Rhinoplasty in Scottsdale, AZ

Your nose isn’t just the most noticeable characteristic of your face, but the central feature that balances the face’s overall appearance. Even minor imbalances of the nose can disrupt the harmony with surrounding facial features and dramatically influence a person’s ability to project their most radiant self. Rhinoplasty, also known as nose surgery, can improve the shape, size, and function of the nose by correcting breathing issues, nostril size, bridge width, tip shape, and more. Rhinoplasty is an intricate procedure that demands the most experienced surgeons to provide the most stunning results. Thankfully, Dr. Spies has decades of experience and knows the requirements for a successful rhinoplasty and a beautifying transformation.

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What Are the Benefits of Rhinoplasty Surgery?

Improved Self-esteem & Confidence

Narrowing or widening the size of the nasal bridge, adjusting the shape of the nose, and refining the tip can improve the self-esteem and confidence of patients considering rhinoplasty. The techniques used will depend heavily on how much tissue is present, and on the results desired. Once grafting and structural changes are complete, patients can find a newfound joy from their self-image and encouragement from the unique elegance of their nose.

Balanced Facial Features

Many patients are concerned that rhinoplasty will make them appear unnatural or not like themselves. Dr. Spies uses his award-winning techniques to ensure that patients achieve natural-looking results, sculpting the nose so that it neatly matches the proportion of other facial features. The best rhinoplasty treatments offer cohesion where the nose will not detract from a person’s overall beauty but, instead, maintain its defined presence.

Improved Breathing

For patients with difficulty breathing, rhinoplasty can manipulate the inner structures and tissues for long-lasting improvement to breathing. Difficulty breathing can occur from genetics or develop due to a broken nose. Dr. Spies performs septoplasty along with rhinoplasty to correct a deviated septum, improve breathing, and enhance the nose’s overall appearance. Correcting this issue can substantially enhance a patient’s quality of life.


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What Can Be Achieved With a Rhinoplasty?

Restoration and Reconstruction of Nasal Function

Sometimes, prior nasal trauma can result in a deviated septum or enlarged turbinates (the bone structure, vessels, and tissue within the nasal passageway). This can lead to other sinus issues besides difficulty breathing. By the carving, reshaping, or resetting of specific nasal structures, patients can finally achieve the proper shape and function they desire. Each technique used to achieve the restoration and reconstruction of the nose will be discussed before your treatment.

Correction of Nose Abnormalities and Enhancement of Nose Features

As the bony and cartilaginous structures of the nose are carefully corrected beneath the skin, Dr. Spies can offer relief from the unflattering and abnormal appearance of overly large, wide, or small noses. Additionally, nasal bumps or humps on the bridge can also be removed along with the appearance of poorly defined or uneven nostrils. During your consultation, Dr. Spies will work with you to construct the right procedure plan that executes your goals. Whether you seek to eliminate conspicuous deformities or less noticeable imperfections, Dr. Spies offers two transformative rhinoplasty approaches to give your nose aesthetic and medical excellence.

How Is Rhinoplasty Performed?

Depending on your aesthetic and functional needs, cosmetic goals, and nasal structure, Dr. Spies will either use an open or a closed surgical technique. Patients should note that both surgical methods can manipulate the bone and cartilage to decrease the size of the nose or increase the size or foundation of the nose with grafting techniques. Rhinoplasty is always performed under intravenous sedation or general anesthesia.

Here are the differences in the open versus closed surgical techniques:



  • Open rhinoplasty requires one incision at the bottom of the nose across the columella.
  • This technique allows the surgeon to pull back the skin to see and access the inner nasal structures.
  • Open rhinoplasty is recommended when more extensive work must be done to the underlying structures of the nose and when the nasal projection is the primary concern.
  • Recovery may be slightly longer, but the best results are easier to achieve.



  • Closed rhinoplasty is performed with small incisions on the inside of the nose only.
  • This technique can be performed in many cases, especially if a slight correction is needed.
  • The advantages of closed rhinoplasty include a shorter surgery, less swelling and recovery time, and no scarring.

What Are Your Concerns About Rhinoplasty?


The initial recovery period from rhinoplasty is about two weeks, with initial swelling subsiding within that time. However, it can take up to a year to fully realize the newly shaped structure, allowing it to settle into its final position. Immediately following your treatment, either a nose splint or gauze will be provided to wrap and protect the nose as it heals. Both the nose splint and gauze wrapping are removed after your first week. During your follow-up appointment, you will be instructed on how to care for any residual bruising or swelling, although much of the irritation and discomfort will subside quickly. Over the next several weeks and months, you will begin to notice the gradual success of your nose surgery.


