Feel Confident About Your Nose

The nose is a central point on your face, and it plays a major role in how you look. Your nose can be one of the first things people notice. What kind of impression do you want to make? One of beauty, strength, and confidence? At FacesFirst, we want to help you achieve exactly that. Walk into a room feeling and looking amazing.

At FacesFirst, we are facial surgery specialists. We are experts in sensitive surgeries, such as rhinoplasty, and we’re right here in Denver. Trust your face with the most qualified hands available. At FacesFirst, we prioritize creating beautiful and natural-looking results that are harmonious with your facial features for each nose surgery patient.

*actual patient by FacesFirst Dr. Cote

A Skilled Rhinoplasty Surgeon

Meet Dr. Christopher Cote, who has been a leader in the field of rhinoplasty for years. He has become the “go-to” board-certified plastic surgeon for both finesse rhinoplasty and the most challenging nasal reconstruction cases. For more than ten years, he has been teaching rhinoplasty and training surgical residents at Johns Hopkins University, the Army’s Walter Reed Medical Center, and the Navy’s Bethesda National Naval Medical Center. This experience allows him to handle the most complex cases with ease and create the most beautiful noses. His modern structural techniques lead to lasting results. He is a true specialist in revision rhinoplasty as well.

Why Choose FacesFirst?

Your nose is not simply a fixture on your face, but a functioning organ that is part of your respiratory system. It warms, cleanses, and humidifies the air you breathe. Therefore, the surgeon who can change the shape of your nose should also understand the function of your nose. For example, if you desire to make your nose smaller and more fitting to your face, you want to be sure that your breathing passages remain open. The double-board certified surgeons at FacesFirst in Denver and Lone Tree, Colorado are experienced in complex nasal airway reconstruction rhinoplasty as well as detailed aesthetic plastic surgery.

What is Rhinoplasty?

Rhinoplasty also referred to as “nose reshaping,” “nose job surgery,” or simply “nose surgery,” is the surgical procedure that allows us to change the form or function of your nose. The nose is a central point on the face that plays a major role in how you look. It is also a sensory organ that does more than just help you breathe. A rhinoplasty procedure is designed to improve the aesthetic shape of the nose and can also improve its function.

Rhinoplasty can address many issues, including:

  • The shape, angle, and size of the nose.
  • Structural issues that restrict breathing.
  • Birth defects.

Often, patients will choose rhinoplasty to change the projection of their nose, reduce the size or change the shape of their nostrils, remove a dorsal hump or bump on the bridge of the nose, or change the shape or size of their nasal tip. The overall goal of a rhinoplasty is to create a balance between the nose and your other facial features. This allows for the most natural-looking result possible. At the same time, nose surgery can improve your breathing through a functional rhinoplasty approach.

Aesthetics and Function

The shape of your nose affects the function of your nose. It is possible to achieve a well-proportioned nose that works efficiently. For example, some people have a crooked nose as a result of injury and would like it straightened so that they can breathe better. With the application of the latest techniques in rhinoplasty, the doctors at FacesFirst can help you achieve the look you want, and our attention to the function of your nose allows you to achieve clear nasal breathing as well as facial harmony.

Rhinoplasty Techniques

Several techniques may be used to complete your nose surgery depending on your needs.

Dr. Cote may choose an open rhinoplasty, which is completed through a small incision on the columella, which is the septum that separates the two nostrils. This technique allows the surgeon to more easily view the structures within the nose. Open rhinoplasty may be chosen for you if you have more concerns regarding breathing and function, or to complete a revision rhinoplasty, a second procedure performed if you are unhappy with the results of your first nose surgery. It can also be used to reshape the bridge, change the angle of the nose, or change the shape and size of the nasal tip. The downside of an open rhinoplasty is that the incision leaves a small scar on the columella, however, this is generally not noticeable.

A closed rhinoplasty, on the other hand, is completed from within the nostrils. This is the preferred technique for patients who wish to have minor changes made to the shape of their nasal bridge, nostrils, or nasal tip. This technique generally results in less swelling than open rhinoplasty.

A septoplasty may also be utilized, especially if the patient suffers breathing problems as a result of a damaged or deviated septum. A septoplasty is a surgery to revise the septum, which separates the nostrils, and is often incorporated into a general rhinoplasty surgery.

