Rhinoplasty
Boca Raton, FL San Diego, CA
The nose is the central anchor of the face, and even a small change can significantly affect facial balance. Often, these aesthetic concerns are paired with nasal obstruction, making it difficult to breathe comfortably through your nose.
Rhinoplasty is both an aesthetic surgery and a form of facial surgery, designed to enhance the appearance and function of the nose. As a key procedure in facial plastic surgery, rhinoplasty addresses both cosmetic and functional goals, contributing to improved self-confidence and overall facial harmony.
At the practice of Landon S. Pryor, MD, FACS, we move beyond the idea of a standard nose job. Our philosophy is rooted in “Digital-First Precision,” using detailed nasal analysis, including a thorough understanding of external nasal anatomy such as the tip, alae, columella, and cartilaginous framework, to plan a result that respects your internal nasal anatomy. We invite you to schedule a consultation to see how a customized rhinoplasty procedure can align your features.
Primary Goal
Reshapes the nasal bridge, tip, or nostrils to improve facial balance and breathing.
Procedure Time
Usually takes 2 to 4 hours, depending on the complexity.
Recovery
Most patients return to work or school within one to two weeks.
Results
Permanent improvements to the nasal shape and nasal airway function.
Rhinoplasty (nose surgery or nose job) is a specialized form of facial plastic surgery that reshapes the nose by modifying the nasal bones and cartilage. As one of the most common surgical procedures in facial aesthetics, rhinoplasty is typically performed by experienced rhinoplasty surgeons who are skilled in both cosmetic and functional techniques. The rhinoplasty performed may be for aesthetic enhancement, functional improvement, or a combination of both.
Rhinoplasty techniques have evolved significantly since their first description by John Roe in 1887. Modern approaches now incorporate advanced techniques such as cartilage grafting and suture refinement, enabling surgeons to achieve more precise, natural-looking results. Rhinoplasty is typically performed under general anesthesia and takes a few hours to complete.
Cosmetic rhinoplasty focuses on the external nasal appearance, while functional rhinoplasty addresses issues like a deviated septum or a collapsed internal nasal valve. For those who have had previous surgery, revision rhinoplasty can address scar tissue and restore the nasal skeleton using cartilage grafts. In complex cases, reconstructive surgery and nasal reconstruction are essential to restore both the structure and function of the nose, utilizing specialized techniques to manage nasal defects and achieve optimal outcomes.
Nasal Anatomy
A thorough understanding of nasal anatomy is the foundation of successful rhinoplasty surgery. The nose is a complex structure composed of both external and internal components that work together to create its shape and function. Externally, the framework consists of the paired nasal bones at the upper part of the nose, the upper lateral cartilages that form the sides of the nasal bridge, and the lower lateral cartilages that define the nasal tip and nostrils. Internally, the nasal cavity is divided by the nasal septum—a thin wall of cartilage and bone that separates the two nasal passages and plays a vital role in supporting the nasal airway. The anterior nasal spine and the nasal bones provide structural support, while the upper lateral cartilages help maintain the shape of the nasal dorsum. For plastic surgeons, a deep knowledge of nasal anatomy is essential to navigate these intricate structures, address both cosmetic and functional concerns, and achieve natural, lasting results in rhinoplasty surgery.
Nasal Analysis
Nasal analysis is a critical first step in any rhinoplasty procedure, allowing facial plastic surgeons to develop a personalized surgical plan tailored to each patient’s unique anatomy and goals. This comprehensive evaluation assesses nasal shape, size, and proportions in relation to other facial features. Key areas of focus include the dorsal hump, nasal tip, and nasal base, as well as the internal nasal anatomy, such as the nasal septum and turbinates. By carefully analyzing the nasal tip’s definition, the presence of a dorsal hump, and the alignment of the nasal septum, surgeons can determine whether cosmetic rhinoplasty, functional rhinoplasty, or a combination of both is needed. This detailed nasal analysis ensures the rhinoplasty addresses both aesthetic and functional concerns, resulting in a nose that complements the patient’s facial features and supports optimal breathing.
