Since it reshapes the nose, rhinoplasty is not only one of the most transformative types of plastic surgery, but is also one of the most popular surgeries for the talented cosmetic surgeons at Cosmetic Surgery Affiliates in Oklahoma City . With this surgery, almost any aspect of the nose can be altered such as the size, width, shape, nostrils, etc., through manipulation of bone, tissue and cartilage. Though usually considered a cosmetic surgery, rhinoplasty can also help alleviate medical issues such as difficulty breathing. The ultimate goal of any rhinoplasty is to reshape the nose in a way that it enhances and complements the rest of the patient’s face. In addition, Dr. Erik Nuveen and Dr. Courtney Caplin of Cosmetic Surgery Affiliates are proud to perform revision rhinoplasty, to effectively correct previous, undesirable rhinoplasty surgeries completed by other doctors.
"My experience may be a little different in that I was told about him not for cosmetic surgery, but health related. Over my past 50 plus years I have had two different surgeries to improve my being able to breathe through my nose and neither resulted in satisfaction. After my sister had as well been through several surgeries to fix her collapsed nose from a head on auto accident, she was told of Dr. Nuveen. After seeing her success with him I went to have him help me as well. He took cartilage from my ears and rebuilt my collapsed septum so for the first time in my life I can actually breath through my nose. He has been a Godsend and as great of a surgeon as he is, I'd say appears to be even a better person. It is so obvious how much he genuinely cares about your well being and will give you as much time of his as you need, always taking your calls personally. Not many doctors can say that. I feel truly indebted to him and willing to share my experience with anyone, not as much for his well being as what they'd receive from him. He doesn't need my or our help, quite the opposite. A great doctor and a better man......."- Anonymous / Vitals / May 24, 2011
"Rhinoplasty - I am very pleased with the results of my rhinopasty. Within two weeks after surgery, my nose looks even better than I'd hoped. I couldn't be happier!"- A.H. / Vitals / Jan 06, 2014
"I am thrilled with the results of my surgery (septo/rhino). The functionality is greatly improved and the appearance is improved."- Anonymous / RateMDs / Sep 07, 2012
"Dr. Nuveen fixed my nose. I had a deviated septum and was unhappy with the appearance of it. He made it GORGEOUS! But on top of that, my (now ex) boyfriend headbutted me (accidentally) three days after surgery. My nose was gushing blood and I feared I had re-broken it. Dr. Nuveen was at another office out of town and Dr. Miller answered my frantic calls and met me at the practice late at night in his PJ pants to check me out. He fixed my nose AGAIN free of charge! I have never been happier - my asthma and breathing problems are gone, my appearance is 100% better...Dr. Nuveen said "You're a masterpiece" when he took my splint off. Well, Dr. Nuveen's work made it possible. BLESS THIS MAN!"- Anonymous / RateMDs / Apr 29, 2011
"My experience may be a little different in that I was told about him not for cosmetic surgery, but health related. Over my past 50 plus years I have had two different surgeries to improve my being able to breathe through my nose and neither resulted in satisfaction. He took cartilage from my ears and rebuilt my collapsed septum so for the first time in my life I can actually breath through my nose. He has been a Godsend and as great of a surgeon as he is, I'd say appears to be even a better person. It is so obvious how much he genuinely cares about your well being and will give you as much time of his as you need, always taking your calls personally. Not many doctors can say that. I feel truly indebted to him and willing to share my experience with anyone, not as much for his well being as what they'd receive from him. He doesn't need my or our help, quite the opposite. A great doctor and a better man......."- Anonymous / RateMDs / May 24, 2011
There are several techniques used for rhinoplasty. The approach taken will be based on the complexity of the surgical case and the overall goal of the patient.
With an open rhinoplasty, the incisions are made on the tissue between the nostrils or on the natural crease of the nose just above the lips. This allows for greater access and view of the confines of the nose. Surgeons prefer this as it is easier to manipulate the bones and cartilage. The skin is peeled back to reveal the internal structure of the nose and redraped once reshaping is completed. The scars associated with this approach are tiny - less than 5mm - so they are not easily noticeable once fully healed.
During a closed rhinoplasty surgery, incisions are made to the inside of the nose through the nostrils. This is a common technique for patients who desire mild reshaping. This approach does not cause visible scarring. For severe reshaping cases, the open technique will be implemented.
For minor reshaping, some patients may opt to try an injectable filler to achieve results. These come in a variety of liquid substances, and sometimes a fat transfer can also be utilized. A filler can help add volume to hide small deformities, such as a bump or a bony appearance. It is important to note that fillers can only do so much in the reshaping process. For most patients, surgery is a better option and will offer a permanent solution.
