Lewis Plastic Surgery
2331-A Robious Station Circle
Midlothian, VA 23113
At our Richmond, Virginia practice, you can undergo rhinoplasty (nose job) surgery to change the size or shape of your nose, or to improve your breathing. Dr. Gordon Lewis specializes in both cosmetic and functional rhinoplasty, which requires a highly trained plastic surgeon to perform the intricate techniques.
Gordon Lewis, M.D.
Dr. Lewis, a native of Richmond, prioritizes building honest, trusting relationships and providing personalized care for his patients.Meet Dr. Lewis
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Good Candidates for Rhinoplasty
Nose surgery can be performed on most individuals who are 16 or older and who do not suffer from major illnesses that could increase the risk of complications. A face-to-face consultation is the best way to find out if rhinoplasty is right for you. No two patients are the same, and Dr. Lewis combines his surgical experience and artistic ability to deliver the best outcome based on your unique nasal anatomy, ethnic background, and aesthetic desires.
Some patients seek nose surgery to correct breathing problems caused by a deviated septum or another structural deformity that can 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.
Cost of Rhinoplasty
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.
Nose surgery is performed on an outpatient basis at an accredited surgical facility. The length of the operation varies from patient to patient and may last anywhere from 1 to 3 hours. Dr. Lewis may perform the procedure in 1 of 2 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. 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.
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 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, Dr. Lewis repositions the tissue and redrapes the skin over the nose, which is then sutured in place.
Nasal packing may be necessary to reduce swelling and bleeding after surgery. He may also place a small splint in the nose to hold it in place for 5 to 7 days.
Upon waking up from rhinoplasty surgery, patients may feel groggy and sore. Pain medicine is usually needed for about 2 to 3 days. Surgical packing is typically removed in 1 to 4 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 a 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 3 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.
Reducing Risks & Complications
Potential risks are inherent with any surgical procedure. To minimize risks, 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 extensive surgical experience and is affiliated with several important professional organizations, including:
- American Society of Plastic Surgeons (ASPS).
- Richmond Academy of Medicine
- Medical Society of Virginia
- American Society for Aesthetic Plastic Surgery (candidate member)
- American College of Surgeons (associate member)
- American Society for Surgery of the Hand (candidate member)
Major complications from rhinoplasty are very rare. Possible risks include, but are not limited to:
- Broken blood vessels around the nose
- Nasal airway changes
- Collapse of nasal structures
- Scarring, swelling, or discoloration
Dr. Lewis performs surgical procedures at an accredited outpatient surgical center or a local hospital. He 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 operates there less frequently.
Initial consultations, follow up appointments and all non-surgical treatments and minor surgical procedures are performed at Lewis Plastic Surgery which is located on the grounds of the Johnston-Willis Hospital, Richmond, VA.
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 before, during, and following surgery
- Where the procedure is performed
- The type of anesthesia
- Cost of the procedure and financing options
Expect to spend about an hour in our office for your consultation.