Rhinoplasty
Boston, MA

Revision rhinoplasty corrects unsatisfactory results from a prior nose job, addressing both cosmetic and functional concerns. Scar tissue presents challenges, demanding advanced surgical techniques like cartilage grafting and scar tissue removal. The process begins with a detailed discussion with the patient to understand their goals and concerns. Advanced methods may involve cartilage grafts, special suturing, and bone adjustments to achieve the desired outcome.

Open rhinoplasty involves a small incision at the base of the nose, allowing for comprehensive modification of nasal structure. It suits patients seeking significant cosmetic and structural changes. In contrast, closed rhinoplasty is incision-free, performed through the nostrils, ideal for more subtle adjustments. Dr. Fechner is proficient in both techniques, choosing the most suitable based on individual needs like shape, size, and structure of the nose.

Aesthetic surgery is performed to correct cosmetic issues that bother the patient and cause self-consciousness. While this type of surgery may be performed initially to improve the client’s looks, there is often a byproduct of structural improvement as well, which can help the client to breath better and achieve a more restful sleep. In addition to investigating your cosmetic concerns, Dr. Fechner will perform an all-inclusive functional assessment of nasal allergies, nasal obstruction, nasal septum and turbinates, or issues associated with chronic sinus disease and sinus headaches.

Nasal trauma, often from broken bones, can lead to various issues like bleeding, swelling, breathing problems, and changes in appearance. Dr. Fechner advocates for early intervention for optimal results. His expertise in functional and aesthetic nose surgery enables him to achieve excellent outcomes. Using a combination of grafting and reshaping techniques, he repairs the nose internally and externally, often using injectables for natural-looking results.

If you suffer from allergies, whether seasonal or year-round, our Boston rhinoplasty surgery may be able to help. Free breathing can be restored by correcting a deviated septum as part of your rhinoplasty surgery.

Aesthetic Rhinoplasty is not covered by health insurance.

Rhinoplasty can be performed with IV sedation or general anesthetic.

Swelling and discomfort will start to improve after the first 24 hours but can last up to two weeks. At that time, you will feel ready to venture out and return to some of your normal activities. The majority of the swelling will be gone in approximately 30 days.

Each patient is different, but bruising is common after rhinoplasty surgery. If a patient bruises, it is usually around the eyes. To minimize bruising, keep your head elevated, apply ice packs to the area, and limit the intake of any alcohol and hot drinks. The bruising soon fades, and you will be left with more balanced features, a more sculpted nose, and a more attractive facial appearance. The results are well worth the short period of recovery.

Rhinoplasty procedures can be broadly categorized into two types: open and closed rhinoplasty. Open rhinoplasty involves an incision across the columella (the tissue between the nostrils), providing better visibility and access for more complex reshaping. Closed rhinoplasty involves incisions within the nostrils, resulting in no visible scars and typically a shorter recovery period. Each method has its advantages, and the choice depends on the individual’s specific needs and the surgeon’s recommendation.

While you will see some changes immediately after the surgery, it can take up to a year for the final results of your rhinoplasty to become fully apparent. The initial swelling subsides within a few weeks, but subtle changes and refinements continue as the tissues adjust and settle over time. Patience is key, as the nose's shape will gradually improve and refine during this period.

Yes, rhinoplasty can address both cosmetic concerns and functional issues such as breathing difficulties. This type of rhinoplasty, known as functional rhinoplasty or septorhinoplasty, involves correcting a deviated septum, reducing nasal turbinates, or other structural problems that impede airflow. Combining cosmetic and functional improvements in a single procedure can enhance both the appearance and functionality of the nose.