Before & after


Because the size and shape of the nose can be a truly defining characteristic of the face, a slight nose alteration can improve one's appearance and provide new confidence. At Lewisburg Plastic Surgery & Dermatology, rhinoplasty, or surgery of the nose, can be performed to change the size or contour of the nose.

Those who are displeased with their nose and wish to improve facial appearance have the option of nose reshaping to achieve a nasal shape that is more desirable and proportionate to other facial features. Post injury or hereditary crookedness of the nasal septum, the divider within the nose, can also be improved through rhinoplasty.

Reshaping can improve the abnormal appearance of the nose resulting from birth defects, injury, or disease. Individuals who are displeased with their nose and feel it is cosmetically unattractive are also candidates for nose reshaping. A more attractive nasal shape and/or a nose that is in better proportion to other facial features can be achieved with nose reshaping. A chin enlargement is an additional procedure that may enhance the result of nose reshaping. To improve breathing, correction of a deviated septum may also be appropriate.

Podcast Episode: Options for Rhinoplasty

Rhinoplasty can involve minor reshaping of the cartilage of the nose, as well as modifications to the deeper bones of the nose.

Breathing issues or a deviated septum are just a couple of issues that can be addressed with rhinoplasty, often in consultation with an ENT specialist.

More Podcast Episodes

How is a rhinoplasty performed?

Standard Rhinoplasty: Incisions are made inside the nostrils. Then, the nasal bones, cartilage, and soft tissues are reshaped to improve the external contour. Open Rhinoplasty: Frequently used for difficult or larger noses, open rhinoplasty involves one external incision across the columella (the strut between the nostrils). Under direct vision, the bones, cartilage, and soft tissue are reshaped. Tip-Plasty: When only the nasal tip is abnormal, it may be corrected with either a standard or open approach. Using standard or open rhinoplasty, large nostrils may be reduced through tiny incisions at the outer base of the nostrils. On an outpatient basis, the procedure is completed under sedation, and local or general anesthesia.

Recovery after a rhinoplasty

Patient goes home with an external cast or splint in place. The nose may be packed for 24 to 48 hours. The cast or splint is typically removed in 7 to 10 days. Initial discomfort can be controlled with medication. Majority of swelling and bruising subsides progressively in 2 to 4 weeks. If external sutures are used, they are removed in 4 to 6 days. Internal sutures dissolve. A semifinal result should be evident in 3 months. The final appearance should be evident in 12 to 14 months, which is the time necessary for complete tissue softening.


Insurance Guidelines

If completed for cosmetic reasons, this surgery is not covered by insurance. However, if the nasal deformity is due to a recent injury, insurance coverage may be available. The professionals at Lewisburg Plastic Surgery will assist you in obtaining any insurance authorization needed to complete the surgery.

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