Overcome facial asymmetry and breathe better! Experience the power of rhinoplasty with Dr. Vitenas in Houston, TX. Let us reshape your nose to complement your unique features, enhancing both aesthetics and function. The result? Perfect harmony and a confidence boost.

Discover the Benefits of Tailored Rhinoplasty

Rhinoplasty offers a transformative solution to individuals dissatisfied with their nose aesthetics or functionality. It creates a harmonious balance between the nose and facial features, enhancing overall appeal. The confidence boost that accompanies attaining your perfect nose, orchestrated by an expert surgeon, can be a pivotal turn in your life’s quality. 

Improved Aesthetics
Enhanced Breathing Function

Rhinoplasty is not only a cosmetic procedure, rhinoplasty rectifies issues like a deviated septum, and structural abnormalities, improving breathing function and reducing snoring for a healthier lifestyle.

Individualized Results

Each rhinoplasty is tailored to individual patient needs, considering ethnic characteristics and personal preferences, for authentic, natural results.

Enhancing Your Facial Harmony

Rhinoplasty, or surgical correction of the nose, sometimes colloquially referred to as a “nose job,” can reshape the nasal bones, the nasal bridge, and rebuild the structure of your nose, including addressing issues with the nasal septum and nasal passages. Not only can it enhance the aesthetic appearance, like correcting flared nostrils, but it can also alleviate breathing impairment caused by structural defects, leading to improved breathing function.

The nose plays a prominent role in the balance of one’s facial profile. Thus, modifying it can establish better harmony between the nose and other facial features. A well-proportioned nose shape that harmonizes with the eyes, cheeks, and mouth can significantly impact our overall facial appearance. This balance also influences how others perceive us.


Dr. Vitenas’ Surgical Approach

Dr. Vitenas, a skilled rhinoplasty surgeon, employs an open rhinoplasty approach for optimal visibility of nasal structures, often using patient’s grafts like rib cartilage for greater surgical flexibility. This approach involves strategic internal and external incisions for precise sculpting, based on pre-surgery agreements. Patients may experience facial swelling or anesthesia reactions; hence a comprehensive consultation with Dr. Vitenas is crucial to address potential concerns and expectations. At Vitenas Cosmetic Surgery, we use advanced techniques to deliver natural results, customizing every rhinoplasty journey to enhance facial structure or address aesthetic concerns like dorsal hump reduction.

Dr. Vitenas’ Surgical Approach
“Dr. Vitenas is known for his expert breast augmentations, however he should also be known for being one of the best rhinoplasty surgeons. After doing extensive research, I decided to go to a consultation at his office. His staff is very caring and diligent and his office is impressive. Dr. Vitenas is very knowledgeable in his field, and most importantly, he is honest. He delineates the process of the procedure leaving you with no questions. He will guide you in the right direction while keeping your opinions and thoughts in mind. I had my surgery one week ago and everything went exceedingly well. After having my splint taken off today, I could not be happier with my results. Let me highlight that one week post-op I am still swollen and a rhinoplasty procedure takes up to one year to heal. Even with all of this in mind I can already tell it will turn out exactly as I hoped. He achieved natural results and also helped my breathing by fixing my septum. He is an artist and I would recommend him to anyone looking for a rhinoplasty.”

Use of Grafts in Rhinoplasty

Grafts are used in rhinoplasty to add support, shape, and structure to the nose. Commonly used grafts include cartilage grafts, bone grafts, and fascia or soft tissue grafts. Cartilage taken from the patient’s own nasal septum is generally used for structural support. Bone and fascia can be harvested from other areas of the body such as the rib or ear. Grafting techniques enable surgeons to create precise results when modifying the shape of the nose and restoring balance to facial features. Grafting can also be used for augmentation rhinoplasty if additional support and structure is needed to achieve desired results.

Rhinoplasty Before & Afters

Each Patient is Unique and Individual Results May Vary

Each Patient is Unique and Individual Results May Vary

The Ideal Rhinoplasty Candidate

The ideal candidate for nasal surgery will be in overall good health, with realistic surgical expectations. Men and women, of all ethnicities, can find satisfactory correction with a rhinoplasty.

