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Understanding the Different Types of Nose Reconstruction Surgery

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The term “nose job” can refer to a number of different procedures, depending on whether your goals are cosmetic, functional, or both. From reshaping the nasal bridge or tip to improving your breathing through septum correction—or even making subtle changes using filler—there are several types of nose reconstruction surgery to consider.

At Beachwood Plastic Surgery and Westlake Plastic Surgery, Dr. Steven Goldman offers personalized, expert evaluation to help you determine which approach is best for your anatomy and goals. Here’s a breakdown of the different types of rhinoplasty and nasal surgery available, how they differ, and what to expect in terms of cost, recovery, and results.

Cosmetic Rhinoplasty

What It Treats:

Cosmetic rhinoplasty reshapes the external appearance of the nose. Common concerns addressed include:

  • A dorsal hump or bump on the bridge
  • A wide or drooping nasal tip
  • Asymmetry or crookedness
  • Disproportionate nose size or projection

This surgery is highly individualized. Dr. Goldman’s philosophy is to achieve dramatic but natural-looking results that are harmonious with your facial structure—not to create a one-size-fits-all look.

Types of Cosmetic Rhinoplasty Techniques:

  • Open Rhinoplasty: Uses a small incision on the underside of the nose (columella). Offers greater access and precision, especially for significant reshaping.
  • Closed (Endonasal) Rhinoplasty: All incisions are made inside the nostrils. Better suited for subtle changes with less swelling at the nasal tip.

Septoplasty (Functional Nose Surgery)

What It Treats:

Septoplasty is performed to correct a deviated septum—the cartilage and bone wall that separates the nasal passages. A crooked or misaligned septum can block airflow, cause snoring, and contribute to chronic sinus infections.

How It Works:

During septoplasty, Dr. Goldman carefully removes or reshapes portions of bone and cartilage to open the nasal airway and restore proper function. In many cases, septoplasty is combined with rhinoplasty (a procedure known as septorhinoplasty) to address both cosmetic and breathing concerns in one surgery.

Cartilage removed during septoplasty is often used during rhinoplasty to rebuild internal nasal support or improve structural stability.

Non-Surgical Rhinoplasty (Liquid Nose Job)

What It Treats:

Non-surgical rhinoplasty uses injectable fillers such as Restylane™ to make temporary, subtle changes to the nose without surgery. It can:

  • Smooth out a bump or hump on the bridge
  • Improve nasal tip projection or symmetry
  • Refine the shape for improved facial balance

Benefits:

In-office procedure with minimal downtime

No anesthesia required

Immediate results

Lower cost than surgery (but not permanent)

This option is best for patients who want refinements, not reductions—and who don’t require correction of internal nasal structures.

Which Type of Nose Surgery Is Right for You?

Each patient’s goals and anatomy are unique, so there’s no one-size-fits-all answer. During your consultation, Dr. Goldman will assess your facial structure, breathing concerns, and aesthetic preferences to recommend the most appropriate approach:

  • Want a smaller nose or major reshaping?
    •  Consider surgical rhinoplasty.
  • Having trouble breathing or snoring? 
    • Septoplasty may help.
  • Looking for quick, subtle improvements?
    • A non-surgical nose job could be ideal.

As a triple board-certified plastic surgeon and ENT specialist, Dr. Goldman is uniquely qualified to handle both aesthetic and functional nasal issues—often in the same procedure.

Schedule a Consultation With Dr. Goldman

If you’re considering any type of nose reshaping surgery—cosmetic or medical—Dr. Goldman and his team are here to help you understand your options and make an informed, confident decision.

Schedule a Consultation

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