Schedule a consultation with Dr. Vitenas

Which Nose Surgery is Right for You?

nose surgery

The eyes might be the windows to the soul, but the nose is the focal point of your face. If you aren’t happy about the way your nose looks, whether you think it is too large, too small, or just not right, you have several options for correcting it. Rhinoplasty, or nose surgery,  is one of the more popular plastic surgery procedures. It corrects a variety of issues with the nose, helping to make it better fit with the rest of a person’s facial features.

If you’d like to change the appearance of your nose, you have several options when it comes to nose surgery. One of them isn’t surgery at all, but can help give you an idea of what changes can be made to the nose and how you will look afterwards.

Open Rhinoplasty

Generally speaking, there are two main types of rhinoplasty: open and closed. During an open procedure, a small incision is made across the columella, the piece of cartilage that divides the two nostrils. The upper part of the nose is then lifted back like the hood of a car, allowing the surgeon a clear view of and easy access to the interior of the nose. Often, an open procedure is best suited to nose surgeries that focus on making a considerable number of changes to the tip of the nose.

Some patients worry about the small incision made under the nose and about the amount of scarring that can develop it from it. Although an open rhinoplasty does leave a scar, the position of the scar under the nose, and its small size, usually means that it is not noticeable.

Closed Rhinoplasty

Unlike an open rhinoplasty, during a closed rhinoplasty, all of the incisions are made inside of the nose. A closed surgery has some advantages over an open surgery. For one thing, all of the scars are fully hidden. For another, a closed rhinoplasty tends to take less time than an open surgery. Many patients also enjoy a shorter recovery time with a closed surgery and tend to have less swelling. But, because the surgeon has limited access to the interior of the nose, it’s not the best option for patients who would like to have considerable changes made to the tip of their nose or for patients who might have certain nose shapes.

Ethnic Rhinoplasty

Often, the goals of a patient are in part determined by their ethnicity. Nasal structures, shape and appearance vary from one ethnic group to the next. People considering rhinoplasty often want to change their nose’s appearance, without giving up those details that are part of their ethnic identity. Additionally, people in different ethnic groups tend to have different goals when it comes to rhinoplasty.

For example, many Caucasian and African-American patients seek out rhinoplasty when they want to make their nose smaller. On the other hand, Asian patients tend to want rhinoplasty to enlarge the nose, creating a more well-defined bridge and reducing any bulbousness in the nostrils.


Septoplasty is not a surgery to change the appearance of the nose. Instead, it’s often requested by patients who have a deviated septum. The septum divides the nasal cavity. If it leans too far to one side or the other, it can make breathing difficult. Although not everyone who has a deviated septum needs treatment, surgery helps those who have an extreme deviation.

While septoplasty itself doesn’t change the shape or size of the nose, in some cases, a surgeon will combine septoplasty with rhinoplasty, a procedure known as septorhinoplasty. The surgery corrects both functional and cosmetic concerns with the nose and is ideal for a patient who has difficulty breathing and is also not happy about the way the nose looks.

Non-Surgical Rhinoplasty

Non-surgical rhinoplasty is technically  not rhinoplasty, since it’s not a surgical procedure. Instead, it involves using fillers, such as Juvederm, to change the shape or size of the nose.

A non-surgical nose job is a good option for some patients, but not all. If your goal is to make your nose smaller, non-surgical rhinoplasty won’t help you. It’s best for people who want to fill in small dents in the nose or who want to make the nose slightly larger.

It’s also ideal if you want to test drive a new nose before committing. Usually, the results from a non-surgical rhinoplasty last for a few months, then the filler is reabsorbed. At that time, you can decide to have surgical rhinoplasty to permanently change your nose or decide to repeat the injections if you’re not ready for surgery yet. And, if you weren’t happy with the results, you can decide not to repeat the treatment and not to have surgery.

Dr. Paul Vitenas, a Houston-based plastic surgeon, has been praised for his skill and experience performing rhinoplasty. No matter what your goal is from surgery, if you are looking for natural results, book a consultation with Dr. Vitenas today. Call 281-484-0088 to schedule your appointment.