On the day of your surgery, you will be cared for in an outpatient surgery center where your safety is the priority. Dr. Pryor may perform an open or closed rhinoplasty procedure depending on your needs. The open rhinoplasty approach provides better access to the nasal structures, making it easier to secure grafts and assess the nasal framework, while the closed technique involves making incisions inside the nostrils, avoiding external scars, and is often preferred for less complex cases. During the surgery, he carefully lifts the nasal skin to access the paired nasal bones and upper lateral cartilages. The lower lateral cartilage plays a crucial role in tip support and shaping; cephalic trimming and structural modifications of this cartilage are often performed to refine nasal tip aesthetics and function. The lateral nasal wall, composed of bone and cartilage, is significant for nasal structure and function, and its relationship with adjacent structures, such as the turbinates, nasal septum, and the internal nasal valve, is carefully considered during surgery.
The nasal blood supply, including key arteries like the superior labial artery, is meticulously preserved to ensure proper healing and minimize complications. Nasal innervation, provided by branches of the ophthalmic and maxillary nerves, is important for both anesthesia during surgery and postoperative sensation. The nasal muscles, which contribute to nasal valve patency and facial expression, are also considered, as their manipulation can affect nasal airflow and appearance. Spreader grafts may be used to support the internal nasal valve and correct contour abnormalities. Dorsal hump reduction can be performed through resection or preservation techniques, depending on the desired outcome. Ultrasonic rhinoplasty, utilizing piezoelectric instruments, offers an atraumatic alternative for reshaping nasal bones. The septal extension graft is another technique used to enhance tip projection and support. The Cottle maneuver may be performed as a diagnostic tool to assess internal nasal valve insufficiency and guide surgical planning.
Proper preparation is essential for a smooth rhinoplasty procedure and optimal recovery. The process begins with a thorough review of your medical history and a physical examination to ensure you are a good candidate for surgery. Your surgeon will discuss your goals and expectations, helping you understand what rhinoplasty can achieve. In the weeks leading up to your procedure, you may be advised to stop taking certain medications, such as blood thinners, and to avoid smoking and alcohol, as these can affect healing.
On the day of your surgery, you’ll arrive at the outpatient surgery center with a clean face and hair, dressed in comfortable clothing. Depending on the complexity of your case, your rhinoplasty may be performed under general anesthesia or, in select cases, local anesthesia with sedation. After the rhinoplasty procedure, you’ll be monitored in the recovery area before being discharged, with detailed instructions to support your healing at home.
Beyond the aesthetic shape of the nose, this surgical procedure is vital for correcting a nasal obstruction. Many patients suffer from a deviated nasal septum or narrow external nasal valves that restrict airflow. Rhinoplasty surgery can widen the nasal cavity and clear the nasal airway, providing relief for those who have struggled with chronic breathing issues their entire lives.
Rhinoplasty is commonly performed to reduce a nasal hump, narrow wide nostrils, fix a deviated septum, and repair damage from injury. Many patients seek rhinoplasty for both cosmetic and functional reasons. Reconstructive rhinoplasty, a form of reconstructive surgery, addresses nasal injuries, breathing problems, and congenital defects, restoring both form and function after trauma or previous surgeries. Surgeons carefully assess each patient's candidacy for rhinoplasty based on their medical history and psychological health, as patient expectations play a significant role in surgical outcomes.
The benefits of nose surgery are both physical and emotional. You will likely experience improved breathing and a more symmetrical facial appearance, both of which boost your self-confidence. Because we avoid "over-rotating" the tip or over-tightening the skin, the results look soft and natural. This restorative surgery helps you feel more like yourself, allowing your eyes and smile to take center stage.
Ideal candidates are those who are unhappy with their nasal shape or who suffer from breathing difficulties. Most patients should be at least 15 or 16 years old to ensure the nasal bones have finished growing. During your consultation, we will review your medical history and perform a physical exam of your nasal skin and internal structures. It is important to have a clear goal for your surgery and a commitment to following the healing process.
Non-Surgical Options
For patients seeking subtle improvements without surgery, non-surgical rhinoplasty offers a minimally invasive alternative. Using injectable fillers such as hyaluronic acid or calcium hydroxylapatite, a skilled facial plastic surgeon can refine the nasal tip, smooth out small bumps on the nasal bridge, or correct minor asymmetries. These treatments are performed in a clinical setting and require little to no downtime, with results that can last from several months to over a year, depending on the filler used. While non-surgical rhinoplasty can enhance the appearance of the nose, it is best suited for those with minor cosmetic concerns and is not a substitute for surgical correction of significant deformities or functional issues. A consultation with an experienced facial plastic surgeon will help determine if non-surgical options are appropriate for your goals.
