Why Rhinoplasty?

There are physical and psychological reasons to choose rhinoplasty. 

Do you ever look in the mirror self-consciously and wish your nose was a different shape? Do you wish your nose was smaller and less bulging? Do you have a large nose, pointy nose, crooked nose, or hump on the bridge? 

You are not alone. For many people, the nose is a source of focus and concern, poor self-esteem, anxiety, and sometimes even embarrassment. For others, the nasal structure makes it difficult to breathe. Your breathing may be stuffy, congested, or you may have sinus problems. Either way, you don’t have to let your quality of life suffer because you are unhappy with your nose’s appearance or function. 

Rhinoplasty can fix many unflattering nasal features. Rhinoplasty, commonly referred to as a nose job, is the surgical solution that can permanently reshape your nose, improve breathing and reduce congestion, and boost your confidence. All rhinoplasty procedures are expertly performed by Ross A. Clevens, MD, FACS, or Renata Khelemsky, MD. These highly-accredited nasal plastic surgeons will improve the shape and contour of your nose and provide the attention needed to balance your new nose with the unique features of your face.

 

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Do I Need a Nose Job or Revision Rhinoplasty?

Improve your entire facial aesthetic.

If you’re dissatisfied with the appearance of your nose, rhinoplasty can help you achieve the look you want, whether that’s a more refined, smaller, or straighter nose. If you suffer from severe congestion or discomfort from your nose, rhinoplasty may help make breathing easier and help your sinuses function better. 

If you’ve already undergone rhinoplasty one or more times, but are not satisfied with the results, you may be a good candidate for revision rhinoplasty. It should be noted that revision rhinoplasty is more difficult than an initial rhinoplasty, as there is typically less cartilage to work with after excisions have been made in the first rhinoplasty. The best way to determine if rhinoplasty makes sense for you and your goals is to talk with Dr. Clevens or Dr. Khelemsky, who are experienced experts who specialize in revision rhinoplasty.

A nose job can be performed on men and women of all ages; however, the nose has to be fully developed before undergoing this surgery. Good candidates for rhinoplasty are also patients that have realistic goals, as nose surgery cannot guarantee perfection. Nonetheless, Dr. Ross Clevens and Dr. Renata Khelemsky aim to completely satisfy and fulfill patients’ medical and aesthetic needs. Lastly, an ideal candidate is someone who is in good health and has a positive outlook.

 

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What Are the Benefits of Rhinoplasty?

A nose job that fits your aesthetic and medical needs.

By refining and reshaping the nose, rhinoplasty provides both functional and cosmetic benefits. You may experience more efficient and easier breathing, reduced congestion, and increased comfort. Rhinoplasty can also boost your self-esteem by improving not only your nose itself but also your overall facial aesthetic.

Common issues patients seek to correct include:

  • Overly large, wide, or small noses

  • Nasal bumps or humps on the bridge

  • Crooked or misshapen noses

  • Poorly defined noses 

  • Uneven nostrils

  • Prior nasal trauma

  • Deviated septums or enlarged turbinates (the bones, vessels, and tissue within your nasal passageway)

  • Difficulty breathing due to a deviated septum

  • Sinus problems 

Watch Dr. Khelemsky explain the benefits of rhinoplasty surgery. 

 

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How Is Rhinoplasty Performed?

Your safety and comfort is our top priority.

Our consultation process is the first step to realizing your rhinoplasty goals and finding the best options for your needs. For some, non-surgical rhinoplasty may be the only treatment necessary to correct the issues you face. Dr. Clevens is an internationally known speaker who has taught his ‘Liquid Rhinoplasty technique to hundreds of facial plastic surgeons. Consultations are also an ideal opportunity to discuss other plastic surgery options that concern your facial features. That is why it is important to discuss all of the possible options with our involved and attentive surgeons before undergoing any surgical treatment.  

The surgeons at Clevens Face and Body Specialist perform rhinoplasty in a fully accredited, state-licensed, nationally accredited Ambulatory Surgery Centers alongside a physician anesthesiologist. Many doctors perform these procedures in an office or with a nurse to provide anesthesia, but our surgeons insist on a higher standard for the safety and comfort of our patients. 

Dr. Clevens or Dr. Khelemsky will make incisions either externally between the nostrils (“open” rhinoplasty) or internally concealed within the nose (“closed” rhinoplasty). The chosen technique depends on your needs and will be discussed before surgery with your best interest in mind.

A successful rhinoplasty surgery consists of several steps: 

  1. You will undergo a one-on-one detailed and unhurried consultation with Dr. Clevens or Dr. Khelemsky.
  2. On the day of the surgery, anesthesia or sedation will be administered for your comfort and safety.
  3. The incision is made (open vs. closed).
  4. The skin is raised from the incisions allowing the surgeon to restructure the nose. 
  5. Your nasal plastic surgeon will also reshape your cartilage, carving, and resetting bones as needed, and using cartilage grafts to change the bone structure. 
  6. Any raised skin is lowered, and the incisions are closed.
  7. Tape and a custom plastic splint are gently applied to maintain the shape of your new nose as it heals. 

 

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What Is the Recovery From Rhinoplasty Like?

