Rhinoplasty (Nose Surgery)
One of the most common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person’s nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Rhinoplasty is an outpatient procedure performed under general anesthesia.
Rhinoplasty | Balance, Function & Natural Beauty
Rhinoplasty
Have you ever considered wanting to change the shape of your nose? Do you wish you could breathe better through your nose and not rely on mouth-breathing?
Rhinoplasty is a surgical procedure whereby the shape and size of the nose is altered to address an aesthetic or functional/breathing concern. Frequent concerns are a large dorsal hump, lack of nasal tip refinement, crooked appearance or overall large size that is not in balance with the rest of the face. Rhinoplasty for cosmetic concerns can safely be combined during other procedures to improve nasal airflow such as turbinate reduction, septoplasty or sinus surgery.
Closed vs. Open Rhinoplasty: What’s the Difference?
In a closed rhinoplasty, all of the incisions are hidden within the nasal cavity itself, so there is no visible scar. Typically closed rhinoplasties are used for more subtle changes in dorsal profile and tip refinement. Post operative swelling tends to be less.
In an open rhinoplasty, there is one external incision that is made in between the nostrils in addition to hidden internal incisions. An open approach is typically used for more severe changes, such as a large dorsal hump, revision surgeries or extensive tip work. This approach allows for extreme precision and generally the external scar is essentially imperceptible at 6 months post-procedure. In general, the post-operative swelling is more pronounced in the first 3 months after surgery.
Revision Rhinoplasty/Rib Rhinoplasty
For some who have already undergone one nasal surgery, a second or revision may be pursued for either functional or cosmetic purposes. Both Drs. Pham and Goodrich are well versed in revision rhinoplasties. Often times during revision rhinoplasty, cartilage from another source (ear, rib, etc.) may need to be harvested in order to achieve your desired outcome.
Am I a good candidate for rhinoplasty?
Good candidates for rhinoplasty or revision rhinoplasty include:
- Having clear concerns to be addressed
- Having achievable expectations in terms of results and recovery
- Being able to comply with post-operative instructions
- Being in reasonably good health
What can I expect before and after rhinoplasty?
Before:
- During your consultation, Drs. Pham or Goodrich will fully discuss your concerns and present a unique surgical plan that is tailored to maximize your result and reduce side effects.
- Medical grade photography will be taken to document your recovery.
- Avoid blood thinning medications, such as NSAIDs and over-the-counter supplements, 2 weeks prior to surgery.
After:
- There will be explicit post operative instructions that are reviewed and tailored based on your treatment plan.
- In general, there will be an external cast and possibly an internal splint which are removed 1 week post op.
- Typically recommend limiting cardiovascular activity for 2 weeks and lifting for 4 weeks post operatively.
- Bruising and swelling of the nose and eyes are common immediately following the procedure.
- Depending on several factors, it can take several months up to 1 year for final result
Ready to take the next step in your facial plastic surgery journey?
Schedule a consultation with Dr. Jennifer Goodrich or Dr. Annette Pham at Facial Harmony Center today.
📞 Call: (301) 315-0003
📍 Location: Rockville, MD
Dr. Annette M. Pham
"Dr Pham is excellent- extremely competent and smart while being personable and thorough."
— W. D.
Dr. Jennifer Goodrich
"needed immediate attention and got it. that’s the best. and at the end, Dr Goodrich offered to help get the patient to the car. and gave us a cell phone number to have direct contact with her as needed.
can it get any better than that?"
— S. C.
Dr. Jennifer Goodrich
"Dr Goodrich is so sweet and welcoming! She was open to all of my questions and made me feel very comfortable going into my septoplasty!"
— H.
Dr. Annette M. Pham
"Prompt; little wait time; excellent doctor."
— Z. S.
Metro ENT & Facial Plastic Surgery
"Besides expert treatments, they have excellent visiting time management. Always a helpful staff when phone calling. Excellent follow up treatments and recovery success."
— B. F.
