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Facial Plastic Surgery · CARP Cosmetic

The Art of
Rhinoplasty

Precision-crafted nasal surgery that balances aesthetic beauty with preserved function — tailored to the unique anatomy of each patient.

25+
Years of experience

More than reshaping — restoring harmony

Rhinoplasty is one of the most technically demanding procedures in plastic surgery. The nose sits at the center of the face, influencing every proportion, every profile, every first impression.

Dr. Carp's philosophy centers on working with your anatomy rather than against it. Whether you seek subtle refinement or significant transformation, his approach is guided by an understanding that a beautiful nose is one that looks natural — uniquely yours.

We offer both structural and preservation rhinoplasty, selecting the technique that best serves each individual patient's goals and anatomy.

Two philosophies. One goal.

Choosing between structural and preservation rhinoplasty depends on your anatomy, goals, and the degree of change you seek.

Traditional · Versatile · Precise

Structural Rhinoplasty

Structural rhinoplasty is the established gold standard, used by surgeons worldwide for decades. It involves carefully reshaping the underlying cartilage and bone to achieve the desired contour, often using grafts to add support and definition.

This technique excels in cases requiring significant change — from correcting a prominent dorsal hump, to refining a bulbous tip, to rebuilding after trauma or previous surgery.

Dr. Carp uses the structural approach to prioritizes natural-looking results that maintain long-term stability. Using advanced grafting techniques — including septal, ear, allograt and rib cartilage — to create a nose that holds its shape beautifully over time.

Ideal for significant reshaping

Best suited when substantial changes to size, projection, or definition are desired.

Grafts for lasting structure

Cartilage grafts provide permanent scaffolding, preventing tip descent and pinching over time.

Hump reduction & refinement

Excellent for bony-cartilaginous humps, overprojected tips, and asymmetries.

Suitable for revision cases

Often the preferred method when correcting a prior rhinoplasty with missing structure.

Open or closed approach

Performed via a small columellar incision (open) or entirely within the nostrils (closed).

How the techniques compare

Structural
Traditional approach
Tissue handlingRemove & rebuild
Dorsal preservationPartial
Swelling duration10–18 months
Degree of changeMild to dramatic
Revision suitabilityExcellent
Grafts requiredOften
Scarring riskVery low
Preservation
Modern approach
Tissue handlingReposition & preserve
Dorsal preservationComplete
Swelling duration6-12 months
Degree of changeSubtle to moderate
Revision suitabilityGood
Grafts requiredLess common
Scarring riskMinimal

Common concerns we address

Rhinoplasty can address a wide range of aesthetic and functional concerns. Most patients present with one or more of the following.

Dorsal hump

A raised bridge giving a convex profile. Addressable with both structural and preservation techniques.

Bulbous or wide tip

A rounded or amorphous tip lacking definition. Refined through tip suturing, grafts, or excision.

Drooping tip (ptosis)

A tip that droops with animation or at rest, aging the face. Corrected by repositioning tip support.

Wide nasal base

Overly wide nostrils or nasal base relative to facial proportions. Refined with alar base reduction.

Deviated septum

A crooked nose or obstructed airway corrected through septoplasty combined with rhinoplasty.

Asymmetry

Uneven nostrils, asymmetric tip, or deviated bridge. Carefully balanced through precise reshaping.

Overprojection

A nose that protrudes too far from the face. Deprojection techniques restore balanced proportions.

Underprojection

A flat or underdeveloped bridge or tip. Enhanced with cartilage grafts for greater definition.

Post-traumatic deformity

Changes following injury including deviation, collapse, or saddle nose. Rebuilt with structural grafting.

Your rhinoplasty process

01

Consultation

A thorough analysis of your anatomy, goals, and breathing function. We use 3D imaging to preview potential outcomes and determine the optimal technique.

02

Surgical planning

Your surgeon designs a precise surgical plan — selecting structural or preservation rhinoplasty based on your anatomy and aesthetic goals.

03

Surgery

Performed under general anaesthesia, typically 2–4 hours. Either open or closed approach depending on the technique and the complexity of your case.

04

Recovery & reveal

A splint is worn for at minimum of 1 week. Visible swelling resolves over weeks; final results emerge over 12 months as swelling fully resolves.

Recovery timeline

Days 1–3

Immediate post-operative period

Rest with head elevated. Mild discomfort, congestion, and bruising are normal. A nasal splint and internal packing (if used) are in place. Most patients are comfortable at home.

Week 1

Splint removal

Your splint is removed at your one-week post-op appointment. Bruising and swelling are visible but improving. Many patients return to desk-based work at this point.

Weeks 2–4

Social recovery

Most bruising has faded. Residual swelling is present but much more subtle. Light social activities can typically be resumed. Avoid strenuous exercise and contact sport.

Months 1–3

Progressive improvement

Swelling continues to resolve and the nose begins to look more refined. The tip often appears slightly over-projected at this stage — this is normal and expected.

Months 6–12

Final results emerge

The nose settles into its final shape as deep swelling fully resolves. Preservation rhinoplasty patients often see their final result sooner, around the 6-month mark.

Frequently asked questions

Am I a candidate for preservation rhinoplasty? +
Preservation rhinoplasty works best for patients seeking moderate dorsal reduction with good existing nasal anatomy — particularly those with a straight, smooth dorsum and good skin quality. Patients requiring significant tip work, revision surgery, or major structural correction may be better suited to a structural approach. Your surgeon will assess your anatomy thoroughly at consultation.
Will rhinoplasty leave visible scars? +
In open rhinoplasty, a small incision is placed in the natural crease of the columella (the tissue between your nostrils). This heals to a very fine, pale line that is virtually imperceptible to others. Closed rhinoplasty leaves no external scar at all, as all incisions are placed inside the nostrils. Preservation rhinoplasty frequently uses a closed approach.
How long until I see my final result? +
Most of the visible result is apparent within the first 1–2 months. However, the final result only fully emerges once all swelling has resolved — typically around 12 months for structural rhinoplasty, and 6–9 months for preservation rhinoplasty. Swelling resolves gradually and most people can enjoy social activities well before this point.
Can rhinoplasty also improve my breathing? +
Yes. Many patients seek rhinoplasty for both aesthetic and functional reasons. Septal deviation, turbinate hypertrophy, and collapsed nasal valves can all be addressed in the same procedure. Combining aesthetic rhinoplasty with functional correction (septoplasty or turbinate reduction) is common and does not significantly extend recovery.
What is the minimum age for rhinoplasty? +
We generally recommend waiting until nasal growth is complete — around age 16–17 for girls and 17–18 for boys. Each case is assessed individually. For younger patients seeking correction of a significant functional concern such as a severe deviated septum, earlier intervention may be considered on a case-by-case basis.
Is rhinoplasty painful? +
Rhinoplasty is performed under general anaesthesia, so you will feel nothing during surgery. Post-operatively, discomfort is typically described as mild to moderate — a feeling of pressure or tightness rather than sharp pain. Most patients manage comfortably with regular paracetamol and anti-inflammatories. Discomfort peaks in the first 24–48 hours and rapidly improves thereafter.

Ready to explore
your options?

Book a private consultation with our surgical team. We'll assess your anatomy, discuss your goals, and help you understand which approach is right for you — with no obligation to proceed.

The information on this page is for educational purposes only and does not constitute medical advice. Individual results vary. All surgical procedures carry risks — these will be discussed fully at your consultation. Carp Cosmetic Surgery Center · www.carpcosmetic.com

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