Cosmetic Surgery for the Nose

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Pre-Operative Consultation

During the consultation you will have the opportunity to discuss the nose type and your goals for the surgery, whether it is aesthetic or health improvements you are aiming for. The doctor will examine the nose and identify the anatomical structure of your nose to determine the incision points. You will be able to use Vector 3D imaging, a computerized imaging system, to determine what type of nose well suits you.


The procedure is done on an outpatient basis under sedation, and local or general anesthesia.

The following are the types of Rhinoplasty procedures that are performed by Dr. Mulholland:

Standard Rhinoplasty: Incisions are made inside the nostrils. The nasal bones, cartilage and soft tissues are reshaped to improve the external contour.

Open Rhinoplasty: Frequently used for difficult or larger noses. Involves one external incision across the columella (strut between the nostrils). Bones, cartilage and soft tissues are reshaped under direct vision.

Tip-Plasty: If only the nasal tip is abnormal, it may be corrected with either a standard or external (open) approach.

Large nostrils may be reduced through tiny incisions at the outer base of the nostrils with either type of Rhinoplasty.

Injectable Rhinplasty (5 Minute Nose Job): This is a minimally invasive, non-surgical procedure that is a short-term solution. It is a simple procedure that requires no down time. Injection Rhinoplasty is a good option for the person on the go, who wants immediate result.

Septoplasty Surgery: Designed specifically to straighten the nasal septum, this procedure can reduce nasal obstructions which often result in chronic sinus problems and airflow impediments.

The anesthesia that will be used for the procedures will be discussed with the patient ant the type of procedures required. General anesthesia is typically used with throat protection because of nasal fluids that potentially flow back to the throat. If the work is being done on the soft tissue of the tip, it can be performed with local anesthesia.

Sometimes both anesthesia are used, with the local following the general to reduce the pain and swelling.


The benefits of the Rhinoplasty surgery are both psychological and physical. Patients after the surgery tend to feel better about them with increased self-esteem. The nose surgery allows them to feel more confident and for some it open doors to opportunities. Patients who have nasal-breathing issues can benefit with improved airways.

Additional Procedures

An additional procedure that may enhance the result is a chin augmentation. If you need to improve breathing, correction of a deviated septum (Septoplasty) may also be appropriate.

Risks and Complications

There are multiple complications that can occur following a nose job procedure. Small irregularities may occur from shifting bones following surgery and this can generally be adjusted with simple molding. The external scar on the columella generally heals imperceptibly, but can occasionally be visible. There is a risk of compromised breathing after making the nose smaller and more attractive, so a complimentary septoplasty, or reduction of the partition is often performed to increase the airflow to compensate for the reduction in the actual size of the nose.

There are many other potential complications, most of which are very rare, following any cosmetic plastic surgery procedures, including a nose job. Dr. Mulholland and his operative team will review thoroughly the risks and benefits and recovery of your surgery at the time of your consultation.

After Care Instructions and Expectations

Most patients will go home following their procedure with internal packing in the nose to minimize the risk of bruising in the first few days and a cast on the external portion of their nose. Patients return on day three to have the small sutures under their nose, which are used for the external rhinoplasty approach, removed. On this day, the nasal packing is also removed.

The first three days are impossible to breathe through the nose with the nasal packing and you will be a “mouth breather”, but, once the packing is removed, free air exchange can occur easily through the nose again

The cast is usually removed on day seven and all sutures are out by day seven. Most patients can look quite presentable on day seven, with some minor to moderate or significant bruising under the eyes.

The nasal bridge aesthetic improvements following the surgery start to look very good by week two or three and the nasal tip looks presentable by week six. Overall, the aesthetic improvements for the rhinoplasty occur gradually and over time. The final nasal tip result is not achieved till one year after the procedure, but approximately 70% to 80% of the improvement is visible at seven months.

Post-Surgery Timeline

  • The patient goes homes with an external cast or splint in place. The nose may be packed for 24-48 hours. The cast or splint is usually removed in 7-10 days.
  • Initial discomfort is easily controlled with oral medication.
  • Majority of swelling and bruising subsides progressively over 2-4 weeks.
  • External sutures (if any) are removed in 4-6 days. Internal sutures dissolve.
  • Semi-final result is evident in 3 months. Final result is evident in 12-14 months, which is the time necessary for complete tissue softening.

Maintenance Required

The Rhinoplasty should be long-lasting and permanent fixture. Patients, who are not pleased with their result or have health problems that arise post-surgery such as breathing issues, can seek a Revision Rhinoplasty.

It is important to follow the doctor’s instructions for post-recovery. Follow a balanced diet and stay healthy for proper healing. Take not of the doctor’s precautions such as staying out of the Sun, avoiding contact sports and not wearing glasses for a few weeks. The doctor will give you a list of instructions to take heed of. In essence, simple care and attention not to traumatize the nose is all that is required.


Once the nose is fully healed, you can expect a more attractive nasal shape that will compliment your facial features with better balance.

Cost and Payment Options

The price of a rhinoplasty or nose job reconstruction procedure depends upon the severity of the aesthetic involvement and nose reshaping, but, in general, most Canadian prices for well-trained plastic surgeons performing rhinoplasty can vary between $5000 – $9000.

For secondary, or “corrective rhinoplasty” (nose job that has been done before) it costs $15,000, depending on the physician you’re seeing, their level of experience, speed and accuracy.

To discuss insurance policy and health coverage, book a consultation with our medical specialists who will be willing to talk you through payment process at our plastic surgery clinic

The procedure is an elective surgery, thus it is not covered by insurance.

Next Steps

To schedule a consultation for your 3D imaging and rhinoplasty assessment by Dr. Mulholland, simply call 877-695-2835 and a client service representative will get back to you promptly.

Alternatively, you may fill out the online appointment request form and a representative will get back to you within one business day. 


Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-712-8367