Rhinoplasty

Dr. Krau performs open and closed rhinoplasty to address cosmetic concerns including dorsal hump reduction, tip refinement, nostril reshaping, and nasal asymmetry, as well as functional issues such as a deviated septum and airway obstruction. With 30 years of facial plastic surgery experience, Dr. Krau tailors each rhinoplasty plan to the patient's facial proportions and ethnic features, aiming for a result that improves harmony without erasing natural characteristics. Procedures are performed in his accredited in-office surgical suite.

Rhinoplasty is one of the most technically demanding procedures in aesthetic plastic surgery, requiring the surgeon to reconcile skeletal architecture, cartilage structure, nasal skin quality, and the patient's aesthetic vision — all while preserving or improving nasal airflow. Dr. Ary Krau has developed a rhinoplasty practice distinguished by careful preoperative analysis and a preference for techniques that produce lasting, natural results. During consultation, Dr. Krau evaluates the external nose from all angles — assessing the dorsal line, nasal tip projection and rotation, alar base width, columellar show, and the relationship of nasal dimensions to the surrounding facial features including chin projection and orbital width. This assessment determines both technique selection and the degree of change that will improve overall facial harmony. The open rhinoplasty approach, in which a small transcolumellar incision allows the nasal skin to be elevated and the cartilaginous and bony framework fully exposed, is employed for cases requiring significant tip reshaping, asymmetry correction, or complex dorsal work. The closed approach, with incisions entirely within the nostrils, is used for more limited modifications where full exposure is not necessary. Dorsal hump reduction involves controlled osteotomy and rasping of the nasal bones combined with trimming of the upper lateral cartilages; the subsequent open-roof deformity is closed with medial and lateral osteotomies. Nasal tip refinement uses suture techniques and selective cartilage modification to control tip projection, rotation, and definition without aggressive resection that can lead to long-term structural compromise. For patients with a deviated septum or inferior turbinate hypertrophy contributing to breathing difficulty, septoplasty and turbinate reduction can be performed concurrently, addressing both the cosmetic and functional components in a single operative session. Dr. Krau's practice in Bay Harbor Islands, Miami, serves a diverse patient population with a range of ethnic background and nasal anatomies, and he routinely performs rhinoplasty preserving culturally specific features while achieving the patient's cosmetic goals. The multilingual clinical team — fluent in English, Spanish, Russian, and Portuguese — supports the significant proportion of international and medical tourism patients who travel to Miami for Dr. Krau's care.