Rhinoplasty is a highly precise facial procedure where even a few millimeters can significantly affect the appearance of the nose and the overall balance of the face. A successful outcome depends on careful planning, attention to detail, and a deep understanding of nasal structure and function.

Dr. Gregory J. Vipond focuses on creating a straight, strong, and natural nasal profile that enhances facial symmetry while remaining true to each individual’s features.

Addressing Both Cosmetic & Functional Concerns

Many patients seeking rhinoplasty have concerns not only about the appearance of their nose but also about nasal breathing difficulty. These issues may result from prior injury, structural weakness, or inherited anatomy.

When planning rhinoplasty, it is essential to:

  • Maintain or improve nasal breathing
  • Anticipate long-term changes as healing and aging occur
  • Build strong structural support for lasting stability and natural aesthetics

Dr. Vipond is a strong proponent of structural rhinoplasty, an approach that reinforces the underlying framework of the nose. Strengthening nasal support can improve both appearance and airflow, leading to results that are durable and functional.

The Rhinoplasty Process

Every rhinoplasty is individualized. Because nasal anatomy varies widely, multiple techniques may be used depending on structure, skin quality, and functional needs.

Careful Planning

  • Customized surgical planning: Incision type and technique are selected based on nasal anatomy and breathing function
  • Thoughtful evaluation: During consultation, Dr. Vipond evaluates the external appearance and internal framework of the nose while discussing your concerns and goals
  • Optional computer imaging: In select cases, imaging tools may be used to help visualize potential postoperative changes

Rhinoplasty Incision Approaches

Rhinoplasty is typically performed using internal or discreet external incisions.

Closed (Endonasal) Rhinoplasty

Incisions are placed inside one or both nostrils, leaving no visible external scar. This approach is often used for select structural refinements.

Open (External) Rhinoplasty

A small incision is placed across the tissue between the nostrils to allow full visualization of the nasal framework. This approach is useful for more complex reshaping or revision procedures.

Dr. Vipond will discuss the most appropriate approach during your consultation.

Revision Rhinoplasty

Approximately 40 percent of Dr. Vipond’s rhinoplasty procedures are performed to improve the appearance, function, or both after prior nasal surgery. Revision rhinoplasty requires advanced planning, careful execution, and a conservative approach to restore strength and balance to a previously operated nose.

In some cases, cartilage grafting is required to reinforce weakened structures. While nasal cartilage is preferred, additional graft material may be obtained from:

  • The ear
  • The rib
  • Carefully selected tissue-bank cartilage or synthetic materials

All options are discussed in detail during consultation to determine the safest and most appropriate plan.

Non Surgical Rhinoplasty

For select patients with minor contour irregularities, non-surgical rhinoplasty may be an option. This technique uses injectable fillers to achieve subtle refinement without surgery.

Non-surgical rhinoplasty may be used to:

  • Smooth small depressions or asymmetries
  • Improve profile balance
  • Refine the bridge or nasal tip
  • Support breathing in select cases by stabilizing weak areas

Dr. Vipond will review whether surgical or non-surgical rhinoplasty is best suited to your goals.

Insurance Considerations

In certain cases, rhinoplasty performed to improve nasal function may be eligible for insurance coverage. Eligibility is evaluated individually and discussed during your consultation.

Double Board-Certified Care

Rhinoplasty requires detailed knowledge of both nasal form and function. As a double board-certified facial plastic surgeon, Dr. Vipond brings more than 18 years of focused facial experience to these complex procedures. Having performed over 5,000 facial surgeries, he is committed to  achieving results that support balanced breathing, refined aesthetics, and long-term stability.

Schedule a Rhinoplasty Consultation

If you are considering refinements to the shape, balance, or function of your nose, rhinoplasty may be a thoughtful next step. Contact VIP Facial Artistry to schedule a personalized consultation and receive guidance tailored to your anatomy and goals.

Rhinoplasty FAQs

  • What is rhinoplasty?

    Rhinoplasty, commonly referred to as nose surgery, is a procedure designed to improve the shape, balance, or function of the nose. It may address cosmetic concerns, breathing difficulties, or both.

  • What is the difference between cosmetic and functional rhinoplasty?

    Cosmetic rhinoplasty focuses on the appearance of the nose, while functional rhinoplasty addresses structural issues that affect breathing. Many patients benefit from a combined approach that improves both aesthetics and airflow.

  • What is structural rhinoplasty?

    Structural rhinoplasty reinforces the underlying framework of the nose to provide long-term support, stability, and natural appearance. Strengthening nasal structure can also improve breathing and help results age well over time.

  • Will rhinoplasty affect my breathing?

    When properly planned and performed, rhinoplasty should maintain or improve nasal breathing. Preserving airway function is a key priority during surgical planning.

  • How do I know if I need open or closed rhinoplasty?

    The choice between open and closed rhinoplasty depends on nasal anatomy, complexity of changes needed, and whether revision surgery is involved. This decision is made during consultation with Dr. Gregory J. Vipond.

  • What is revision rhinoplasty?

    Revision rhinoplasty is performed to improve appearance, function, or both after a previous nose surgery. These procedures are more complex due to scar tissue and weakened support structures and require advanced expertise.

  • Will I have visible scars after rhinoplasty?

    Most rhinoplasty incisions are placed inside the nose and leave no visible scars. When an open approach is used, the external incision is small and typically heals very discreetly.

  • What is non-surgical rhinoplasty?

    Non-surgical rhinoplasty uses injectable fillers to smooth minor contour irregularities or improve profile balance. It is suitable only for select concerns and does not replace surgical rhinoplasty when structural changes are needed.

  • How long is recovery after rhinoplasty?

    Initial swelling and bruising typically improve over the first few weeks. While many patients return to normal activities relatively quickly, final refinement of the nose can take several months as healing continues.

  • Is rhinoplasty permanent?

    Rhinoplasty provides long-lasting results. While the nose continues to change subtly with aging, proper structural support helps results remain stable over time.

  • Can rhinoplasty be covered by insurance?

    In certain cases where rhinoplasty is performed to improve nasal breathing or correct functional issues, insurance coverage may be available. Eligibility is evaluated individually during consultation.

  • Who performs rhinoplasty at VIP Facial Artistry?

    All rhinoplasty procedures are performed by Dr. Gregory J. Vipond, a double board-certified facial plastic surgeon with extensive experience in nasal surgery.

Meet Dr. Vipond

“Dr. Vipond takes the time to really listen, answer my questions and explain procedures. I never feel rushed. I don’t want to give away my secrets but I have to say I feel 10-15 years younger after leaving his office. That’s the kind of care and magic he offers!”

Karla C. from Yelp

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