What is Rhinoplasty?
Rhinoplasty in Boston may be the right procedure for you if you dislike the inherited appearance of your nose, or if you suffer from nasal trauma (broken nose), an unsuccessful prior nasal surgery, age-related changes to the nose or damage from cancer treatment.
As we age our nose changes along with the remainder of the face. Some of these changes are related to the nasal skin becoming less elastic and undergoing changes in thickness. The nose may become droopy and elongated, adding to an aged facial appearance.
Surgically revising the appearance of the nose through rhinoplasty can result in a more youthful and refreshed look without the unwanted tell-tale signs of cosmetic interference. Strategic rhinoplasty can be an essential aspect of any facial rejuvenation regimen and can help to restore your self-confidence and quality of life.
Before & After
What are the Benefits of Rhinoplasty?
- Improved nasal function
- Correction of cosmetic defects in the bridge, tip or nostrils
- A more proportionate nose for your face
- Improved self-image and self-confidence
- A more youthful appearance
- Correction of injuries or nasal trauma
- Correction of flaws related to a previous nose job
Who Makes the Best Candidate for Rhinoplasty?
If you are unhappy with your nose for any reason, you deserve to obtain more information about a procedure that could help balance and harmonize your features. With rhinoplasty, the goal is to reshape the nose so that it doesn’t draw so much attention to itself. A rhinoplasty in Worcester is a great option for anyone seeking to cosmetically enhance their nose, provided the following attributes exist:
- Your nose is fully grown
- You are in good mental and physical health
- You are free from any major medical issues which might interfere with surgery
- You are realistic in your cosmetic goals
- You are a non-smoker, or willing to quit before and after surgery
- You are willing to follow Dr. Fechner’s instructions both before and after your procedure
Dr. Fechner's Rhinoplasty Patient Reviews
Dr. Fechner is the most caring doctor I have met in my life. He is [a] perfectionist as well as honest and sincere. He did a miraculous job on my nose. I am so lucky to find him. The nurses and office staff are wonderful people. I would highly recommend anybody to come here for your surgery. I have no visible scar from the nose surgery. Everything is perfect! Thank you so much. I love you all.
- Diana K.
I went to Dr. Fechner for a rhinoplasty and I was not disappointed, my nose is absolutely beautiful and everything I hoped it would be. He and his team are wonderful, professional, and I would highly recommend them to anyone. I will be returning in the future.
- Cetta Gallant
My experience with Dr. Fechner was amazing from my first visit. The staff is very friendly and all of my expectations were met. The procedure was smooth and I received excellent instructions for home care after my rhinoplasty. I am absolutely in love with my nose. Dr. Fechner was able to provide me with a structure that best fit my face.
- Christina Abbott
I went to Dr. Fechner for a rhinoplasty and I was not disappointed, my nose is absolutely beautiful and everything I hoped it would be.
Gallery Before & After
See GalleryWhat can I expect before my procedure?
Plastic surgery of the nose performed for the first time is called a “primary rhinoplasty.” The first time is ideally the only nose surgery you will ever have – but it must be performed correctly and carefully. Dr. Fechner ensures his patients receive a comprehensive consultation to reach a shared, accurate vision of how the nose will look once healed.
During an extensive discussion Dr. Fechner evaluates the patient’s cosmetic concerns and identifies any functional issues. A thorough examination includes nose and face, which assists in evaluating the relationship of the nose in the overall facial aesthetics and balance. Many factors are important to consider before embarking on your Worcester rhinoplasty surgery, including ethnicity, age, skin type and thickness, profile, prior trauma and chin anatomy, to name a few.
Getting Ready for Your Consultation
A thorough consultation is a very important part of your rhinoplasty. Dr. Fechner takes the time to listen to your concerns, answer questions and walk you carefully through the procedure so that you know what to expect. Be prepared for an examination of your nose and face, which will be done in detail. Dr. Fechner will also ask you to bring photographs of noses you like so that you can talk about what you want your personal aesthetic to be. Take time ahead of the consultation to think over your ideal nose shape and what you’d like to know when you talk with Dr. Fechner during your consultation.
Getting the Most Out of Your Consultation
During your consultation, Dr. Fechner takes anywhere from 30 minutes to an hour to sit down with you and give you his undivided attention. Bring a list of any questions you have based on your personal research. Dr. Fechner wants to be sure you feel completely prepared and comfortable about the procedure before moving forward.
During your examination, Dr. Fechner will carefully assess the different aspects of your nose. He will inspect the nasal tip, the bridge, the nostrils, and the overall symmetry of your nose. Together, you will compare photos of your ideal nose aesthetic with your current shape. From there, Dr. Fechner will develop a treatment plan to achieve your goals.
What Can I Expect From My Recovery?
Right after your surgery – After having undergone surgery with anesthesia, you will need someone to drive you home. It may be a good idea to schedule a helper for the first week or so to assist you in performing chores, childcare and other household tasks. You will receive pain medications from the doctor as well as a detailed aftercare plan with instructions for wound care, sleeping, showering, eating, exercising and returning to work.
The first week – You will continue to take your pain medications in order to combat any discomfort. You will have a splint on your nose (perhaps an internal splint as well) that will help it to maintain its new shape as it heals. You may encounter swelling and bruising in the mirror that alarms you, but rest assured these symptoms are normal and will slowly subside.
The first month – The doctor will remove your splints and check up on you to make sure your recovery is progressing smoothly. You will be able to return to work after 3-4 weeks, provided everything looks good to the doctor. You can wear makeup to help camouflage any lingering discoloration. While swelling will now be less than right after your surgery, you may still see some, but overall you will be enjoying the positive benefits of your surgery. It’s important that you still refrain from vigorous exercise until six weeks post-op.
