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Rhinoplasty

  • 1-2.5 Hour Surgery
  • Back to Work: 1-2 Weeks

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. Board-certified plastic surgeon Dr. Paul Steinwald performs nasal refinement surgery, technically called 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.

Rhinoplasty
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 31
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Rhinoplasty Case 572 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 1 of 30

Case #572

\tThis was a 16 year-old female who disliked her somewhat curved nose (partially resulting from mild blunt trauma in the past), and wished to  have a somewhat "cuter" nose to be in better proportion with her other facial features (including a slightly "weak" chin).  She also had an element of nasal septal deviation.\tI... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 567 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 2 of 30

Case #567

\tThis 21-year-old female was principally concerned about a prominent nasal "hump" effect, which had naturally developed through adolescence (i.e. no history of trauma).  I recommended she undergo a dorsal rhinoplasty  to reduce the bump on profile view, with minor nasal sidewall fractures to collapse in the walls a bit (and "close... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 644 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (1 mo)
Case: 3 of 30

Case #644

\tThis patient sought a Dorsal rhinoplasty in Denver to principally address a high/prominent bump on profile view; involved resetting of the nasal pyramid; photos are from approximately 1 month post-op.
Surgeon: Paul Steinwald
Rhinoplasty Case 899 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (6 weeks)
Case: 4 of 30

Case #899

This is a 20 year-old who disliked the off-center high bump on her nose. She underwent a dorsal rhinoplasty to take down this irregularity and center her pyramid in general; shown here at approximately 6 weeks post-op with some swelling yet to resolve. If you have similar issues and live in or around Denver, a rhinoplasty approach such as this... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 820 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 5 of 30

Case #820

22 year-old female who disliked the fullness of her dorsal nose, as well as the fact that the midvault was mildly widened and off-center.  She underwent a dorsal rhinoplasty and is shown here approximately 1 month later, with some swelling of her tip present but likely to significantly improve over the next 3-6 months. Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 840 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 6 of 30

Case #840

54 year-old woman who underwent dorsal and open tip rhinoplasty to address mild contour irregularities and asymmetries, especially dorsal fullness from the side view, and a widened tip with a cleft effect; photos are from approximately 6 weeks post-op. If you have similar issues and live in or around Denver, rhinoplasty may be right for you... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 842 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 week)
Case: 7 of 30

Case #842

18 year-old female from Florida who disliked her upper nose prominence/"hump" on profile view; underwent a dorsal rhinoplasty, shown here at one-week post-op just after splint removal with minimal swelling/bruising, and good results already appreciable.  If you have similar issues and are interested in having rhinoplasty here in Denver,... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 569 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 8 of 30

Case #569

\tThis was a 38 year-old female rhinoplasty patient came to me with a remote history of nasal trauma, which created both a septal deviation (evidenced by partially obstructed airflow on deep inspiration), as well as a persistently widened nasal bridge and a fairly prominent dorsal hump irregularity on profile view.\tI recommended she undergo... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 655 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (6 mo)
Case: 9 of 30

Case #655

22 year-old who had sustained blunt trauma to her nose when younger, resulting in a slight off-center pyramid with a prominent dorsal fullness.  She underwent a formal dorsal reduction and pyramid resetting rhinoplasty, resulting in elimination of the dominant hump deformity, and a softer, better balanced nasal pyramid in general;  photos... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 789 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (6 months)
Case: 10 of 30

Case #789

This 23 year old woman was unhappy with the "hump" on her nose, as well as the tip, which she felt was too long. She underwent a rhinoplasty during which her dorsal hump was directly reduced, with some secondary elevation of the tip.She is shown before and 6 months post-op. She does shill have some swelling which will resolve over... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 11219 Before & After Right Oblique | Golden, CO | The Center for Cosmetic Surgery
Before and after (1 month)
Case: 11 of 30

Case #11219

25 year-old who underwent full rhinoplasty in 2 steps; first a dorsal reduction of her prominent pyramid, and then tip strut/umbrella grafting (harvested from her midline septum) approximately one year later to address her poor tip projection/shape. She is show here soon after her second surgery. If you have similar issues and live in or around Denver,... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 606 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 12 of 30

Case #606

\tThis 18 year-old patient had sustained blunt trauma to his nose several times, widening the vault and leaving a prominent hump behind as well.  This was addressed with a dorsal hump take-down and resetting of the pyramid (which also involved splinting for 5 days).  Photos are from approximately 3 months post-op. Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 788 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (3 months)
Case: 13 of 30

Case #788

Surgeon: Paul Steinwald
Rhinoplasty Case 973 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 14 of 30

Case #973

This 22 year old woman with no history of nasal trauma or breathing problems was self conscious of the prominent dorsal hump on her nose, which she wanted to have reduced. She underwent a dorsal rhinoplasty in our AAAHC accredited operating facility under general anesthesia.After photos were taken at 5 weeks post op and show a great early... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 568 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (6 mo)
Case: 15 of 30