Rhinoplasty requires incisions at the bottom of the nose or on the inside of the nose. Any scarring will be completely unnoticeable within the nostrils or on the underside of the nose. Dr. Spies artistically places these incisions in a way that makes them inconspicuous to the average onlooker. Scars will naturally fade with time.


Rhinoplasty is performed with the help of anesthesia to provide each patient with maximum comfort during the surgery. Patients will undergo some pain and discomfort during the first week of their recovery; however, any pain can easily be managed with prescribed medications and will lessen each day. Cold compresses, rest, nutritional dieting, and over-the-counter pain medication can help control discomfort for patients who do not wish to take prescription medication.


During your consultation, Dr. Spies will discuss how the cost of your rhinoplasty will vary based on different factors. These cost factors include surgeon’s fees, pre-surgical tests, and post-surgical dressings. Rhinoplasty surgery costs can also increase if an additional surgical procedure is performed in combination. The cost of rhinoplasty varies among surgeons and depends on the extent of the procedure. According to the American Society of Plastic Surgeons, as of 2019, the national average for rhinoplasty surgeon’s fees was $5,409. This average cost does not include anesthesia or operating room fees.


Are there surgical risks when having a rhinoplasty?

Rhinoplasty is an invasive procedure that carries some risk. Dr. Spies has performed nose surgery with precision, care, and precaution for decades, ensuring that the risk of complications during or after your rhinoplasty is significantly low. However, no matter how skilled a surgeon, risks can never be eliminated. These risks include:

  • Bleeding
  • Infection
  • Poor scarring

Surgical complications can be reduced by following Dr. Spies’ proper instructions and recommendations before and after surgery. Some of these recommendations include avoiding alcohol, nicotine, and tobacco consumption two weeks prior to treatment. To find out more about what you can do prior to surgery to prevent the possibilities of risk, patients should talk with Dr. Spies during their consultation.

Will I be able to breathe correctly after my rhinoplasty?

Yes. The majority of rhinoplasty procedures require a nasal splint or gauze breathing that may make breathing difficult during the initial days of your recovery. Still, this minor inconvenience is typical and does not obstruct your nose from receiving normal oxygen levels. Most patients have zero functional breathing issues once the gauze or splint is removed.

What procedures can be combined with a rhinoplasty?

While rhinoplasty surgery exclusively addresses the nose, the middle face, the lower face, and the upper face can benefit from the balance provided from a newly enhanced nose structure. Still, not all the benefits of rhinoplasty can extend to the forehead, brow, cheeks, or mouth. Because rhinoplasty does not offer restoration and youthfulness to other facial regions, some patients decide to combine their rhinoplasty with an eyelid lift, customized brow lift, or even a fully personalized facelift to maintain balance and harmony between each region of the face.

Are there nonsurgical alternatives to rhinoplasty?

While Dr. Spies does not offer nonsurgical alternatives to rhinoplasty, nonsurgical injectable treatments like JUVÉDERM®, Restylane®, and Sculptra® Aesthetic can help accentuate your beauty and maintain the youth of your appearance. Additionally, by revitalizing lost volume and reducing the appearance of wrinkles and creases throughout your face, you can allow your rhinoplasty results to more easily shine without the distracting presence of these aging features. Nonsurgical laser treatments can minimize fine lines and wrinkles. While other surgeons may provide nonsurgical alternatives to rhinoplasty, there are no greater solutions to nose-related aesthetic and functional issues than the long-lasting and effective results of surgical rhinoplasty.

How long does a rhinoplasty last?

The results of a rhinoplasty are permanent. However, it is vital to keep in mind that no surgery can halt the aging process. As the nose ages, the tip of the nose usually becomes more pronounced as the tissue in the area becomes thinner. Still, any tip elevation and dorsal hump reduction that occurs during rhinoplasty will significantly negate the aging process.

Can Dr. Spies perform ethnic rhinoplasty?

Dr. Spies strives to retain the key characteristics of ethnic noses when reducing bridge or nostril size. Your ethnic background is an important aspect of who we are and the beauty standards defined by your cultural background. That is why Dr. Spies understands the importance of providing nose surgery assistance that accommodates the needs of patients according to their unique ethnic features. The nose surgery goal for every patient is to accentuate their personal character, not erase it.

Verified Realself

Dr. Spies' office is located in Paradise Valley, Arizona just adjacent to the Paradise Valley Cosmetic Surgery Center

Robert J. Spies, M.D.
5410 N Scottsdale Rd C 100
Paradise Valley, AZ 85253
Tel: 480-359-1019