Nose Surgery

Austin, TX Rhinoplasty by Dr. Yula Indeyeva

Rhinoplasty, one of the most complex facial plastic surgeries, can change an individual’s overall appearance. With strategic surgical adjustments, this popular procedure helps bring balance to a person’s facial features. It’s no wonder why rhinoplasty is among the top requested cosmetic surgeries year after year.

woman posing showing facial contours

Austin facial plastic surgeon Dr. Yula Indeyeva brings world-class care and a personal touch to each rhinoplasty procedure to help patients achieve their cosmetic goals. As a former rhinoplasty patient herself, Dr. Indeyeva understands the need for genuine compassion and care when planning a rhinoplasty. Dr. Indeyeva and the Facial Plastic Surgery of Austin team invite you to learn why they are your best option for a Rhinoplasty in Austin, TX.

For more information about our approach to rhinoplasty, we encourage you to call and schedule your consultation at Facial Plastic Surgery of Austin today. Please read additional FAQs here.

Reasons for Rhinoplasty

A well-shaped nose can add symmetry to a person’s face to help them feel more confident in their overall appearance. While the term “perfect nose” is unique to each individual, there are a number of cosmetic flaws that rhinoplasty can correct, including:

  • Bumps or dips along the bridge
  • Overly large nostrils
  • Enlarged nasal tip
  • Droopy nasal tip
  • Disproportional size
  • Crooked nasal bridge

Rhinoplasty is also frequently used to correct medical conditions that can impede a person’s ability to breathe. Medical applications of rhinoplasty include:

Deviated Septum

Made from cartilage and bone, the septum separates the nasal cavity into two separate airways. When the septum moves or is bent to one side, this deviation can create an airflow obstruction. This blockage not only compromises a person’s ability to breathe but can also damage the nasal tissue. Septoplasty surgery is a form of rhinoplasty that corrects this problem by moving the septum to a better position and removing any remaining obstructions.

Nasal Obstruction

Trauma, enlarged sinuses, genetics, and natural aging process can all lead to nasal obstruction, which in turn can compromise an individual’s ability to breathe effectively. Rhinoplasty for nasal obstruction can help reinforce the inner nasal structure to eliminate blockages, allowing the patient to breathe easier.

Rhinophyma

Rhinophyma is a type of skin disorder caused by severe rosacea. This condition causes blood vessels in the nose to become enlarged and triggers tissue overgrowth that causes the nose to become red, bumpy, or bulbous. Unlike other forms of rosacea that can be managed with medication, rhinophyma is best treated with surgery. Surgery for rhinophyma involves reshaping the disfigured nose by removing the excess tissue and shrinking the enlarged blood vessels.

What to Expect During Rhinoplasty Surgery

There’s more to a nose job than the surgery. At Facial Plastic Surgery of Austin, Dr. Indeyeva’s personalized approach can be broken down into three key phases: consultation, surgery, and recovery.
Rhinoplasty Surgery Consultation

This initial visit to our facial plastic surgery practice sets the stage for the rest of the surgery. It begins when prospective patients first call to schedule their consultation, in which our team asks important questions about the patient’s health and goals. This is followed up with a series of standardized photos that are taken when patients arrive for their consultation with Dr. Indeyeva.

During this visit, our Austin facial plastic surgeon will use a 3-way mirror to help patients better articulate their desired end goals. She will then conduct an in-depth evaluation and create an individualized treatment strategy. Once the overall plan has been determined and all questions are answered, patients will meet with our patient care coordinator to schedule the surgery.

Dr. Indeyeva wants all of her patients to know that she is genuinely there to help. You are welcome to bring friends or family members with you to your appointments, and they can also ask questions about the procedure and the process. She understands that this surgery can be a life-changing experience, so she will do everything she can to ensure you are informed, comfortable, and have an integral role in formulating a surgical plan.

Schedule A Consultation

Dr. Yula Indeyeva, a highly trained and board-certified facial plastic surgeon, is a specialist in surgical and non-surgical rejuvenation methods for the face, head, and neck. With her mastery of everything from dermal fillers to facelifts, Dr. Indeyeva loves guiding her patients along their journey towards a more confident, empowered, and beautiful self.

During Rhinoplasty Surgery

In the weeks before their scheduled surgery, patients are provided with a list of pre-operative instructions to be followed. They will also receive prescriptions for antibiotics, pain relievers, and other post-operative medications. Patients are instructed to fast beginning at midnight the evening before their procedure.

Rhinoplasty will be performed under general anesthesia at an outpatient surgical center. After arriving at the surgical center for treatment, Dr. Indeyeva will go over the surgical process in detail and answer any final questions that you may have. You will then meet with your anesthesiologist, who will review your anesthetic plan and administer necessary medications.

