According to the American Society of Plastic Surgeons, rhinoplasty was one of the top five cosmetic surgeries in the U.S. in 2020. Rhinoplasty reshapes the patient’s nose and often improves its function, allowing patients to breathe more easily through their nose.
The procedure may be performed to improve the patient’s nose appearance, improve breathing, or both. The best facial plastic surgeon achieves this by manipulating the nose’s bone, cartilage, or skin.
As a rhinoplasty specialist, Dr. Timothy Greco’s goal is to achieve a result that aesthetically complements the characteristics of your face without an over–operated look. Rhinoplasty is one of the most intricate procedures in facial plastic surgery and demands both technical expertise and artistic vision. Dr. Greco utilizes advanced techniques in rhinoplasty to deliver optimal, natural-looking results for both cosmetic and functional concerns.
Our office is in Bala Cynwyd, conveniently located to serve patients in the Main Line, including Villanova, Bryn Mawr, and Wayne, PA, with rhinoplasty to improve their nasal appearance and function permanently. Dr. Greco is a board-certified facial plastic surgeon widely recognized as the best in Philadelphia, known for his expertise, credentials, and outstanding reputation.
Facial plastic surgery is a highly specialized branch of plastic surgery dedicated to enhancing both the appearance and function of the face. This field encompasses a range of procedures designed to enhance facial features, restore facial harmony, and address specific medical concerns, such as a deviated septum or a broken nose. Facial procedures such as rhinoplasty can also be combined with other treatments during a single surgical session for comprehensive facial rejuvenation and improved aesthetic harmony. Rhinoplasty, also known as nasal surgery, is one of the most sought-after procedures in facial plastic surgery. By reshaping the nose, a skilled facial plastic surgeon can help patients achieve a more balanced, aesthetically pleasing facial profile while addressing functional issues that may affect breathing, such as thick nasal skin or misshapen nasal cartilage.1 Whether the goal is cosmetic enhancement or improved nasal function, facial plastic surgery offers tailored solutions to help patients look and feel their best.
Nasal aesthetic surgery is a procedure where form and function are equally important. Rhinoplasty procedures are often combined with a septoplasty procedure.
The septum is the nasal partition that divides the nose into the left and right sides. A septoplasty corrects structural problems, such as a deviated septum, that make it harder to breathe normally through the nose. In such cases, surgery restores function by eliminating the obstructed airway and improving airflow and breathing.
Aesthetically speaking, there is no ideal nasal shape. What may look ideal for one person may appear out of place for another. This is because various factors, such as age, ethnic background, and overall facial shape, influence the “ideal nose shape” for a face. A nose surgery procedure should be customized to the patient’s nose, respecting their unique ethnic and ancestral features to achieve the best results.
Extreme variations, such as a saddle nose, a pinched tip, or an overly large nose, can create conspicuous distortion to a person’s appearance that rhinoplasty can address. In general, however, nasal aesthetic characteristics that complement facial harmony include:
A rhinoplasty can correct any of these elements that are not in harmony with the remainder of the face.
Rhinoplasty procedures are not one-size-fits-all; there are several types designed to address specific concerns and goals. Functional rhinoplasty focuses on correcting structural problems inside the nose, such as a deviated septum or nasal valve collapse, to improve breathing and overall nasal function. Ethnic rhinoplasty is customized to enhance the nose while respecting and preserving the unique characteristics of different ethnic backgrounds, ensuring results that are both natural and harmonious with the patient’s facial features. For those seeking subtle changes without surgery, liquid rhinoplasty uses dermal fillers to temporarily refine the nose’s shape, offering a non-surgical alternative with minimal downtime. Aesthetic nasal surgery, on the other hand, is primarily concerned with the cosmetic appearance of the nose, reshaping it to better complement the rest of the face. Understanding the different rhinoplasty procedures available allows each rhinoplasty patient to choose the approach that best fits their individual needs and desired outcomes.
Rhinoplasty is not recommended for people who have not fully matured physically. This is to ensure that growth is complete and the nasal structure has fully formed.
