Rhinoplasty

Dr. Jacob Bloom performs open, closed, and revision rhinoplasty from his Gold Coast Chicago practice, addressing aesthetic concerns including nasal proportion, dorsal hump, tip definition, and nasal asymmetry, as well as functional airway concerns. Procedures are performed under IV sedation on an outpatient basis and typically last one to two hours. A nasal splint is worn for the first week, with most patients returning to work within five to seven days. Final nasal shape stabilises over approximately twelve months.

Rhinoplasty at Bloom Plastic Surgery in Chicago is performed by Dr. Jacob Bloom, a board-certified plastic surgeon with fellowship training at Harvard Medical System, bringing a surgical skill set that spans both aesthetic refinement and functional nasal reconstruction. The practice performs open rhinoplasty — using a small transcolumellar incision connecting bilateral marginal incisions to allow direct binocular visualisation of the full nasal framework — and closed (endonasal) rhinoplasty, where all incisions are confined within the nostrils for cases requiring more limited modifications. The choice of approach is determined at consultation based on the complexity of the case, the degree of cartilaginous and bony modification required, and whether cartilage grafting is anticipated. Common aesthetic concerns addressed at the Chicago Gold Coast practice include reduction of a dorsal hump through controlled rasping or osteotomy of the nasal bones, tip refinement using suture reshaping techniques or cartilage resection and grafting to improve tip definition and rotation, correction of nasal asymmetry through differential osteotomies and cartilage modifications, and reduction of alar base width through conservative alar base resection where flaring or width is disproportionate to the upper facial thirds. For patients primarily concerned with a cosmetic nasal change without structural modification, filler rhinoplasty — a non-surgical option using hyaluronic acid filler injections to camouflage a dorsal hump or refine the tip — is also available. Functional rhinoplasty components including septoplasty for a deviated septum, turbinate reduction for mucosal hypertrophy, and spreader graft placement to address internal nasal valve collapse can be incorporated into the surgical plan where airway obstruction is documented. Revision rhinoplasty, which addresses unsatisfactory aesthetic or functional outcomes from prior nasal surgery, is part of the practice's scope and requires a careful assessment of what structural support remains, what donor cartilage (ear or rib) will be needed for grafting, and what the realistic limits of improvement are given the presence of scar tissue and potentially distorted anatomy. Recovery involves wearing a nasal splint for the first week following surgery, with the splint removed at the one-week post-operative visit, and most patients returning to professional and social activities within five to seven days. Strenuous physical activity is restricted for six weeks, and patients should be counselled that final nasal shape and tip definition will continue to refine for up to twelve months as residual oedema fully resolves.