Rhinoplasty is a very popular procedure. Slight improvements to the shape and size of the nose can drastically enhance a patient’s already attractive facial features. Dr. Stephen Weber is a double board certified facial plastic surgeon in Denver, CO, who specializes in rhinoplasty procedures.
Rhinoplasty is the surgical molding or shaping of the nose. Commonly referred to as a “nose job”, the procedure is performed to give patients a nose that harmoniously blends with the rest of their face. There are two types of rhinoplasty procedures. The first and most common is a reduction rhinoplasty, a procedure that reduces the size of the nose. The second is an augmentation rhinoplasty, a procedure that enlarges the nose. The decision regarding which procedure to perform is based on several factors, including but not limited to the following factors: face shape, ethnicity, height, personality, and patient goals.
An important but often overlooked part of rhinoplasty is nasal function following the procedure. The procedure should always maintain or improve a patient’s ability to breathe. Additionally, maintained or improved nasal function should be long lasting. Fully functional results following rhinoplasty are achieved when the surgeon performing the procedure has the surgical skills to reshape nasal cartilage rather than excise it.
Because Dr. Weber tailors his procedures to meet the unique needs of each patient and uses a contemporary and structured surgical approach, he is able to produce consistent aesthetic and functional results that his patients, both male and female, love. Dr. Weber’s passion for rhinoplasty and his dedication to research and learning have led to him becoming one of the top rhinoplasty surgeons in the country. Considered a “Top Rhinoplasty Doctor” by RealSelf.com, Dr. Weber typically performs three to five procedures a week on patients of all ages and genders.
A Rhinoplasty Procedure with Dr. Weber
The first step is to make the patient as comfortable as possible. The second is the administration of local anesthesia, IV sedation, or general anesthesia by a board certified anesthesiologist. After the patient is comfortably asleep or sedated, one of the following approaches is used to access the nasal structures:
- The “open” or external approach. A tiny external incision is made on the area of skin separating the nostrils on the underside of the nose, along with other incision made on the inside of the nose.
- The “closed” or endonasal approach. Tiny incisions are made only on the inside of the nostrils.
Working through the incisions, Dr. Weber reshapes nasal bone and cartilage to meet the patient’s aesthetic and functional goals that were established prior to surgery. Dissolving sutures that do not require removal are used to carefully close the incisions. Packing is never placed inside the nose. A flexible nasal splint is placed over the new nose to help hold it in place and minimize swelling. Once the splint is secured using delicate tape, the procedure is complete. Total procedure time is approximately 60-90 minutes.
Recovery from Rhinoplasty
Patients return home after the effects of surgical medications and anesthesia have worn off. Swelling, congestion, and bruising may occur following surgery. These symptoms peak over the course of a few days and then steadily decline. To many patients’ surprise, little to no pain is experienced during the recovery process.
The first post operative appointment with Dr. Weber occurs five days after surgery. The splint will be removed at this appointment. Generally, Dr. Weber tells patients that they may resume light activity immediately and may return to work or school. Patients are advised that strenuous activities should be avoided for at least three weeks and activities in which the nose may be bumped should be avoided for at least six weeks.
Results begin to be seen as soon as post surgical swelling goes down. Generally, patients can expect to see noticeable improvements within the first few weeks after surgery. Fine details and subtle improvements will continue to be seen as healing takes places and swelling decreases over the course of one year. It is important to note that swelling is typically unnoticeable one week after surgery.
The end result for Dr. Weber’s patients who undergo a rhinoplasty procedure is a natural-looking nose that complements their facial features. Of course, results are tailored to meet the goals of each patient. Some of the most commonly requested surgical changes that patients request and ultimately receive include the following:
- A smaller or larger nose
- A narrow and straight nasal bridge
- A refined nasal tip with added definition
Following surgery, patients report feeling less self-conscious and more self-confident. They also report improved breathing and nasal congestion.
