Rhinoplasty (Nose Job) in Pittsburgh
Conveniently located in Southwestern PA, south of Pittsburgh, and easily accessible from central PA, West Virginia, and eastern Ohio
Introduction to Nose Jobs
Rhinoplasty, also called plastic surgery of the nose or a “nose job,” can change the shape and appearance of your nose, bringing your nose into greater harmony with the rest of your face. Rhinoplasty is a popular procedure that can make profound differences not only in the balance of facial features but also in a person’s self-esteem.
In 2022, rhinoplasty procedures were the third most common facial plastic surgery after eyelid surgery (blepharoplasty) and facelifts (rhytidectomy), with approximately 45,000 nose jobs performed in the United States.1 The aesthetic improvements that plastic surgeon Dr. Simona Pautler can make include decreasing or increasing the size of the nose, altering the tip or bridge of the nose, and narrowing or changing the shape and or projection of the tip.
The procedure can either be open or closed. In open rhinoplasty, Dr. Pautler will make a small incision across the columella and inside the nose to access nasal structures. This is ideal for complex cases that require significant reshaping, such as structural corrections, revision surgeries, or extensive tip refinement.
Closed rhinoplasty involves making small incisions in the nostrils. It is generally considered less invasive, results in reduced swelling and no external scars, and allows for a slightly faster recovery. However, it offers limited access and visualization of the nasal structures. Therefore, for patients needing more reshaping with extensive structural changes where direct visualization for symmetry is necessary, an open approach is preferred.
About Rhinoplasty
Rhinoplasty is a very delicate and skill-oriented operation, performed with great patience and care by Dr. Simona Pautler. Before the nose plastic surgery procedure, Dr. Pautler takes photos and precise measurements of the nose. She then formulates a unique plan for each rhinoplasty procedure based on the patient’s concerns, anatomy, and nasal tissue characteristics. For more information on rhinoplasty, contact our Pittsburgh area plastic surgery practice.
» Read more about nose job surgery.
Differences Between Septoplasty and Rhinoplasty
Septoplasty and rhinoplasty address different concerns, but they are often performed together. Septoplasty corrects the septum to enhance airflow, while rhinoplasty focuses on reshaping the nose for functional or cosmetic reasons.
In most rhinoplasty cases, except when refining the nasal tip, septoplasty is included to provide structural support and ensure proper airway function.
The surgical approach also differs. Septoplasty focuses on internal nasal structures. Incisions are often made in the nose, leaving no visible scars. Rhinoplasty, depending on whether an open or closed technique is used, may involve internal or external incisions to reshape the nose.
Moreover, septoplasty involves minimal swelling and bruising and a shorter recovery, while rhinoplasty often requires a longer healing period. After an open procedure, the incision areas can cause noticeable swelling that may take months to subside.
In almost all rhinoplasty cases, Dr. Simona Pautler prefers the open approach since there is better visibility and exposure. This allows her to perform complex procedures and achieve a smooth contour with precision.
How Much Does a Rhinoplasty Cost in Pittsburgh?
A nose job in Pittsburgh can range from $10,000 to $15,000 or more. Several factors will determine the overall price of the procedure. The experience of your rhinoplasty surgeon Dr. Pautler, anesthesia, consultation fees, geographical location, the facility fee, staff, equipment used, and the need for additional surgeries such as septoplasty can all factor into the overall cost.
In general, experienced nose job surgeons have advanced skills and can deliver personalized results with reduced risk of complications. In areas with a higher cost of living, such as major metropolitan cities or affluent regions, rhinoplasty prices tend to be higher. This is due to increased overhead costs for the clinic, including rent, utilities, and staff salaries. Additionally, surgeons practicing in these areas may charge higher fees.
Moreover, secondary or revisional rhinoplasty procedures will generally be more expensive. Unlike primary rhinoplasty, revision procedures must address scar tissue, altered nasal anatomy, and weakened structural support. This added complexity increases both surgical time and costs. Surgeons specializing in revision rhinoplasty also charge higher fees due to the risks involved and the precision required to achieve natural-looking results.
At your initial consultation, Dr. Pautler will review the options and provide you with a detailed explanation of the total cost of the procedure so you can make an informed decision.
Why Choose Dr. Pautler for a Rhinoplasty in Pittsburgh?
With more than 24 years of experience, Dr. Pautler is a leader in the field of cosmetic and reconstructive plastic surgery. As a female, board-certified Pittsburgh plastic surgeon, she understands the needs and desires of her patients and is passionate about providing each patient with exceptional care in a welcoming, compassionate environment.
- Dr. Pautler was recognized as a top doctor in 2023 by NewBeauty. She completed her residency at Yale New Haven Hospital and Dartmouth Hitchcock Medical Center, which are two of the most prestigious programs in the country.
- Dr. Pautler offers Southwestern Pennsylvania and the Pittsburgh area with exceptional results and an unparalleled patient experience. She is known for being upfront with her patients. During your first visit, she will evaluate your nasal structure and your aesthetic needs and let you know if a rhinoplasty is ideal for you.
She also takes her time to explain each step of the process (using before and after photos) to ensure you fully understand the procedure. If the results from previous patients align with what you are hoping for, Dr. Pautler will replicate those outcomes. She will personalize her procedures and prioritize what is best for her patients to ensure they have smooth experiences and the desired outcomes.
Call us to book your appointment today. Alternatively, you can visit our office on Washington Rd, across from South Hills Chrysler Dodge Jeep Ram FIAT, 14 miles from The Andy Warhol Museum in Pittsburgh.
From one of our patients
What Happens During Rhinoplasty Consultations?
During a rhinoplasty consultation, Dr. Pautler will first listen to your concerns and expectations for the procedure. She will then review your medical history, including any prior nasal surgeries, breathing issues, or conditions such as allergies or sinus problems.
