Cosmetic Nose Surgery (also known as a “Nose Job”) can improve form and restore function. The nose is one of the most prominent facial features. As such, a well-proportioned, aesthetically pleasing nose is a powerful component of facial harmony. As experts in facial plastic surgery, Dr. Andrea Garcia and Dr. Joshua Surowitz consider rhinoplasty in Charlotte, NC, to be one of the most significant procedures patients can choose to make a change to their face. Masterfully performed nose surgery can bring harmony to all of a patient’s facial features.
Dual board-certified and fellowship-trained facial plastic surgeons, Dr. Garcia and Dr. Surowitz have dedicated their skills to performing cosmetic and reconstructive surgery of the face, eyes, ears, neck, and nose. As experts in rhinoplasty, our surgeons have comprehensive training in the subtle nuances of this complex procedure.
Dr. Garcia and Dr. Surowitz have extensively studied the complexities of the nose and its proportions in relation to the rest of the face. Their knowledge and years of experience with the procedure allow them to approach each rhinoplasty surgery as a unique endeavor, with details customized to the patient. They carefully apply practiced techniques to improve nasal contours, provide facial balance, and even allow for easier breathing in cases where internal structures hinder airflow.
A successful rhinoplasty gives patients confidence, freeing them from self-consciousness over how others see them and allowing them to truly enjoy the way their various facial features work together.
Browse our gallery of patient before-and-after photos to see examples of our results. Additional before-and-after results are also available for review at the time of consultation.
Who is a Candidate for Rhinoplasty?
While some people call them nose jobs, rhinoplasty procedures are far more complex than the casual term suggests. Since there is no “ideal nose,” each nose surgery must be tailored so that the various angles where facial features meet are aesthetically ideal, as are the proportions on the nose itself and in relation to the forehead, ears, eyes, and mouth.
- Balance the relationship between the bridge of the nose and the nasal tip.
- Smooth out a nasal hump.
- Refine an overly large nasal tip or change it from pointing too far upward or downward.
- Straighten a crooked nose.
- Even out asymmetries.
- Alter the width of the nose.
- Improve nasal breathing.
Patients with a deviated septum, which causes problems ranging from a chronic stuffy nose to snoring, may also pursue nose surgery. In many cases, an internal problem with the septum may also have an impact on the visible shape of the nose.
A consultation with Dr. Garcia and Dr. Surowitz will allow candidates to share their personal motivation for seeking the surgery and will help our surgeons to determine whether rhinoplasty is the best way to bring balance to their face.
The chin also plays a strong role in establishing harmony with the nose and other facial features. In cases where an individual has a small chin, the addition of a chin implant performed in combination with rhinoplasty will produce powerful results to balance the lower face with the nose.
Dr. Andrea Garcia and Dr. Josh Surowitz are dual board certified surgeons.
What Is the Rhinoplasty Procedure?
As noted above, any nose surgery will begin with a consultation, during which Dr. Garcia and Dr. Surowitz will listen to your concerns, assess your entire face, and determine the best treatment plan for your unique needs. While you may have a specific nose in mind, remember that what looks good on someone else—a friend or a celebrity—is attractive not because of the nose in isolation, but due to the way the nose relates in proportion to that individual’s unique facial features.
A specific rhinoplasty plan to suit your facial shape, features, and proportions will be recommended and computer simulations to demonstrate the planned changes will be performed. Before-and-after photos are available for reference, so you can get an idea of what nose jobs accomplished for other patients. Remember, though, that your results will be unique to you.
I broke my septum skiing many years ago, and have been to many plastic surgeons over the years, but didn't feel right about the surgery until I met with Dr. Surowitz. I felt so comfortable talking with him about my concerns about the procedures, etc. He explained everything so well, in terms of what he would be doing to my nose. It sounded very overwhelming to me, but he reassured me that it will be worth it. And now 8 months post surgery, I couldn't be any happier with the results! I didn't have one sinus infection this winter, and I can finally breath out of both nostrils. I didn't realize how bad it was until I can actually pull in air through both my nostrils. What a relief! I would highly recommend Dr. Surowitz to anyone who needs something like this done. He was wonderful before, and after the surgery. He is very thorough, and honest and I appreciate that greatly. Thank you Dr. Surowitz for everything you have done to help this nose of mine!!*
Nose surgery may be performed as either closed or open rhinoplasty, and each has its advantages. A closed rhinoplasty (also known as “endonasal rhinoplasty”) involves internal incisions, thereby hiding any potential resulting lines inside the nose. The amount of cosmetic improvement to the nasal tip can be limited by this approach. An open rhinoplasty (also known as “external approach rhinoplasty”) involves Dr. Garcia or Dr. Surowitz making an incision camouflaged between the nostrils, lifting the skin to gain full access to the internal structures.
Once the desired changes have been made, the skin is placed back into its original position and small sutures are used to close the incisions. The incision between the nostrils heals with a barely perceptible scar. The open approach is generally used for more challenging primary and secondary (revision) rhinoplasty.
Dr. Garcia and Dr. Surowitz will discuss all options at the time of your consultation and determine the most optimal technique to achieve your individual goals.
Depending on a variety of factors, the surgery will be performed with the patient under general anesthesia or deep sedation, always with patient safety and optimal results in mind. The procedure itself can last two to four hours.
What Is Revision Rhinoplasty?
Revision rhinoplasty may be performed to correct aesthetic or functional concerns that occur after previous rhinoplasty or trauma. Cosmetic alterations to the nose are a challenging endeavor. Dr. Garcia and Dr. Surowitz have extensive experience in correction of nasal deformities due to previous rhinoplasty. Our surgeons are experts in revision rhinoplasty with comprehensive experience and mastery in the art and science of cosmetic and functional nasal surgery.
What Will Post-Rhinoplasty Recovery Be Like?
Patients are generally able to go home the day of surgery. A small cast (splint) will placed over the outside of the nose. Occasionally, small splints are also placed inside the nose. Swelling and bruising of the nose, cheeks, and under the eyes are common for the first seven to 10 days. Gentle cool compress, rest, and elevation of the head will lessen swelling and bruising.
The patients will return five to seven days after surgery to have the external splint and any sutures removed. At this visit, the nose will be gently dressed with tape to help reduce swelling in the weeks to come. We ask that patients rest for the first week after rhinoplasty. After seven to 10 days, most patients may return to work. At two weeks, you may return to light exercise, and at six weeks, you may resume activity without restriction.
Results will be apparent as swelling subsides. This generally begins approximately two weeks after surgery, with continued improvement over the next six weeks. Very subtle additional improvements in swelling will occur over the course of one year after rhinoplasty.
What Does a Nose Job Cost in North Carolina?
After your consultation with Dr. Garcia and Dr. Surowitz, the cost of rhinoplasty to address your unique desires will be discussed in detail.
Beyond Rhinoplasty in Charlotte
Our surgeons approach aesthetic facial surgery with a focus on achieving total facial harmony. In addition to rhinoplasty, some patients may benefit from chin enhancement (chin augmentation), ear surgery (otoplasty and/or ear lobe reduction), and cheek enhancement (cheek augmentation).
These additional procedures can be discussed during your consultation.