Comprehensive Rhinoplasty Techniques & Natural Results

Revision
Rhinoplasty
Corrects the results of previous rhinoplasty surgery, whether for minor refinements or more complex reconstruction.
Ethnic
Rhinoplasty
Enhances facial features while respecting your heritage.
Preservation
Rhinoplasty
Subtle refinements for a natural look, minimizing structural changes to your nose.
Non-Surgical
Rhinoplasty
Non-surgical nose job using fillers for subtle improvements.

Trust Your Nose to a Specialist

Facial Plastic Surgeons differ from Plastic Surgeons in that they specialize exclusively on the face, head, and neck. They often have further specialized training, like Dr. Pero has in rhinoplasty, which ensure their mastery of complex facial procedures.

This specialized training is essential in revision cases and focused procedures such as preservation and ethnic rhinoplasty.

Before & After Photos

Your Expert in Facial Plastic Surgery

• Board-certified facial plastic surgeon with world class rhinoplasty fellowship training emphasizing primary and revision rhinoplasty techniques.

• Recognized for his meticulous technique and natural-looking results in rhinoplasty, including revision rhinoplasty.

• Wide range of facial plastic surgery procedures to enhance and restore facial harmony.

• Committed to achieving subtle, long-lasting enhancements that complement your unique features.

• Individualized consultations and treatment plans to meet your specific goals and expectations.

Advantages Of A Facial Plastic Surgeon Over A Plastic Surgeon

Facial Plastic & Reconstructive Surgeons undergo specialized training focused solely on facial anatomy and aesthetics with increased training in both functional and cosmetic nasal surgery.
Feature
Dr. Pero
Facial Plastic Surgeon
Plastic Surgeon
Area of Focus
Face only
Entire body (including face)
Feature
Dr. Pero
Facial Plastic Surgeon
Plastic Surgeon
Specialized Training
Head & neck surgical training
General Plastic Surgery Residency
Feature
Dr. Pero
Facial Plastic Surgeon
Plastic Surgeon
Additional Expertise
Specialized Facial/Neck surgical procedures with emphasis on Rhinoplasty & Revision Rhinoplasty
May offer facial procedures, but expertise may vary
Feature
Dr. Pero
Facial Plastic Surgeon
Plastic Surgeon
Experience
15 years in 
Facial Reconstructive Surgery
Broader surgical experience across various body areas
Feature
Dr. Pero
Facial Plastic Surgeon
Plastic Surgeon
Results
Natural-looking enhancements for facial harmony
Outcomes may vary

What is rhinoplasty?

Rhinoplasty (nose reshaping) is the third most requested cosmetic surgical procedure according to a 2017 statistics report from the American Society of Plastic Surgeons. A rhinoplasty is a surgical procedure to reshape the nose. During surgery, the bone and cartilage are reshaped, but not the skin of the nose. When the underlying structures are changed, the skin conforms to the new shape of the nose.

Who is a good candidate for a rhinoplasty?

You may be a good candidate for rhinoplasty if:

• Your facial growth is complete
• You are physically and mentally healthy
• You have a positive outlook and realistic goals in mind for the improvement of your appearance

Are there any age limits for surgery?

Rhinoplasty is not recommended for females until puberty is complete and the nasal anatomy is not expected to change or grow appreciably, usually around the age of 15 for females or the age of 16 for males. This, however, is a guideline and doesn’t dismiss the need for minor rhinoplasties or the correction of certain functional problems at an earlier age.

Careful assessment of the younger patient is stressed to determine maturity and motivation. Any decision to undergo such surgery should come from the patient and not from social or parental pressure.

What are the benefits of rhinoplasty surgery?

The benefits of rhinoplasty surgery vary per patient. For some, the benefit of rhinoplasty surgery is purely functional where an airway obstruction has been eliminated and has improved the patient’s breathing. For others, the benefit may be purely cosmetic where the result offers the patient a new social identity after surgery.

What is the cost for rhinoplasty surgery?

Rhinoplasty costs vary but often include:
Anesthesia fees
Hospital or surgical facility costs
Medical tests
Prescription for medication
Surgeon’s fee

A surgeon’s fee is often based on experience, the type of procedure used, and the geographic office location.

Is rhinoplasty covered by health insurance?

Functional rhinoplasty might be covered by health insurance if it’s deemed medically necessary to improve breathing due to a deviated septum or other airway obstruction. However, coverage can vary widely depending on your insurance plan. We recommend contacting your insurer directly to determine your eligibility.

Dr. Pero Explains Rhinoplasty

Valuable insights from Dr. Pero’s video library to help you decide if rhinoplasty is right for you.
  • Rhinoplasty Philosophy

    Dr. Pero explains his general philosophy on rhinoplasty based on looks & function.

