Rhinoplasty: Everything You Need to Know About Nose Jobs


Rhinoplasty is a surgical procedure, more widely referred to as a nose job or nose reshaping.

Ideal candidates for nose surgery are in relatively good health and set realistic expectations—those who would like to improve their nose, not perfect it. Patients may consider rhinoplasty for both cosmetic and health reasons.

In general, many candidates are unsatisfied with the shape, angle, or size of their nose. But the operation can also correct any breathing problems that are a result of structural problems or irregularities inside their nose.

There Are Pros and Cons When It Comes to This Plastic Surgery

A nose job will reshape your nose and relieve any congestion or trouble breathing the patient may have. And that will greatly enhance their self-image and confidence.

As is the case with most procedures, scars and other skin tissue problems are always a possibility. It is important to note that a patient’s new look will take some getting used to immediately following surgery.

So How Does It Work?

Before the procedure, we will numb any target areas before making incisions that give access to the bones and cartilage that support the nose.

Then the size, length and width can be remodeled by adding or removing bone and cartilage inside the nose.

Where those incisions are made to open the nose, though, make a difference as to any scars being left behind.

The two main incision approaches are the “open rhinoplasty” and the “internal (endonasal) rhinoplasty.”

In an open rhinoplasty, incisions are made outside of the nose. This allows better visualization for the surgeon but will leave a tiny scar at the base of the nose.

An endonasal rhinoplasty leaves no visible scars because incisions are made inside the nasal passages.

Who’s Going to Perform the Surgery?

First thing to do is to pick a surgeon you can trust. Be sure they’re board-certified and you’re comfortable speaking with them when you go in for an initial consultation visit.

Dr. Matthew Karen is a leading Board Certified facial plastic surgeon and is double board certified in otolaryngology (ENT) and facial plastic surgery.

Your consultation appointment is where you will be able to touch base with Dr. Karen on any questions or concerns you may have and talk about your overall cosmetic goals.

In order to get the most out of this consultation, here are some important talking points and questions to bring up:

  • Am I healthy enough for rhinoplasty?
  • Are my expectations realistic?
  • Will there be any scars?
  • How much will this all cost?
  • What kind of anesthesia is right for me?
  • What are the risks?
  • What are my options if I am unhappy with the results of the operation?

In preparation for surgery, most patients are asked to do the same general things. This includes no smoking for six weeks leading up to your rhinoplasty and avoiding aspirin, anti-inflammatory drugs and some other herbal medications.

Patients also need to arrange for someone to drive them home after a short observation period at the facility.


Each patient is different. So is the time it will take to return to normal levels of activity following your nose surgery.

But, most patients go back to work and resume their regular exercise routine in about three weeks. Dr. Karen will explain your individualized postoperative care.


Rhinoplasty is permanent. So, it is important to be positive in what work you want done.

Maintain contact with Exclusively Faces even beyond your follow-up evaluation. You can always reach out to us with any questions or concerns.

Associated Costs

To get an accurate cost for your rhinoplasty procedure we recommend setting up a consultation with Dr. Karen.

Nose surgery for cosmetic reasons are not covered under insurance. But, you may be in luck if you are correcting any structural deformity.


We will go over any individual risks during your consultation. But overall complications are rare when it comes to rhinoplasty.

Here are a few known risks specific to nose surgery:

  • Skin breakdown from bandaging materials
  • Swelling inside the nose
  • Septum injuries
  • Scarring at the base of the nose

Closely following the instructions from your our board-certified plastic surgeon will minimize any chance for problems.

The best way to find out if a Rhinoplasty procedure is right for you is to schedule a consultation with Dr. Matthew Karen in Virginia.