Rhinoplasty Surgery

The shape and size of your nose can affect the symmetry and aesthetics of your whole face. A rhinoplasty, often referred to as a nose job, can help to balance the size, shape, and symmetry of the nose. Dr. William Franckle is a board-certified surgeon with years of experience helping patients achieve subtle, natural-looking results. Learn more about if you are an ideal candidate for this procedure, as well as surgery options and recovery information.

Is Rhinoplasty Right for You?

Do you feel like your nose is disproportionate to the rest of your face? Do you have difficulty breathing due to sinus problems or a previous nose injury? Or, does your nose have an unwanted bump or asymmetrical shape? There are many reasons why patients pursue a rhinoplasty surgery, and the best way to determine if this procedure is right for you is to schedule a consultation with Dr. Franckle.

Rhinoplasty can help patients achieve aesthetic goals, but it may also help those who suffer from nasal breathing problems such as sleep apnea. Nose surgery may also be right for candidates who have suffered a nasal fracture and require reconstructive surgery to repair the shape and functionality of the nasal passage.

In addition, if you are bothered by any of the following issues, then a nose job surgery may be right for you:

  • A hooked or crooked nose that impacts facial symmetry
  • A nose shape with a rounded, bulbous tip or disproportionately large nostrils
  • An enlarged bump on the bridge of the nose, also known as a dorsal hump

Ideal candidates for rhinoplasty should be in good physical and mental health and have realistic expectations about the results of the surgery. This procedure should not be performed until the patient’s nose has fully developed, usually around age 15 or older.

What Types of Rhinoplasty Surgeries Exist?

All of these factors, in combination with your desired surgical outcomes, will help Dr. Franckle determine the best type of rhinoplasty procedure for you. All options are outpatient procedures that can be done under general anesthesia.

Open Rhinoplasty: Incisions are made externally across the strip of skin between the nostrils known as the columella and internally to help reshape the nasal bones, cartilage, and soft tissues.

Closed Rhinoplasty: Only internal incisions are made to help reshape the nasal bones, cartilage, and soft tissues.

Tip-plasty: Either the open or closed procedure can be used to reshape the tip of the nose.

Nostril Reduction: Either the open or closed procedure can be used by making tiny incisions at the outer base of the nostrils to reduce their size.

“I am very pleased with my nose! The doc game me exactly what I asked for. Excellent result !”

Rhinoplasty Patient – December 2015

What Happens During Your Rhinoplasty Consultation and 3D Imaging?

The first step in determining the appropriate surgery is to meet with Dr. Franckle for a consultation to review your medical history. During the medical review, it is important that you share any history of breathing issues or allergies, which could impact the nasal passage and results of the surgery.

Dr. Franckle will also use Vectra 3D Imaging during the consultation, which allows patients to view a preview of the results before they commit to rhinoplasty. Vectra technology uses 3D cameras to capture images of the patient from many different angles. These images will then be used to create three-dimensional before and after images.

This offers you a time to communicate your expectations and specific concerns with Dr. Franckle in order to make sure you are both in agreement on the desired outcomes. Once Dr. Franckle understands your unique aesthetic goals, he can decide the best type of surgical procedure to meet those goals. 

What to Expect From a Rhinoplasty Procedure

To begin the rhinoplasty procedure, Dr. Franckle will make the internal and external incisions, depending on if it is an open or closed rhinoplasty. The placement of the incisions will also depend on your unique surgical goals, which will be determined during your consultation. Once the incisions are made, Dr. Franckle can lift the soft tissues and gain access to the cartilage and nasal bones that create the shape of the nose. From there, the small cartilages in the top and bridge of the nose can be reshaped, and small cuts in the middle nose bones may also be necessary.

For those with difficulty breathing, the nasal airway can be opened, and the deviated septum can be straightened. Additional incisions are sometimes made at the outer base of each nostril if there is a desire to alter the nostril size or symmetry. In some cases, a cartilage graft from the ear or septum can also be used to restore the side walls of the nostrils. To complete the procedure, Dr. Franckle will finalize the placement of the underlying tissues and nasal skin and close the incisions. Since this is an outpatient procedure, you will be able to return home the same day of the surgery.

What Is the Recovery Process Like for a Rhinoplasty Procedure?

Following the completion of the surgery, you will be sent home with soft rubber splints placed over the nasal septum and a dorsal bridge splint covering the bridge of the nose. Swelling and bruising are normal, but resting with your head elevated may help reduce swelling. If internal septal splints were also used, they will be removed by Dr. Franckle during your follow-up appointment in the 3 to 4 days following the procedure. The dorsal bridge splint can be removed after 7 to 10 days, depending on the progress of your healing. You may return to work about a week after the surgery, depending on recovery time, and you should avoid strenuous activities for at least two weeks. The final result of the reshaping procedure may be evident in 12-14 months, but most of the results should be evident after just two months.


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Dr Franckle

Board Certified Plastic Surgeon

We know that you have many options when choosing a plastic surgeon. Dr. Franckle and his staff are dedicated to providing you with a caring and professional surgical experience. Time and time again our patients credit Dr. Franckle’s expertise and the kindness of our staff as the reason for choosing our practice. Dr. Franckle is board certified by the American Board of Plastic Surgery (ASPS), the only board recognized by the American Board of Medical Specialties to certify surgeons in the practice of plastic surgery. Attention to detail, meticulous skill, and an artistic eye make Dr. Franckle an expert in such procedures as rhinoplasty (nose job), breast augmentation (breast implants), abdominoplasty (tummy tuck), facelift, and non-surgical treatments (Botox and injectable fillers).

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William Franckle, MD., FACS

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