  • What is rhinoplasty?
  • What is functional rhinoplasty?
  • What is a revision rhinoplasty specialist?
  • What is ethnic rhinoplasty
  • What is primary rhinoplasty?
  • Will you have scars from rhinoplasty surgery?
  • Is rhinoplasty covered by health insurance?

Rhinoplasty Financing & Consultation

Does North Texas Facial Plastic Surgery offer financing options?

Yes, North Texas Facial Plastic Surgery offers financing options, including CareCredit. We also accept Health Savings Account (HSA) and Flexible Spending Account (FSA) debit cards for qualifying medical expenses.

What can you expect from a consultation for rhinoplasty?

During your rhinoplasty consultation, you will be asked specific questions about your general health status and if you have any pre-existing health conditions or risk factors, such as:
• Do you have any medical conditions or drug allergies?
• Have you had any previous medical treatments?
• What current medications do you take, including vitamins and herbal supplements?
• Do you currently or have you ever smoked?
• Do you drink alcohol? If so, how much per day or per week?
• Have you or do you currently use drugs?
• What previous surgeries have you had, if any?

It is very important that your surgeon has a clear understanding of your past medical and social history, so please be honest with your answers.

If you are interested in having aesthetic rhinoplasty surgery, your surgeon may ask you what you dislike about your nose, the correction you desire, and your motivation for having the surgery.

Additionally, your rhinoplasty surgeon will discuss with you:

• Your surgical goals with regard to both appearance and breathing.
• Explain the options available to you for nose reshaping.
• Examine and measure your face, including aesthetic analysis of the nose.
• Take photographs for preoperative analysis and planning of the procedure.
• Discuss your specific nose surgery options.
• Recommend a course of treatment.
• Discuss likely outcomes of nose surgery and any risk or potential complications.
• Perform computer imaging of proposed changes to the appearance of your nose

The aesthetic analysis of the nose is very important. The goals of analysis are to define external nasal deformities, predict the underlying anatomic variations, and determine the appropriate surgical intervention. A thorough analysis includes observation, inspection, and palpation so that all details are considered.

This review of your medical and social history, along with a preoperative analysis will help the surgeon determine if the deformity can be corrected, should be corrected, and if the correction has the potential to cause any nasal obstruction.

If your surgeon determines, after careful analysis, that you are a candidate for rhinoplasty surgery, this is the time to have any of your own questions answered as well. From there, your surgeon will work with you to formulate a surgical plan that will clearly delineate what you may or may not expect from surgery.

Rhinoplasty Preoperative Prep & Testing

Will there be any medical tests required?

An endoscopy may be performed with a small endoscope to examine your nose. If your surgeon finds any clinical evidence of sinus disease, computed tomography (CT scan) may be ordered to rule out sinus pathology.

What are the risks and complications of rhinoplasty surgery?

The risks of rhinoplasty surgery may include:
• Anesthesia risks
• Infection
• Poor wound healing and scarring
• Change in skin sensation (numbness or pain)
• Visible irregularities
• Asymmetries, asymmetric nostrils
• Nasal septal perforation
• Cerebrospinal fluid leak
• Decreased sense of smell
• Difficulty breathing through the nose
• Skin discoloration and swelling
• Results of surgery differing from the simulated outcome
• The eventual necessity of a revision rhinoplasty surgery

Before surgery, you will be asked to sign an Informed Consent, to ensure that you fully understand the procedure and any risks or potential complications as identified above.

Real Results, Real Stories

Watch patients share their transformative rhinoplasty experiences with Dr. Pero.
  • Andrea’s Story

    “I don’t look like somebody different. I look like myself.”

    Read Patient Reviews
  • Crystal Rose’s Story
    “I would recommend Dr. Pero to anybody and everybody.”
    Read Patient Reviews

the Rhinoplasty Journey: Step-by-Step

Detailed Consultation

During your initial consultation, Dr. Pero takes the time to understand your goals and concerns. He’ll discuss your medical history, review your desired outcomes, and answer any questions you may have. He also performs a comprehensive assessment using advanced computer imaging to help you visualize potential outcomes and make informed decisions.

We may schedule a second consultation if needed, especially if there’s a significant time gap before surgery, to ensure all questions are addressed and expectations are aligned.

