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Rhinoplasty (Nose Job)

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Rhinoplasty means “to shape the nose.” Over 1 million people undergo rhinoplasty every year, making it the second most common cosmetic procedure. Dr. Bryant performs all methods of rhinoplasty (open, closed, and nonsurgical). He is also one of the first adopters of using ultrasonic sculpting in rhinoplasty, which uses a piezoelectric device to gently sculpt the nasal shape and keep the nasal bones intact.

Common Services

REFINE offers the following types of rhinoplasty:

Open and Closed (Scarless) Rhinoplasty

Primary and Revision Rhinoplasty

Asian and Ethnic Rhinoplasty

Functional Rhinoplasty and Septum Surgery

Nasal Fracture and Trauma Repair

Chin Augmentation/Implant

Before and After

Minimally Invasive Rhinoplasty with Cartilage Grafting, Tip Support and Nasal Valve Repair

Minimally Invasive Closed Rhinoplasty with Ultrasonic (Piezoelectric) Sculpting

Cosmetic Nose Job with Nostril Narrowing (Alar Base Reduction, Alarplasty), and Cartilage Grafting

Rhinoplasty and Septoplasty

What to Expect

During your consultation, a customized treatment plan will be formed, determining the final method of nasal reshaping with your goals in mind. Dr. Bryant offers photo morphing during his rhinoplasty consults to ensure that you both are on the same page.

Pre-Procedure Appointment

Before your procedure, you’ll meet with Dr. Bryant and his surgical care coordinator. Your personal treatment plan will be reviewed and you’ll be provided with all pre-operative and post-operative instructions—as well as medication if applicable.

Post-Procedure Experience

After your procedure, Dr. Bryant will review your care instructions. We give all of our surgical patients a personal phone number, so that they can reach us by phone or text anytime during the recovery period. Most patients are comfortable returning to light social activity in 7-10 days.

Typically, patients experience minimal discomfort after surgery and take Tylenol as needed. In most cases, a custom-made cast is placed on the nose to reduce swelling and maintain support. It should be worn, on average, for about one week.

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Septum, Nasal
Valve and Sinus Surgery

Patients who have trouble breathing (also known as nasal obstruction) may benefit from our internal nasal treatments. We start by identifying the true cause of the congestion to ensure the best possible outcome. Common causes of nasal congestion often include one or more of the following: allergies, rhinitis, deviated septum, turbinate hypertrophy, nasal valve collapse, sinusitis.

Septum, Nasal Valve and Sinus Surgery

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Patients who have trouble breathing (also known as nasal obstruction) may benefit from our internal nasal treatments. We start by identifying the true cause of the congestion to ensure the best possible outcome. Common causes of nasal congestion often include one or more of the following: allergies, rhinitis, deviated septum, turbinate hypertrophy, nasal valve collapse, sinusitis.

We offer some of the most advanced sinus and nasal treatments available today, including balloon sinuplasty, Fiagon image guidance navigation system, and Aerin radiofrequency nasal decongestant. Our focus on facial procedures ensures unparalleled patient safety and care.

We even offer a new minimally invasive treatment, called ClariFix, designed to offer permanent relief for patients with allergic and non-allergic rhinitis (also known as a runny nose).

Some patients with nasal decongestion can also suffer from acute or chronic sinus problems, where the paranasal sinuses drain into the nose. If your medication and allergy treatments just aren’t enough, a sinus procedure, such as endoscopic sinus surgery, balloon sinus dilation (balloon sinuplasty), or radiofrequency (RF) therapy can help offer everyday relief.

For patients with a deviated nasal septum, a surgical procedure called septoplasty can be performed. This will gently straighten out the septum from inside and allow for better breathing. Septoplasty is performed for functional, rather than cosmetic purposes. Like our other internal nasal treatments, it can be performed in our office, using only local anesthesia. See our surgical procedures here.

Since these treatments take place inside the nose, they have minimal-to-no change in the outward appearance of the nose. If you’re also interested in cosmetic refinements, you can choose to undergo rhinoplasty at the same time as functional surgery.

Before and After

Septoplasty, Rhinoplasty, and Functional Sinus Surgery

Septoplasty and Rhinoplasty with Cartilage Grafting

Open Complex Septal Repair and Rhinoplasty with Grafting

What to Expect

Many non-cosmetic nasal and sinus procedures are covered by insurance. Depending on your personal preference, these procedures can typically be performed in our office treatment room, or at a nearby surgical center, using light sedation and local anesthesia.

Pre-Procedure Appointment

Before your procedure, you’ll meet with Dr. Bryant and his surgical care coordinator. Your personal treatment plan will be reviewed and you’ll be provided with all pre-operative and post-operative instructions—as well as medication if applicable.

Post-Procedure Experience

Most patients return to light social activity within one day to one week, depending on the treatments they receive.

Nonsurgical Liquid Rhinoplasty

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Liquid rhinoplasty is a new nonsurgical, microinvasive procedure that’s painless and uses a hyaluronic acid filler to temporarily transform the nose contour and shape. The procedure takes about 30 minutes and the results last about one year.

Before and After

Liquid Rhinoplasty - Microinvasive Nose Refinement Using Hyaluronic Acid Based Filler from Juvederm Product Line

What to Expect

During your consultation, Dr.Bryant will examine your nose and take pre-operative photos. Once a treatment plan is made, topical numbing cream is placed for several minutes. This is followed by a series of small, precisely placed injections of a hyaluronic acid based filler. After the procedure, you can go about your normal daily activity immediately post treatment.