Ethnic Considerations
Every nose is unique, and ethnic background plays a significant role in nasal shape and structure. Patients from different ethnic groups often have distinct nasal characteristics—for example, a wider or more rounded nasal tip, a flatter nasal bridge, or thicker nasal skin. At our practice, we recognize the importance of respecting and enhancing these natural features rather than erasing them. By understanding the nuances of ethnic nasal anatomy and how the nose relates to other facial features, our surgeons can create results that honor your heritage and maintain facial harmony. The goal is always to achieve a nose that looks natural, is in balance with your other facial features, and enhances your overall appearance, while preserving the unique beauty of your ethnic identity.
The first week of recovery involves wearing a small splint to protect the new nasal skeleton. While you may have some swelling around the eyes, modern techniques have made the process much more comfortable than in the past. We rarely use traditional nasal packing, which makes the early days of healing much easier. You will receive white-glove support from our team to guide you through every stage of your recovery.
While the initial results are visible once the splint is removed, the final refinements in the nasal tip can take several months to fully settle as the nasal tissues heal. These results are permanent and are designed to age naturally with the rest of your face. Most patients find that improvements in their profile and breathing freely provide a lifelong sense of satisfaction.
Rhinoplasty is widely considered the most difficult of all facial plastic procedures, requiring a surgeon with both artistic vision and clinical mastery. It is essential that rhinoplasty surgeons are board-certified in facial plastic surgery and otolaryngology to ensure the highest standards of safety and expertise. Landon S. Pryor, MD, FACS, is a board-certified plastic surgeon with extensive experience in both primary rhinoplasty and complex revision surgery. Our practice combines advanced 3D imaging with a patient-centered approach to ensure your results are as precise as they are beautiful.
East Coast? West Coast? No matter where you are, getting high-end care from one of the nation’s leading plastic surgeons will be worth the trip. Dr. Landon Pryor is a triple board-certified, triple fellowship-trained plastic surgeon known for surgical excellence in both aesthetic plastic surgery and as a national leader in Breast Implant Illness (BII) care and explant surgery. His aesthetic highlights include a deep structural approach to procedures like facelift, rhinoplasty, and breast contouring, aiming for natural-looking, refined, and stable results. For BII patients, he is recognized as a "Surgeon Advocate" who utilizes innovative explant techniques, such as the En Bloc Capsulectomy, and integrates holistic recovery protocols.
Patients travel from across the country to see Dr. Pryor because he is a "National Destination for Explant Surgery & Aesthetic Excellence," offering a steady presence, an evidence-first approach, and compassionate care from a highly trained surgeon who validates their symptoms and provides a safe path to restoration.
You can schedule a consultation with Dr. Pryor at the following locations:
Our goal is always to create a result that looks like you were born with it. By following the "less is more" principle and respecting your natural facial anatomy, Dr. Pryor avoids the pinched or scooped-out look often associated with older rhinoplasty techniques. We focus on structural support to ensure your nose looks and functions beautifully for years to come.
Most patients feel comfortable returning to a desk job or school about 7 to 10 days after surgery. This is typically when the external splint is removed. While minor swelling will persist, it is usually not noticeable to others by the end of the second week.
Most patients are surprised at how little pain they feel after surgery. You will likely experience a feeling of "stuffiness" similar to a head cold, along with some pressure. We provide precise post-operative care and medications to ensure you remain comfortable throughout your recovery.
es, it is very common to perform functional rhinoplasty and cosmetic rhinoplasty during the same surgical session. By addressing the nasal septum and the internal nasal valve while reshaping the exterior, Dr. Pryor can provide a comprehensive result that helps you look better and breathe easier.
A closed rhinoplasty procedure involves incisions made entirely inside the nostrils, while an open rhinoplasty involves a tiny incision on the strip of skin between the nostrils. The open approach is often preferred for more complex cases or revision surgery as it allows for a more detailed view of the nasal anatomy.
Cartilage grafts are often used to support the nasal tip or build up the nasal bridge. These are usually taken from the nasal septum during the procedure. In some revision surgeries that require additional support, rib cartilage may be used to achieve optimal surgical outcomes.
The thickness of your nasal skin affects how much detail will be visible after surgery. Thinner skin shows changes in the underlying bone and cartilage more clearly, while thicker skin may require more structural support to achieve a refined look. Dr. Pryor will discuss this with you during your nasal analysis.
For a full rhinoplasty, we almost always use general anesthesia to ensure your airway is protected and you are completely comfortable. For very minor refinements to the nasal tip, local anesthesia with sedation may be an option, but this is determined on a case-by-case basis during your consultation.
