People say “as plain as the nose on your face” because the nose is such a prominent facial feature. At the same time, no one wants their nose to call attention to itself. It needs to be suitably pleasing so that it doesn’t draw attention away from the eyes or the mouth. This is why rhinoplasty (nose surgery) is one of the most popular plastic surgery procedures for both men and women.

Rhinoplasty can correct most cosmetic problems of the nose, and some breathing difficulties can be corrected at the same time, such as a deviated septum. The outcome of your nose surgery is very much dependent upon the skill and experience of your surgeon, however. Drs. Kiener and Sykes have performed many successful nose surgeries, helping their patients feel more confident about their appearance.

We will spend time with you in consultation, answering all of your questions. Dr. Kiener or Dr. Sykes will make recommendations to help you make an informed decision about how you want your nose to look after your surgery.

What can be accomplished by Rhinoplasty?

Sometimes called nose reshaping, rhinoplasty is a way to alter the size and/or contour of your nose. The surgery can correct:











  • A long nose
  • A crooked nose
  • A bump or hump on the nose
  • Deformity due to nasal injury
  • Large nostrils
  • A wide nose
  • A misshapen or asymmetrical nose



View Rhinoplasty Before & After Gallery

How does Roseville Facial Plastic Surgery Approach Rhinoplasty?

We take into account the entirety of your face so that your nose is in proportion to your other facial features. There is a special relationship between the nose and the chin, for example, as well as between the nose and the width of the cheekbones.

Dr. David J. Kiener, M.D.

We evaluate each patient carefully to determine the best way to make the nose look better. Every rhinoplasty is highly customized for the specific needs of the individual, and we employ any of a variety of advanced techniques.

—Dr. David J. Kiener, M.D.

Depending on your surgeon’s assessment of your case, we will perform an open rhinoplasty or closed rhinoplasty. Open nasal surgery involves an incision across the columella, which is the skin between the nostrils. This allows the surgeon the most visibility and accessibility to the inner structure of the nose.

In a closed rhinoplasty, the surgery is done entirely through the nostrils without an external incision. This technique is acceptable in most cases. Open rhinoplasty is used in more complex cases, including most revision cases when the patient has had nasal surgery before. While there is an external scar when the open technique is used, it is on the underside of the nose where it will not be readily visible. The scar will also fade and flatten over time.

To reshape the nose, cartilage is removed or rearranged, as necessary. Bone is sometimes shaved or removed as well, particularly in the case of a bump or hump on the bridge of the nose. In some  cases, cartilage is taken from the ear or even the ribs in order to build up insufficient areas of the nose.

Prior to your procedure, Dr. Kiener or Dr. Sykes will review your surgical plan with you so that you know what they intend to do to provide you with the cosmetic result you want.

What is Recovery Like After Rhinoplasty?

Most patients are surprised that recovery from rhinoplasty is relatively easy. It is no longer necessary in many cases to pack the nostrils after the surgery. If packing is necessary, it is most often done with a very small amount of material. There is, of course, some residual swelling, bruising, and tenderness, as well as stuffiness and some minor nasal bleeding for the first few days.

Keeping your head elevated for a few days will speed resolution of the swelling. Most swelling resolves over the first few weeks, but it will take several months to a year or more for all of the swelling to fully resolve. So, please be patient, as it will take some time before you will see the final results of your nose surgery.

You can take pain medications, if necessary, during the healing process, and a small splint will be applied to the outside of your nose for about one week in order to make sure your nose retains its new shape.

Plan to take 7-10 days off from work and social activities as you heal. Exercise and sports should be avoided for at least 4 weeks.

You will follow up with us several times after your surgery to ensure that you are healing well and that you are happy with your results.

Schedule a Rhinoplasty Consultation

Call us for a consultation appointment to discuss rhinoplasty and improve the appearance of your nose.

Call us at 916.773.0395 or
Request a Consultation