The nose is both aesthetic and functional. Ideally, the nose should create harmony with the rest of the face and allow for comfortable breathing. Rhinoplasty is a procedure which involves reshaping and restructuring of the nose. Breathing and aesthetics should not be mutually exclusive. Dr. VandeGriend has extensive experience with both cosmetic and functional rhinoplasty which allows him to customize every procedure for natural results which “fit” the rest of your face and optimize breathing.

How is rhinoplasty performed?

Most rhinoplasty is done under general anesthesia although select cases may be done in our in-office procedure suite with a few small numbing injections and oral pain medication. Unlike many rhinoplasty surgeons, Dr. VandeGriend performs most of his procedures without any cuts on the outside of the nose. This allows for faster healing and less swelling. Occasionally, depending on your specific anatomy, a small incision underneath the nose may be used.

What can I expect after surgery?

Almost all patients will go home the day of surgery. Pain medication is given, however most people rarely use much pain medicine after the first few days. Depending on the type of surgery there may be no packing in the nose in which case mild crusting can be cleaned with salt water (saline) sprays. For people that require gauze packing, Dr. VandeGriend uses soft tubes placed at the bottom of the nose to allow you to breath comfortably until the packing is removed in a few days. There may be tape and a plastic cast over the nose for a week. If the position of the nasal bones are adjusted, there will be some bruising around the eyes for up to 10 days. When possible, Dr. VandeGriend uses minimally invasive techniques to minimize bruising and swelling around the nasal bones. Swelling of the nose after surgery is variable depending on the patient and the procedure performed. The majority of the swelling gone by one month however the rest will continue lessen over the next several months. For more information on what to expect after surgery click here (link to postop septorhinoplasty information sheet)

Many people who have had a friend or a family member who have had packing after nasal surgery know that this is the worst part about the procedure and often the feeling of not being able to breath through their nose is much worse than the pain. Dr. VandeGriend now routinely uses the Kotler Nasal Airway™ for most all of his nasal surgeries. These soft silicone tubes inserted into the nose after surgery allow for comfortable nasal breathing while packing is in place and are removed in a few days.
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How much does rhinoplasty cost?

For people with nasal breathing problems most of the anesthesia and hospital fee can be covered by insurance as well as some of the surgical fee. If you do not have any breathing difficulty and want cosmetic changes only insurance generally does not cover any of the cost. Occasionally your procedure can be done in the office to minimize overall cost. Price is determined individually depending on how much needs to be done. We aim to keep our prices reasonable and affordable to many. Remember though that included in the price is all follow-up visits and any small touch-up procedures.