Rhinoplasty (Nose Surgery)
Creating Balance Without Losing Your Identity
The nose is the central feature of the face. Even subtle changes can significantly improve facial harmony, while overly aggressive changes can alter a person's appearance in ways they never intended.
Dr. Branch believes the best rhinoplasty is one that looks as though you were born with it.
Whether your goals are cosmetic, functional, or both, rhinoplasty is designed to improve the relationship between the nose and the rest of the face—not to create someone else's nose.
Every Nose Is Different
No two noses—and no two patients—are alike.
Some patients wish to reduce a dorsal hump. Others would like refinement of a broad or drooping nasal tip, correction of asymmetry, improvement of breathing, or reconstruction following previous injury.
Many patients require a combination of cosmetic rhinoplasty and septoplasty to improve both appearance and nasal function.
During your consultation, Dr. Branch carefully evaluates your facial proportions, skin thickness, nasal support, breathing, and your individual goals before developing a surgical plan tailored specifically to you.
Our Surgical Approach
Dr. Branch performs almost all rhinoplasty procedures using the open rhinoplasty technique.
This approach was learned during his plastic surgery training under internationally recognized rhinoplasty surgeon Dr. Bahman Guyuron, one of the world's leading authorities in nasal surgery.
Although the open approach requires a small incision across the columella—the strip of skin between the nostrils—the resulting scar is usually very subtle after healing.
The advantage of the open approach is visualization.
By directly exposing the underlying cartilage and bone, Dr. Branch is able to evaluate the anatomy precisely, make accurate structural modifications, and create better symmetry while preserving or improving nasal support.
Rather than simply removing tissue, modern rhinoplasty is a structural operation designed to create a nose that is both attractive and stable over time.
Cosmetic and Functional Improvement
Many patients seek rhinoplasty because they dislike the appearance of their nose.
Others are equally concerned about nasal obstruction, difficulty breathing, or deformities resulting from previous trauma.
When appropriate, cosmetic rhinoplasty may be combined with septoplasty or other procedures designed to improve nasal airflow, allowing patients to breathe better while improving facial balance.
What to Expect
Rhinoplasty is usually performed as an outpatient procedure under general anesthesia.
Most patients return to work or school within one to two weeks after surgery, although swelling continues to improve gradually over many months.
The majority of bruising resolves during the first two weeks, while subtle refinement—particularly of the nasal tip—may continue for a year or longer.
Because rhinoplasty changes the underlying structure of the nose, patience is an important part of the healing process.
Understanding the Risks
As with any surgery, rhinoplasty carries potential risks, including bleeding, infection, asymmetry, contour irregularities, persistent nasal obstruction, changes in skin sensation, prolonged swelling, visible irregularities, unfavorable scarring, and the possible need for revision surgery.
These risks are discussed thoroughly during your consultation so that you understand both the potential benefits and the limitations of surgery.
The Consultation Matters Most
Perhaps no cosmetic operation requires more planning than rhinoplasty.
Dr. Branch believes the consultation is the most important part of the process. Together, you will discuss your concerns, review your facial proportions, examine your nasal anatomy, and develop realistic expectations regarding what surgery can achieve.
The goal is not to create a "perfect" nose.
The goal is to create a nose that looks natural, functions well, and complements the rest of your face so that people notice you—not your nose.
Less Is Often More
One of the most common misconceptions about rhinoplasty is that making the nose as small as possible creates the most attractive result.
In reality, the opposite is often true.
An over-reduced nose can appear unnatural, draw unwanted attention, and may even compromise nasal breathing. The goal of rhinoplasty is not to create the smallest nose—it is to create the right nose for your face.
Dr. Branch believes successful rhinoplasty is based on preserving structural support while making thoughtful refinements that improve facial harmony. Subtle changes to the bridge, tip, projection, or overall balance often create the most elegant and lasting results.
The best compliment after rhinoplasty is not, "Who did your nose?" It is, "You look great."
Revision Rhinoplasty
Not every patient achieves the result they hoped for after previous nasal surgery.
Revision rhinoplasty is performed to improve the appearance, function, or both, following a prior rhinoplasty. Some patients remain bothered by persistent asymmetry, contour irregularities, breathing difficulties, or simply feel that their nose never achieved the appearance they envisioned.
Revision surgery is often more challenging than primary rhinoplasty because of scar tissue, altered anatomy, or previous removal of cartilage. For that reason, careful evaluation and thoughtful planning are especially important.
Dr. Branch enjoys the challenge of revision rhinoplasty and understands that these patients frequently arrive discouraged after what was undoubtedly a well-intentioned operation. Rather than focusing on what was done previously, the consultation centers on understanding the patient's remaining concerns, carefully evaluating the current anatomy, and developing a realistic plan for meaningful improvement.
Although revision surgery cannot always create perfection, it can often produce significant aesthetic and functional improvements while restoring confidence and helping patients feel more comfortable with their appearance.
Before & After
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