Rhinoplasty often called nose surgery or a “nose job”, is a plastic surgery procedure designed to improve the appearance of the nose. There are many reasons patients seek rhinoplasty at Sarasota Plastic Surgery Center, including drooping of the tip, a large nasal hump, birth deformities, previous trauma, skin cancer, or dissatisfaction with its natural shape or size. Our Sarasota plastic surgeons have the focused training and experience necessary to give you attractive yet natural looking results. The procedure is often performed to correct a breathing condition that may be caused by a deviated septum, however the majority of cases are aesthetic by nature. In some cases, complete nasal reconstruction may be necessary if severe trauma occurred. During rhinoplasty, the overall goal is to change the shape of the nose to an aesthetically appealing shape and size, so that a beautiful, natural outcome can be attained.
"Best Decision Ever! - Sarasota, FL - Dr Scott Engel is an amazing, competent and caring surgeon. I met with various surgeons before making my final decision. As soon as I met Dr. Engel, I knew he was the right doctor for me. He has a wealth of knowledge and information. He was patient and willing to answer and address my large list of questions and concerns. He is very professional and always has a nurse in the room at all times. His bedside manner was wonderful. When I contacted him with a question after the procedure, he was extremely quick to respond. The office staff is amazing and such a pleasure to deal with. I have recommended him to many. In fact, I feel so comfortable and confident in his artistry that I am planning to use him for my daughter's rhinoplasty in the near future. - - I am a 45 year old very active mother of three. I was able to keep my body in great shape with cardio, weight training, pilates and yoga, but despite all of the chest presses, flys and push ups, could not do much to help the sagging breasts. I was tired of uncomfortable push-up bras and the pain in my neck in the summer from tying my bikini straps so tight. I was initially just planning to do a breast lift, but after traveling to Florida and speaking with my surgeon, Dr. Scott Engel, we decided that the implants would give me the look that I wanted. The procedure went very well. Recovery was easier than I anticipated. I was a little sore and uncomfortable the first 2 days, but by day 3 I was at the pool in a cover up. I was not ready for a bikini top yet because I was still bandaged. The results were absolutely amazing! I did not want to be too big....I went from a 34B to a 36C. My breasts are very natural looking and fit my body. Not fake looking at all!! A year and a half later, they still look amazing. In fact, when I saw my doctor in my hometown for my annual exam and mammogram, she was amazed at how fabulous I looked and wanted the name of my surgeon. I would absolutely recommend the procedure and Dr. Scott Engel."- P. / RealSelf / Nov 02, 2013
"Dr. Scott Engel Fixed my Nose!! He is Fantastic!! -Sarasota, FL - Dr. Engel is one of the most thorough doctors I have ever met. He spent more time with me than any other doctor I have ever been to. He made me feel incredibly comfortable with the procedure and his plan. He is a truely gifted surgeon. His staff is second to none, and hold him in very high regard. Sarasota Plastic Surgery Center is a first class facility. I recommend him to anyone looking into having cosmetic surgery. I will be sending all my friends and family to him. Thank you Dr. Engel for improving the look of my nose!! - - I am a 67 year old man who never liked the appearance of my nose. Most of my life I spent taking care of my family and working and never spent money on myself. I finally got the time and courage to find out information about a nose job with Dr. Engel. He was a great doctor and gave me all the information I needed to decide to go forward with it. I am thrilled with the results. It was much easier than I expected. Dr. Engel is a tremendous surgeon. I love my nose and wish I would have done this a long time ago!!"- M. / RealSelf / Nov 28, 2013
"I am extremely satisfied and delighted with the work Dr. Graham performed. He is truly an artist that cares about his patients. Every step of the way Dr. Graham and his staff kept me at ease and provided me with as much information that I needed to be well informed. He listened to every concern that I had and reassured me that nothing would be done without my permission and understanding. He goes above and beyond explaining and illustrating how the procedure will go. I am overcome with joy with the outcome of my Rhinoplasty, and I absolutely recommend Dr. Graham and his staff to anyone that is contemplating improving their appearance."- L.J. / Vitals / May 11, 2015
"Dr. Derby did a very good job. He is very nice and patient and explained every single thing to me. My husband and I came down from Illinois and I had to get this treatment in Florida. I'm glad I found Dr. Derby. My nose is still healing, but it's only been 3 weeks and it's very nice. I do not looked deformed. I appreciate him."- HZ / Office Visit / May 16, 2016
"Dr. Derby repaired the upper tip of my nose that was scraped away by Moh's surgery. I was concerned about the wound repair surgery and how it would affect my appearance. Dr. Derby was extremely caring throughout the surgery and healing process. He made me feel that I was his most important patient. His skilled hands repaired a nose that looked better than before. I am very thankful to Dr. Derby and with full confidence, I would recommend him to anyone. I was fortunate to experience his talent."- L.L. / Healthgrades / Jan 02, 2017
There are several techniques used for rhinoplasty. The approach taken will be based on the complexity of the surgical case and the overall goal of the patient.
With an open rhinoplasty, the incisions are made on the tissue between the nostrils or on the natural crease of the nose just above the lips. This allows for greater access and view of the confines of the nose. Surgeons prefer this as it is easier to manipulate the bones and cartilage. The skin is peeled back to reveal the internal structure of the nose and redraped once reshaping is completed. The scars associated with this approach are tiny - less than 5mm - so they are not easily noticeable once fully healed.
During a closed rhinoplasty surgery, incisions are made to the inside of the nose through the nostrils. This is a common technique for patients who desire mild reshaping. This approach does not cause visible scarring. For severe reshaping cases, the open technique will be implemented.
For minor reshaping, some patients may opt to try an injectable filler to achieve results. These come in a variety of liquid substances, and sometimes a fat transfer can also be utilized. A filler can help add volume to hide small deformities, such as a bump or a bony appearance. It is important to note that fillers can only do so much in the reshaping process. For most patients, surgery is a better option and will offer a permanent solution.
Rhinoplasty is performed in a surgical facility under general anesthesia. The procedure lasts up to 2 hours and is considered outpatient. After surgery, there will be swelling and soreness around the nose area. Bruising is also a side effect of surgery. The nose will be placed in a splint for additional support. During the first 7-10 days following surgery, the side effects will begin to disappear and the splint will be removed. Patients will be able to see their results immediately; however, it may take several months for the full results to appear.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 2.5-3 Hours
- Post-op Follow-up
- Procedure Recovery Location
Is It Risky?
All surgical procedures carry some form of risk. These risks can be greatly minimized if an experienced nose surgeon is chosen to perform the surgery. While rhinoplasty is one of the most commonly performed procedures in the U.S., surgeon skill is critical so that a beautiful, satisfactory outcome can result.
Around half of all rhinoplasty cases will include some form of nose breaking in order to allow the surgeon to reshape the cartilage and bone. This is primarily intended for patients who have nasal asymmetry. The broken bone or cartilage will be reshaped and reattached, and then supported by splints during recovery.
Surgical Or Nonsurgical?
This depends on the patient’s nose structure and what aesthetic result is trying to be achieved. For significant reshaping, the surgical approach will be performed as this allows the surgeon to manipulate the cartridges and bones. If the patient is looking for a subtle improvement, adding volume to the area may suffice.