Rhinoplasty

Dr. Alexander Sobel performs primary, revisional, and ethnic rhinoplasty from the AAAHC-accredited surgical suite at the Bellevue, WA practice. Procedures use both open and closed technique, selected based on case complexity and anatomical requirements. Common aesthetic concerns addressed include dorsal hump reduction, nasal tip refinement, width correction, and asymmetry improvement. Functional rhinoplasty for septal deviation and airway obstruction is also available, and functional components may qualify for partial insurance coverage. The practice serves rhinoplasty patients from across greater Seattle, the Eastside, and the Pacific Northwest.

Rhinoplasty at Anderson Sobel Cosmetic Surgery in Bellevue, WA benefits from Dr. Alexander Sobel's dual credential set in cosmetic surgery and facial cosmetic surgery, disciplines where nasal surgery occupies a central role in both training and practice. The practice performs rhinoplasty using both the open and closed approach, with technique selection guided by the nature and extent of modifications required, the patient's existing nasal anatomy, and prior surgical history. The open rhinoplasty technique involves a small transcolumellar incision connecting marginal incisions inside both nostrils, allowing the skin envelope of the nose to be gently elevated and retracted to expose the full osteocartilaginous framework in direct binocular view. This approach is preferred for cases requiring significant structural modification — including cartilage grafting, tip reshaping, or osteotomies — because it provides unobstructed access and precise control. The closed (endonasal) technique keeps all incisions within the nasal vestibule, eliminates external scarring entirely, and is appropriate for more limited modifications in patients with suitable existing structural support. Common aesthetic refinements performed at the Bellevue practice include reduction of a dorsal hump through rasping or osteotomy and infracture, nasal tip refinement using suture technique or graduated cartilage reduction and grafting to improve definition and rotation, alar base narrowing through conservative resection for patients with widened nostrils, and correction of nasal asymmetry through differential osteotomies and cartilage modification. Patients of diverse ethnic backgrounds seeking rhinoplasty that preserves characteristic features are also served; ethnic rhinoplasty requires specific technical adjustments to the grafting strategy and projection targets. Functional rhinoplasty for septal deviation, turbinate hypertrophy, and internal nasal valve collapse addresses breathing obstruction and may be partially covered by insurance when documented with objective airflow testing. Revisional rhinoplasty — correcting unsatisfactory results from prior surgery — is performed using cartilage grafts harvested from the ear concha or rib as required. Seattle-area patients are advised to plan for one to two weeks of visible swelling and bruising, with tip refinement continuing gradually over twelve months as residual swelling resolves.