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Rhinoplasty, commonly referred to as a nose job, is any surgery performed to change the shape of the nose. The goal of this surgery is to create an improved nasal contour that is in harmony with the rest of the face while maintaining or improving nasal breathing. Because the nose has a prominent central location on the face, the cosmetic changes made with rhinoplasty can make a dramatic difference in a person’s appearance and lead to great increases in self-esteem and self-confidence.

Before & After Photos

Achieved With Rhinoplasty Surgery

Improved Tip or Bridge

Aesthetic rhinoplasty can meet many needs. The shape of the nose can be changed depending on the thickness of the cartilage and skin. Often, a bump on the bridge is removed during rhinoplasty. Noses are typically made smaller, but occasionally, an overly small nose is enlarged. The bridge can also be narrowed or widened to create more pleasing proportions, and the tip can be manipulated in width, height, projection, angle, and many other attributes.

Change in the Size or Shape of the Nostrils

The nostrils can be made smaller in patients with excessively long, wide, or flaring nostrils. Overly arched nostrils can also be lowered. Whatever your need, Dr. Pontell can provide a customized solution for you.

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What Does Rhinoplasty Entail?


Prior to the procedure, you will meet with Dr. Pontell to discuss your goals and concerns, and he will assess your face. He will examine the internal and external nasal structures to determine what changes are possible and how to best create the most aesthetically pleasing result. Dr. Pontell will use computer imaging to show you the changes that are possible and to help determine your surgical goal. Once he gains a thorough understanding of your goal, Dr. Pontell will give you more details about his recommendations for your procedure.

+ Importance of the Nose in Relation to Facial Aesthetics


Since rhinoplasty is such a highly individualized procedure, the surgical process varies greatly from patient to patient. Dr. Pontell frequently performs rhinoplasty using the open technique because it uses a small incision on the columella (the skin between the nostrils) to allow greater exposure and access to the internal structures. This improved exposure allows for more sophisticated ways of altering the nasal anatomy, which leads to better results and improved symmetry. The alternative option is a closed rhinoplasty, which uses incisions inside the nose to view the nasal structures. Grafts of cartilage from the nasal septum or ear may be used during surgery. Synthetic materials are occasionally used to augment the nasal bridge. All options will be thoroughly discussed and decided on prior to surgery.

+ Differences Between Closed and Open Rhinoplasty


Patients will wake up from surgery with a cast on their nose. Dr. Pontell’s suturing technique makes nasal packing unnecessary. Swelling and bruising around the eyes may be present after surgery and may increase within the first few days. The cast and any stitches will be removed approximately one week after surgery. Most patients feel comfortable going out in public by the tenth day. Patients can return to work within one to two weeks and can resume more strenuous physical activity after two weeks. Swelling will continue to subside, and the shape of the nose will refine over the following months. It may take up to a year for all residual swelling to resolve.


The scar from rhinoplasty surgery is extremely minimal. With open rhinoplasty, the scar will span across the columella, which is the area of skin between the nostrils. When the incision is closed correctly, the scar is not noticeable at all. With a closed rhinoplasty, there are no outer incisions and, therefore, no visible scars.


Although you will have some discomfort after surgery, most patients agree that the pain is minimal. Any pain that patients feel can be controlled with prescription medications.

What if a Revision Rhinoplasty Is Necessary?

Rhinoplasty is one of the most complex cosmetic surgeries. Successful results depend on multiple factors, including your ability to heal and the way your new nasal structures settle into place. Even at the hands of a very experienced and well-trained surgeon, there is a chance that a revision rhinoplasty will be needed to attain the desired result. Because the nose can take up to a year to fully heal and take on its permanent shape, patients are advised to wait at least a year before considering a revision. Dr. Pontell is proficient in the unique challenges of revision surgery and can help you reach your aesthetic goals.


  • Who is an ideal candidate for rhinoplasty?
    Men and women who are in good physical health and would like to improve the appearance or function of their nose may be good candidates for rhinoplasty. Female patients should be at least 15 or 16 years old, and males should be at least 16 or 17 years old, at which the vast majority of nasal growth has been completed. Nasal surgery undergone prior to the completion of nasal growth may result in developmental abnormalities of the nose.
  • Will I be able to look like another person?
    Rhinoplasty will not give you the exact nose of a celebrity or another particular person; the procedure will refine or enhance the nose you already have. No person has the exact skin thickness, amount of cartilage, and bone structure as another person, so it is not possible to make an exact copy of another person’s nose. Dr. Pontell will review your desires and your anatomy to determine how he can provide the best result.
  • Where is rhinoplasty performed?
    Dr. Pontell performs rhinoplasty in fully accredited hospitals and surgicenters that are equipped with the latest surgical technologies. Dr. Pontell may perform smaller, limited rhinoplasties in his private office operating room using local anesthesia.
  • Can I combine rhinoplasty with another plastic surgery procedure?
    Yes. Patients often combine rhinoplasty with other procedures such as chin augmentation, cheek augmentation, or chin reduction. During your consultation, Dr. Pontell may recommend an additional procedure if it will help you achieve better facial harmony.
  • What are the risks associated with rhinoplasty?
    As with any surgical procedure, there are a few risks associated with rhinoplasty, but these are minimal for healthy patients. These include infection, bleeding, and an adverse reaction to medication. Poor healing, excess scar tissue, nasal contour irregularities, and nasal breathing problems are also possible occurrences, but these are all treatable complications.

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