Case #568

\tThis patient is a 16-year-old female who had injured her nose during cheerleading several months prior.  This had resulted in a fairly fixed nasal bridge/pyramid injury, with a widened effect on anterior view, and a mild dorsal hump effect on profile view.\tAs a plastic surgeon specializing in rhinoplasty in Denver, Golden, Fort Collins... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 669 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (10 mo)
Case: 16 of 30

Case #669

\tThis 49 year-old woman had sustained blunt trauma as a teenager, and a former rhinoplasty elsewhere, resulting in a twisted/ irregular tip.   During a Denver revision rhinoplasty via an open-tip approach, she underwent release and refinement of the tip cartilages, as well as further dorsal reduction via rasping techniques to camouflage... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 570 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 17 of 30

Case #570

This was a younger female who was displeased with the apparent lengthy effect of her nose, as well as the dorsal fullness that was apparent, and wished to have a "cuter" nose.  I recommended she undergo a formal dorsal reduction, with osteotomies (fractures) to reposition and reset the nasal  pyramid in a more subtle, less... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 501 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 18 of 30

Case #501

This 22-year-old female presented to our plastic surgery office  after researching some of her options for rhinoplasty .  She had no history of trauma to her nose or breathing difficulties, but had been bothered by the fullness of her dorsal nose since adolescence.  She also wished to have the effect of a shorter nose. Upon... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 972 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 19 of 30

Case #972

This is a 24 year old woman who consulted with us wanting to reduce the hump on her nose. She did have mild to moderate dorsal nasal fullness which was corrected with a rhinoplasty procedure.After photos taken at 8 weks post op.
Surgeon: Paul Steinwald
Rhinoplasty Case 607 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (1 mo)
Case: 20 of 30

Case #607

This 32 year old woman had a history of blunt nasal trauma with resulting partial airway obstruction, but also wished to refine her fuller nose in general.  I advised her that she was a good candidate for an SMR/septoplasty, but that her somewhat thicker, oily skin might mask some changes to the underlying framework.She indeed underwent... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 573 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 21 of 30

Case #573

\t18 year-old female with naturally prominent dorsal nasal hump deformity, likely exacerbated by sports trauma.  Underwent dorsal hump take-down and mid-nasal pyramid resetting only under light general anesthesia; photographs are from approximately one month post-operative. Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 574 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 22 of 30

Case #574

\tThis patient came to my practice for rhinoplasty surgery.  She is pleased with her results.\tIf you would like to discuss your surgical options for nose reshaping please contact our office at (303)278-2600. Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 862 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (3 weeks)
Case: 23 of 30

Case #862

Surgeon: Paul Steinwald
Rhinoplasty Case 979 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 year)
Case: 24 of 30

Case #979

This 19 year old patient of Dr. Steinwald's was bothered by the bump on her nose since adolescence. She underwent a rhinoplasty which reduced the dorsal fullness of her nose. She is thrilled with her new, "cute little nose."After photos from 1 year post op. Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 575 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 25 of 30

Case #575

\tThis patient came to my office for rhinoplasty surgery, focusing on better-defining the tip. She therefore underwent an open-tip rhinoplasty to minimize her subtle cleft and boxy deformities (with minor dorsal rasping performed), and was very pleased with her rapid recovery and long-lasting results (photos here are from approximately... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 790 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 26 of 30

Case #790

This is a 17 year old patient who was self conscious about the bump on her nose, which she felt was very noticable on both a frontal and profile view. With parental consent, she underwent a dorsal hump reduction and a septoplasty, which is  a corrective surgical procedure done to straighten the nasal septum. She is shown before... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 841 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (3 months)
Case: 27 of 30

Case #841

21 year-old female who disliked the fullness/sharpness and somewhat off-centered nature of her nasal bridge.  Underwent a dorsal rhinoplasty as a brief outpatient procedure from which she recovered well, and is shown here at approximately 3 months post-op.  If you have similar issues and are from in or around Denver, rhinoplasty/nose surgery may... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 815 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 28 of 30

Case #815

25 year-old woman who disliked the dorsal bump on her nose, as well as some of the associated mid-pyramid widening.  She underwent a dorsal rhinoplasty as a brief outpatient procedure under light general anesthesia and recovered quickly; photos here are from 1 month post-op, with some swelling remaining (usually up to 3-6 months), but nice improvements... Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 897 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (6 weeks)
Case: 29 of 30

Case #897

20 year-old who disliked the narrowness of her nose (with a pyramid slightly shifted to her right), as well as the high dorsal bump on profile view. Treated with dorsal rhinoplasty to reduce the bump and reset the pyramid in a more pleasing fashion. The patient was thrilled with her early results, shown here at approximately 6 weeks post-op. Read More
Surgeon: Paul Steinwald
Rhinoplasty Case 816 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (6 months)
Case: 30 of 30

Case #816

22 year-old female who disliked her prominent dorsal "hump" on profile view; I advised her she was an excellent candidate for a formal dorsal rhinoplasty (reduction of bump with resetting/narrowing/centering of the nasal pyramid), which was performed as a brief outpatient procedure under light general anesthesia.  Results here... Read More
Surgeon: Paul Steinwald

Keep in mind that each patient is unique and your results may vary.