Return to your day-to-day activities in seven to 10 days.

You will have a splint on your nose the first few days to ensure it heals properly, but most patients quickly return to work and routine activities with a combination of ice packs and proper rest. Though you can return to normal activities, you’ll need to take precautions like sleeping with your head elevated to promote optimal healing. Dr. Clevens and Khlemensky will provide you with medication to ease the pain and discomfort. We find that most of our patients have less discomfort than they anticipate. 

You may experience some bruising and swelling following your rhinoplasty. The facial plastic surgeons at Clevens Face and Body Specialists use platelet gel and TXA (tranexamic acid) during rhinoplasty and other procedures so many patients experience no bruising at all. By the second week, swelling should have subsided significantly enough for you to notice the changes in your nasal structure. Although healing is different for everyone, as we each have unique biological dispositions, the initial swelling should subside quickly and should continue to decline for several months. 

After a full year of healing, the reshaping of your nose should be completely noticeable. Rhinoplasty is one of the few plastic surgeries with relatively permanent results; however, the quality of the skin will continue to age. 

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What Our Patients Say

Hear from one of our rhinoplasty patients.

“I am very happy with my results. I don't think I could be happier. I'm a completely different person. I didn't like looking in the mirror every day when I woke up, and now I'm still surprised when I look in the mirror [by] how nice my nose looks.”  

–Ashley 

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Before and After Photos

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Ross A. Clevens, MD, FACS

*Each patient is unique and individual results may vary.

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Ross A. Clevens, MD, FACS

*Each patient is unique and individual results may vary.

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Ross A. Clevens, MD, FACS

*Each patient is unique and individual results may vary.

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RHINOPLASTY FAQ

What are the risks of rhinoplasty?

Since rhinoplasty is typically an elective procedure, it is performed only under the safest conditions. To ensure your safety and comfort, Dr. Clevens and Dr. Khlemensky bring their patients to a fully accredited ambulatory surgery center with physician anesthesiologists. However, it does carry some risk, as all surgeries do. Rare risks and complications can include bleeding, infection, scarring, anesthesia complications, nasal blockages, damage to the nasal septum or skin, and failure to achieve a satisfactory aesthetic result. The vast majority of our patients are pleased, and we specialize in correcting rhinoplasty that has not been performed properly elsewhere. 

 

Are there non-surgical options for rhinoplasty?

Surgery is the only long-lasting option for rhinoplasty. However, injectable fillers can provide temporary improvement and may be appropriate for some patients. Dr. Clevens and Dr. Khlemensky can discuss the ‘Liquid Rhinoplasty’ with you if you are interested. 

Will my bones need to be broken during the surgery?

The nasal bones are often carved, reshaped, or reset, depending on your goals for surgery. Don’t worry—this process is far less scary than it sounds and allows the nose to heal in the proper shape. All techniques to be used will be discussed before the procedure.

Can I wear glasses after surgery?

This is a very common concern. Glasses put pressure on the nasal bridge and usually cannot be worn during the initial recovery period. Dr. Clevens will help you find options for correcting your vision during this time.

When will I see the final results of my rhinoplasty?

After the first few months, most of the swelling will have subsided, and no one will notice it, though the “final” results will not be apparent for about a year when the last of the swelling resolves. The final results should be natural looking and long lasting.

Why should I choose a board-certified facial plastic surgeon?

Rhinoplasty is a complex procedure and should only be performed by a highly trained, board-certified surgeon specializing in facial plastic surgery rather than plastic surgery in general. Choosing the right surgeon will help set you up for a successful procedure.

What is the right age for rhinoplasty?

The nose generally stops growing and changing at around age 15 to 17 for girls and 17 to 19 for boys; this is why many surgeons won’t operate on people younger than 15, even with parental permission. It is best to wait until you and your surgeon have complete confidence the nose has finished growing.

Will there be any scarring?

Open rhinoplasty produces a very small scar that is truly negligible and typically fades exceptionally well. No one but you should be able to notice it. Closed rhinoplasty produces scarring that will not be visible externally. Noticeable scarring is a very rare occurrence in rhinoplasty.

Can rhinoplasty change my voice?

Though it is extremely rare, the surgery can sometimes change the sound and tone of the voice. If you are a singer, voice actor, or otherwise use your voice professionally, be sure to discuss this concern before scheduling your surgery.

Meet the Team

Your team is led by double board-certified facial plastic surgeon, Ross A. Clevens, MD, FACS. Dr. Clevens, who trained at Yale, Harvard, and the University of Michigan, has practiced in Brevard County for more than 20 years. All providers are specialists, focusing solely on treatments in their area of expertise.

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Request a private and comprehensive consultation.

Take the first step toward making your rhinoplasty a reality: Meet with Dr. Clevens or Dr. Khelemsky and their team.

Your consultation begins with you discussing your reasons for pursuing rhinoplasty. Many patients bring photos to the consultation to show noses they do and don’t like. Dr. Clevens or Dr. Khelemsky will evaluate your nose and make suggestions for achieving your desired results. Your consultation is focused on designing a custom procedure that meets your needs, and answering all of your questions so you feel comfortable and know what to expect.

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