Nose surgery, also known as rhinoplasty, surgically alters the size and shape of the nose to enhance the appearance of the face. Candidates for nose surgery often consider their nose to be too wide or too large for their face, crooked or misshapen by a prominent bump, which they can discuss during their initial consultation with plastic surgeon Dr Paresi. During the surgery, Dr. Paresi will reshape and sculpt the bones and cartilage of the nose while protecting the nasal passage and the patient's natural airflow. The goal of nose surgery at Dr. Robert J Paresi, Jr. MD in Chicago is to create a natural result that is proportionate and matches the patient's other facial features. Dr. Paresi encourages patients to have realistic expectations and know that nose surgery can alter the overall appearance of the face. Patients for rhinoplasty must be at least 16 years old, which ensures that the nose is fully developed.
"I went in for a consultation with Dr. Paresi for a rhinoplasty and septoplasty. Him and his staff are very nice and professional. Dr. Paresi answered all my questions and concerns I had about the procedure. I am a female of middle eastern descent and I wanted a nose that went well with my other features and doesn't look over-done. I had the surgery last year, it looks great, I can't ask for a better looking nose, no one can tell that I had a surgery and my breathing improved a lot too. I highly recommend him"- R.P. / Yelp / Nov 24, 2014
"I Highly Recommend Dr. Paresi for any Facial Procedures as I have experienced two of his surgeries and been very pleased.. He is a very kind and caring doctor who really listens to what you are trying to achieve in doing the surgery that you are requested of him. He will talk you through everything in detail and is very professional. I had a partial face lift and did a full facial laser treatment and rhinoplasty surgery all at one time last year and went home feeling great and no pain meds needed at all. I would attribute that a lot to the special care of the doctor during the surgery and his wonderful staff as well. Everyone in the office makes your feel so comfortable and are always welcoming and warm. The day of the surgery if you have any fears they are there to calm you down and prepare you for surgery. Dr Paresi will come in and talk to you before the surgery and ask you if you have any concerns or questions before he starts the procedure and before you get the IV to be put under. . I then had another little procedure done this last week to just refine the tip of my nose and that went very well too. This time I just had alocal anesthesia and was fine with it. All good once again and very happy with the results both times! A Great Experience!"- M.R. / Google / Nov 06, 2017
"Dr. Paresi performed my rhinoplasty. Something I’ve been wanting to do for many years, but was always too worried about what it would like. After meeting with Kim and Dr. P I knew I was in the right place. Both Dr. P and Kim are very polite and made me feel very comfortable. Dr. P explained every detail regarding the procedure and was not in a hurry to leave the room. His entire staff is great, very professional and well educated. I can’t believe how great my nose looks. I LOVE it! Every day it looks better and better. I am very pleased with the results. I have received many compliments from friends and co-workers. I will definitely return to him for any other procedure I have done and will refer all my friends to him for any procedures. Dr. Paresi did an excellent job! He is very professional, caring and kind. Also, he is very HOT! I highly recommend Dr. P for any type of plastic surgery."- D.T. / Google / Jan 29, 2018
"I recently underwent rhinoplasty surgery, something I have wanted to do for years now. I chose Dr. Paresi because of the amazing reviews I've read about him & because he is double board-certified, not a small achievement. I couldn't be happier with the results, with his amazing staff and with the experience as a whole. I will definitely be using Dr Paresi for any future procedures."- Anonymous / Healthgrades / Apr 18, 2019
"Caring, Friendly and Professional Experience - From my initial meeting with Dr. Paresi's office all the way through surgery and post-op, Dr. Paresi and his entire staff were kind, friendly and professional. All questions were thoroughly answered from the beginning, including the procedure and outcome. The staff ensured that I had all my necessary prescriptions beforehand and was well taken care of before, during and after the procedure. The surgery was seamless and my recovery time was not very long at all. Within two days, I felt normal, minus some regular bruising and swelling to be expected. I would highly recommend Dr. Paresi for cosmetic and health needs related to rhinoplasty and septoplasty."- E. / RealSelf / Apr 23, 2020
Rhinoplasty Surgical Technique
Many surgeons prefer the open rhinoplasty approach during nose surgery because they can gain a better view and better access to the inside of the nose. The incision using this approach is made on the skin between the nostrils or under the nose near the nostrils. Once the incision is made, the skin is moved back to allow access to the internal structures. The incision lines, which heal nicely leaving scars barely visible, are fairly small and usually measure between 2-3 mm.
The closed rhinoplasty technique is used on noses that have features that are easily corrected. It is commonly used when the tip of the nose has good shape and is not too long, too wide, over or under projected. The incision during this approach is not visible after surgery because it is made on the inside of the nose.
Rhinoplasty During/After Surgery
Rhinoplasty is performed under general anesthesia in an accredited surgical facility and typically takes around 1-2 hours to complete. It is considered an outpatient procedure. After surgery, patients will wear a nose splint and will experience bruising and swelling around the nose and eyes. Once the bandages and splint are removed, the nose will look normal, but it may take longer for the bruising to subside completely. It can take up to a full year for the nose to gain its final contour and softness.
Plan Your Procedure
Are Surgery Fears Normal?
Yes, and this fear is always elevated when surgery involves the face. However, more than 350,000 people in the U.S. undergo rhinoplasty each year making it one of the most common cosmetic surgeries. One way to help calm your fears is to make sure you find a reputable and skilled surgeon that has extensive experience with nose surgery.
Will Nose be Broken?
About half of rhinoplasty patients will benefit from a manual nasal fracture during surgery. This planned break allows access to perform certain functions during surgery such as narrowing the width of the nose or correcting an asymmetrical nose. This is a common practice and heals within just a few weeks following surgery.
What is a Nasal Pack?
Nasal packing is the insertion of gauze and/or cotton packs into the nasal chamber after surgery. These are used to control bleeding, but are not necessary 100% of the time. They are generally used if the surgery includes the septum.
Is Surgery the Only Answer?
Noses that are too large or too wide, or have a specific deformity may only be able to be enhanced through nose surgery. However, the look of some noses may be able to be enhanced using an injectable filler such as collagen, calcium hydroxyapatite, or fat taken from another part of the body, “injection rhinoplasty” may be an option before resorting to surgery. This is an in-office procedure that can help to soften and camouflage a bump, alter the tip of the nose, and smooth out irregularities.