Preoperative Planning

Before your surgery, we’ll schedule a pre-operative call to ensure you’re fully prepared. This includes:

• Confirming your arrival time
• Verifying that you have all necessary supplies and medications
• Addressing any last-minute questions or concerns

Day of Surgery

On the day of your procedure, you’ll be warmly welcomed by our team at our surgical center. We’ll ensure you’re fully prepared, comfortable, and relaxed. We also coordinate with your loved ones to keep them informed throughout the process.

the procedure begins

Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. In most cases, general anesthesia is preferable and may actually be safer. Your doctor will recommend the best choice for you.
The Incision
An incision is needed to access the nasal structure during rhinoplasty. In the case of a closed procedure, the incision is hidden inside the nose’s structure. Alternatively, Dr. Pero may use an open procedure, where an incision is made across the columella, which is the narrow strip of tissue that separates the nostrils. Both options result in minimal scarring. The incision allows the surgeon to gently raise the skin and soft tissue that covers the nasal bones and cartilage, allowing access to reshape the structure of the nose.
Reshaping The Nose Structure
An overly large nose may be reduced by removing bone or cartilage. Often, surgery of the nose may require the addition of cartilage grafts. Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Cartilage from the ear and/or a section of rib cartilage can be used in some cases as well.
Correcting A Deviated Septum
If the septum is deviated, it can be straightened and the projections inside the nose reduced to improve breathing.
Closing The Incision
If the septum is deviated, it can be straightened and the projections inside the nose reduced to improve breathing.

What Happens After the Surgery?

See The Results
You’ll begin your recovery process. You will have a phone conversation with Dr. Pero the day after your procedure and have a follow-up visit with him 6 days after the surgery. During this visit, he will ensure everything is healing as planned, explain your recovery timeline, and provide detailed instructions on how to care for the area. You will then have scheduled consultations with Dr. Pero after 1, 3, 6, 9, and 12 months to ensure proper healing and maximal outcomes. We’re committed to your well-being long after the procedure – you’re never left alone. If any concerns arise or you have questions, our team is always available to support you and make sure you are completely satisfied with your results.

Let's discuss if rhinoplasty is right for you

Rhinoplasty Recovery & Healing

How long does it take to heal from rhinoplasty surgery?

While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to refine fully. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.

What can patients expect after surgery?

During surgery, thin splints may be placed inside your nose and a splint or bandage placed on the outside to support and protect the new structures during initial healing.

You may also experience minor bleeding, swelling and bruising on the nose and under the eyes, along with an achy feeling and light headache for the first few days. This is normal. These symptoms will gradually disappear over the first week.

You may take Tylenol and over-the-counter pain medications to relieve any pain and discomfort.

Swelling may come and go and worsen in the morning initially with continued improvement during the first year following your rhinoplasty surgery.

You will be given specific instructions that may include:
How to care for the surgical site
Specific concerns to look for at the surgical site or in your general health
When to follow up with your facial plastic surgeon.

How long do results last?

Surgical rhinoplasty results are permanent, as long as you follow all aftercare instructions and avoid an injury that could alter the appearance of your nose.

Will you have scars from rhinoplasty surgery?

Incisions are usually placed within the nasal passages so that they are not visible after surgery. If an external incision is needed, the incision is made as inconspicuously as possible. During your consultation, your surgeon will explain in detail where sutures will be placed.

When can you resume exercising after rhinoplasty surgery?

You may resume light exercise within 3 weeks after surgery, and more strenuous exercise over the next 3 weeks. You should avoid any activities that could cause nasal trauma for up to 6 weeks.

When can you return to work after rhinoplasty surgery?

Typically, patients can return to work within a week after surgery.

When will the stitches be removed?

Stitches are normally removed within 1 week after surgery.

What kind of anesthesia is used for rhinoplasty?

General anesthesia is used for rhinoplasty surgery.

How long does rhinoplasty surgery take?

The length of time for rhinoplasty surgery is different for every patient due to the extent of each individual surgery. Your surgeon will discuss this more in-depth with you during your consultation.

Is rhinoplasty performed in a hospital setting?

Rhinoplasty may be performed in an accredited office-based surgical facility, a licensed ambulatory surgical center, or a hospital.

What Our Patients Are Saying

C. J.

Dr. Pero is a great surgeon who listens to ALL of your concerns and will treat you as if you’d already booked your surgery with him on your first consultation. Good attention to detail and very kind. My functional rhinoplasty went amazingly and I love my new nose.

E. R.

Dr Pero took my rib cartilage and worked a miracle to rebuild my nose after many sinus surgeries for the last 10 years. My nose is now completely functional after years of not being able to breathe and it’s looking awesome.

K. G.

Dr. Pero is wonderful! So personable. I will absolutely be going back for future needs! He is committed to preserving both form/function while addressing the individual cosmetic concerns of the patient. Highly recommend!!!

11970 N. Central Expressway
Suite 410
Dallas, TX 75243

214-382-5100

Legacy Medical Village
5425 W. Spring Creek Parkway
Suite 145
Plano, TX 75024

(214) 382-5100
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