will explain how the nasal bones and cartilage can be sculpted to reshape the nose.
The rhinoplasty surgery can take place in the hospital, outpatient surgery center or our office-based surgical facility. It is performed under anesthesia to ensure your comfort.
If the rhinoplasty requires cartilage grafts, the surgeon will begin by removing a small segment of cartilage from the ear or a rib. This will allow our surgeon to add cartilage in the nose where it is deficient. Small dissolvable stiches are used to close incisions.
Afterward, the surgeon will place a small splint on the nose to protect it and support the new structure. In some cases, absorbent dressings may be packed inside the nose. The surgical care team will provide you with care instructions to ensure the best result, prevent infection and address discomfort. These may include instructions about:
- Taking pain medication
- Using cold compresses to minimize swelling
- Elevating the head while sleeping
- Avoiding strenuous activity during recovery
Swelling of the nose is common and may continue for several weeks. You may also notice bruising around the nose and eyes. The nose is fully healed in one year.
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 individuals and ethnicities. 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 that person’s ethnicity.” — Kofi Boahene, M.D.
For ideal rhinoplasty results, a surgeon must have an understanding of your cultural background and standards of beauty. Rhinoplasty is a delicate surgery during which surgeons must think on their feet. Understanding cultural norms makes our surgeons better prepared in the operating room. 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.Play Video:
Ethnic Facial Plastic and Reconstructive Surgery Q&A
Johns Hopkins facial plastic and reconstructive surgeon Kofi Boahene answers questions about ethnic facial plastic surgery. He discusses facial scarring, rhinoplasty, jaw contouring and how to choose a facial plastic surgeon.
Revision Septo-Rhinoplasty | FAQ with Dr. Shaun Desai
Watch facial plastic and reconstructive surgeon Shaun Desai describe revision septo-rhinoplasty (corrective nose surgery), explain who are the ideal candidates for this procedure and discuss how to choose the best facial plastic surgeon.
Tip Rhinoplasty | What Patients Need to Know
Tip rhinoplasty, what patients need to know — facial plastic and reconstructive surgeon Lisa Ishii discusses surgical options for patients interested in improving the appearance of the tip of their nose through tip rhinoplasty.
When is Rhinoplasty (Nasal Surgery) Medically Necessary | Q&A
Medically necessary nasal surgery Q&A with facial plastic and reconstructive surgeon Lisa Ishii. Dr. Ishii discusses when nasal surgery is medically necessary and what the procedure is like.
Rhinoplasty | What Patients Should Know
Rhinoplasty specialist and facial plastic and reconstructive surgeon Kofi Boahene discusses his approach to rhinoplasty, which depends on understanding the reason for the procedure, such as improving breathing, improving appearance, restoring balance to the face or repairing after trauma.
Costs vary according to the reason for the surgery and its complexity. Factors influencing cost include:
- Whether you are undergoing new or revision surgery
- Expected duration of the operation
- Location where surgery takes place
- If the procedure requires rib or ear cartilage grafting
Our office can provide a cost range over the phone for cosmetic rhinoplasty, which is not covered by insurance.
After the consultation, our office will generate a cost estimate following the surgeon’s recommendations. If the procedure is medically necessary and accepted by insurance, our team will provide procedure and diagnosis codes to determine your co-insurance, deductible and any copays. If the rhinoplasty is for both functional and cosmetic reasons, our office will provide guidance.
Our doctors are board certified in both otolaryngology–head and neck surgery and facial plastic and reconstructive surgery, which gives our team a unique and comprehensive level of expertise.
Shaun Desai, M.D.
Associate Professor of Otolaryngology - Head and Neck Surgery
Lisa Ishii, M.D.
Professor of Otolaryngology - Head and Neck Surgery
Kofi Boahene, M.D.
Professor and Director - Division of Facial Plastic and Reconstructive Surgery
Jason Nellis, M.D.
Assistant Professor of Otolaryngology - Head and Neck Surgery