Dr. Jennifer Goodrich
"Dr. Goodrich is truly awesome! I can't thank her enough for correcting my years-long breathing issues. My nose surgery and follow-up went flawlessly. Every aspect of her world-class care from routine communications to friendly, responsive staff has been compassionate and caring. Thank you Dr. Goodrich and staff for taking such great care of me!"
— P. S.
Metro ENT & Facial Plastic Surgery
"Great care. Entire staff make you feel comfortable."
— D. B.
Dr. Annette M. Pham
"Dr Pham truly has gone above and beyond to help me with my very complex case. She is also a plastic surgeon which gives her a unique understanding of the trauma that I had to not only to my sinuses and nose but also how the reconstruction of my facial bones plays into my sinus issues. She listens and is able to explain things easily and in a way that you can understand. I recommend her to my brother in law who broke his nose. He was soo happy with her work that he has recommended her to his friends. The office staff if very kind. I’ve had nothing but good experiences with her and her staff."
— A. G.
Dr. Jennifer Goodrich
"Definitely a Great Experience! Dr. Goodrich was awesome. Friendly and accommodating staff, Especially Joy.
I highly recommend Metro ENT and Facial Plastic Surgery.
I will definitely be back!"
— R. S.
Dr. Annette M. Pham
"Long time patient of Dr Pham and this practice. A wonderful team and medical professionals! Efficient, gracious, knowledgeable, and thorough."
— K. G.
Dr. Annette M. Pham
"Excellent care. Friendly staff, and clean environment. Dr. Pham Very knowledgeable in her field of work. Highly recommend"
— K. W.
Dr. Jennifer Goodrich
"Fantastic ENT care provided by Dr Jennifer Goodrich. She has helped me with expert care for ongoing sinus issues."
— E. H.
Metro ENT & Facial Plastic Surgery
"I had a fantastic experience at Metro ENT & Facial Plastic Surgery! From start to finish, the staff was welcoming, efficient, and truly caring. Dr. Andrew Lee and Dr. Jennifer Goodrich are a phenomenal team—knowledgeable, attentive, and patient. They took the time to really listen to my concerns and walked me through every step of my treatment plan with clarity and compassion. You can tell they’re passionate about what they do, and it shows in the quality of care they provide. I’m so grateful to have found this clinic—highly recommend to anyone looking for expert ENT care with a personal touch!"
— K. J.
Dr. Annette M. Pham
"Great doctor. Lovely office people"
— M. G.
Metro ENT & Facial Plastic Surgery
"very nice experience."
— D. P.
Metro ENT & Facial Plastic Surgery
"I’ve been coming to this practice for my sinus issues for years and very happy with the service. Now I also come here for my Botox shots and very satisfied with the results."
— J. C.
Metro ENT & Facial Plastic Surgery
"Helpful and understanding."
— D. C. Q.
Dr. Annette M. Pham
"Great doctor and office staff. Never waited more than a few minutes and felt known, heard and understood ."
— J. M.
Dr. Annette M. Pham
"I had a great experience with Dr. Pham and Dr. Lee. They were so nice and informative. I really appreciated how they took the time to explain everything to me. Can’t wait to go back!"
— D. M.
Dr. Annette M. Pham
"She explained every thing clearly. Very knowledgeable and gentle during the procedure. Happy to know my condition can be improved so can’t wait to schedule my procedure on a Momday afternoon"
— H. D.
Dr. Annette M. Pham
"The doctor is excellent and very knowledgeable."
— E. W.
Dr. Annette M. Pham
"Really grateful for Dr. Pham and all the office staff! She listens well and takes the time to explain her approach, answer questions and hear concerns."
— M. G.
Dr. Annette M. Pham
"Excellent with Dr Pham, as usual
Thank you"
— J. K.
Rockville Office
3204 Tower Oaks Blvd
Suite 400
Rockville, MD 20852
Phone: 301.315.0003
Fax: 301.315.0002
Open: Mon - Fri 9am-4:30pm
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