Recovering from Rhinoplasty

Patients typically experience bruising and swelling after a rhinoplasty, and can expect to wear a nasal splint for one week. Patients can expect some tenderness in the weeks following treatment and are advised to avoid strenuous activity for at least 2 weeks following surgery. We will provide you with a list of do’s and don’ts as well as tips for a comfortable recovery.

Choosing Your Austin Rhinoplasty Surgeon

Given the complexity of rhinoplasty, choosing the right surgeon to perform your nose job is critical to achieving your desired results. Dr. Yula Indeyeva combines professional expertise and personal experience to bring world-class care to her Austin plastic surgery practice.

Having trained under one of the world-renowned rhinoplasty surgeons, Dr. Indeyeva’s eye for artistry and technical knowledge ensures that patients receive tailored treatment solutions intended to meet and exceed their goals. Dr. Indeyeva is excited to meet with you to help you along your journey towards the new you!

To learn more about rhinoplasty in Austin and our unique approach to this top facial plastic surgery, we invite you to call and schedule your consultation with Dr. Indeyeva today.

Will my nose still be unique to me after rhinoplasty?

Absolutely!  Rhinoplasty surgery is as much artistic in nature as it is scientific.  Dr. Indeyeva’s goal is to take into consideration each patient’s nasal features and how they relate to the face as a whole.  Dr. Indeyeva strives to make each patient’s nose fit his or her face, harmonizing it rather than changing it to a completely different nose.

What are some additional benefits of rhinoplasty?

Rhinoplasty can straighten a crooked nose caused by previous trauma.  Overall, rhinoplasty can help to balance the rest of the patient’s facial features, bringing harmony to the face. 

Austin, TX Rhinoplasty - FAQs

Successful surgery begins when patients have all the information about their procedure. Our Austin surgical team has curated answers to some of the most frequently asked questions about rhinoplasty. We encourage you to explore these top questions and schedule a one on one consultation with Dr. Indeyeva.

There are numerous reasons why a healthy adult may pursue rhinoplasty surgery. At Facial Plastic Surgery of Austin, we offer rhinoplasties to patients who wish to accomplish the following:

  • Change the size, shape, or angle of the nose
  • Remove humps from the nasal bridge
  • Improve the overall symmetry of the nose or nostrils
  • Correct structural problems such as a deviated septum or broken nose
  • Improve breathing

Although there is no “ideal” age for rhinoplasty, certain limitations exist in children that precludes performing nasal surgery prior to puberty because of continued growth of facial bones and cartilage. Ordinarily, girls are mature enough by the age of fifteen, and boys at age eighteen to have surgical correction. However, it is important to evaluate patients on a case-by-case basis by monitoring their growth and maturation.  It is also important to note that it is never too late in life to have a rhinoplasty. In fact, It is often done as a part of a complete facial rejuvenation plan along with neck lift, facelift, eyelid surgery, etc to improve the undesirable signs of aging.

While popular on its own, rhinoplasty is also an excellent addition to any comprehensive cosmetic strategy. Dr. Indeyeva will likely recommend complementing your nose job with non-invasive treatments like dermal fillers or surgical treatments such as facelift or blepharoplasty. In addition to being an expert facial plastic surgeon, Dr. Indeyeva is a nationally-renowned injectable trainer, who helps countless patients achieve and maintain their best appearance.

You should have arranged a caretaker to assist you with recovery in the first 48 hours after your surgery.  You should have acquired the list of recommended supplies to be used during your post-operative care. Please do not eat/drink anything after midnight the night before your planned procedure, and avoid any blood thinning medications/supplements 2 weeks prior to your procedure as outlined by Dr. Indeyeva.

“Open” and “closed” rhinoplasties refer to how the surgery is completed. During an open rhinoplasty, a small incision is made between the nostrils, providing better access and visibility to the treatment area. Open rhinoplasties are often recommended when large, dramatic changes are being made or if the patient is undergoing revision or reconstructive rhinoplasty. In contrast, a closed rhinoplasty is completed through incisions made from inside the nose. This approach is typically recommended in cases where minor adjustments are made. Both approaches result in virtually invisible scars.

Dr. Indeyeva will provide you with an informational packet including post-operative care instructions when you schedule your consultation.  Please read this material prior to your appointment.  We also recommend that you take the time to analyze your face and nose from the front and the side in your mirror at home and study how it relates to your other facial features. Make note of any differences in the size and shape of the nostrils from one side to another, or if your nose is crooked.   Most faces have various degrees of asymmetries because the face develops from two sides which merge during development. Some of these asymmetries are correctable with surgery but some are not, but can still be improved.  During your consultation, Dr. Indeyeva will discuss your unique features, goals, and present her recommendations.

