Cosmetic Rhinoplasty

For patients unhappy with the appearance of their nose, rhinoplasty surgeons at Massachusetts Eye and Ear offer cosmetic rhinoplasty to improve its shape.
Patients often come into our office seeking correction of a nasal hump, or of a nose that is off-center, too large, too flat and/or too wide at the base. Some seek only a subtle aesthetic enhancement that will improve their appearance, health and self-confidence. Maintaining a natural appearance is always a priority.

An unwanted potential complication after any nasal surgery is the development of nasal obstruction. When performing cosmetic rhinoplasty in patients without nasal obstruction, our surgeons engage in careful preoperative planning to maintain nasal airflow to prevent future nasal obstruction. Often we see patients who have had cosmetic rhinoplasty decades ago that have developed nasal obstruction over time. This, too, can be corrected with revision surgery. When selecting a rhinoplasty surgeon, it is vitally important to work with someone skilled in optimizing both the aesthetics and the function of your nose.

Common cosmetic concerns

dorsal hump

Dorsal Hump

Many patients are evaluated because they do not like the bump on their nose. Most commonly patients say that they dislike having photographs taken, especially those taken from the side, because those photos make their nose look too large. A beautifully straight dorsum of the nose may be created by removing the bump. The surgeon does this by making a small incision on the columella (the lower part of the nasal septum) and removing the extra cartilage and bone that is causing the bump. Occasionally, the surgeon may also make controlled breaks in the bone (osteotomies) to appropriately contour the nasal bridge. Your surgeon will decide if osteotomies are needed. It is very important when considering dorsal hump reduction that your surgeon also considers the affect of dorsal hump reduction on your ability to breathe through your nose. Several important techniques may be done at the time of surgery to maintain your nasal airway

Crooked Nose

Whether from previous trauma or from the way the nose developed naturally, some patients have a nose that is deviated to one side of the face or the other. Aesthetically, the nose should be straight from the bridge of the nose down to the tip. Several anatomic causes can lead to a crooked nose. Sometimes the nasal bones themselves are deviated, sometimes the cartilage is crooked and often both issues contribute to the crooked nose. Regardless of the cause of the deviation, the goal is the same—to create a nose that appears straight both from the front and from the side.

Nasal Tip

Another common concern is appearance of the tip of the nose. Many anatomic issues may cause poor tip aesthetics. Patients are often troubled by a tip that is too large, asymmetric or one that projects too far away from the face. These concerns may be addressed using a variety of techniques to obtain a tip that contours beautifully with other features of the face.


dorsal hump

Example of a well healed columellar scar 2 months after surgery.

Learn more about what to expect before and after nasal surgery.

Contact the Facial and Cosmetic Surgery Center at Mass. Eye and Ear to schedule your first consultation at 617-573-3223.

The drawings on this page were originally published in Facial Surgery: Plastic and Reconstructive. Mack L. Cheney, Tessa A. Hadlock. CRC Press, 2014.