This procedure reshapes the nose to bring facial features into better balance. Dr. Parker is experienced in a variety of rhinoplasty techniques to help his patients in Paramus, New Jersey, change the shape, size or symmetry of their nose.
Cost & Recovery
$6,450 to $11,670*
Patients typically return to normal daily activities about 7 to 10 days after surgery.
Quick Facts
Cartilage and bone are reshaped to achieve a refined nasal structure.
Results can be enhanced with a complementary procedure such as chin augmentation.**
Teenagers can have rhinoplasty after their nose has finished developing, typically around age 13 to 16.
This 17 year old male was bothered by his overly protruding nose which seemed out of balance with the rest of his face. An open rhinoplasty was performed by Dr. Parker. This included reducing the prominent nasal bones, sculpturing and setting back the nasal tip. Postoperatively, the patient liked the improved shape and contour of his nose. Read More
This 38-year old, referred by his primary care physician, expressed concern about his heavy neck, over-projecting nose and obstructed breathing on the left side. He had undergone a closed rhinoplasty many years ago by another plastic surgeon. During surgery, Dr. Parker sculptured the patient’s neck with VASER liposuction. With an open approach, he... Read More
This 29 year old, referred to Dr. Parker by a former patient, requested improvement in the appearance of her nose as well as the obstructed breathing on her left side. The patient sustained blunt trauma to her nose one year earlier accompanied by a lot of bleeding. No treatment was obtained. Subsequently she noted a bump appear on her nose as well... Read More
This 21 year old was referred to Dr. Parker by another physician to improve the appearance of her nose. She broke her nose when younger, then had a closed rhinoplasty performed by another surgeon 5 years ago. The patient told Dr. Parker that she did not like the crooked appearance and the irregular look and feel of her nasal dorsum. After examining... Read More
This 34 year old asked Dr. Parker to remove her dorsal hump, which she said was a family trait. The patient was happy with her nasal tip and did not want this changed. Dr. Parker pointed out the pre-existing asymmetry of her nose with the bony cartilaginous hump more pronounced on the left versus the right side. He subsequently performed a closed... Read More
This 18 year old came to Dr. Parker requesting improvement in the appearance of her nose. She was bothered by the prominence of her nasal bones and the way her nose drooped significantly when she smiled. The patient was happy with the tip of her nose. Dr. Parker performed a closed rhinoplasty and did the following: 1. Shaved down the mildly... Read More
This 26 year old complained that her nose was too large. She said she would like to have it smaller and in better proportion with the rest of her face. Dr. Parker performed an open rhinoplasty during which he reduced the patient’s bony cartilaginous hump, narrowed the nose with infractures, refined and set back her large, over projecting tip... Read More
This 27 year old sought Dr. Parker’s help in addressing several issues regarding her nose which have bothered her for some time. Specifically, she did not like her dorsal hump and broad, drooping tip. She also had persistent breathing difficulties on both sides of her nose. During the patient’s initial consultation with Dr. Parker, he... Read More
This 16 year old patient was referred to Dr. Parker by word of mouth. She requested improvement in the appearance of her nose. Specifically, she was bothered by her large dorsal hump, broad tip and wide base of her nose. Dr. Parker performed an open rhinoplasty removing the bony cartilaginous dorsal hump, did infractures to narrow the upper nose... Read More
This 27 year old was referred to Dr. Parker by a friend whose nose he had operated on several months earlier. The patient said she has been bothered by the appearance of her nose since age 13. She asked Dr. Parker to remove the hump and soften her nasal tip. Dr. Parker performed an open rhinoplasty allowing him to reduce the patient’s bony cartilaginous... Read More
This 28 year old wanted to look good within several months for her wedding. She complained to Dr. Parker about the crooked appearance of her nose, her prominent dorsal hump and her difficulty breathing on both sides. She was happy with her tip and did not want that operated upon. Dr. Parker performed a closed rhinoplasty to reduce the dorsal hump.... Read More
This 27 year old patient complained that her nose appeared too big for her face. She requested Dr. Parker make it smaller, less wide, and in better proportion with the rest of her face. She also said she had difficulty breathing through the left side of her nose. During the patient’s initial consultation with Dr. Parker, an open rhinoplasty... Read More
