Rhinoplasty (Nose Surgery)


Dr. Schenden’s Cosmetic and Reconstructive Surgery Practice

Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. This is a surgery that requires great finesse, a detailed analysis, and an intense training to increase likelihood of a successful outcome. An ideal nose should be in harmony and balanced with the remaining facial features to create balance. This surgery often known as “the surgery of millimeters” is specific to gender, ethnicity, age, body type, and facial characteristics. Rhinoplasty is heavily scrutinized by the beauty industry and must be individualized to each patient.

Our top priority is offering state-of-the-art procedures that focus on safety, effectiveness and efficiency. Our approach involves using 3D Vectra Imaging Software technology to individualize the patient assessment and simulate the outcome at the consultation to enhance visualization. The objective is to ensure your safety and satisfaction while delivering results that go beyond your expectations.


Rhinoplasty involves reshaping the nose to enhance the aesthetic appearance and/or improve difficulties with breathing. After a thorough physical examination and a detailed analysis using 3D Vectra technology, rhinoplasty is individualized to patient desires. Rhinoplasty can be performed to meet aesthetic goals (improve shape) or for reconstruction to correct acquired birth or traumatic breathing difficulties.


A good candidate for rhinoplasty is a patient wanting to see improvement in the shape of the nose or breathing difficulties. Ideal candidates seek improvement, not perfection and should be in overall good health and should not smoke.


During your consultation, Dr. Schenden will assess your health and examine and the nose. Our Vectra 3D Imaging Software lets you see results before surgery.  Dr. Schenden answer your questions and listen to your goals. Our surgical techniques are individualized for each person and based on your nose shape and any breathing issues. We will need to be aware of your medical history, prior surgeries, medications and whether you are a smoker prior to surgery.

We will provide you with specific instructions on surgery preparation. If you are a smoker, you should quit four to six weeks prior to your procedure to avoid risk of infection. You should also limit sun exposure prior to and following surgery to aid in proper healing of surgical scars.


We take your preference into consideration and have options of inpatient or outpatient surgery. Most rhinoplasty procedures are done on an outpatient basis. Surgery can be performed in a private suite in the Columbia Surgery Center or Beaumont Hospital in Troy.


IV Sedation or General Anesthesia may be used, depending on your unique situation. Complex rhinoplasty may require a short overnight stay.


Rhinoplasty can take two to five hours. Closed (internal incision) or open approach (external incisions) may be performed. Either technique may be preformed but individualized based on complexity and patient preference. In cosmetic rhinoplasty, the nose will be improved by reshaping the bone & cartilage framework and redraping the skin to achieve the desired outcome discussed at the consultation. In reconstructive rhinoplasty emphasis is placed on improving the airway by correcting a nasal airway obstruction or deviated septum. A cosmetic & reconstructive rhinoplasty may be combined. Nasal packing and a splint will be placed at the completion of the procedure.


A certain level of pain can be expected with any surgical procedure. Medication that we prescribe can help with this pain. In-depth instructions will be discussed at your pre- and post-operative visits. Normally patients can return to work after two weeks with  no strenuous activity. Swelling can be expected with the majority improving within a month after surgery.  Full results of the rhinoplasty will be in a month after surgery.

Contact lenses may be worn after surgery but eyeglasses will need to be taped to avoid interference during wound healing. Splint is typically removed at 5-7 days after surgery. Short and frequent follow up visits will be scheduled after surgery to ensure appropriate progression during recovery.


Some risk is involved in every surgical procedure. Understanding risks and complications is key to making an informed decision. Though most patients don’t experience adverse complications, it is important to weigh risk versus benefit of rhinoplasty.

Call us for your consultation 248.524.0620.