What to Expect

Since every person’s nose is different, we tailor each procedure to your exact needs. Some patients desire subtle refinements that may make a big difference, while others have complex issues or need revision surgery. Your surgeon will explain to you what to expect based on these options. Nasal surgery is generally an outpatient surgery, taking a few hours. You will recover at home with rest, may feel better in less than a week, and can return to work in 7-10 days. The nose may still have some swelling at that point, but most swelling is resolved after a month. There will be some subtle changes to the nose over a year as residual swelling continues to dissipate, and Dr. Cote will follow up with you during this time to make sure you love your results.

Your Advanced Consultation

At FacesFirst, we utilize modern technology to give you an advanced consultation process and a complete understanding of the procedure. Dr. Cote uses the Vectra 3D Imaging program so patients can see potential outcomes of their rhinoplasty. The system creates a 3D model based on photographs of the patient’s face, which Dr. Cote can then manipulate to gain a better understanding of the patient’s aesthetic goals.

To schedule your consultation and see what your rhinoplasty results could look like, call FacesFirst Cosmetic Surgery at (720) 414-3332 or request an appointment online.

External Links

  1. PlasticSurgery.org
  2. Smart Beauty Guide
  3. American Board of Cosmetic Surgery
  4. WebMD
  5. Health Line

Frequently Asked Questions

Can a nose job make your nose smaller?

Yes. Of course there can be limits to this that may include what looks right on your face, how it could affect your breathing, and certain technical limitations that the surgeon may have to explain. A consultation with computer simulations is very helpful for this.

Can rhinoplasty help sinus problems?

Yes. Rhinoplasty and nasal airway and sinus procedures often complement each other. Your external nose is the doorway to your nasal passages and often correcting problems such as a deviated septum, nasal valve narrowing, and enlarged turbinates is done in conjunction with a rhinoplasty procedure.

Can I sleep on my side after rhinoplasty?

Yes. Sleeping on your side can be a very healthy sleep position and after nasal surgery you certainly have to be careful not to put pressure on the nose when it is healing. So stomach sleeping might be more problematic temporarily.

Can nasal bone be shaped?

Yes. Addressing the shape of the nasal bones is an integral part of doing rhinoplasty.

Do nose jobs last forever?

A well executed rhinoplasty can have lifelong positive results. However there can be changes with aging or life circumstances that can certainly affect how the nose looks over time.

Can nasal polyps change shape of nose?

Rarely. Nasal polyps the vast majority of time are deep in the nasal passages or the sinuses and instead affect breathing and sinus health.

Do spreader grafts widen the nose?

Spreader grafts are a cartilage graft used by the surgeon to reconstruct the nasal bridge. They have an important function to improve breathing and create a nice natural width to the nose. There can be swelling in this area that last many months that make the nose appear wide and a discussion with the surgeon to understand what is the appropriate with is important.

How long are you swollen after rhinoplasty?

There is early visible bruising and swelling after a rhinoplasty for the first week or two. There also is a low grade swelling that can be apparent for many months up to a year or more that is part of the normal healing process. Most people feel they look socially acceptable within two weeks but may need to be patient for much longer dealing with mild swelling that affects some areas of refinement such as the nasal tip For up to a year or more.

Does your voice change after rhinoplasty?

Your nasal passages can affect the resonance of your voice. If your rhinoplasty involved surgery also inside your nasal passages then you may have a change in your vocal resonance due to congestion and that eventually approves. Alternatively, people who have their breathing problems corrected often have improved voice resonance after nasal surgery as well.

Does deviated septum surgery change your nose?

Most deviated septum surgery is intended to address the problems of breathing in the nasal passage way. However, the septum is an integral part of the external structures of your nose. For example, a crooked nose may have a septum that is crooked internally and externally and surgery needed to correct this would include a septoplasty AND a rhinoplasty. Rarely is there are a complication of septoplasty that causes the external nose to look different.

How long does a nose job take to perform?