Dr. Vitenas’ rhinoplasty procedures are performed at the Houston Surgery Center. This accredited outpatient surgery center is located adjacent to Dr. Vitenas’ office. The procedure can take from one to three hours, depending on the extent of correction. Dr. Vitenas uses general anesthesia during his rhinoplasty procedures.

Kim's Rhinoplasty Testimonial


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The Ideal Rhinoplasty Candidate

The ideal candidate for rhinoplasty is in overall good health, has realistic surgical expectations, and has a clear understanding of the reasons for surgery. Men and women of all ethnicities can find satisfactory correction with rhinoplasty, including functional rhinoplasty to correct nasal breathing problems, and ethnic rhinoplasty, tailored to preserve and enhance ethnic characteristics.

The cost of treatment will vary depending on individual needs and the extent of the surgical procedures required. Dr. Vitenas performs rhinoplasty procedures at the Houston Surgery Center, an accredited outpatient surgery center adjacent to his office. Depending on the extent of correction, the procedure can take from one to three hours, under general anesthesia.

Preparation for Surgery

Before rhinoplasty surgery, you need to prepare for the procedure. Dr. Vitenas will review your medical history and discuss any health issues or medications. It’s also important to refrain from smoking, avoid blood-thinning medications or supplements like aspirin and ibuprofen, stop alcohol consumption, and fast on the day of the procedure. Arrangements should also be made for transportation home after surgery.

The complexity of treatment and the goals for surgery can be influenced by the skin type and thickness of the nose. Thicker skin may limit the complexity of treatment and pose challenges in achieving the desired surgical goals. To ensure successful outcomes, it is important to discuss skin type and other concerns with your surgeon prior to undergoing rhinoplasty.

Before committing to the procedure, it’s essential to understand potential risks associated with rhinoplasty, including scarring, infection, and difficulty breathing. Additionally, it’s important to consider that health insurance coverage for rhinoplasty may vary depending on the reasons for surgery.

Pain Management and Healing Process

The healing journey after cosmetic rhinoplasty surgery typically takes about two weeks, during which time swelling and bruising will gradually subside. The initial swelling may give the impression of a broken nose, but this is normal and should not cause alarm. During this period of recovery, patients should limit their physical activities and follow Dr. Vitenas’ instructions for pain management and wound care. The procedure, which often involves reshaping the nasal cartilage, may cause minor bruising and varying degrees of swelling, which can be managed with cold compresses and over-the-counter pain relievers as prescribed by the experienced surgeon.

Many patients choose rhinoplasty for cosmetic reasons, such as a desire for a more proportionate nose or to address a crooked nose. It is important for these patients to be patient and consistent during their recovery period in order to achieve the best results from their rhinoplasty procedure. Following all Dr. Vitenas’ instructions will help ensure the most successful outcome and comfortable recovery period, which can lead to both an improved nasal function and aesthetic appearance.

Pain Medication During and After Surgery

During surgery, patients are given general anesthesia to help reduce discomfort as well as prevent any movement during the operation. Depending on the length and complexity of the procedure, pain medications such as intravenous opioids or local anesthetics may also be used during surgery in order to help manage pain levels more effectively.

After surgery, rhinoplasty patients can expect to experience some postoperative pain and discomfort. Just hours after surgery, pain management becomes a key part of the recovery process. To help manage this pain, Dr. Vitenas, a board-certified facial plastic surgeon, may prescribe a combination of oral medications and topical creams or ointments to be taken over the course of several days or weeks following surgery. These medications should only be taken as directed by Dr. Vitenas, and any current medications you are taking should be discussed during your initial consultation to avoid any potential complications.

Hours, Days, Weeks, Months After Surgery

The initial hours after the rhinoplasty plastic surgery may bring mild discomfort, manageable with medication, followed by peak bruising and swelling in two weeks. Stitches can usually be removed after three days, with most patients ready to return to work soon after. However, strenuous activities should be avoided for 4-6 weeks. Full rhinoplasty results, revealing a nose that complements your facial features, become visible a year after surgery. Throughout recovery, patient diligence and sun protection are key to prevent complications.

