What is Rhinoplasty?


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If you are unhappy with the shape, size, and/or width of your nose, rhinoplasty is nose reshaping surgery that can enhance the appearance of your facial profile. In many cases, nose surgery can also improve breathing if you have a deviated septum or other structural problems in the nose that block airflow.

Most nose surgery candidates undergo the procedure to:

  • Reduce the size of the nose
  • Change the shape of the nose tip or nostrils
  • Eliminate nasal bumps or alter the bridge of the nose
  • Adjust the angle between the nose and upper lip
  • Improve function or breathing

Nose surgery is a very intricate procedure that can provide improved balance to facial features when carried out by an experienced plastic surgeon like Dr. Lewis.


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Nose surgery is performed on an outpatient basis at an accredited surgical facility. The length of the operation varies from one patient to another and may last anywhere from one to three hours.

Rhinoplasty surgery is performed in one of two ways – open or closed – depending on the extent of structural changes that need to be made. Dr. Lewis is adept at performing both open and closed rhinoplasty.

Open Rhinoplasty

Open rhinoplasty is more appropriate for major nasal reshaping and involves lifting the membrane from the underlying nasal structures. In this procedure, a small incision is created in the vertical strip of skin separating the nostrils. This allows great visibility and control of the shape and position of the cartilage at the tip of the nose.

Closed Rhinoplasty

Closed rhinoplasty involves incisions on the inside of the nose and is used for minor cosmetic changes that do not require reshaping or rearranging the nasal cartilage. After reshaping the nasal structures, we can reposition the tissue and redrape the skin over the nose, which is then sutured in place.

Nasal packing may be necessary to reduce swelling and bleeding after surgery. We may also place a small splint in the nose to hold it in place for five to seven days.


Rhinoplasty surgery can be performed under a local anesthetic with IV sedation or general anesthesia. You will be made comfortable throughout the whole procedure. After surgery, you will be given instructions regarding pain relief medication.


Upon waking up from rhinoplasty surgery, patients may feel groggy and sore. Pain medicine is usually needed for about two to three days. Surgical packing is typically removed in one to four days, and the nasal splint is removed within a week. We see rhinoplasty patients frequently to ensure they are healing properly.

Rhinoplasty patients are also asked not to blow their nose for at least one week and to avoid smoking or taking any blood thinners, including certain herbal remedies. Antibiotics are provided to reduce the risk of infection after surgery.


Most nose reshaping patients return to work within 10 days and are able to resume exercising within a month. Results are usually visible within three months and continue to improve for up to 12 months after surgery.

We are available throughout the recovery process, and you are encouraged to contact us with any questions and/or concerns you may have.


Nose surgery can be performed on most any individual over the age of 16 who does not suffer from major illnesses that could increase the risk of complications.


Check Accreditation

With any surgical procedure, there are risks that you must be aware of. To minimize potential complications, ensure that your surgery is conducted in a safe and secure environment using the latest surgical techniques by checking the certifications and accreditation of your surgeon. Accreditation boards and bodies are there to protect you.

Dr. Gordon Lewis has many years of surgical experience and is affiliated with several internationally recognized professional organizations. He is:

Possible Complications

Major complications from rhinoplasty are very rare. Possible risks include, but are not limited to:

  • Asymmetry
  • Broken blood vessels around the nose
  • Nasal airway changes
  • Collapse of nasal structures
  • Scarring, swelling, or discoloration

A face-to-face consultation is the best way to find out if rhinoplasty is right for you. No two patients are the same, so Dr. Lewis will combine surgical experience and artistic ability to deliver the best outcome based on your unique nasal anatomy, ethnic background, and aesthetic desires.

During your consultation, you will learn about:

  • How nose structure, face shape and skin characteristics may affect the outcome of the procedure
  • The surgical technique that will be used during the procedure
  • What to expect prior to and following surgery
  • Facility
  • Anesthesia
  • Cost of the procedure and financing options

Expect to spend close to an hour in our office for your consultation.

Surgical procedures are performed at an accredited outpatient surgical center or a local hospital. Dr. Gordon Lewis is affiliated with several local medical centers where his patients undergo surgery. He primarily operates at these locations:

  • Johnston-Willis Hospital
  • Stony Point Surgery Center
  • Chippenham Hospital
  • Parham Surgery Center

He also has privileges at St. Mary’s Hospital and Henrico Doctors Hospital, but he operates there less frequently.

Initial consultations, follow-up appointments, and all non-surgical treatments and minor surgical procedures are performed at Lewis Plastic Surgery practice, which is located on the grounds of Johnson-Willis Hospital in Richmond, Virginia.

During your initial consultation, we will be able to give you a breakdown of all costs related to your rhinoplasty procedure. This will include:


  • Dr. Lewis’s fee
  • Operating room fee
  • Anesthesia fee
  • Cost of any additional overnight stays (overnight stays are not usually required after rhinoplasty)


We make absolutely sure that there are no hidden costs and no surprises.

Every patient is required to attend an initial consultation before a procedure can be booked. Once you decide to proceed with rhinoplasty, we will assist you in finalizing a date and getting everything ready for surgery. We try to be as flexible as possible and will make arrangements to see you at Lewis Plastic Surgery on the grounds of Johnston-Willis Hospital within a few days after you contact us.

Depending on your requirements, we can normally perform your procedure within 2 weeks. You can book a consultation online or by calling 804 267 6009.