At our Denver practice, we understand that the nose is one of your most critical facial structures, with respect to both your facial balance, and your airway function. Dr. Paul Steinwald performs nasal refinement surgery, or rhinoplasty, to improve airflow (the "septoplasty" component), correct post-traumatic external nasal deformities, and/or improve cosmetically undesirable features of the nose. Often, he addresses several of these issues for his patients during the same surgery.
Because the structures of the nose are among the most complex and delicate of any feature, we take a precise and conservative approach to nose surgery. Rhinoplasty can produce highly satisfying results for those who have long been unhappy with the aesthetics of their noses, or those struggling with breathing difficulties or injury.
Rhinoplasty is best left to a board-certified plastic surgeon who specializes in these complex procedures. Many excellent plastic surgeons refer rhinoplasty patients to specialists such as Dr. Steinwald. He is not only certified by the American Board of Plastic Surgery, but has many years of experience with all types of nasal issues.
Post-traumatic (or natural) nasal deformities such as a dorsal hump on profile view, a widened dorsal bridge, deviation of the tip or crookedness of the nose in general often require fracture and resetting of the bones and/or cartilage through small internal incisions (a "dorsal rhinoplasty"). Dr. Steinwald then resets the nasal pyramid in a more neutral, cosmetically pleasing position.
Non-traumatic cosmetic issues of the nose may include several of the aforementioned bony/cartilaginous deformities, as well as tip irregularities such as a boxy, bulbous or asymmetric tip, or irregular or widened nostrils. Correction of these issues usually requires extending the inner nasal incisions across the area between the nostrils via an "open-tip rhinoplasty," to directly access and reshape the cartilage irregularities (via trimming and/or suturing) that are responsible for the appearance of the lower nose.
Patients who have suffered nasal trauma may have functional issues such as poor airflow or chronic sinusitis. The former is often due to buckling or fracturing of the midline nasal septum, either due to congenital development or following trauma. Resection of a majority of this structure (a submucous resection of the nasal septum, or "SMR") through small intranasal incisions usually results in dramatic functional improvements. These procedures are usually performed under general anesthesia, with nasal packing removed the next day.
If you have a closed rhinoplasty, all your scars are concealed within your nostrils and none are visible. If you have an open rhinoplasty, you'll have an incision across the strip of flesh between your nostrils. After several weeks of healing, the fine scar will fade and typically become almost undetectable.
Yes. Dr. Steinwald specializes in facial surgery, and often combines other procedures with nose surgery. Dr. Steinwald can evaluate your features during a candid consultation and make recommendations about any other options that may serve your goals.
Our surgeons perform rhinoplasty at Apex Surgical Facility, our accredited surgical center, which is outfitted with state-of-the-art safety equipment and staffed by our experienced team.
Rhinoplasty typically requires general anesthesia, and takes about 1 to 3 hours depending on the degree of correction. Open tip work alone may be done under IV sedation.
For closed rhinoplasties, an external splint is in place for 4 to 5 days. If you only undergo a "tip rhinoplasty," bruising is usually minimal and splinting not necessary.
Most discomfort is manageable with prescription and over-the-counter pain medications. We ask patients to keep their heads elevated even when sleeping for several days after surgery, which helps to reduce swelling and bruising. Carefully applying icepacks can also help.
Most patients return to work or other daily activities within 1 to 2 weeks. Many feel well enough to return to work soon but may have cosmetic bruising, depending on the extent of the procedure. After 2 weeks, most of the swelling and visible bruising subside. Some minor residual swelling may persist for many months, and it may take 6 months to a year for final results. Patients can return to light exercise after a couple of weeks and gradually return to more activity after about a month. It's important to avoid sports or activities that may damage the nose.
The Center for Cosmetic Surgery has 2 conveniently located offices in the Denver area. One is just outside Denver in Golden, Colorado, immediately off 6th Avenue West, and the other is downtown in Cherry Creek. Please schedule a personal consultation to learn how rhinoplasty can improve your quality of life. Simply call (720) 279-1926 or request your complimentary consultation onlineyour complimentary consultation online.
For information about preparing for your surgery and postoperative guidelines, visit our patient resources page.