For aesthetic corrections, it is best to wait until age 15 for women and 16 for men before undergoing rhinoplasty. However, if there are significant functional problems with the nose, rhinoplasty may be recommended at an earlier age.
You may be a good candidate for rhinoplasty if:
Selecting the right rhinoplasty surgeon in Philadelphia is essential for achieving the best possible results. Patients should prioritize finding a facial plastic surgeon who is board-certified in facial plastic surgery, as this certification indicates advanced training and expertise in rhinoplasty. A certified facial plastic surgeon brings a keen aesthetic eye and a deep understanding of how the nasal bridge, nasal tip, and overall nasal structure interact with other facial features. Experience with both open and closed rhinoplasty techniques is important, as it allows the surgeon to tailor the approach to each patient’s unique needs. Reviewing before-and-after photos, reading patient testimonials, and even speaking with former patients can provide valuable insight into a surgeon’s skill, patient care, and ability to deliver natural-looking results. By choosing a qualified rhinoplasty surgeon, patients can feel confident in their journey toward improved facial harmony.
Rhinoplasty costs depend on the complexity of the surgery required. Rhinoplasty cost typically includes the surgeon’s fee, anesthesia, facility charges, and any necessary medical tests or prescription medications. Costs can include:
Rhinoplasty costs typically range from $10,000 to $20,000, depending on the complexity of the surgery.
On average, you can expect to pay between $10,000 and $13,400; however, since every case is unique, we provide a general range. The cost of primary rhinoplasties may differ from that of revision procedures, and rhinoplasty costs can vary depending on whether it is a primary or secondary surgery. Revision rhinoplasty is generally more expensive than primary rhinoplasty due to the complexity involved, which may include the need for cartilage grafts from the ear cartilage or rib cartilage for structural support or reconstruction. The complexity of the case and Dr. Greco’s approach determine the exact cost, which will be given in the consultation.
While we do not accept insurance and are out-of-network, we can provide any necessary information to help you file a claim directly with your insurance provider. Your insurance may partially cover the cost of a functional rhinoplasty because the procedure helps improve breathing by correcting an obstructed airway or a deviated septum. In such cases, a portion of the cost is typically covered by insurance, even if aesthetic changes are part of the procedure. However, it is best to confirm the details with your insurance provider.
When you submit your claim to your insurer, you will likely be required to provide detailed reports on the type of functional problem causing the breathing impairment.
Proper preparation is key to a successful rhinoplasty surgery. The process begins with an in-depth consultation with a facial plastic surgeon, where patients can discuss their goals, learn about the rhinoplasty procedure, and determine the best surgical plan for their nasal surgery. It’s important to provide a complete medical history, including any previous surgeries, current medications, and underlying health conditions, to ensure safety throughout the surgical procedure.2 The surgeon will also review the rhinoplasty surgery cost, outline the expected recovery timeline, and explain what to anticipate before, during, and after surgery. Patients may be asked to undergo certain medical tests or make temporary changes to their medication regimen to minimize risks associated with general anesthesia. By following the surgeon’s pre-operative instructions and preparing thoroughly, patients can help ensure a smooth rhinoplasty experience and optimal results.
Planning for rhinoplasty surgery is an important step before scheduling the procedure. During your consultation with Dr. Greco, clearly communicate your concerns and expectations so your procedure can go as smoothly as possible. Digital imaging of your nose ensures you and Dr. Greco are on the same page regarding your aesthetic outcome.
Your consultation is the ideal time to review your medical history and perform a functional and aesthetic analysis of your nose. Your consultation will also include a nasal endoscopy to assess the internal structure of your nose. Once finished, we will provide you with proper instructions on how to best prepare for your procedure at the surgery center.
Rhinoplasty is usually performed under MAC (twilight) anesthesia, supplemented with local anesthesia, and is considered the safest option. Other medications may also be administered to ensure your comfort during the procedure.
Dr. Greco may perform open or closed rhinoplasty surgery depending on the patient’s needs.
Nasal reshaping is performed by modifying the underlying structure of the nasal bone and cartilage. If the nose is very large, the surgeon might reduce its size by removing bone or cartilage. Certain features, such as a nasal hump, typically require surgical intervention for removal or correction, as non-surgical rhinoplasty cannot eliminate a hump and is better suited for minor contour adjustments.