The amount of time it takes to perform a rhinoplasty surgery can vary based upon many factors that include the type and degree of changes that need to be made, whether it is a revision surgery, and the specific techniques of the surgeon. For primary rhinoplasty typical time is 1.5 to 3 hours. For revision rhinoplasty it can be much longer than that occasionally.

How do I prepare for a nose job?

Preparation for rhinoplasty includes being prepared mentally, physically and financially. It is very important that you importantly convey your expectations to the surgeon and you feel the surgeon understands the type of results you want. The surgeon also needs to understand that you have reasonable expectations that can be achieved. Your health history is also important and whether you have any nasal breathing or sinus issues so they can be addressed concurrently. Optimizing your health conditions and living a lifestyle that includes good sleep, good eating habits and exercise will be beneficial. Rhinoplasty is an elective procedure that will have expenses you must understand and feel fits within your personal budget. A good consultation with your surgeon is very important that you understand each other and feel comfortable with each other to undergo the stresses of surgery and the healing process. While an excellent technical surgery is an important component to success, excellent healing as well as reasonable expectations are equally important to a satisfying outcome.

How long do splints stay in after septoplasty?

Splints are only occasionally used during second surgery and it may depend on your surgeons preferences. Ask your surgeon if they actually use them and they typically are out within 3 to 7 days.

How long is recovery from rhinoplasty?

After rhinoplasty most people need at least 7 to 10 days off their usual schedule. In the first week, you may feel more congested and fatigued and swollen and are focused on rest, nutrition and healing. After sutures in cast are taken off at one week, patients are returning to my usual activities in the second week. Exercise may resume at approximately two weeks. There is going to be ongoing swelling and healing for weeks and months ahead but most people feel they are resuming normal activity and reasonable appearance by two weeks.

How should I sleep after nose surgery?

Getting a good night of sleep after nasal surgery is very important for healing and well-being. Often we ask patients to sleep with their head elevated to allow swelling to be reduced by gravity. However, a comfortable sleep position is important to get a thoroughly rested night which will have an overall positive impact on your discomfort and pace of healing.

How should I sleep after rhinoplasty?

Getting a good night of sleep after rhinoplasty surgery is very important for healing and well-being. Often we ask patients to sleep with their head elevated to allow swelling to be reduced by gravity. However, a comfortable sleep position is important to get a thoroughly rested night which will have an overall positive impact on your discomfort and pace of healing.

What is a bulbous nose tip?

A bulbous tip refers to a nose that is considered too wide. This may be due to thick skin or a very wide cartilage structure to the nasal tip. It is generally less desirable appearance and discussion with your surgeon on how to address this is important to understand specifically what is going on.

What is closed rhinoplasty?

Closed rhinoplasty is a term used when incisions are hidden inside of the nose. This can be appealing since scars can be hidden— however, important visualization by the plastic surgeon can be much more limited. Alternatively, an open rhinoplasty includes a small incision near the nostrils, which can significantly improve visualization for the plastic surgeon and even optimize the results. Ask Dr. Côté about the pros and cons of each.

What is a rhinoplasty?

Rhinoplasty, or nose reshaping, is the surgical procedure that allows us to change the form or function of your nose to create a nose that is more proportionate to the rest of the face.

How much does a rhinoplasty cost?

The cost of a rhinoplasty can vary from patient to patient and surgeon to surgeon. There are multiple considerations that can affect the cost of a rhinoplasty, including whether there are breathing issues with the nose, whether the patient has had previous nasal surgery, and the amount of anesthesia that is needed to accomplish the desired goals. Expect to get a number quote from your plastic surgeon that will likely be in the thousands of dollars.

How long does rhinoplasty take?

For Dr. Côté, typical outpatient rhinoplasty surgery takes 2 to 3 hours. Revision rhinoplasty cases can sometimes take longer than this. Recovery from anesthesia might take another 1 to 2 hours, after which you’ll be sent home to rest.

How long does it take to recover from rhinoplasty?

After outpatient rhinoplasty surgery and recovery from anesthesia, you will be sent home. Most people feel a bit fatigued for 3 to 5 days, with some swelling and congestion. Pain is typically well-managed, and most people need little pain medicine after a few days. By your one-week appointment postoperatively, you should feel better. You also will have your cast and sutures removed at this time. Typically, patients take about 7 to 10 days off school or work after this operation, but the actual recovery time might vary depending on your normal schedule.