Good Candidates for a Rhinoplasty Procedure
Men and women who want to improve the appearance of their nose and/or improve nasal function are good candidates for a rhinoplasty procedure. The procedure is typically performed on healthy, non-smoking adult and teenage patients with no serious medical conditions, a positive mindset, and realistic expectations.
Initial Consultation with Dr. Weber
The first part of your initial consultation with Dr. Weber will include the following:
- A thorough medical history review
- A physical examination in which pictures will be taken for review
- A discussion regarding your desires and expectations
The second part of your consultation will be focused on creating a treatment plan that is right for you. You will work together with Dr. Weber to establish realistic goals. He will then explain how those goals will be achieved and show you what results you can expect. At the end of the consultation, Dr. Weber will invite you to ask questions and bring up any concerns you might have. He will patiently listen and then answer or address them.
Frequently Asked Questions (FAQs)
Where does Dr. Weber perform rhinoplasty procedures?
Rhinoplasty procedures are performed in one of our office procedure suites or at an ambulatory surgical center.
Are there risks associated with a rhinoplasty procedure?
There are risks associated with all surgical procedures. Risks specific to rhinoplasty include but are not limited to the following: nosebleed, infection, breathing difficulties, and swelling. These risks will be explained by Dr. Weber at your initial consultation.
Will I have a visible scar after my procedure?
Once fully healed, incisions usually result in a very fine line that is difficult to detect. Because Dr. Weber strategically places incisions in areas that naturally blend with the skin, patients oftentimes do not notice their scars.
What is the advantage of an open approach? When is the approach used?
The advantage of an open approach is that it allows for maximum exposure. It is typically used to correct an asymmetric or oversized nasal tip. It is also used on almost all patients who require a rhinoplasty revision and a cleft rhinoplasty.
What is the advantage of a closed approach? When is the approach used?
The advantage of a closed approach is that the incisions are hidden inside the nose. It is typically performed for procedures that involve the following:
- Minor tips changes
- Removal of a bump on the bridge of the nose
- Straightening or narrowing the nose
It may also be used for procedures that modify the size and shape of the nostrils.
Is it important to have my procedure performed by a specialist?
Facial plastic surgeons who specialize in rhinoplasty typically perform the procedure more often than general plastic surgeons. This enables them to develop the surgical skills that ensure consistent results.
How many rhinoplasty procedures does Dr. Weber perform a year?
Dr. Weber typically performs 100-150 rhinoplasty procedures a year.
Are all the rhinoplasty procedures Dr. Weber performs for cosmetic reasons?
Approximately one-third of the procedures Dr. Weber performs are strictly for cosmetic reasons. Another one-third of procedures are for functional reasons. The remaining one-third are for cosmetic and functional reasons.
Why will it take up to a year to see my final result?
Most patients are 95% of the way healed within three months after surgery. The remaining improvements are gradually seen over the course of nine months because it takes time for the nasal cartilage, particularly that of the nasal tip, to adjust to its new shape.
Can I see before and after photos of some of Dr. Weber’s rhinoplasty patients?
Of course! During your initial consultation, Dr. Weber will show you before and after pictures of patients who most closely resemble your current nose and the nose that you would like to have.
What should I bring to my initial consultation?
You should bring a list of all the medications you take and a list of the medications you are allergic to. You should also bring a list of questions for Dr. Weber. If you would like to bring pictures for Dr. Weber to review, you may do so.
How do I arrange my initial consultation?
When you are ready for your initial consultation with Dr. Weber, you may contact his office in Denver, CO, at 303-792-2224 or firstname.lastname@example.org.
Rhinoplasty before and after
very welcoming and caring practice. my only "complaint" is i was not informed of a proper pre-injection regime which resulted in bruising (even after 2 weeks) based on my research.
premature aging lead me to juvederm injections around my smiling lines. while the fillers did an okay job of filling winkles after TWO weeks i still have a bruise. Unfortunately my doctor/receptionist did not advise me regarding a pre-injection regime, i.e. i had a beer the night before and aspirin. in reading through realself reviews in more detail now i understand the implications. i have a reunion this weekend and need to resort to some type of concealer. please be forewarned.