Full recovery – Your rhinoplasty results will continue to improve over time, as swelling decreases over the next year. Gradually, your improved nose will become your new normal, and you will be able to enjoy having your picture taken, attending social events, and dating, knowing that you look like your best and most authentic self.
What is the Cost for Rhinoplasty in Boston?
When evaluating a surgeon to perform your rhinoplasty, it’s important to avoid assessing the procedure based on costs. A rhinoplasty gone wrong can result in enormous time and fees for revision surgery, so it’s best to get things right the first time by choosing an experienced, accomplished surgeon with a reputation for excellence.
That being said, costs will vary based on the facility fees, surgeon’s fees and anesthesia fees. The average cost for rhinoplasty in the Boston area is between $14,000 and $18,000. The number will depend on the extent of the work performed, and on whether the procedure is a primary or secondary rhinoplasty.
Rhinoplasty - FAQ
What is Revision Rhinoplasty?
Revision rhinoplasty is an aesthetic nasal surgery performed on a patient who has undergone a previous nose job with unsuccessful results. The patient may be unhappy with the cosmetic outcome, the function of the nose, or both. Commonly, this surgery represents a complex challenge to the plastic surgeon due to scar tissue, requiring advanced rhinoplasty techniques. The initial steps of a Revision Rhinoplasty include a thorough discussion with the patient to understand desires, fears, reasons for the unhappiness and the goals of a revision rhinoplasty. The examination may reveal a wide array of possible problems. The advanced rhinoplasty techniques may include cartilage grafting to support nasal structure and reestablish strength, special internal suturing techniques, removal of scar tissue and corrective measures to the cartilage and bone of the nose.
What is the Difference Between Open and Closed Rhinoplasty?
During open rhinoplasty, a small incision is created at the base of the nose, allowing the surgeon to lift the skin up and modify the nasal structure with ease and accuracy. This type of surgery is primarily for those patients who require dramatic changes both cosmetically and structurally. Closed rhinoplasty does not require any external incisions. Rather, the work is performed through the nostrils. The benefit of closed rhinoplasty is that the technique is scarless, but the downside is that only more modest adjustments can be made to the shape and appearance of the nose. Thanks to his unique expertise and knowledge, Dr. Fechner is comfortable with both open and closed rhinoplasty surgical techniques. He will carefully select the best approach for you based on the specific issues that need to be resolved in the nose including its shape, size, and/or structure.
What is the Difference Between Aesthetic and Functional Rhinoplasty?
Aesthetic surgery is performed to correct cosmetic issues that bother the patient and cause self-consciousness. While this type of surgery may be performed initially to improve the client’s looks, there is often a byproduct of structural improvement as well, which can help the client to breath better and achieve a more restful sleep. In addition to investigating your cosmetic concerns, Dr. Fechner will perform an all-inclusive functional assessment of nasal allergies, nasal obstruction, nasal septum and turbinates, or issues associated with chronic sinus disease and sinus headaches.
How is Treat Nasal Trauma Treated?
The prominent location of the nose within the face makes it susceptible to trauma. The nasal bones are the most commonly broken bones. The consequences of nasal fracture are quite significant, often resulting in nasal bleeding, swelling and bruising around the eyes and cheek, lacerations of the nasal skin, impairment of breathing, snoring, and decreased or absent sense of smell. In addition, the overall facial appearance can change with an asymmetrical, crooked nose or it may develop a new or larger nasal hump. This is the result of fractures of the nasal bones, the nasal septum and the nasal cartilages all together, making surgery a rather complex situation. Dr. Fechner favors an earlier intervention to optimize results. Dr. Fechner’s thorough understanding of functional and aesthetic nose surgery helps him to achieve excellent outcomes in repair of a broken nose in Boston. He will use a combination of skin and cartilage grafting, along with traditional reshaping techniques to heal the nose internally and externally. Finally, the doctor may utilize injectables and dermal fillers as a finishing touch to create extremely natural-looking contours and minimize discoloration.
Will Rhinoplasty Affect Nasal Allergies?
If you suffer from allergies, whether seasonal or year-round, our Boston rhinoplasty surgery may be able to help. Free breathing can be restored by correcting a deviated septum as part of your rhinoplasty surgery.
Does Insurance Normally Cover Rhinoplasty Surgeries?
Aesthetic Rhinoplasty is not covered by health insurance.
What Type of Anesthesia is Used for Rhinoplasty?
Rhinoplasty can be performed with IV sedation or general anesthetic.
How Long Does the Recovery Take?
Swelling and discomfort will start to improve after the first 24 hours but can last up to two weeks. At that time, you will feel ready to venture out and return to some of your normal activities. The majority of the swelling will be gone in approximately 30 days.
Will I Have Bruises?
Each patient is different, but bruising is common after rhinoplasty surgery. If a patient bruises, it is usually around the eyes. To minimize bruising, keep your head elevated, apply ice packs to the area, and limit the intake of any alcohol and hot drinks. The bruising soon fades, and you will be left with more balanced features, a more sculpted nose, and a more attractive facial appearance. The results are well worth the short period of recovery.
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Dr. Frank Fechner
428 Shrewsbury Street,Worcester, MA 01604
Fax: (508) 754-4222 Tel: 508-306-8363
FRANK P. FECHNER MD. All Rights Reserved.
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428 Shrewsbury Street, Worcester, MA 01604