How is a rhinoplasty performed?

A rhinoplasty is performed while you are completely ‘asleep’ under general anesthesia. During the operation, incisions are made to access the underlying bone and cartilage that forms the shape of your nose. Dr. Côté then performs structural work to the cartilage and bone that reshapes the nose and creates the appearance you’re looking for. Every operation is unique, depending on the needs of the patient and the characteristics of the anatomy. When you schedule a detailed consultation with your plastic surgeon, you can receive a more in-depth understanding of what will be done.

What is a u2018u2019non-surgical rhinoplastyu2019u2019?

A non-surgical rhinoplasty refers to the use of dermal fillers to camouflage certain features of the nose. It is usually temporary and is very limited in what it can do, so ask Dr. Côté if you are a candidate.

How to reduce swelling after rhinoplasty?

After surgery, ice and homeopathic products such as arnica or bromelain can help with bruising and swelling. Lymphatic drainage can also be improved with warm compresses and increasing your activity levels. Sometimes, your plastic surgeon can perform postoperative treatments that further improve swelling after surgery as well. This is usually assessed on an individual basis.

Can a rhinoplasty be covered by insurance?

Most rhinoplasty are not covered by insurance, except for in a limited number of circumstances. However, there may be some structural issues to the nose such as a deviated septum that need to be addressed at the same time. These procedures inside the nose and sinuses may be eligible for insurance coverage and can be treated the same time as a rhinoplasty.

What is a revision rhinoplasty?

Revision rhinoplasty refers to an operation on a nose that has already had previous rhinoplasty or nasal reconstructive surgery. It can be more technically challenging and have special considerations depending on each individual case. Dr. Côté has an extensive amount of experience performing revision surgery.

How should I clean my nose after rhinoplasty?

Cleaning the nose after surgery is typically done with the use of a gentle saline or saltwater rinse. Additionally, medicated ointments can treat incisions near the nostril area. Leakages or crustiness that can occur can be treated with gentle peroxide and Q-tips. In the office, Dr. Côté can also additionally clean out the nose to maximize your breathing as soon as possible.

How much time should you take off work after rhinoplasty?

The average patient takes off about 7 to 10 days after a rhinoplasty. Some people who have more flexibility and control of their schedule can take less time. And others who have very physically demanding work or travel requirements may need more time.

When can I work out after rhinoplasty?

While you will be up on your feet within a few days after surgery and completing easy activities, we generally do not recommend you do any heavy exercise or lifting for about two weeks. Activity such as contact sports should be limited for the first six weeks.

How long should you wear a cast after rhinoplasty?

The cast is removed within one week of your rhinoplasty.

How does rhinoplasty work?

Rhinoplasty is the term for a procedure that changes the shape of your nose. The shape of your nose is determined by the underlying cartilage and bone structure and the skin that drapes over this. Rhinoplasty is a surgery that involves lifting the skin to reconstruct and change the shape of the underlying cartilage and bone. The skin heals over this new structure to receive a new shape to the nose. There are many details on how this is achieved and done properly. At Facesfirst, Dr. Côté uses the most modern techniques of structural rhinoplasty to achieve the most natural and long lasting results.

Is a rhinoplasty painful?

Pain is not a significant issue for the vast majority of rhinoplasty patients. At Facesfirst, most patients report stopping their pain medicine within 1 to 3 days. There is discomfort which is typically in the form of nasal congestion and facial pressure that gradually improves over time. Like any form of discomfort, people will experience in describe pain in different ways. It’s not uncommon that two people will experience discomfort in a different way even when they have had very similar surgeries. Discuss with your surgeon what they might anticipate so you can best be prepared for discomfort after surgery.

Board-Certified Plastic Surgeon at | Website

Dr. Christopher Cote is a plastic surgeon in Denver, Colorado who is double-board-certified by the American Board of Otolaryngology and the American Board of Facial and Reconstructive Surgery. He has over 20 years of experience specializing in Rhinoplasty, Facelifts, Brow lifts, Facial Liposculpture, advanced Facial Reconstruction, and many other cosmetic surgeries in Denver and Lone Tree, Colorado.