Rhinoplasty

ACPS rhinoplasty surgeons perform primary and revision nose reshaping procedures using open or closed techniques tailored to each patient's nasal anatomy and aesthetic objectives. Procedures may address the nasal bridge (reducing a hump or augmenting a flat bridge), tip definition, alar width, nostril asymmetry, and airway function. ACPS surgeons approach rhinoplasty with a commitment to proportional, ethnic-sensitive results that harmonise with the patient's overall facial features rather than imposing a standardised appearance.

Rhinoplasty at the Aesthetic Center for Plastic Surgery Houston is among the most technically demanding procedures offered by the practice, requiring precise surgical planning, three-dimensional anatomical understanding, and refined manual technique to achieve lasting, natural-looking results. ACPS rhinoplasty surgeons perform both open and closed (endonasal) approaches, the choice depending on the complexity of the planned changes and the surgeon's assessment of access requirements. In the open approach, a small transcolumellar incision connects bilateral marginal incisions, allowing the nasal skin to be elevated and the full structural anatomy — cartilaginous and bony framework — directly visualised. This provides the greatest access for complex tip work, bridge refinement, and asymmetry correction. The closed approach, using only intranasal incisions, leaves no external scar and may be appropriate for more limited modifications. Common surgical manoeuvres at ACPS include dorsal hump reduction (rasping of the nasal bone and excision of excess upper lateral cartilage to flatten or reduce a prominent nasal bridge), osteotomies (controlled refracturing of the nasal bones to close the open roof created by hump reduction or to narrow a wide bony pyramid), tip rhinoplasty (reshaping the lower lateral cartilages through suture techniques, cartilage scoring, or selective excision to refine tip projection, rotation, and definition), alar base reduction (excision of a small wedge at the nasal base to narrow wide nostrils), and structural grafting (using septal, conchal, or rib cartilage to augment a flat bridge, support a weak tip, or reconstruct a compromised airway). ACPS surgeons place a strong emphasis on ethnicity-sensitive rhinoplasty — recognising that nasal aesthetics vary significantly across ethnic backgrounds and that the goal is always harmony with the patient's own features, not conformity to a single Western aesthetic template. Functional rhinoplasty — correcting a deviated septum or internal valve collapse that contributes to nasal airway obstruction — may be performed concomitantly with cosmetic changes and may qualify for partial insurance coverage when documented airway impairment is present. Recovery involves a nasal splint worn for one week, significant swelling and bruising for two to three weeks, and a gradual refinement of the nasal shape over twelve months as residual oedema resolves.