An attractive nose draws one’s attention to the most beautiful facial features – your eyes. An unsightly, overlarge, or oddly-shaped nose will detract from your eyes and your face as a whole.
Dr. Fechner surgically reshapes the nose through a procedure called rhinoplasty, or "nose job", in order to balance the nose shape and size to enhance your features. Rhinoplasty is arguably one of the most challenging surgical procedures performed, and demands the utmost finesse and surgical skill from your plastic surgeon. Dr. Fechner performs arguably the best rhinoplasty Boston has to offer.
Two main techniques of rhinoplasty utilized today are the closed and the open rhinoplasty. During his training years 15 to 20 years ago, Dr. Fechner has worked extensively with some of the world’s foremost rhinoplasty experts at Harvard, Cornell, Columbia and NYU. Today, he lectures on rhinoplasty surgery both nationally and internationally.
His unique experience allows him to be comfortable with both surgical techniques of aesthetic nasal surgery. He will carefully select the best rhinoplasty approach for you based on the specific issues that need to be resolved in the nose including its shape, size, or structure.
Every rhinoplasty performed for cosmetic reasons must be performed without compromising the breathing function. A nasal surgery is the best opportunity to address both function (breathing, air humidification, smell) and appearance.
If you suffer from allergies, whether seasonal or year-round, our Boston rhinoplasty surgery should not create any issues. Free breathing can be restored by correcting a deviated septum as part of your rhinoplasty surgery.
Rhinoplasty surgery that is done for cosmetic purposes is not covered by insurance. If surgery is needed to correct breathing-related issues and is medically necessary, your insurance may cover some or all of the cost, based upon your health plan. Our administrative staff can help you get answers about insurance coverage and financing options.
Rhinoplasty can be performed with IV sedation or general anesthetic.
Swelling and any 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.
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.
Our rhinoplasty in Worcestor may be the right procedure for you due to the inherited appearance of your nose, nasal trauma (broken nose), unsuccessful prior nasal surgery (revision rhinoplasty), changes related to aging (aging rhinoplasty) or, more rarely to repair the damage from cancer treatment (nasal reconstruction).
Dr. Fechner strongly believes that a successful rhinoplasty should result in a natural-looking nose that not only fits the patient’s facial features, but functions normally and will maintain its appearance for decades to come. Additional before and after photographs of our Boston rhinoplasty patients are available during your private consultation with Dr. Fechner. Rhinoplasty is safely performed as an outpatient procedure with a recovery time of approximately seven to ten days.
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 have 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 our Worcester rhinoplasty surgery including ethnicity, age, skin type and thickness, profile, prior trauma and chin anatomy, to name a few.
Beyond the cosmetic concerns, an all-inclusive functional assessment includes nasal allergy, nasal obstruction, nasal septum and turbinates, or issues associated with chronic sinus disease and sinus headaches.
Revision rhinoplasty is an aesthetic nasal surgery performed on a patient who has undergone prior nasal plastic surgery resulting in problems warranting a second procedure. The patient may be unhappy with the cosmetic result, the function of the nose or both. Commonly, this represents a challenge to the plastic surgeon and advanced rhinoplasty techniques will be required.
Dr. Fechner’s initial steps 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.
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 alter in thickness. The nose may become droopy and longer adding to an aged facial appearance.
Changing the appearance of the nose can in fact result in a younger and refreshed look without unwanted tell-tale signs of cosmetic surgery. An aging rhinoplasty can be an essential aspect of facial rejuvenation.
Simulating the desired changes with the help of digital imaging software is very helpful in establishing a realistic goal for the patient.
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 and often include nasal bleeding, swelling and bruising around the eyes and cheek, lacerations of the nasal skin, impairment of breathing, decreased or absent sense of smell or snoring.
In addition, the overall facial appearance can change with an asymmetrical, crooked nose or it may develop a new or larger nasal hump. Often, this is the result of fractures of the nasal bones, the nasal septum and the nasal cartilages together making it a rather complex situation.
The modern treatment approach to the broken nose has changed significantly over the past ten years. Today, Dr. Fechner favors an earlier intervention to optimize the results from repair of the nasal fracture. Most of the surgical techniques used by Dr. Fechner to repair the broken nose are used in standard rhinoplasty surgery.
Dr. Fechner’s thorough understanding of functional and aesthetic nose surgery helps him to achieve excellent results in repair of a broken nose in Boston.
A private consultation with Dr. Fechner will help the patient to understand the specific situation and what will be required to repair the nose structure and appearance for arguably the best rhinoplasty Worcester has available. His plastic surgery clinic is located in Worcester and serves patients throughout the Boston area and beyond.
FRANK P. FECHNER MD. All Rights Reserved.
428 Shrewsbury Street, Worcester, MA 01604