When it comes to making an undetectable change that enhances your facial harmony, few procedures are as impactful as Rhinoplasty. Whether you’re looking to fine-tune your nose’s shape or improve how you breathe, rhinoplasty offers the chance to transform your appearance in just a few hours—and the results can last a lifetime.

At The Spiegel Center, we’ve seen how a subtle change in the shape or structure of the nose can make all the difference. Under the expert care of two of the best Rhinoplasty Surgeons in the Northeast, Dr. Jeffrey Spiegel and Dr. Jacob Tower, both Double Board -Certified Facial Plastic Surgeons, you can trust that you’ll receive world-class care and results that look natural and fit your unique facial structure.

In this blog, let’s walk through what actually happens during rhinoplasty, so you know exactly what to expect when considering this life-changing procedure.

What Is Rhinoplasty?

Let’s start with the basics. Rhinoplasty, also known as a “nose job,” is a surgical procedure that alters the shape of the nose for aesthetic reasons, functional reasons, or both. For some, rhinoplasty is about refining the size or shape of the nose to better fit their face. For others, it’s about correcting breathing problems or repairing past injuries.

Regardless of your reasons, rhinoplasty can have a huge impact on both how you feel and how you function day-to-day. Dr. Jeffrey Spiegel and Dr. Jacob Tower specialize in creating custom rhinoplasty procedures designed for each patient, ensuring that the results are as balanced and natural-looking as possible.

Your Rhinoplasty Consultation

The process starts with an in-depth consultation at The Spiegel Center. This is your chance to sit down with one of our expert facial plastic surgeons in Newton, MA and discuss your goals in detail. What do you want to change? How do you envision your new nose?

During your consultation, your surgeon will:

  • Assess your facial features: This involves examining your nose in relation to the rest of your face, ensuring that the final results will enhance your overall appearance, not just your nose.
  • Discuss your goals: Whether you're aiming for a subtle change or a more dramatic transformation, Dr. Spiegel and Dr. Tower will tailor the procedure to meet your specific desires. Feel free to bring in any inspiration photos to help them understand your vision.
  • Address functional concerns: If you’ve experienced difficulty breathing or have had any nasal trauma, they will also evaluate this. A lot of patients end up feeling not just better-looking but better-breathing after surgery.

By the end of this consultation, you’ll have a personalized surgical plan in place, designed around your anatomy and your aesthetic goals.

The Day of Your Rhinoplasty Surgery

When the day arrives, you’ll feel confident knowing you’re in the best hands. Rhinoplasty at The Spiegel Center typically takes between 2-3 hours depending on the complexity of the procedure. You’ll arrive to our attached surgery center, Newton Surgery, and our team will walk you through the whole process! Here’s what happens:

  1. Anesthesia
    You’ll be comfortable throughout, thanks to general anesthesia or sedation. The anesthesia team at Newton Surgery and The Spiegel Center will ensure your safety and comfort throughout the procedure.
  2. Incisions and Accessing the Nasal Structure
    Depending on your unique case, your surgeon will choose between an open rhinoplasty (which involves a small incision between the nostrils) or a closed rhinoplasty (with incisions made inside the nose). Don’t worry—whether open or closed, the scars are minimal or invisible!
  3. Reshaping the Nose
    Here’s where the artistry comes in. Whether reducing a bump on the bridge, refining the tip, or narrowing the width, your facial plastic surgeon at The Spiegel Center will make adjustments with expert precision. They sculpt cartilage, shave down bone, and may even use tissue grafts from your own body to create the perfect shape.
  4. Improving Functionality
    If you have breathing issues due to a deviated septum or collapsed nasal valves, now’s the time to fix that too. A well-performed rhinoplasty doesn’t just improve how you look—it improves how you breathe and feel every day.
  5. Closing the Incisions
    Once the changes are made, the incisions are closed carefully. If it’s an open rhinoplasty, the tiny incision will heal to be nearly invisible. For closed rhinoplasty, no external scars are left at all!

The Recovery: What You Can Expect

Rhinoplasty is an outpatient procedure, meaning you’ll go home the same day. You’ll leave The Spiegel Center with a splint on your nose to help protect it while it heals. Here’s a glimpse of what to expect during the recovery:

  • First Week: Your nasal splint and any sutures will come off after about a week. During this time, you may experience some swelling and bruising, especially around the eyes, but this will start to improve fairly quickly.
  • Two to Four Weeks: Most patients feel comfortable going back to work or resuming social activities in two weeks. The major swelling and bruising will have subsided, though some minor swelling might persist.
  • Three to Six Months: It can take a few months for the final results to fully reveal themselves, as the last bit of swelling goes down. By this time, you’ll be able to see your beautifully refined nose and, if applicable, enjoy easier breathing.

Why Choose The Spiegel Center?

When it comes to something as personal and impactful as rhinoplasty, choosing the right surgeon is crucial. At The Spiegel Center, Dr. Jeffrey Spiegel and Dr. Jacob Tower bring not just technical skill but a deep understanding of facial aesthetics. Their expertise allows them to craft results that are tailored specifically to you—natural-looking, functional, and designed to last.

Whether you’re ready to refine your look or fix a long-standing issue with your nose, The Spiegel Center is here to guide you through the process. Interested in learning more or scheduling a consultation? Contact us today and take the first step toward a new you in just a few hours!


Meet Our Doctors

Dr. Jeffrey Spiegel


Dr. Jeffrey Spiegel

With special expertise in all aspects of facial plastic surgery, and a particular skill for revision surgery, it’s clear why Dr. Spiegel is one of the most celebrated facial plastic surgeons in the world. If you are seeking the best possible results, or have a uniquely challenging problem, you’ve found the right doctor.

Learn More About Dr. Jeffrey Spiegel

Dr. Onir L. Spiegel


Dr. Onir L. Spiegel

Dr. Onir (pronounced “oh-near”) has years of experience in facial aesthetics and treats some of the most recognizable and famous faces. Dr. Onir started her career in oral health, earning doctorate degrees from both New York University and Boston University. She has been the recipient of numerous awards for her cutting-edge medical research as well as her technical skills in dentistry.

Learn More About Dr. Onir L. Spiegel

Dr. Jacob Tower


Dr. Jacob Tower

A board-certified specialist in facial plastic surgery, Dr. Jacob Tower brings a thoughtful approach and an artistic eye to New England’s premier plastic surgery practice, The Spiegel Center in Newton, Massachusetts. In addition to being an in-demand surgeon, Dr. Tower is an assistant professor at the Boston University School of Medicine, a sought-after lecturer, and an expert in facial plastic surgery.

Learn More About Dr. Jacob Tower
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