Rhinoplasty (Nose Surgery)

Rhinoplasty at Houston Plastic and Reconstructive Surgery is performed by a surgical team that includes Dr. Eugenio Aguilar III — triple board-certified in Otolaryngology, Facial Plastic Surgery, and Plastic Surgery — providing exceptional breadth of expertise for nasal reshaping procedures. Open and closed rhinoplasty techniques address the nasal bridge, tip, dorsal hump, alar base, and deviated septum. Revision rhinoplasty accepted. Septal rhinoplasty for functional airway correction is available. Consultation required for personalised quote.

Rhinoplasty at Houston Plastic and Reconstructive Surgery benefits from the rare combination of triple board-certified expertise on the HPRS surgical team. Dr. Eugenio Aguilar III holds certifications from the American Board of Otolaryngology (1986), the American Board of Facial Plastic and Reconstructive Surgery (1997), and the American Board of Plastic Surgery (2000) — a combination that is exceptionally uncommon and reflects a career-long focus on the anatomy and surgery of the face and nose from multiple disciplinary perspectives. Forty-plus years of accumulated surgical experience across ENT, facial plastics, and general plastic surgery places Dr. Aguilar among the most credentialed rhinoplasty providers in the Houston market. Dr. Clayton Moliver and Dr. Kimberly Carpin contribute additional ABPS board-certified plastic surgery expertise to the practice's rhinoplasty programme. Open rhinoplasty involves a small trans-columellar incision that, combined with intranasal incisions, allows the surgeon to elevate the skin of the lower nose and directly visualise and work on the cartilaginous framework — ideal for complex structural changes such as tip reconstruction, cartilage grafting, and correction of significant asymmetry. Closed rhinoplasty uses entirely intranasal incisions and leaves no visible scar, making it appropriate for patients with more limited goals including modest dorsal reduction, tip refinement, and alar contouring where extensive framework modification is not required. Nasal tip refinement addresses a broad, bulbous, or poorly projecting tip by suture-shaping or carefully sculpting the lower lateral cartilages to produce a refined, natural-looking result. Dorsal hump reduction removes excess cartilage and bone along the bridge to create a straight or gently concave nasal profile in women and a straight profile in men. Spreader grafts may be placed after dorsal reduction to maintain the internal nasal valve and prevent functional compromise. Alar base reduction narrows the nostril width for patients whose alar span is disproportionate to the modified tip and bridge. Septoplasty to straighten a deviated nasal septum and improve airflow can be performed concurrently with aesthetic rhinoplasty at no additional trip to the operating room. HPRS also accepts secondary and revision rhinoplasty cases where a previous procedure produced inadequate or asymmetric results. Houston market average for primary rhinoplasty is approximately $8,750; consultation required for all cases.