As the central feature of the face, even a slight imbalance in the proportions of your nose compared to the other facial features can have a marked impact on your appearance. Rhinoplasty can help resolve common problems such as a nose that’s too large for the face, a prominent bump on the bridge or fix a droopy nasal tip. In some cases, nose surgery can also be performed for medical reasons, such as to correct structural abnormalities that contribute to breathing impairment.

Board certified plastic surgeon Dr. Alexander Nein is known as one of the best rhinoplasty surgeons in the Nashville area, particularly due to his unique background that includes training in engineering as well as cosmetic surgery. In addition to cosmetic nose surgery, Dr. Nein also performs body contouring and breast enhancement surgery for men and women who want to improve their appearance.

If you’re ready to learn more, please contact us online today, or call 615-327-0201 to schedule your nose surgery consultation at our Nashville plastic surgery practice. We have patients travel to us from all parts of Tennessee including Franklin, Clarksville, Murfreesboro and other communities.

Considering Rhinoplasty?

Nose surgery is one of the most commonly performed plastic surgery procedures for the face, yet is also widely regarded as one of the most technically challenging surgeries to perform properly. This is because even the difference of a few millimeters in shape or profile can be enough to create a more balanced harmony among your facial features.

For the best rhinoplasty results, candidates should have reached mature growth in the nose, usually around age 14 or 15 in girls and a little older for boys. Cosmetic nose surgery can change the shape or profile of the nose, adjust the overall size larger or smaller or alter the angle between the tip of your nose and your upper lip. Rhinoplasty can also be performed to improve the appearance of an improperly healed injury, relieve breathing problems or correct a birth defect.

It’s also important to have realistic expectations about what rhinoplasty can achieve, as Dr. Nein must take into account a number of factors when planning your rhinoplasty, including the limitations of your natural anatomy.

Rhinoplasty can include surgical and nonsurgical techniques, including the use of injectable fillersthat are sometimes used to help reshape the nose. Additionally, although rhinoplasty alone can create a dramatic difference in your appearance, Dr. Nein may suggest including other procedures at the same time, such as using facial implants to add definition to a weak chin that causes the nose to appear overly prominent by comparison. You can see examples of the rhinoplasty results that are possible in our before & after photo gallery.

At A Glance
Procedure Length 1 to 2 hours, sometimes more
Anesthesia Local with sedation or general
In/Outpatient Typically outpatient
Side Effects Temporary bruising around the nose and eyes, swelling, headaches. Nasal bleeding and stiffness in the nose.
Risks Potential need for revision surgery. Infection or asymmetry. Tiny blood vessels may burst, leaving behind small but permanent red spots.
Recovery Back to work in 1 to 2 weeks. More strenuous activities in 2 to 3 weeks. Activities that risk hitting the nose in 8 weeks.
Duration of Results Permanent

Before & After Photos

Our patients share their before and after photos with you.

Planning Your Surgery

The first step in your rhinoplasty is to schedule a consultation with Dr. Nein to talk about your hopes for the procedure. Your consultation will include a physical evaluation so Dr. Nein has a better idea of the surgical steps your nose surgery should include, which he can then explain to you in more detail. During this time, he’ll examine the bones and cartilage of your nasal structure as well as the rest of your facial features. He’ll also look at the shape of your face, evaluate your skin thickness and elasticity and talk more with you about your goals for nose surgery.

Rhinoplasty that is performed for cosmetic purposes is considered an elective procedure, but if you require nose surgery to correct a breathing problem or as part of reconstruction or due to other medical necessity, your health insurance provider may offer coverage. Our staff will help you with any documentation you need in order to obtain surgery pre-approval or arrange reimbursement from your insurance company.

Your consultation is a great time for you to ask surgery-related questions you may have, although we’re always happy to help you address concerns that could arise at any point before or after your nose surgery.

Your Recovery & Results

During rhinoplasty, Dr. Nein typically places all incisions inside the nose, except in some instances when a small external incision is required at the base of the nose between the nostrils. Because the incisions made during nose surgery are discreet or entirely hidden, you can expect your scars to be inconspicuous or completely invisible after surgery.

Immediately following your rhinoplasty, you may feel like you have a stuffy nose, and the nose and eye area will look swollen and bruised. Dr. Nein will have you sleep with your head upright and recommends applying cold compresses as needed to control swelling.

The majority of swelling and bruising should dissipate within the first two weeks after your nose surgery, although your final results will continue to improve and develop for several months. Your nose should look more symmetrical and proportionate with the rest of your face, along with enjoying the confidence that comes from knowing that your new look will be long-lasting.

Still have questions? See our Rhinoplasty FAQ page.

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