Rhinoplasty in Boston, MA with Dr. Christopher Davidson

The nose is the most prominent facial feature and it provides a vital balance to the overall appearance. When the nose is out of proportion with the other features it can detract from an otherwise beautiful look. Adults that struggle with a nose that does not ‘fit’ their face may withdraw from social situations, loosing their confidence and self-esteem. Teasing and bullying are not an uncommon occurrence for teens and young children coping with an unusual nose. Today, however, nasal surgery is available that can significantly improve the shape of the nose, as well as restore facial balance and proportion.

Rhinoplasty is a surgical procedure designed to improve both the shape and size of the nose. This invasive technique can correct a variety of aesthetic problems, including a humped nasal bridge, nostrils that are too large or small, crooked cartilage, a bulbous tip, as well as many other issues. The procedure can also correct functional problems of the nose, such as chronic congestion or ‘stuffiness’. A renowned plastic surgeon, Dr. Davidson has been performing cosmetic and reconstructive procedures since 2000.

The Best Candidate for Rhinoplasty

Anyone unhappy with the shape, size, or function of their nose may find Rhinoplasty to be extremely valuable. The procedure can correct a variety of nasal problems, and can be safely performed on any age patient, even children in their teens. The ideal Rhinoplasty patient will be in overall good health, have an in-depth understanding of the Rhinoplasty procedure, and hold reasonable expectations for their results.

Boston Rhinoplasty Before & After Photos

The Rhinoplasty Consultation

Before scheduling a Rhinoplasty, an initial appointment will be scheduled with Dr. Davidson.  During this time, he will get to know the patient, their needs, and their aesthetic desires. He will perform a brief physical examination of the nasal structures, review the medical history, and discuss any current medications. Dr. Davidson will explain the Rhinoplasty procedure in detail, showing before/after pictures of his recent patients. At this time, it will be determined if the Rhinoplasty is the right procedure to reach the individual patient’s needs. If so, a unique surgical plan will be established. It is at this time that the exact cost of the Rhinoplasty will be determined and all of the various payment options will be reviewed.

The Rhinoplasty Procedure

Dr. Davidson performs the Rhinoplasty as outpatient procedure, normally under general anesthesia. The surgery can take between one and four hours to complete, depending on the technique used and the extent of correction necessary.  There are two general methods used when performing a Rhinoplasty: Closed and Open. At the consultation appointment, Dr. Davidson will decide which technique is best for each individual patient.

The Closed Rhinoplasty Technique

Closed Rhinoplasty is a technique that utilizes small incisions on the inside of the nostril. Due to the limited access and reduced visibility, the Closed Rhinoplasty is only used to address the least complicated nasal issues. Once Dr. Davidson has made his incisions, he will then sculpt the cartilage, trim excess tissue, and reshape the shape/size of the nostrils, as necessary. Once the corrections are complete, dissolvable sutures are placed, and a splint will be positioned to allow for appropriate healing. No visible scarring will occur with a Closed Rhinoplasty.

The Open Rhinoplasty Technique:

Open Rhinoplasty is the most popular surgical technique. Dr. Davidson begins this procedure by making a small Trans-Columellar incision is made at the base of the nose, between the nostrils. From here, he will pull the skin back to fully expose the nasal structures. Dr. Davidson can then assess the nasal anatomy, remove excess tissue, reshape cartilage, or anchor a nasal implant. Once the desired corrections are complete, the skin is repositioned, sutures placed along the incision, and a temporary splint is added. While the Open Rhinoplasty does result in a small scar, it will be well hidden within the natural contours of the nose.

Potential Complications From a Rhinoplasty

The Rhinoplasty is one of the most difficult plastic surgery procedures performed today. Common side effects of the procedure include swelling, bruising, and congestion, although these will quickly resolve on their own. However, there is always the chance for more serious complications to occur after a Rhinoplasty. These can include excessive bleeding, scarring, infection, nasal asymmetry, or permanent breathing problems. Patients should only choose an experienced, reputable cosmetic surgeon to perform their procedure. Dr. Davidson has over 15 years of plastic and reconstructive surgery experience.

The Rhinoplasty Recovery

Patients should expect their recovery, after a Rhinoplasty, to take about three weeks. Most people feel well enough to return to work in about a week. Strenuous activities, vigorous exercise, and contact sports should be postponed for at least six weeks.  Mild to moderate pain is not uncommon; Dr. Davidson will prescribe the appropriate pain medications to keep patients comfortable during their healing process.  At the first follow-up appointment, he will remove any sutures or splints.