This 29 year old was referred to Dr. Parker by another patient and requested improvement in the appearance of her nose. Specifically, she wanted to get rid of her hump to improve her profile, make her nose appear straighter, refine the tip of her nose more, and have the nose appear smaller as well as in better proportion with the rest of her face.... Read More
This 22 year old, referred to Dr. Parker by another patient, was concerned about the appearance of her nose. Specifically, she did not like her dorsal hump or drooping nasal tip when she smiled. Dr. Parker performed an open rhinoplasty in which he removed the bony and cartilaginous hump, performed infractures to appropriately narrow the nasal dorsum,... Read More
This 21 year old requested Dr. Parker to improve the fullness of her neck and the appearance of her nose; specifically, she asked to have her nose made to appear somewhat smaller. Dr. Parker performed VASER liposuction on the patient’s neck, removing 50 cc of fat. During the same appointment, he performed an open rhinoplasty, rasping the nasal... Read More
This 19 year old was referred to Dr. Parker by another patient of the Parker Center. She was bothered by the appearance of her nose and said she “hated” it. She felt it was too large for her face, crooked with a dorsal hump, broad tip and wide nasal base. Dr. Parker reviewed these concerns with the patient and discussed a surgical plan... Read More
This 35 year old requested an improvement in the appearance of her nose. In particular, she was bothered by her prominent profile, thought her nose was too wide and wanted it in better proportion with the rest of her face. Dr. Parker performed an open rhinoplasty: he reduced the bony cartilaginous hump, did infractures to narrow the upper part of... Read More
This 19 year old was referred to Dr. Parker by another of his rhinoplasty patients. She asked him to remove her dorsal hump, refine her “ball-like” tip and make her nose look smaller. At surgery, Dr. Parker performed an open rhinoplasty. He reduced the bony cartilaginous hump, refined the nasal tip and performed alar base resections to... Read More
This 20 year old asked Dr. Parker to improve the appearance of her nose. Specifically, she was bothered by her dorsal hump and bulbous tip. Dr. Parker performed an open rhinoplasty during which he lowered the bony cartilaginous hump and refined her nasal tip. The patient recovered quickly afterwards and is very happy with the improved appearance... Read More
This 23 year old was referred to Dr. Parker by another patient. She requested improvement in the appearance of her nose. She asked Dr. Parker to make her bulbous tip more refined. He explained to the patient that her’s was a tricky nose to correct. In order to achieve the proper balance in the nose, he removed excessive cartilage from the nasal... Read More
This 26 year old Hispanic patient, referred by another patient, requested a more refined nasal tip; she requested it be less bulbous and the sides of the nose more narrow. Prior to surgery, Dr. Parker directed his computer imager to show the patient what she should look like after surgery. The patient was quite pleased with the anticipated appearance... Read More
This 28 year old was referred to Dr. Parker by another patient. She came in with concerns about the appearance of her nose. Two years earlier, the patient had undergone an open rhinoplasty with another plastic surgeon. The goal had been to refine and set back her nasal tip (along with alar base resections). However, she complained that presently... Read More
This 23 year old was referred to Dr. Parker by another Parker Center patient, and came in requesting improvements in the appearance of her nose. Specifically, the patient was bothered by her wide nasal bones, hump, and bulbous tip which drooped when she smiled. At surgery, Dr. Parker performed an open rhinoplasty during which he reduced the patient’s... Read More
This 27 year old, referred to Dr. Parker by another patient, requested improvement in the appearance of crooked nose, its dorsal hump, and bulbous tip. Dr. Parker performed an open rhinoplasty, taking down the patient’s bony and cartilaginous hump, performed infractures, straightened the crooked bony and cartilaginous septum and sculpted a... Read More
This 25 year old Hispanic patient, a former basketball player requested improvement in the appearance of her nose. She had broken her nose several times playing ball. Specifically, she was bothered by her dorsal hump, the crooked appearance of her nose and the bulbous tip. Dr. Parker and the patient discussed open rhinoplasty as a means to correct... Read More
This 18 year old asked Dr. Parker to reduce her “dorsal hump” and to correct her nasal tip from drooping with smiling. She was happy with the tip of her nose. Dr. Parker performed a closed rhinoplasty and did the following: 1. Shaved down the mildly prominent nasal bones and cartilage just beneath them.