This refers to a specific surgical approach. In the closed approach, most of the work is done entirely through incisions inside the nose.  When more visibility is required, an open approach is employed, which requires an additional small incision below the tip of the nose in the central portion, between the nostrils. With time, this incision becomes inconspicuous.

There are several structures in the nose that can contribute to breathing difficulties.  A deviated/crooked septum is one of them.  The septum is a bony and cartilaginous partition that divides the inside of the nose into two cavities. If it is dislocated or leans to one side, it can interfere with the flow of air through one or both sides of the nose. Nasal Obstruction can also be caused by a collapse of the nasal sidewalls or tip, which can be due to trauma, congenital features, or prior surgeries.  

Surgery can often straighten or remove the offending portions of the crooked bones and cartilages. Surgery can also be performed to strengthen and reinforce weakened structures in the nose if they are collapsing.  These maneuvers typically lead to improvement in breathing.

If you experience difficulty breathing from one or both sides of your nose, have a history of facial injury, or have a crooked nose, you could have a deviated nasal septum which could be corrected with septoplasty.  During your initial consult, Dr. Indeyeva will evaluate your nose and determine whether septoplasty is indicated.

Rhinoplasty is an especially complex procedure for several reasons, including the nose’s prominent position on the face, the small treatment area, and the important function the nose provides. Poorly executed rhinoplasties can have long-term cosmetic and medical consequences that ultimately require retreatment via revision rhinoplasty. Depending on the damage caused by this initial procedure, revision rhinoplasty may include reinforcing the nasal structure with cartilage, removing scar tissue, or adding tissue to the tip of the nose. It’s highly important to select an expertly trained facial plastic surgeon for your original rhinoplasty.

In most cases, we do not “pack” the nose after surgery to avoid excessive discomfort. Instead, I use internal nasal sutures that eliminate the need for packing.  Occasionally, small “sponges” or small splints may be placed inside the nose to reinforce the position of the reshaped tissues as they heal.  I have found  that  the recovery period is much more pleasant for the patient with elimination of packing.

Nicotine is known to slow down the healing process of any surgery.  We strongly recommend avoiding any products containing nicotine (cigarettes, cigars, chewing tobacco, nicotine gum/patches) for at least 2 weeks prior to the procedure.

There is usually little pain following rhinoplasty, but the individual may experience a bruised sensation as a result of postoperative swelling.

Your surgery will be performed at an outpatient surgical center.

At Facial Plastic Surgery of Austin, we recognize that comfort levels vary from patient to patient. Anesthesia is therefore tailored to meet your comfort level. For rhinoplasty, we typically offer a mild oral sedative to keep patients calm before their surgery then conduct the procedure under general anesthesia. Through this approach, patients remember absolutely nothing about their procedure. 

Several factors are taken into consideration when determining the price. This includes individual anatomy, complexity, and specific surgical plan.  Prices will range from about 5k to 10k+, based on the above. Once you have had your consultation, you will know your exact cost.

You should expect some degree of swelling and bruising.  Since the swelling occurs inside as well as the outside of your nose, you will experience some nasal obstruction, or difficulty breathing in and out of your nose.  This is normal and expected.  You will be instructed to limit physical activities and remain elevated while sleeping, to decrease swelling and accelerate healing. The protective splint and dressings will be removed in office about one week following surgery. Most patients are able to return to work or school on the same day.  At the end of one week, most patients experience significant decrease in swelling, bruising, and skin discoloration that typically occurs after surgery.  Some degree of swelling will still be present but progressively diminishes over the next several weeks. 

Allow yourself to have adequate time to recover and limit any strenuous physical activity. Avoid bending over and lifting heavy objects, hitting your nose, blowing your nose, or attempting to remove anything from within the nostrils. Follow your outlined post-operative instructions.  Use ice compresses as instructed.  Use nasal saline drops frequently throughout the day to keep your nasal cavities hydrated and facilitate healing of incisions inside the nose.

The protective splint and dressings will be removed in office about one week following surgery. Most patients are able to return to work or school on the same day.

We recommend no swimming, gym, or strenuous athletic activity for two (2) weeks;

No diving or skiing for two (2) months.

No contact sports for four (4) months.

Runners:  You may walk after two (2) weeks and jog after three (3) weeks. Start slowly and work your way back to your pre-surgery routine.

Tennis players: You may hit ground strokes in two (2) weeks and resume competition after three (3) weeks. Do not play “doubles” for six (6) weeks.

As with any surgical procedure, there are risks of pain, bleeding, infection, scarring, asymmetry, and need for additional procedures.  However, these can be minimized by adhering to post-operative instructions/medications that are provided to you.