On the other hand, if nasal augmentation is required, the surgeon might need to use additional cartilage to strengthen the nasal structure. Commonly, cartilage grafts are taken from the patient’s ear cartilage or rib cartilage, especially in revision rhinoplasty procedures, to provide structural support or for reconstructive purposes. On occasion, cartilage from a tissue bank is used to provide for added structure.
Functional concerns, such as a deviated septum, are also addressed at this time to improve breathing.
Once the nose’s underlying structure is sculpted to the desired shape, nasal skin and tissue are redraped over it, and the incision is closed.
Recovery and aftercare are essential phases of the rhinoplasty procedure, playing a significant role in both the healing process and the final outcome. After rhinoplasty, patients should closely follow their facial plastic surgeon’s aftercare instructions to ensure a smooth recovery and optimal results. The first few days after nasal surgery often involve managing swelling, bruising, and mild discomfort, particularly around the nasal bones and the nasal skin. To minimize swelling and support healing, it is recommended to keep the head elevated, apply cold compresses as directed, and avoid any strenuous activities or heavy lifting for several weeks.
During rhinoplasty recovery, patients may experience temporary nasal congestion and sensitivity. It is important to maintain gentle care of the nose, avoid blowing the nose, and follow any cleaning routines or topical treatments prescribed by the rhinoplasty surgeon. Attending all scheduled follow-up appointments is crucial, as your surgeon will monitor your progress, remove any nasal splints or casts, and provide personalized guidance to address any concerns that may arise.
The overall rhinoplasty surgery cost covers not only the surgical procedure itself but also the expertise of a certified facial plastic surgeon, advanced techniques to minimize complications, and comprehensive aftercare support. Investing in the best rhinoplasty care ensures that both aesthetic and functional goals—such as correcting a deviated septum or resolving nasal obstruction—are achieved safely and effectively.
For patients seeking additional facial enhancements, procedures such as eyelid surgery, facial rejuvenation treatments, or reconstructive procedures can be performed in conjunction with rhinoplasty to refine facial features further and enhance facial aesthetics. In some cases, non-surgical rhinoplasty with dermal filler injections may be an option for those seeking subtle changes without undergoing traditional rhinoplasty.
Ultimately, the key to a successful rhinoplasty recovery lies in choosing a rhinoplasty surgeon with a keen aesthetic eye, advanced surgical skills, and a commitment to patient-centered care. By adhering to your surgeon’s aftercare instructions and maintaining open communication throughout your recovery, you can achieve a natural-looking, harmonious result that enhances your confidence and overall facial harmony.
Internal and external nasal splints may be necessary to aid healing for up to 1 week during your rhinoplasty recovery. There may be some swelling and bruising around the surgery site during your initial healing process for about one week.
Most patients can see a noticeable change within 2 weeks after the procedure. However, the nose can take up to one year to fully heal and for the newly refined nose to be apparent.
Rhinoplasty is one of the most complicated facial surgery procedures. There are risks associated with rhinoplasty, as there are with any other surgical procedure. Risks for rhinoplasty may include:
Dr. Timothy Greco is Philadelphia’s leading double board-certified facial plastic surgeon. He is skilled at all types of rhinoplasty procedures that help patients improve the harmony of their facial structure. He is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and the American Board of Otolaryngology-Head and Neck Surgery (ABO-HNS), and a Fellow of the American College of Surgeons (FACS)
In addition to rhinoplasty and nose surgery, Dr. Greco also offers facial rejuvenation procedures, such as eyelid surgery, which can be combined to enhance overall facial appearance and achieve more comprehensive aesthetic results.
Dr. Greco focuses solely on aesthetic and reconstructive surgery of the face, head, and neck at his in-office, state-certified aesthetic surgical center. If you’re looking for a rhinoplasty expert, Dr. Greco can help!
Here are the most frequently asked questions from patients considering rhinoplasty.
Contact us today to schedule a consultation with Philadelphia’s leading facial plastic surgeon. Call (610) 465-1493 or check the doctor’s schedule online.