This 50 year old requested improvement in the appearance of both her nose and neck. She sustained nasal trauma when younger and has been bothered by her dorsal hump and lack of nasal tip definition. The patient had previously been heavier, and following weight loss, her neck skin became lax. Dr. Parker performed an open rhinoplasty to reduce the... Read More
This 22 year old patient requested Dr. Parker to correct the dorsal “bump” on her nose. She said it developed as she grew up. Dr. Parker performed a closed rhinoplasty to remove the bony and cartilaginous hump from the nose, then performed infractures to appropriately re-narrow the nose. The patient recovered quickly afterwards. She is... Read More
This 21 year old patient asked Dr. Parker to improve the appearance of her nose. She was bothered by her dorsal hump, bulbous tip and the crooked look of her nose. Dr. Parker performed an open rhinoplasty whereby he reduced the bony and cartilaginous dorsal hump, refined the bulbous tip by removal of excess cartilage, then sculpted the remaining... Read More
This 23 year old of Middle Eastern descent requested that Dr. Parker improve the appearance of her crooked nose. She came in asking him to make it straighter, get rid of the bump, refine her bulbous tip, and make it look natural. In addition, she asked Dr. Parker to correct the obstructed breathing on the left side of her nose. At surgery, Dr. Parker... Read More
This 22 year old asked Dr. Parker to improve the appearance of her nose. She was bothered by its crooked appearance, including the dorsal hump as well as her bulbous tip. Dr. Parker performed an open rhinoplasty which reduced the patient’s bony cartilaginous hump, straightened her crooked nose, and refined her nasal tip. The patient is very... Read More
This 61 year old patient, presented concerns to Dr. Parker about the “twisted” appearance of her nose and her difficulty breathing through both sides of her nose. After examining the patient, Dr. Parker indicated that surgery to correct these problems would be somewhat complicated. After hearing Dr. Parker’s detailed description... Read More
This 37 year old, referred to Dr. Parker by another patient, expressed concern about the appearance of her nose. In particular, she was bothered by her asymmetric nasal tip and wide nose. Dr. Parker performed an open rhinoplasty and did the following: dorsal hump rasping without infractures, re-shaping of the asymmetric tip cartilages under direct... Read More
This 34 year old Hispanic patient requested that Dr. Parker improve the appearance of her nose. Specifically, she was bothered by her dorsal “hump” and “broad tip”. During the patient’s consultation, Dr. Parker discussed how he could perform an open rhinoplasty to improve the appearance of the patient’s nose. He also tactfully suggested that inserting... Read More
This 24 year old, referred to Dr. Parker by another patient, didn’t like the large bump on her nose. Dr. Parker performed an open rhinoplasty. This allowed him to remove the dorsal bony cartilaginous hump as well as sculpture a more refined nasal tip, giving the nose an overall better shape and proportion with the rest of the face. The patient... Read More
This 41 year old was referred to Dr. Parker by another physician and requested improvement in the appearance of her nose and chin, as well as help with her obstructed breathing. Specifically, the patient did not like her dorsal nasal hump or her broad tip and she felt her chin was weak. She also has had persistent breathing difficulties through the... Read More
This 24 year old patient has never liked the dorsal hump on her nose. After a careful evaluation of her facial proportions, Dr.Parker used a two-phase approach. To improve the shape of her nose, he performed a rhinoplasty and then addressed her chin by inserting a silastic chin implant to provide better balance between her nose and chin. Read More
This 21 year old asked Dr. Parker to improve the appearance of her nose, saying she was bothered by its shape, prominent nasal bones and her asymmetric tip. At surgery, Dr. Parker performed an open rhinoplasty, during which he reduced the nasal bones and created a more symmetric, better shaped nasal tip cartilage. The patient said her recovery was... Read More
This 33 year old requested Dr. Parker to improve the appearance of her nose. She was specifically bothered by her dorsal hump and drooping nasal tip, particularly when she smiled. Dr. Parker explained that her drooping tip was due to over activity of the muscles at the base of the nose as well as a “hanging columella”, the fleshy portion... Read More
This 25 year old, referred by another patient, felt her nose was too large for her face. Dr. Parker performed an open rhinoplasty removing the dorsal hump along with infractures. He also shaped the cartilage in her bulbous tip to create a smaller, better proportioned nose. The patient’s recovery was pain free and associated with little swelling,... Read More
This 26 year old complained about her large, crooked nose, the bump on her bridge, and persistent breathing problems. She said she was happy with the tip of her nose. Dr. Parker performed a closed rhinoplasty to improve the appearance of her nose and also addressed the causes of her breathing obstruction. During surgery, Dr. Parker did the following:1.... Read More
This 33 year old presented to Dr. Parker requesting improvement in the appearance of her nose. She was bothered by the excessive width of the upper and lower nose, dorsal hump and broad tip. Dr. Parker subsequently performed an open rhinoplasty where the following steps were taken: reducing the bony cartilaginous hump infracturing to narrow the upper... Read More