Rhinoplasty is performed in an accredited surgical facility under general anesthesia. The procedure lasts up to 2 hours and is considered outpatient. After surgery, there will be swelling and soreness around the nose area. Bruising is also a side effect of surgery. The nose will be placed in a splint for additional support. During the first 7-10 days following surgery, the side effects will begin to disappear and the splint will be removed. Patients will be able to see their results immediately; however, it may take several months for the full results to appear.
A rhinoplasty surgery can run between $5,500 to $7,500 depending on the surgical case. For more complex cases, skin or fat grafting, or even cartilage reconstruction may be performed. If the procedure is purely cosmetic, the expenses are the patient’s responsibility. However, if reconstruction is performed to correct a deformity, trauma or medical condition, insurance may cover a portion of the expense.
Plan Your Procedure
- Procedure Recovery Location
What is a Rhinoplasty?@headingTag>
Rhinoplasty, or nose surgery, is a surgical procedure designed to improve the appearance of the nose and sometimes the function of the nose as well. The nose can be altered by reducing or increasing the overall size, removing a hump, changing the angle between the nose and the upper lip, changing the shape of the tip or the bridge, or narrowing the span of the nostrils. Some breathing problems, or airway obstructions, may also be treated during the rhinoplasty procedure.
Is It Risky?@headingTag>
All surgical procedures carry some form of risk. These risks can be greatly minimized if an experienced nose surgeon is chosen to perform the surgery. While rhinoplasty is one of the most commonly performed procedures in the U.S., surgeon skill is critical so that a beautiful, satisfactory outcome can result.
Around half of all rhinoplasty cases will include some form of nose breaking in order to allow the surgeon to reshape the cartilage and bone. This is primarily intended for patients who have nasal asymmetry. The broken bone or cartilage will be reshaped and reattached, and then supported by splints during recovery.
Nasal packing is done to help with bleeding, especially if the surgery involves the septum. Gauze or cotton packs are inserted into the nasal chamber during this process. Patients find it uncomfortable, but the packing is only in for a short-term during the immediate recovery phase.
Surgical Or Nonsurgical?@headingTag>
This depends on the patient’s nose structure and what aesthetic result is trying to be achieved. For significant reshaping, the surgical approach will be performed as this allows the surgeon to manipulate the cartridges and bones. If the patient is looking for a subtle improvement, adding volume to the area may suffice.
Will I need packing material?@headingTag>
NO. This is very, very rarely needed. In the last 15 years of nose surgery, I have packed three noses.
How long is the procedure?@headingTag>
As a master of nose surgery, Dr. Nuveen and Dr. Caplin are extremely experienced and passionate about nose surgery. A rhinoplasty generally takes between one and three hours to complete. The most complex cases include reconstruction and may take longer.
Are there scars after?@headingTag>
The most common outcome is no scaring, but there can be scars internally and on the skin between the nostrils. However, for closed rhinoplasty the incisions are confined to the inside of the nose and result in no visible scarring. Open rhinoplasty includes an additional small incision under the tip of the nose which will result in a well-concealed, fine-line scar that will fade with time.
Is there much pain?@headingTag>
Patients may experience some discomfort during the first few days after surgery, but this can be controlled with prescription pain medication. Most patients do not have any pain, but instead have mild numbness that may last for up to three months to the tip of the nose.
Will I be able to drive?@headingTag>
It’s best to have a family member or friend accompany you on the day of surgery and drive you home.
Will I need assistance?@headingTag>
It’s best to have a family member or friend accompany you home or to your place of recovery for the evening.
What is the Recovery like?@headingTag>
During the first couple of days after surgery, some discomfort can occur though this can be controlled with prescription pain medication. Antibiotics and other medicines, such as a saline nose spray, may be prescribed as well. The splints and stitches are typically removed within six or seven days after surgery. Patients may also experience some bruising which will fade enough so that you feel comfortable in social situations by around the tenth day after surgery. Swelling is common and may take months to fully fade. Within one to two weeks most patients can return to work. However, it will be two to three weeks before more strenuous activities can be resumed.
Does Insurance cover the cost?@headingTag>
Insurance typically does not cover rhinoplasty procedures performed solely for cosmetic purposes. In cases where breathing problems are being treated, some degree of coverage may be provided, but this is 100% dependent on your insurance plan and carrier.
When can I exercise?@headingTag>
You can increase your activity as tolerated but no heavy lifting or running for at least two weeks after surgery. Golden Rule: if it hurts, don’t do it. Allow your body time to heal.
Can't have a bowel movement?@headingTag>
Pain medication can cause constipation. We suggest purchasing an over the counter stool softener to assist in regularity (Colace or Dulcolax). Take one with each meal until you are finished taking narcotic pain medications. If this is not productive in 24 hours, take one quarter of a bottle of Magnesium Citrate.