Frank Agullo, MDBoard Certified Plastic Surgeon

Rhinoplasty

Rhinoplasty can refine your nose and bring it into balance with the other features of your face. As a prominent facial feature, the appearance of the nose has a significant impact on facial beauty, confidence, and self-esteem. The ideal nose will not be an imitation of someone else’s nose but will appear balanced and attractive with your unique facial features. This cosmetic procedure can help you achieve the look and confidence you desire.

Do you...

  • Feel unhappy with the shape, size, or appearance of your nose?
  • Experience social shame or shyness in public or in photographs because of your nose?
  • Have a former nasal injury that didn’t heal properly?
  • Want to enhance your facial features to achieve better symmetry, balance, and beauty?

Rhinoplasty can correct these issues and more, including nasal profile, width, bumps, tip, and nostril size.

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Rhinoplasty Techniques

Open

  • Involves an incision along the base of the columella to open the nose and perform adjustments
  • Clear viewing and access to all the nasal structures allows for extensive correction and adjustments

Closed

  • Involves small incisions inside the nostrils to perform adjustments without opening the nose
  • Facilitates minor corrections and prevents the possibility of noticeable scarring

VECTRA® 3D Imaging for Rhinoplasty

Dr. Frank Agullo uses the revolutionary VECTRA® 3D Imaging System to provide patients with a before and after simulation of what the nose will look like when it has fully healed after rhinoplasty. This gives the patient a chance to address any concerns to ensure that the procedure leads to the desired results.

Preparing for Your Surgery

The best candidates for rhinoplasty are non-smokers with no major health issues who have realistic expectations about the results. Good candidates will also be pursuing rhinoplasty for their own self-motivated reasons. To prepare for your surgery, quit smoking at least two weeks before surgery and eat a nutritious diet to help your body heal. Avoid tanning and blood thinners for at least two weeks before surgery. Do your best to stay healthy, and if you develop any cold or illness, contact Dr. Agullo right away because this could interfere with the surgery and healing. Be sure to ask for time off work for recovery, and avoid scheduling your procedure around any major social functions. Plan to have someone drive you to and from the hospital. Lastly, avoid food and drink after midnight before your rhinoplasty, and do not put any creams, lotions, or makeup on your face. Don’t forget to bring any paperwork and your ID to the procedure.

Rhinoplasty FAQs

What are the pros and cons of open vs. closed rhinoplasty?

Open Rhinoplasty:

  • Pros: More extensive adjustments are possible, and more precise changes can be made
  • Cons: May leave a small scar at the base of the nose, the procedure is longer, and healing may be slower

Closed Rhinoplasty:

  • Pros: Leaves no noticeable scarring, the procedure is typically shorter, and healing may be faster
  • Cons: Fewer changes are possible, and it may be more difficult or impossible to perform complicated adjustments

What kind of anesthesia is used for rhinoplasty?

Patients will be under either general anesthesia or IV conscious sedation for the procedure. IV conscious sedation may lead to a faster recovery time, but most patients will need to be under general anesthesia.

What should I expect during rhinoplasty recovery?

After rhinoplasty, your nose will be taped to reduce swelling and to press out any trapped fluid. Taping is performed within the first week after surgery. Swelling, bruising, and tenderness are common and will subside over time. By the end of week two, you will likely feel ready to go back to public places. After two to 12 weeks, swelling will gradually subside and the nose will begin to take on its new appearance. Avoid sun exposure for a few months after rhinoplasty to prevent discoloration while the nasal skin is more sensitive. Those who had a bump removed from their nasal bridge may temporarily experience additional swelling along the nasal bridge and tip. Some patients also experience a stiff upper lip and feel tightness when making facial expressions. All of these effects are temporary and will resolve as swelling subsides. The amount of time for healing varies from patient to patient. For some patients, it may take up to a year to see the final results.

What are the risks of rhinoplasty?

Rhinoplasty risks are most often associated with smokers, drinkers, and individuals with undisclosed medical conditions. To reduce your risk of complications, it is important to be entirely open about your medical history with Dr. Agullo. Additional risks include amplified swelling, bruising, infections, and adverse reactions to the anesthesia.

Can rhinoplasty give me my ideal nose?

Rhinoplasty is not about achieving an unrealistic ideal; it is about achieving facial beauty, balance, and symmetry. Every face is different, and the ideal nose for one face may not be achievable or may look unattractive on another face. It is important to have realistic expectations about what is possible and to trust the surgeon about what will enhance your appearance. Dr. Agullo will use VECTRA® 3D Imaging to help you visualize how rhinoplasty will make your nose look more attractive and balanced with your other facial features.

Can I combine rhinoplasty with other facial procedures?

You can combine rhinoplasty with other facial procedures. Common examples include chin augmentation, PRP injections, eyelid surgery, fat injections, and facelift surgery. Dr. Agullo will advise you on whether combining your rhinoplasty with other procedures is a good idea for you. He can also use the VECTRA® 3D Imaging System to demonstrate to you how combination procedures would enhance your appearance.

How expensive is rhinoplasty?

Nose surgery is rarely covered by insurance unless it is deemed necessary to correct an injury or defect caused by disease. Most El Paso rhinoplasty procedures will range from $6,700 - $10,000, which includes surgeon’s fees, anesthesia, medical supplies, prescriptions, and operating facility fees.

What are the benefits of rhinoplasty?

Rhinoplasty will improve the appearance of your nose so that your face appears well-balanced and attractive. It can also help you feel more confident in social situations. For some individuals, it may even improve nasal breathing. Nose surgery can improve self-esteem and allow you to look and feel your best.

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