Initially after the Rhinoplasty, patients will notice bruising and swelling; the majority of these will diminish over the first several weeks. Residual swelling can take between six and twelve months to fully resolve. During this period, patients may have difficulty breathing through the nose or experience chronic congestion. To help control swelling, patients are encouraged to sleep with their head elevated (either on pillows or in a recliner), use an icepack frequently, and drink lots of water.

Revision Rhinoplasty

When an initial Rhinoplasty does not produce the intended results, or new nasal problems occur, a repeat procedure may be required. The Revision Rhinoplasty is a secondary surgical procedure designed to correct the remaining aesthetic or functional issues. There are many factors that can lead to a Revision Rhinoplasty, including an inexperienced surgeon, unrealistic expectations, or an injury to nose before the healing is complete. It is important to remember that a Revision Rhinoplasty should not be scheduled until at least 12 months after the initial procedure, giving time for the swelling to subside and scar tissue to soften.

The Ethnic Rhinoplasty

More people of various ethnic backgrounds are becoming aware of the benefits that come with the Rhinoplasty procedure. Anyone can be frustrated by a round bulbous tip, large nostrils, or crooked nasal bridge; although not every Rhinoplasty should be performed the same way. While many components of the Rhinoplasty are similar, those of African American, Asian, and Latin backgrounds, for example, will need to have their specific techniques tailored for their unique needs.

Dr. Davidson is committed to providing his patients the best Ethnic Rhinoplasty experience available. Aside from improving the look and function, his keys for satisfying results include retaining the ethnic features (keeping the nose looking organic and natural compared with the overall appearance) and continuing the individual patient’s facial harmony (making the nose proportioned to their other ethnic features).

Rhinoplasty FAQ

What is a Rhinoplasty?

A Rhinoplasty, also referred to as a Nose Job, is a surgical procedure designed to improve the shape, size, and function of the nose.

What are the different methods for Rhinoplasty?

A Rhinoplasty can be performed with an Open or Closed technique.

How is the Closed Rhinoplasty performed?

A Closed Rhinoplasty begins with an incision inside of each nostril. From here, Dr. Davidson will make changes to the nasal bridge or shape of the nostrils, as needed. Sutures are then placed for proper healing. The Closed Rhinoplasty does not leave any visible scars.

How is the Open Rhinoplasty performed?

Dr. Davidson begins his Open Rhinoplasty with a Columellar incision at the base of the nose. He thin lifts the skin to better visualize the nasal structures and make adjustments as necessary. When complete, the skin is repositioned and sutured closed. An Open Rhinoplasty results in a very small scar along the incision site.

Who is a good candidate for Rhinoplasty?

The best candidate for a Rhinoplasty is a man or woman, in good health, struggling with a nose that is out of proportion with their facial features, is misshapen, or suffers from chronic congestion.

What type of anesthesia is used during a Rhinoplasty?

A Rhinoplasty will normally be performed using general anesthesia.

How long does a Rhinoplasty take to perform?

Depending on the specific patient and the level of correction, the Rhinoplasty will take between one and four hours to complete.

What should I expect from the Rhinoplasty recovery period?

Patients should expect the recovery time after a Rhinoplasty to take three weeks or less. Swelling and bruising are common, but the majority of these will resolve over the first two to three weeks after surgery. Some residual swelling may linger for up to 12 months, however. Mild to moderate discomfort will be experienced; Dr. Davidson will prescribe the appropriate medications to keep patients resting comfortably while healing.

When can I return to work after my Rhinoplasty?

Patients usually feel well enough to return to work or school within a week of their Rhinoplasty.

Will there be scarring after my Rhinoplasty?

A Closed Rhinoplasty does not leave any visible scars, as the incisions are placed inside of the nostrils. An Open Rhinoplasty does result in a scar at the base of the nose, immediately between the nostrils. This will be well concealed within the natural curvature of the nose, and will continue to fade over time.

What are the risks of a Rhinoplasty?

The Rhinoplasty procedure is considered safe and effective when performed by an experienced surgeon. On the rare occasion that complications occur, these can include excessive bleeding, infection, nasal asymmetry, and scarring.