Potential risks and complications

Rhinoplasty, being a highly intricate and nuanced surgical procedure, comes with its share of operative risks, including infection, scarring, altered skin sensation, bleeding, fluid accumulation, post-operative breathing difficulties, and nasal asymmetry. The degree of risk, however, can be significantly minimized when the procedure is entrusted to a seasoned and board-certified facial plastic surgeon like Dr. Vitenas. His wealth of experience and skill can help mitigate the risk of complications and enhance surgical outcomes. However, it’s essential to have an open dialogue during your initial consultation with Dr. Vitenas about any apprehensions or queries you might have regarding potential risks and the possibility of additional surgery. This ensures that you are equipped with all the necessary information to make an informed decision on your journey to your perfect nose.

Dr. Vitenas was voted the Best Facial Plastic Surgeon in Houston for 2022 by Modern Luxury Magazine!


Dr. Vitenas performs all rhinoplasty procedures at the Houston Surgery Center, an outpatient surgical clinic conveniently located in the same building as Vitenas Cosmetic Surgery. This well-equipped center is designed to provide a comfortable and professional environment for all types of aesthetic procedures, ensuring the highest standards of patient care and safety.

Nose surgery or Rhinoplasty can be done to address a number of different concerns with the shape and size of the nose. Depending on the patient’s desired outcome the surgical technique applied will vary and with it so will the price.

On average, the price of a Rhinoplasty starts at $12,000. For a more precise idea of the cost of this procedure feel free to upload your photos to our contact form with your contact information and a brief description of what it is that you are looking to achieve through surgery so that the doctor can review your case and give you an estimate based on your physical anatomy.

Non-Surgical nose surgery or non-surgical rhinoplasty can be done to address different concerns with the shape of the nose. Depending on the patient’s desired outcome, non-surgical rhinoplasty can be an excellent option. On average, the price of non-surgical rhinoplasty ranges from $800 to $1000. If you would like to learn the exact price of nonsurgical rhinoplasty techniques, schedule an in-person consultation with Dr. Vitenas, or fill out our contact us form, along with a description of your situation and a photograph.

Rhinoplasty is normally performed using general anesthesia.

There are two locations for incisions during the rhinoplasty. These may be placed entirely on the inside of the nose (endonasal or closed rhinoplasty), or they may be made on the inside of the nose along with a small incision made on the skin between the nostrils (external or open rhinoplasty). Closed surgery tends to be less invasive but may have limitations on the degrees of modifications that can be made to the nose. Using these incisions, the nose is then sculpted to a new shape. Finally, sutures are placed for adequate healing.

On average, the rhinoplasty will take from one to three hours, depending on the technique, and the extent of correction.

The rhinoplasty incisions may be made entirely on the inside of the nose, which is known as endonasal or closed rhinoplasty, or there may be an additional small incision made on the skin between the nostrils, which is known as external or open rhinoplasty.

There are two types of rhinoplasty: endonasal and external. Endonasal rhinoplasty leaves no visible scarring as the incisions are made inside the nose. External rhinoplasty, on the other hand, involves a small incision on the underside of the nose, resulting in a thin and well-hidden scar.

The first 24 to 48 hours after rhinoplasty may involve mild to moderate discomfort. Dr. Vitenas will prescribe pain medications for a comfortable recovery.

Most patients are fully recovered from their rhinoplasty in seven to fourteen days.

Swelling and moderate bruising are common after the rhinoplasty, although the majority will fade in two to three weeks. Some swelling may linger for up to a year after surgery. For the first couple of nights, patients should sleep with their head elevated (or in a recliner) to keep swelling to a minimum. A small amount of bleeding is not uncommon.

In less than a week, most patients are feeling well enough to return to their job or school.

Rhinoplasty patients are advised to refrain from vigorous exercise for at least four to six weeks following a rhinoplasty procedure. Contact sports should be avoided until the nose has fully healed to avoid any potential complications or injuries.

It will be about three to five days after surgery before sutures are removed. Dr. Vitenas will schedule a time for this and to follow up on the healing process.

Vitenas Cosmetic Surgery accepts cash and all major credit cards. In addition, financing options are available to those who qualify. Contact a patient coordinator to find out more about medical financing through CareCredit or Alphaeon Credit.