Nasal surgery may be performed for cosmetic purposes or to promote better breathing through the nose. Dr. Mike Armstrong is an Otolaryngologist and Board Certified Facial Plastic Surgeon who has performed thousands of nasal and sinus surgeries over the past 30 years. He is an expert in the function of the nose, as well as, the appearance.

Characteristics of an Ideal Nose

The concept of a beautiful nose is shaped by personal and cultural ideals. Generally, a desirable nose is deemed proportional to an individual’s facial structure.

Although there are many varieties, a beautiful face commonly has the following characteristics:

  • Divided into thirds extending from the hairline to the chin’s lowest point
  • Nose takes up no more than 1 /3 of the total face height
  • Nasolabial angle typically between 95 and 100 degrees
  • Nasofrontal angle typically between 115 and 130 degrees
  • Nostril length should be no more than 2/3 of the entire nose

Prominent Nasal Tip

Many people feel that the tip of their nose is too long, pointy, or bulbous.

Dorsal Hump

Many people feel that they have a hump in middle portion of their nose.

Not Straight or Symmetric

Noses that are crooked are usually associated with more severe nasal septal deviations. Repair of obstructing nasal and/or congenital deformities are usually covered by insurance.

Before versus 1 month after Septorhinoplasty
Before, 1 month & 1 year after Septorhinoplasty

Flat Noses

Flat noses are caused by short nasal bones and thin nasal cartilages that do not provide adequate support. The solution is usually to add cartilage from the nasal septum to increase the height of the nasal bridge and definition of the nasal tip. Other options include cartilage from the rib or ear.

Wide Noses

A nose that appears too wide is commonly also flat. Adding height to the nose and definition to the tip usually improves the illusion of a wide nose. For noses that are truly too wide at the base, we may recommend removing a small wedge at the base of the nostril.

Small Chins

A small chin can make any nose look larger and the neck look heavier. Chin augmentation is most easily accomplished by placing a silicone implant through a small incision within the mouth. When combined with a rhinoplasty or Facelift, the results can be stunning.

Common Risks of Rhinoplasty

  • Dry Nose
  • Infection
  • Mild Sore Throat
  • Perforation of the Nasal Septum
  • Failure to Correct the Obstruction
  • Disappointment in Appearance
  • Need for revision surgery

Before Your Surgery

Prepare a designated resting-space where you can spend your first few days of recovery. Here are some items to include:

  • A comfortable lounge chair that is easy to get in & out of plus allows you to elevate your head
  • Clear path to the bathroom
  • TV, laptop, or audiobook for entertainment

Additional actions to take in preparing for your recovery:

  • Make sure your refrigerator is completely stocked & all laundry is up to date
  • Place all food items, toiletries, clothes, etc. above waist level to prevent yourself from needing to bend down
  • Analyze your calendar to make sure that you do not encounter any scheduling surprises while recovering
  • Pay your bills
  • If you have pets or children, arrange for someone to stop by and care for them if needed

Things to organize for your caregiver prior to surgery:

  • Important contact numbers – close family, medical provider(s), & employer
  • Pharmacy address of choice
  • Location of prescriptions, ice packs, dressings, or other recovery materials
  • Instructions from surgeon
  • Any specific home care related instructions (alarm code, pet’s schedule, etc.)

Avoid using any agent that may induce bleeding or bruising beginning 1 week prior to treatment (unless medically necessary)

Arrange to bring a designated driver to your appointment

Day of Surgery

Getting Ready Tips – Shower the morning of your procedure and wash your hair. Do not wear any earrings. Make sure your face is clean and completely free of any makeup. Wear a comfortable top that is easy to wash & that doesn’t need to be removed over the head.

Your designated driver must arrive to the facility with you for the check-in process.

After your Surgery

  • Bending over
  • Lifting heavy objects
  • Strenuous activity of any kind
  • Glasses (if pressing on your nose)
  • Blood thinners (unless Physician has authorized)

Recovery Timeline

  • Mild Bleeding for 1 to 2 days
  • Moderate Pain for 3 to 5 days
  • Nasal Splints or Packing for 3 to 5 days
  • Nasal Congestion for 1 to 3 weeks
  • Bruising or Black eyes for 1 to 3 weeks

Facial Morphing Technology

For many people, it is difficult to mentally visualize what their nose would look like after surgery. We are happy to use our morphing technology to create a photograph that depicts your potential surgery results. If you are interested in this service, please schedule a cosmetic consultation at our practice. During the appointment, we will acquire a series of photographs to input into our software.