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The nose is often an area of major concern for those interested in facial cosmetic surgery. Most of our rhinoplasty patients come to Ageless Impressions – Plastic Surgery Institute to have Dr. Mark Richards create a nose that complements the proportions of the face. Others come to us because they are unhappy not with the appearance of the nose, but with its function. Clients often seek nose surgery to improve both nasal form and function.

Many people look in the mirror and see a nose they feel is not in proportion to the rest of the face. In some cases, it’s a condition of birth; in others, the result of aging or trauma. In some cases, it’s a condition of birth; in others, the result of aging. In the case of a disproportionately large nose, our experienced plastic surgeon can significantly re-define its size and shape, leaving the patient with a nose more satisfying to his or her self-image, inspiring new self-confidence.

He works with each patient to determine realistic goals and expectations for rhinoplasty. Dr. Richards then carefully performs the appropriate procedure, applying his considerable skill, experience, and artistic vision. This attention to detail with regard to rhinoplasty allows him to achieve exceptionally beautiful and natural results.

Learn More About This Procedure

View our online video library to watch Dr. Richards describe his techniques.

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Rhinoplasty Candidates

Those who feel that their noses are disproportionately large, excessively wide, or even too small for their faces may obtain very pleasing results from a rhinoplasty. Dr. Mark Richards works with such patients to devise a final shape and position for the nose after rhinoplasty, using the nose’s existing structure as a foundation. Even people who once had finely shaped noses find that things can change over time, with the nose developing a round, bulbous shape and a slight hook. In this case, a rhinoplasty — perhaps in conjunction with Radiesse® or Restylane® dermal filler treatment — may be just the thing to restore youth to the face. Breathing problems are usually the result of a crooked, asymmetrical septum (the flap of cartilage that runs down the middle of the nose between the two nostrils) or enlarged sinus outpouchings called turbinates. A rhinoplasty can realign the septum so that both nostrils are unobstructed, while a turbinectomy can open the airway channels.

The Rhinoplasty Procedure

The typical rhinoplasty procedure involves just a few small incisions inside the nostril, where scarring will not be visible after the procedure. The bones and cartilage that give the nose its shape are then exposed so that the surgeon may reshape them according to the patient’s wishes. In this effort, the surgeon can when necessary supplement the existing cartilage with tissue taken from elsewhere in the patient’s body or, in rare cases, with a synthetic implant. These techniques, while not used in all cases, significantly broaden the capabilities of the rhinoplasty procedure. Thus, a skilled surgeon making appropriate use of all the available options can transform his patients’ noses in ways many of them never dreamed possible. To begin a discussion on what rhinoplasty can do for you, contact us to schedule your rhinoplasty consultation with Dr. Mark Richards. Spend a minute in our gallery of cosmetic enhancement videos  to learn about Dr. Richards’ approach to rhinoplasty.

Nasomaxillary Implants

Occasionally used in conjunction with a rhinoplasty or cheek lift, nasomaxillary implants are a very useful tool in the battle against aging. Age sometimes causes the bone of the upper jaw to recede, allowing the base of the upper lip and the corners of the nostrils to sink further into the face than is aesthetically ideal. Nasomaxillary implants can easily correct this problem. Placed along the upper jaw just beneath the nostrils via minor incisions inside the lip, these small implants will graft with the bone and provide long-lasting support to the area of the face just above the mouth.

Whether your goal is to significantly resize and reshape your nose, to achieve a more subtle change, or to ease your breathing, Dr. Richards can help you choose the level of rhinoplasty that is right for you.

Learn More About Rhinoplasty

Still have questions? As a top plastic surgeon, Dr. Richards wants you to have the information you need to make a well-informed decision about your treatment. He has answered some frequently asked questions (FAQs) below. If you would like to learn more, please contact our practice to schedule a consultation.

What can rhinoplasty do?
Rhinoplasty can achieve many goals, including enhancing the size and shape of the nose and bringing all the facial features into better harmony. With nose surgery, Dr. Richards can alter the width of the bridge, change the size of the opening of the nostrils, address a bulbous nasal tip, and modify the angle of the nose. Additionally, rhinoplasty can be used to address functional issues like breathing problems. Each treatment plan is customized to suit the patient’s unique anatomic characteristics and desired outcome for a natural-looking result.

What will the scars look like?
Depending on the technique used, rhinoplasty may not leave any visible external scars. In an open rhinoplasty, the incision will be placed on the underside of the nose where the nostrils meet. Once healed, this scar should not be noticeable. For an internal or endonasal approach, the scars will be located within the nasal cavity and should be inconspicuous from the outside. Dr. Richards will determine which method is ideal for you based on the complexity of your case, whether it is a revision rhinoplasty, and other factors.

How much does rhinoplasty cost?
The price of rhinoplasty can vary dramatically based on several factors, such as the technique used, the geographic location of the surgeon, the experience of the surgeon, the complexity of the treatment plan, and other considerations. Although not necessarily representative of Dr. Richards’ fees, the national average for rhinoplasty ranges from about $5,000 to over $10,000. It’s important to keep in mind that some practices only provide the surgeon’s fee when giving an estimate. It is our philosophy to provide a full analysis of expected fees during your initial consultation, including the hospital fee, the anesthesiology fee, as well as the surgeon’s fee. We feel this gives you the necessary information to make a sound choice for your lifestyle and budget. We accept all major credit cards and are happy to discuss your options at your initial visit.

How long does recovery take?
The healing process is just as important to your results as the surgeon’s skill. We advise you to take the time to relax, recover, and enjoy the downtime as much as possible. Most patients can return to work and their normal schedule after a week, sometimes longer depending on the treatment plan and individual rate of healing. You should keep your head elevated for the first week, even while sleeping, and stacking a few pillows can make this easier and more comfortable. Dr. Richards strongly urges patients to avoid strenuous activity for at least a month to six weeks to give the body time to heal. After a few months, the majority of the swelling should have faded, but some minor swelling will continue for some time after. You will likely not recognize this effect at all.

What is the difference between functional and aesthetic rhinoplasty?
The primary difference between these two concepts is the purpose. Functional rhinoplasty, sometimes called septoplasty, is designed to correct breathing problems usually caused by a deviated septum. With cosmetic or aesthetic rhinoplasty, the goal is to enhance the appearance of the nose. Many patients opt to do both, improving the look and function of the nose. As with all procedures, each person’s needs and desired outcome are unique, and we will take the time to find an approach that best suits you.

Contact us about rhinoplasty to learn how you can benefit from the skills and experience of Dr. Richards.