Dr. Pautler will then perform a thorough nose examination, assessing skin thickness, nasal bone length, and cartilage quality. She’ll also examine the nose’s internal structure, including the condition of the airway and mucosa, to determine if any functional issues need addressing.
Once she identifies the problematic areas, she will show you a range of before-and-after photos from previous procedures to help you visualize what to expect should you proceed with the surgery. You’ll also discuss the surgical options, such as whether open or closed rhinoplasty suits your needs and whether additional procedures, such as septoplasty, are necessary.
What Can I Expect During My Nose Job Surgery?
Before surgery, Dr. Simona Pautler will take photos and measurements of your nose. This step allows her to formulate a customized plan. THen general anesthesia is administered to keep you relaxed and pain-free throughout the process.
Your nose job surgeon Dr. Pautler, may opt for an open or closed approach, depending on your surgical needs. She will measure and mark incision areas to ensure accuracy. For closed surgeries, she’ll use specialized instruments to navigate through the nostrils and access areas of interest.
Once the incisions are made, Dr. Pautler will reshape the nose, refine the tip, and address any functional issues. The goal is to enhance the nose’s appearance and function while maintaining harmony with other facial features.
Sutures or absorbable stitches are then placed to promote proper healing and minimize visible scarring. Dr. Pautler performs her procedures at the Dunlap Outpatient Surgery Center at St. Clair Memorial Hospital in Pittsburgh, PA.
Rhinoplasty Recovery: Timeline & Outcome
Immediately after surgery, patients can expect some swelling, bruising, headaches, and mild discomfort. Dr. Pautler will prescribe pain medications and antibiotics to ensure a smooth healing.
A splint externally and internally is placed to support the nose and reduce swelling. It’s also important to keep the head elevated to minimize swelling.
Patients can begin light activities after one week, but intense physical activities should be avoided for at least three to four weeks. While most of the swelling will subside within a few weeks, full recovery can take six to 12 months. During this time, the nose will continue to settle into its final shape.
Dr. Pautler’s expertise ensures that the results are balanced and long-lasting, offering patients a nose that not only enhances their appearance but also improves their overall quality of life. However, it is important to note that the outcome of the final results may vary from one patient to the next. It mostly depends on the body’s natural healing process and how well you adhere to post-op care.
Ideal Candidates for Rhinoplasty
Women and men who are unhappy with the appearance of their noses are excellent candidates for rhinoplasty surgery. The presence of identifiable cosmetic or functional abnormalities of the nose improves the procedure’s success.
An ideal candidate should be in good overall health and be a non-smoker. Underlying health conditions can cause poor wound healing, infection, or excessive bleeding. Nicotine in tobacco can constrict blood vessels, limiting oxygen flow to healing tissues. This can lead to delayed recovery, a higher risk of infection, and poor scar formation.
Moreover, patients should clearly understand the possible risks and complications of the surgery, have a good mental state, and have realistic expectations for the procedure. In essence, they should know what the procedure can do and its limitations.
References:
1 Fichman, M., & Piedra Buena, I. T. (2024). “Rhinoplasty.” National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK558970/#:~:text=According%20to%20the%20American%20Society,rhytidectomy%20(2022%20ASPS%20Statistics).
Before and After Photos
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Rhinoplasty FAQs
Rhinoplasty is one of the most common cosmetic surgeries performed and is also one of the most complex surgeries. This demanding procedure requires extensive surgical skills and meticulous attention to detail, especially when reshaping the tip of the nose. However, an experienced rhinoplasty plastic surgeon understands the unique anatomy of each patient's nasal tip and the various surgical techniques to produce exceptional results.
While the nasal tip is often considered the most challenging aspect of rhinoplasty surgeries, several other errors in the surgical correction can result in unwanted results. Thus it is important to research the plastic surgeon, read reviews, and review pre- and post-operative photos to ensure you place your nose in qualified hands.
When considering a rhinoplasty in Pittsburgh, several questions are important to help select the right surgeon and understand the requirements of the procedure. Here is a list of common questions to ask your surgeon during a consultation.
- Are you certified by the American Board of Plastic Surgery?
- Are you a member of the American Society of Aesthetic Plastic Surgery?
- Are you a member of the American Society of Plastic Surgeons?
- Is the office-based surgical facility accredited by a nationally- or state-recognized accrediting agency or state-licensed or Medicare-certified?
- Am I a good candidate for this procedure?
- How long can I expect to recover, and what kind of help will I need during my recovery?
- What are my options if I am dissatisfied with the cosmetic outcome of my nose surgery?
- Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?
Yes. The delicate anatomy and the critical role of the nose in breathing results in rhinoplasty being the most revised cosmetic procedure. Approximately 5% to 15% of rhinoplasties will require revision surgery to correct an under-corrected or post-surgical deformity. Some of the most common revision reasons include:
- A residual hump, roundness, or asymmetry of the nose
- Accidental or traumatic damage to a rhinoplasty
- Breathing issues
- Scar tissue complications
A failed nose job is an emotional blow to patients and can occur because of several reasons. The most common reasons for a failed rhinoplasty include:
- Poor pre-operative evaluations and planning
- Improperly placed incisions
- Excessive removal of bone or cartilage from the nasal bridge
- Damage to the cartilage of the nasal tip
- Excessive removal of cartilage from the septum dividing the nostrils
A nose job in Pittsburgh typically fairs well over time. Once the cartilage and bone have healed after the rhinoplasty procedure, the results are considered permanent. This means the contour and shape of the nose should remain the same as you age.
However, because this procedure does not stop the normal aging process, one can notice changes in the soft tissues of the nose during aging. The degree of change varies between patients but a rhinoplasty does not make the changes occur earlier or more severely.
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