Rhinoplasty

Dr. Julius Few offers the full range of rhinoplasty procedures from his Chicago practice at the John Hancock Center, including open rhinoplasty, closed rhinoplasty, ethnic rhinoplasty, functional rhinoplasty, revision rhinoplasty, and liquid rhinoplasty using dermal fillers. Open technique provides direct visualisation of the cartilaginous framework for complex structural modification; closed technique is used for limited refinements without an external scar. Ethnic rhinoplasty preserves heritage-defining features while addressing the patient's specific aesthetic goals. Revision cases address unsatisfactory outcomes from prior nasal surgery.

Rhinoplasty at The Few Institute for Aesthetic Plastic Surgery in Chicago is performed by Dr. Julius W. Few — a Harvard-trained plastic surgeon whose comprehensive approach to nasal reshaping encompasses both aesthetic and functional considerations. The practice's rhinoplasty menu is among the most complete in Chicago, spanning six distinct procedure categories that address the full spectrum of nasal concerns. Open rhinoplasty — the technique of choice for the majority of significant structural modifications — employs a small transcolumellar incision connecting two marginal incisions, providing binocular direct visualisation of the entire nasal framework. This access allows precise assessment and modification of the upper lateral cartilages, lower lateral alar cartilages, nasal tip complex, and nasal bones, as well as placement of cartilage grafts to improve tip definition, bridge the dorsum, or reconstruct collapsed nasal valves. Closed (endonasal) rhinoplasty keeps all incisions within the nasal cavity and is appropriate for patients seeking more limited modifications without an external incision. Ethnic rhinoplasty at The Few Institute reflects Dr. Few's stated philosophy of heritage preservation: rather than applying a uniform aesthetic template, the surgical plan is designed specifically to honour the patient's ethnic background while addressing the aspects of nasal shape they wish to change — an approach particularly valued by patients of African, Asian, Middle Eastern, and Hispanic heritage who present with distinct nasal anatomical characteristics and aesthetic frameworks. Functional rhinoplasty addresses breathing impairment caused by a deviated septum (septoplasty), inferior turbinate hypertrophy (turbinate reduction), or internal nasal valve collapse (spreader graft placement), and may qualify for insurance coverage when medical documentation of obstruction is provided. Revision rhinoplasty — correcting the outcomes of prior surgery — is a technically demanding subspecialty that demands thorough pre-operative analysis of what cartilage remains, how scar tissue has distorted anatomy, and what donor graft material (typically conchal ear cartilage or rib costal cartilage) will be required. Liquid rhinoplasty uses dermal filler injection — typically hyaluronic acid — to camouflage a dorsal hump, refine the tip, or correct subtle asymmetry in patients who wish to preview a surgical result or who are not surgical candidates; results last six to twelve months before the filler is gradually resorbed. Chicago patients consulting Dr. Few for rhinoplasty receive a detailed facial proportion analysis and digital photography documentation as part of the planning process.