Rhinoplasty, commonly called a nose job, reshapes the nose to improve appearance, fix structural problems, or both. Whether your goals are cosmetic refinement or better nasal function, understanding how the operation works, what to expect during recovery, and how to choose the right surgeon helps you make a confident, informed choice.

How rhinoplasty is performed

Rhinoplasty operations generally last one to three hours and are performed under general anesthesia. Surgeons use two primary approaches:

• Open rhinoplasty: A small incision is made on the columella (the tissue between the nostrils), providing direct visualization of the nasal framework. This approach offers greater access for complex reshaping and is commonly used when precise adjustments to cartilage and bone are required.

• Closed (endonasal) rhinoplasty: All incisions are hidden inside the nostrils. This method avoids visible external scars and can be appropriate for less extensive changes, though it provides a more limited view of internal structures.

The choice between open and closed techniques depends on the complexity of the correction, the surgeon’s assessment, and the aesthetic or functional goals discussed during your consultation.

Why people choose rhinoplasty

Motivations for nasal surgery vary and can be cosmetic, medical, or both. Common reasons include:

1. Achieving better facial proportion and balance
2. Reducing an overly large or dominant nose
3. Straightening a crooked or asymmetric nasal shape
4. Refining or reshaping the nasal tip
5. Relieving breathing problems related to septal deviation or other structural issues
6. Repairing trauma-related damage or congenital defects
7. Enhancing self-esteem and comfort with one’s appearance

It’s essential that the decision to have rhinoplasty is made for personal reasons and realistic expectations rather than outside pressures.

Typical recovery timeline

Recovery varies by individual, but many patients experience a similar progression:

• First week: A nasal splint and possibly packing are used. Expect swelling, bruising around the eyes, and some discomfort. Most people take 1–2 weeks off work or school.

• Weeks 2–4: The splint and external dressings are removed; visible bruising fades and swelling decreases substantially. Light daily activities are usually acceptable, but avoid heavy lifting and vigorous exercise.

• Months 1–3: The bulk of swelling subsides and the new nasal contours become more apparent. Some residual puffiness, particularly at the tip, may remain.

• Up to 12–18 months: Subtle changes continue as tissues settle and scar tissue softens. Final results are often most apparent after about one year, though small refinements can persist beyond that.

Strictly following your surgeon’s post-operative instructions—such as sleeping position, activity restrictions, and wound care—helps ensure the best healing and outcome.

Potential risks and complications

As with any surgery, rhinoplasty carries risks. While serious complications are uncommon, possible issues include:

• Infection or postoperative bleeding
• Adverse reactions to anesthesia
• Unsatisfactory aesthetic result, including asymmetry
• Ongoing breathing difficulty
• Numbness or persistent pain
• Septal perforation (a hole in the nasal septum)
• Need for revision surgery to refine results

Selecting a surgeon with board certification and extensive rhinoplasty experience reduces many risks. Your surgeon should review potential complications and discuss strategies to mitigate or treat them.

Cost overview

Below is a general cost guide for rhinoplasty in the United States. Actual prices vary widely based on the surgeon’s expertise, geographic location, facility fees, and complexity of the procedure.

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Provider Type	Typical Cost Range	Usually Includes
Board-Certified Plastic Surgeon	$5,000 - $15,000	Surgeon fee, facility fee, anesthesia
ENT Surgeon (functional focus)	$4,000 - $12,000	Surgeon fee, facility fee, anesthesia
Non-Board-Certified Surgeon	$3,000 - $8,000	Surgeon fee, facility fee, anesthesia

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Costs listed are approximate and may change. Verify all pricing details with your surgeon and insurance carrier.

Does insurance cover rhinoplasty?

Cosmetic rhinoplasty is usually considered elective and not covered by health insurance. When nasal surgery is performed to correct a medically necessary issue—such as obstructive breathing caused by a deviated septum—insurance may cover part or all of the costs. Always confirm coverage with your insurer and obtain detailed estimates from your surgeon.

Choosing the right surgeon

Selecting an experienced, trustworthy surgeon is one of the most important steps:

• Verify board certification (American Board of Plastic Surgery or American Board of Facial Plastic and Reconstructive Surgery).
• Seek surgeons who specialize in rhinoplasty and perform it frequently.
• Review before-and-after photos to assess the surgeon’s aesthetic style.
• Read patient reviews and ask for referrals.
• Ensure clear communication: you should feel heard and confident in the treatment plan.
• Confirm the procedure will take place in an accredited surgical facility.

A thorough consultation will clarify whether rhinoplasty is the right option for your goals and what technique will best achieve them.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.