An attractive nose draws one’s attention to the most beautiful facial features – the eyes and smile. An overly prominent, or oddly-shaped nose may detract significantly from the appearance, causing self-doubt and social inhibitions.
Boston-based board certified plastic surgery Dr. Fechner surgically reshapes the nose through a procedure called rhinoplasty, or "nose job", in order to balance the bridge, tip and nostrils, elevating and enhancing your aesthetics.
Rhinoplasty is arguably one of the most challenging surgical procedures performed, demanding the utmost finesse and surgical skill from your plastic surgeon. As a precision-based artist with an eye for meticulous detail, Dr. Fechner performs among the best rhinoplasty Boston has to offer.
Rhinoplasty in Worcester 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.
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.
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.
During his training years, Dr. Fechner worked extensively with some of the world’s foremost rhinoplasty authorities at Harvard, Cornell, Columbia and NYU. Today, he lectures on rhinoplasty surgery both nationally and internationally, and is constantly monitoring new developments in cosmetic science that can help clients achieve outstanding rhinoplasty outcomes.
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 maintains its appearance for decades to come.
Viewing our before and after pictures as well as bringing in photos of your own will help align doctor and patient, so that both parties are on the same page regarding your aesthetic sensibilities. Additionally, the doctor may use advanced 3D imaging to help you predict your outcome more accurately.
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.
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.
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.
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.
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. Rhinoplasty is a great option for anyone seeking to cosmetically enhance their nose, provided the following attributes exist:
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.
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 $7,000 and $15,000. The number will depend on the extent of the work performed, and on whether the procedure is a primary or secondary rhinoplasty.
Dr. Fechner is a board certified plastic surgeon who is committed to offering cutting edge procedures with naturally elegant and personalized results. In addition to his rigorous training and artistic eye, Dr. Fechner is deeply empathetic and caring, establishing long lasting relationships with his clients based on trust and integrity.
Dr. Fechner studied at the University of Freiburg Medical School, after which he completed his surgical internship at Massachusetts General Hospital (MGH) in Boston. Dr. Fechner then continued to hone and improve his abilities with a four-year Harvard residency at the Massachusetts Eye & Ear Infirmary, where he focused exclusively on surgical procedures for the face, head and neck region.
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.
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 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.
On behalf of the entire team at Fechner MD Plastic Surgery & Medical Spa, we would like to take a moment to say thank you again for your loyalty and support during this unprecedented time. The past several months have been unlike anything we've ever experienced, and we're working hard to evolve so that we can continue to provide you with the patient experience you have come to expect from our practice.
Since the beginning of the COVID-19 worldwide pandemic, Fechner MD Plastic Surgery & Medical Spa has taken extreme precautionary measures, in addition to following the most up to date CDC recommendations and state guidelines to maximize the health and safety of our patients, staff and facility. Our surgical center and medical spa remain committed to providing the best patient care, and we are actively working to take all necessary precautions as we plan to safely re-open our practice. Please help us continue to protect the health and well-being of our patients and workplace by cooperating with all of our precautionary measures and protocols against COVID-19 at your next appointment, or as you plan for your surgery.
As a fully accredited surgical facility, Fechner MD has always observed the highest level of safety and sanitation. In fact, as a surgeon, Dr. Fechner is an expert in infection control. We want to ensure that we are doing everything possible for our patients to safely return for surgical and medical spa treatments alike.
The upgraded work flow and safety protocols we have implemented at Fechner MD far exceed those being recommended by any government agency.
Fechner MD will adhere to all local, state, and government mandates. We expect to cautiously resume medical spa and injectable treatments during Phase 2 of the Massachusetts phased reopening. We are awaiting a definitive date from Governor Baker. Cosmetic surgery is expected to resume during Phase 3 of Governor Baker’s plan. We ask for your patience and understanding as our staff is working diligently to reschedule all surgeries and procedures affected by our closure. Please understand that in order to open and adhere to Massachusetts guidelines, we will need to limit the number of staff and patients we have in our building and extend the time between patient appointments in order to sanitize rooms. This means we will have fewer available openings for procedures. In order to maximize our provider appointments, we will continue to hold consultations virtually rather than in person, with a few exceptions (body contouring, Instalift, vein treatments).
We thank you in advance for your patience throughout this time, and we look forward to seeing you here again as we begin to resume business operations. If you have any questions or concerns, please contact Fechner MD Plastic Surgery & Medical Spa at (508) 754-4000 and our team will gladly assist you. Thank you!