Palo Alto plastic surgeon, Dr. Stephen Schendel, helps patients improve the appearance of the nose with rhinoplasty. This procedure changes the shape and size for noses that are too large, wide, humped, crooked, or deformed. The goal of rhinoplasty is to create a result that looks natural and blends with the rest of the face. Apart from appearance, Dr. Schendel will also ensure that breathing function is protected, and for those with a breathing disorder, the surgery may help improve breathing. In some cases, rhinoplasty may be combined with another surgery such as septoplasty, which corrects a deviated septum. Rhinoplasty patients must be at least 16 years of age to ensure that the nose is fully developed.
"Dr. Schendel is helping me feel like myself again after a tumor changed my life. - I am 28F and was diagnosed with a rare pituitary tumor resulting in a condition called acromegaly in 2015. Because of this condition my brow grew, the soft tissue in my face increased and the right side of my jaw grew asymmetrically which resulted in a quickly developed underbite. After surgically controlling the tumor by an SF neurosurgeon to ensure no more growth would occur, my husband and..."- B. / RealSelf / Apr 28, 2017
"Best decision I ever made! - Best decision I ever made was to have a mid-face lift with Dr. Schendel. He listened to my concerns and came up with a strategy that I would be pleased with. Dr. Schendel has a great bedside manner and put my fears to rest pre-surgery. He and his staff were very attentive post surgery as well. I look renewed and refreshed not "done". I no longer cringe when I look in the mirror. Thank you for giving me a decade+ back."- C. / RealSelf / Mar 24, 2017
"Dr. Schendal is a consummate professional with a warm caring disposition. He is held in very high regard by everyone I spoke to at Stanford Hospital. I had absolute confidence in him and my surgery held no surprises due to the care he took in explaining everything and setting realistic expectations. His post op care was just as good."- L.G. / Healthgrades / Oct 23, 2016
"Dr. Schendel is a great doctor. My family and I have been fortunate enough to be under Dr. Schendel's care for many years. He has been helping me look and feel beautiful since my 50th bday... many years ago. He and his staff are wonderful in every way. His office manager, Carol Oderio, and everyone in his office treat you with the greatest care and make sure everything is perfect:) Dr. Schendel is able to enhance your beauty in an amazing way, all while looking very natural."- J.H. / Yelp / Mar 14, 2016
"I've been getting Botox from Dr. Schendel for several years - and I still look forward to my appointments because he always manages to make me smile and laugh. The office is clean, easily located by the freeway, and the staff is courteous and always prompt."- C.R. / Yelp / Nov 01, 2015
Many surgeons prefer the open rhinoplasty approach during nose surgery because they can gain a better view and better access to the inside of the nose. The incision using this approach is made on the skin between the nostrils or under the nose near the nostrils. Once the incision is made, the skin is moved back to allow access to the internal structures. The incision lines, which heal nicely leaving scars barely visible, are fairly small and usually measure between 2-3 mm.
The closed rhinoplasty technique is used on noses that have features that are easily corrected. It is commonly used when the tip of the nose has good shape and is not too long, too wide, over or under projected. The incision during this approach is not visible after surgery because it is made on the inside of the nose.
Rhinoplasty is performed under general anesthesia in an accredited surgical facility and typically takes around 1-2 hours to complete. It is considered an outpatient procedure. After surgery, patients will wear a nose splint and will experience bruising and swelling around the nose and eyes. Once the bandages and splint are removed, the nose will look normal, but it may take longer for the bruising to subside completely. It can take up to a full year for the nose to gain its final contour and softness.
Rhinoplasty is a tailored surgery, thus the cost will vary depending on the aesthetic goals of the patient, as well as any functional corrections that need to be made. Some procedures will involve just the bone while others will involve skin grafting and cartilage reconstruction. On average, patients can expect to pay between $5,000-$10,000.
Plan Your Procedure
- Average Cost
- $5,000 - $10,000
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 1 Week
- Procedure Recovery Location
Are Surgery Fears Normal?
Yes, and this fear is always elevated when surgery involves the face. However, more than 350,000 people in the U.S. undergo rhinoplasty each year making it one of the most common cosmetic surgeries. One way to help calm your fears is to make sure you find a reputable and skilled surgeon that has extensive experience with nose surgery.
Will Nose be Broken?
About half of rhinoplasty patients will benefit from a manual nasal fracture during surgery. This planned break allows access to perform certain functions during surgery such as narrowing the width of the nose or correcting an asymmetrical nose. This is a common practice and heals within just a few weeks following surgery.
What is a Nasal Pack?
Nasal packing is the insertion of gauze and/or cotton packs into the nasal chamber after surgery. These are used to control bleeding, but are not necessary 100% of the time. They are generally used if the surgery includes the septum.
Is Surgery the Only Answer?
Noses that are too large or too wide, or have a specific deformity may only be able to be enhanced through nose surgery. However, the look of some noses may be able to be enhanced using an injectable filler such as collagen, calcium hydroxyapatite, or fat taken from another part of the body, “injection rhinoplasty” may be an option before resorting to surgery. This is an in-office procedure that can help to soften and camouflage a bump, alter the tip of the nose, and smooth out irregularities.