Rhinoplasty

Dr Chad Robbins performs aesthetic, functional, and revisional rhinoplasty from his Nashville practice using both open and closed techniques depending on case complexity and patient anatomy. Procedures address concerns including dorsal humps, a wide or bulbous nasal tip, asymmetry, and nasal airway obstruction from a deviated septum. Cartilage grafting is used where structural support is required. Functional cases involving documented airway impairment may qualify for partial insurance coverage. Dr Robbins' dual board certification in plastic and general surgery provides a comprehensive anatomical foundation for nasal surgery.

Rhinoplasty at Robbins Plastic Surgery in Nashville is performed by Dr Chad Robbins, a dual board-certified plastic surgeon whose Mayo Clinic fellowship training included nasal surgery across the full spectrum of aesthetic and reconstructive cases. The practice approaches rhinoplasty with a comprehensive pre-operative analysis covering the patient's nasal proportions relative to their overall facial structure, the strength of their existing cartilaginous framework, the skin thickness of the nasal envelope, and any functional concerns with the nasal airway. The open rhinoplasty technique — involving a small transcolumellar incision connecting bilateral marginal incisions — is used for cases requiring significant structural modification, cartilage grafting, or detailed tip work, providing direct binocular visualisation of the complete nasal framework. The closed (endonasal) approach, with all incisions confined within the nostrils, is appropriate for more limited modifications and produces less postoperative swelling. Common aesthetic concerns addressed include reduction or refinement of a dorsal hump through rasping or osteotomy, nasal tip refinement through cartilage suture techniques and conservative reduction to improve definition and rotation, narrowing of the nasal base through alar base reduction, and correction of nasal asymmetry through differential osteotomies and cartilage modifications. When breathing concerns coexist with cosmetic goals, Dr Robbins incorporates septoplasty for a deviated septum, inferior turbinate reduction for mucosal hypertrophy, and spreader graft placement to open the internal nasal valve into the same surgical plan. Revisional rhinoplasty — cases where prior nasal surgery has left functional or aesthetic deficiencies — requires careful assessment of remaining cartilaginous support and available grafting material, typically from the ear or rib. Nashville patients planning rhinoplasty are advised to expect approximately one to two weeks of social downtime, with residual tip swelling and final refinement of results occurring over twelve months.