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.

Am I a Candidate for Rhinoplasty?

A rhinoplasty is intended to improve the shape and function of the nose. A bump can be reduced, the nasal tip can be refined, and many other concerns can be addressed.

Rhinoplasty incisions are made inside the nostril and, typically, across the narrowest part of the columella between the nostrils. This is what’s known as an “open” rhinoplasty. In exchange for the small external incision, an open rhinoplasty is more precise, and allows more complex maneuvers than would be possible in a “closed” rhinoplasty without the external incision. Once the incisions are made, the bony and cartilaginous framework of the nose is exposed. Cartilage and bone can be removed, reshaped, or added to enhance the nasal form.

Many different techniques exist to reshape the nose into a more aesthetically pleasing structure given the wide variability in preoperative shape.

A rhinoplasty consultation will include a physical exam and computer modeling to illustrate what can be achieved surgically.

Fact & Fiction About Rhinoplasty

Rhinoplasty is considered by many plastic surgeons to be the most challenging operation.

The nose is made up of a mucosal lining, cartilage, bone, and skin. Each of these structures is affected by the tissues adjacent to it, and, in, turn, affects other tissues. Compounding the matter is the fact that the nose is not just supposed to be pretty, it actually has to function. Finally, the aftereffects of a rhinoplasty may not be seen for years. We learned this after watching the destructive rhinoplasty techniques of the 80’s result in nasal collapse over the ensuing 10 to 20 years. Modern rhinoplasty preserves the natural structure of the nose to the greatest extent possible in an effort to provide support for long-lasting results.

You cannot simply choose a nose out of a magazine.

A number of factors influence what might be considered the “ideal” nose for a given individual. Facial shape and size, ethnic background, and the structural aspects of the nose itself all impact the surgical plan. Because of this, patients cannot expect to have a nose that looks like anyone else’s, unless they happened to look a lot like that person in the first place. We utilize the Vectra XD 3-D imaging system to help plan the operation and communicate that plan to the patient. This ensures that patient and surgeon are on the same page, and is the best way to verify that the patient’s expectations are realistic.

Nasal packing is rarely necessary or beneficial.

Many surgeons continue to pack the nose with gauze at the end of the procedure despite the fact that research has shown a lack of benefit and significant risk and discomfort associated with it. We virtually never pack noses after rhinoplasty.

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How to Choose a Surgeon

  • Review many impressive before-and-after photos.
  • Find a surgeon who specializes in cosmetic plastic surgery.
  • Seek a surgeon who upholds the proper credentials.
  • Make sure the surgeon uses only an accredited, state-of-the-art surgical facility.
  • Decide, if upon meeting the surgeon, you make a connection.

Identifying Good Rhinoplasty Results

  • The nose should have a straight dorsum, or perhaps a slight curve, based on patient preference. The bridge of the nose should approximate a straight line in men, and may have a slight, gentle curve in women. The “scooped” appearance of an overdone dorsum is to be avoided.
  • Projection of the tip should be proportionate to the length of the dorsum. In most rhinoplasties, the length of the nose is altered minimally if at all. The projection of the tip off of the facial plane is commonly changed, however, and should be increased or decreased as necessary to achieve classic proportions within a person’s ethnicity.
  • The nose should fit the face and look natural. Above all else, the surgical result should look like it is a nose the person could have been born with. This requires a delicate balance.

Meet Our Surgeons

Board-certified plastic surgeons Dr. Steven Vath, Dr. Andrew Wolfe, and Dr. Paul Steinwald lead our patient-centered practice with warmth, honesty, and respect. Their combined expertise and credentials have placed us among Colorado's premier aesthetic centers.

Rhinoplasty FAQ

Can any cosmetic surgeon perform rhinoplasty?

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. Paul 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.

What is a closed rhinoplasty and what does it correct?

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.

What is an open rhinoplasty and what does it correct?

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.

Can I have nose surgery to improve my breathing?

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.

Will I have scars?

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.

Can I combine my rhinoplasty with other procedures?

Yes. Dr. Steinwald specializes in facial plastic 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.

Where is the surgery performed?

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.

What kind of anesthesia is used?

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.

What is the recovery like?

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.

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Financing Your Procedure

Getting Started

Our rhinoplasty specialist Dr. Paul Steinwald applies techniques that are current yet proven to provide natural-looking results that speak for themselves. To learn what cosmetic nose surgery can do for you, request your consultation using our online form or simply call (303) 278-2600. The Center for Cosmetic Surgery has two offices conveniently located in the Denver metropolitan area. One is located just outside of Denver in lovely Golden, Colorado, immediately off 6th Avenue West and the other is located downtown in Cherry Creek, Denver.

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