Rhinoplasty

When you think of a beautiful face, you probably think of harmony and balance between all facial features. Because the nose is at the center of the face, it is important that it does not distract from the rest of your features. If you are unhappy with the appearance of your nose, and wish to improve the aesthetic features of your overall facial appearance, a rhinoplasty may be a good option for youHaving a specialist perform your rhinoplasty is of paramount importance and the best way to ensure natural-looking, beautiful results, and at the same time improve or at least maintain your nasal breathingForm and function go hand-in-hand, which is especially true in nasal surgeryDr. Walker is a leading expert in primary and complicated revision nasal surgeries, whether cosmetic, functional, or both, with clients that travel domestically and internationally to seek out his signature Atlanta Rhinoplasty. 

Schedule Your Consultation

If you would like to learn more about the best rhinoplasty Atlanta has to offer and how it can benefit you, contact our Atlanta office today! Our team will be happy to schedule your consultation appointment with Dr. Walker. This is your first step on your cosmetic procedure journey, during which you will discuss your individual rhinoplasty goals with Dr. Walker. He will then create an individualized treatment plan to make your aesthetic goals a reality.

Frequently Asked Questions

Does health insurance cover the cost of rhinoplasty?

When a rhinoplasty is performed for cosmetic reasons, health insurance will not cover the procedure. However, a septoplasty or other functional nasal procedures may be done to correct structural issues in the nose, which may be covered by your health insurance.

Can a rhinoplasty be combined with other cosmetic procedures?

Yes, many clients choose to combine their rhinoplasty with other procedures such as facelift, blepharoplasty, brow lift, and more. If you are interested in adding procedures in combination with your rhinoplasty, you can discuss this with Dr. Walker during your consultation.

What is the difference between an open versus closed rhinoplasty?

The main difference between an open (external) and closed (endonasal) rhinoplasty is the tiny incision at the bottom of the nose between the two nostrils. This tiny incision, though, if properly designed and carefully closed, will become inconspicuous. The exposure afforded in an open rhinoplasty is far superior to the closed rhinoplasty approach and essentially every nasal problem can be corrected with the open approach. There are some patients, though, that are candidates for closed rhinoplasty where an open approach is not indicated. The avoidance of the tiny incision at the bottom of the nose is typically not offsetting the sacrifice of other nasal aesthetic changes, which are much more noticeable than the small incision between the nostrils. The decision whether an open or closed approach is most appropriate for you should not be based on the incision itself but rather the goal of your rhinoplasty. Either procedure can lead to a beautiful result albeit a closed approach is much more limited and limiting. Dr. Walker will discuss more details with you during your consultation if you desire.  nOpen Rhinoplasty (aka External Rhinoplasty):nOpen Rhinoplasty uses a small incision that is placed on your columella, between the two nostril openings. This incision is approximately 5-6 mm in length and designed in an upside-down V-shape to allow for contraction forces to be more even for an inconspicuous healing.  This access incision allows the skin and soft tissue of the nose to be lifted off of the underlying nasal framework, “opening” the nose. This approach is appropriate for the majority of rhinoplasty operations and those that require significant nasal tip work, as it offers a complete view of all of the structures that will be modified during the operation. It also allows for the surgeon to very precisely place and secure cartilage grafts for a predictable, safe, and long-lasting result. This is the preferred technique that Dr. Walker uses in most of his rhinoplasty surgeries, as it offers the best exposure for precise results and very low risk of errors that will require correction later on. While some patients may have a concern about the scar from an external incision, proper placement and closure of the incision typically results in a scar that is essentially unnoticeable once healed. You can review results in the after photo gallery to see for yourself how unnoticeable the scar is (plus who looks at the bottom of your nose?). nClosed Rhinoplasty (aka Endonasal Rhinoplasty):nClosed rhinoplasty (aka endonasal rhinoplasty) is a bit of a misnomer as no surgery can be done “closed”. This operation refers to a rhinoplasty where all incisions are hidden inside the nostrils without a tiny incision at the bottom of your nose. While this technique may be appropriate for minor rhinoplasty surgeries where only a small hump reduction is needed or very minor nasal tip work, the closed technique does limit visibility and cartilage grafts cannot be placed as precisely as in an open rhinoplasty operation.

What is Structural Rhinoplasty?

There are entire books dedicated to the topic of Structural Rhinoplasty. In brief, Dr. Walker exclusively performs structural rhinoplasty, which is a surgical procedure based on repositioning and strengthening the nasal supporting framework and thereby altering the nasal shape in a safe, long-lasting, and predictable fashion. Cartilage is typically utilized in this surgery (usually from your own septum) to achieve the desired cosmetic changes and improving the nasal breathing. In non-structural rhinoplasty, cartilage and tissue is resected and the nose weakened with long-term results that are less predictable. Furthermore, non-structural rhinoplasty with reductive maneuvers leads to worse nasal breathing than prior to surgery, oftentimes pinching the nose, nasal valve collapse, a droopy nasal tip, or even an over-rotated (“piggy”) nasal tip. For the most part, this technique is no longer utilized by contemporary rhinoplasty surgeons as we have learned through long-term follow-up that non-structural rhinoplasty techniques lead to aesthetic and functional problems in the long-run.