The Rhinoplasty procedure is one of the most popular cosmetic surgery procedures that Advanced Facial Aesthetics offers to date. There are many patients’ who have considered a Rhinoplasty, went to a consultation but haven’t followed through with surgery. This can be due to several factors but in this blog post we want to talk about the myths surrounding a Rhinoplasty. Hopefully in reading this, you will see that Rhinoplasty surgery isn’t as scary as you think!

Your nose has to be broken in order to reshape it

This is a Myth. The truth is; a broken nose is a nose that suffered “trauma.” Only in special cases will Dr. Spiegel have to do this. With technology nowadays Dr. Spiegel is able to contour the cartilage and bone of your nose with tiny instruments that can give you the beautiful result that you’re looking for without the horrible thought of getting your nose broken *ouch!*

Your surgeon has to make large incisions on the outside of your nose in order to access your bone

This is a Myth. The goal of cosmetic surgery is to leave as little external scars as possible. This means that Dr. Spiegel is able to access the bridge of your nose by simply making a tiny incision on the inside of your nose; this is called a “closed Rhinoplasty.” However, if you’re looking for your tip to be reshaped, Dr. Spiegel will make a tiny incision across the narrow strip of tissue that separates the nostrils. This type of Rhinoplasty is called an “open Rhinoplasty.” The incision line can be about 1-2 millimeters in length and heals beautifully so that no one will see your incision. This incision allows him to fully access the tip of the nose to give you that beautiful symmetrical shape you’ve always wanted.

None dissolving Sutures and packing will have to be used that are painful when removed

This is a Myth. Because your nose is a sensitive area; at Advanced Facial Aesthetics, Dr. Spiegel uses pain free dissolvable sutures for most Rhinoplasty procedures. These are clear sutures that will dissolve once you’re fully healed. Patient’s love this type of suture because they simply dissolve away after 1-2 weeks. Of course, in some rare cases regular sutures will be used but typically not inside the nose which is the most tender area. Packing is also a common complaint from patients. Packing is the placement of gauze or cotton in the nasal area and is used for various reasons. This can sometimes be an uncomfortable part of the post-operative visit. In most cases, Dr. Spiegel will not use packing. The only time he will use packing is if the nasal bridge needs to be supported during healing and this is only in a small percentage of patients.

Your nose can take up to one year to fully heal

This is a Fact. This is probably the hardest aspect postoperatively. With most cosmetic surgery you see an instant result (of course this is after your initial healing phase of 3-4 weeks) however noses are the slowest healers of any facial feature. After your first post-op appointment, when your cast is removed, you will see a nice result however since your cast is holding in swelling your nose will almost instantaneously swell. This swelling can make your bridge look wider and your tip look fatter than you’d like. This can sometimes be a shock to patients who aren’t aware of this. Of course don’t let this scare you, you will see a lovely result after 3 months but your nose will continuously change and get better and better for up to one year.


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.

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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.

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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.

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