Rhinoplasty involves re-sculpting the underlying elements of the nose, while maintaining a natural and un-operated appearance. Rhinoplasty can be performed solely for cosmetic enhancement of the nose. Patients seeking Rhinoplasty correction may have also had nasal trauma that changed their appearance and produced nasal obstruction. Many patients will also have functional problems or breathing difficulty that requires a Rhinoplasty-like correction as well as a Septoplasty. This can all be done through incisions on the inside of the nose.

Rhinoplasty is performed through either an “open” or “closed” approach. Both surgical techniques can achieve similar aesthetic results, however, the main difference lies in whether an incision is made in the skin of the nose. Dr. Westreich prefers closed or endonasal rhinoplasty, which he uses in over 90% of his cases.

Comprehensive Rhinoplasty involves reshaping the nasal tip and profile. Common issues for patients involve a droopy tip, a bump on the profile, nasal deviation, or a concern for the width of the nose. These can all be addressed with a Rhinoplasty procedure.

An ideal and natural looking nose has a balanced appearance. The relationship of the profile and tip height, the length of the nose when viewed from the front and the overall width of the nasal structures are important to consider when planning a nose job. Other significant factors are gender, ethnicity, and function. A complete procedure is sometimes necessary in order to address these concerns and ensure a natural and optimal result. At the time of your consultation, Dr. Westreich will discuss the reasons why a complete Rhinoplasty is the best plan for you based on the examination. Imaging consultations are offered to patients in order to help them envision the proposed changes. Since Rhinoplasty involves creating facial balance and harmony, chin augmentation or reduction may be considered at the time of rhinoplasty surgery.

Nasal Tip-Plasty

Dr. Westreich approaches Rhinoplasty as an individualized procedure and sometimes recommends adjustment of one area of the nose. Nasal-Tip-plasty is one example of this selected approach for patients without a significant profile problem. Droopy, wide, bulbous, deviated, or under-developed tips are common problems that can be addressed with a tip-plasty procedure. Cartilage removal, suture narrowing techniques, and various forms of structural cartilage grafts can be used to create a narrower and more defined tip. Alar base reduction can also be considered an example of a tip-plasty technique. A properly performed tip-plasty procedure should balance well with the pre-operative profile and look natural. Healing times are also shortened by avoiding manipulation of the upper nose and profile. Tip plasty is commonly performed by Dr. Westreich using an endonasal or closed technique.


Dr. Westreich approaches Rhinoplasty as an individualized procedure and sometimes recommends adjustment of one area of the nose. Profile-plasty is another example of this selected approach for patients without significant issues with their tip. Nasal deviation and profile bumps or depressions can be addressed with this procedure. Narrowing of the upper nose from front view can also be a part of a profile-plasty. A properly performed profile-plasty should balance well with the pre-operative tip position and look natural. The desired profile height is often determined during the computer imaging consultation with Dr. Westreich. Healing times are also shortened by eliminating manipulation of the nasal tip cartilages. Dr. Westreich performs profile-plasty predominantly through a closed or endonasal approach.

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