This 21 year old was bothered by the large dorsal hump on her nose and lack of chin projection. Dr. Parker performed a closed rhinoplasty and inserted a chin implant. Postoperatively, the patient was delighted with the markedly improved contour of her nose and better balance of her facial features. She was much more self-confidant with improved self-esteem... Read More
This 17 year old patient was bothered by her nasal “bump” and poorly defined tip. An open rhinoplasty was performed by Dr. Parker. This included reduction of the bony and cartilaginous hump and sculpturing of a more defined and aesthetically pleasing tip. Read More
This 22 year old requested Dr Parker to improve the appearance of her nose as well as her obstructed breathing. She said she has her “Dad’s nose” and asked to have it made less crooked, the hump reduced, narrow middle portion of the nose made wider, bulbous tip refined, alar retraction improved and wide alar bases narrowed. Dr Parker... Read More
This 38 year old, referred to Dr. Parker by another patient, was bothered by the appearance of her nose. In particular, she disliked her profile, broad tip and persistent breathing problems on her right side. Dr. Parker performed an open rhinoplasty. This allowed him to reduce the dorsal hump, refine the broad tip and correct the underlying breathing... Read More
This 24 year old requested that Dr. Parker improve the appearance of her nose. She did not like its crooked appearance, dorsal hump and bulbous tip. Dr. Parker performed an open rhinoplasty to address these issues. At surgery, he reduced the bony cartilaginous hump, performed infractures to narrow the upper nose, reduced and refined the bulbous tip... Read More
This 17 year old is status post 3 prior rhinoplasties by other surgeons. She asked to have her nose appear straighter and her nasal tip more defined and “prettier”. Dr. Parker discussed with the patient and her parents performing an open rhinoplasty in an effort to achieve these goals. He directed his computer imager to show the patient... Read More
This 52 year old underwent a closed rhinoplasty 20 years ago with another plastic surgeon and consulted Dr. Parker for corrective surgery. She said she was never happy with the appearance of her nose, being bothered by its crooked appearance, her prominent dorsum, the collapse of her middle vault as well as pinching of her nasal tip and alar. Dr.... Read More
This 56 year old, referred to Dr. Parker by another patient, was concerned about the over projection of her nose. This family trait has bothered her for many years. During her initial meeting with Dr. Parker, he discussed what could be done to make her nose appear smaller. Included in his recommendations was inserting a chin implant to achieve better... Read More
This 23 year old requested that Dr. Parker correct the appearance of her nose. She was bothered by her dorsal hump and bulbous tip. Dr. Parker performed an open rhinoplasty in which he reduced the dorsal hump and refined her bulbous tip. The patient is very pleased with the natural look of her nose. Read More
This 22 year old, referred to Dr. Parker by another patient, was concerned about the appearance of her nose as well as her obstructed breathing. Aesthetically, she did not like the crooked appearance of her nose, her dorsal hump and broad nasal tip which drooped when she smiled. Dr. Parker performed an open rhinoplasty along with septal reconstruction... Read More
This 23 year old was concerned about her dorsal nasal hump and breathing difficulty. An open rhinoplasty with SMR and bilateral inferior turbinectomies were performed by Dr. Parker as well as insertion of an extended chin implant through a submental incision. Postoperatively, her breathing was markedly improved. Aesthetically, the nose has a more... Read More
This 18 year old was referred to Dr. Parker by another rhinoplasty patient of Dr. Parker’s. The patient said as she had aged she had developed a dorsal hump, and she asked that it be corrected. Dr. Parker performed a closed rhinoplasty in which he reduced the dorsal hump and created infractures to appropriately narrow the upper nose. The patient’s... Read More
This 58-year-old patient was concerned about the appearance of the nose. She said she had broken it when she was younger. She was bothered by the dorsal hump and asymmetric, drooping tip. Additionally, she had difficulty breathing through the left side of her nose for many years. Dr. Parker performed an open rhinoplasty to reduce the dorsal hump... Read More
This 46 year old, referred by another patient, requested improvement in the appearance of her nose which was larger and broader than she would have liked. Dr. Parker had operated on the referring patient’s nose and she was very impressed with what she saw. Dr. Parker performed an open rhinoplasty which included a reduction of the bony cartilaginous... Read More
This 35 year old, referred to Dr. Parker by another patient, requested improvement in the appearance of her nose. She did not like her dorsal hump, bulbous tip and wide base of her nose. Dr. Parker performed an open rhinoplasty during which he reduced the bony cartilaginous hump, performed infractures to appropriately narrow the upper portion of... Read More
This 21 year old requested improvement in the appearance of her nose as well as correction of her breathing. Specifically, she did not like the size and shape of her nose including the bump on her nose. She also has had persistent difficulty breathing on her right side for many years. Dr. Parker performed an open rhinoplasty, during which he reduced... Read More
This 17 year old, referred to Dr. Parker by an ENT surgeon, requested improvement in the appearance of her nose and help with her breathing problems. The patient had sustained significant blunt trauma to her nose twice while playing sports. She was bothered by her dorsal hump, broad nasal tip, and her difficulty breathing. Dr. Parker performed an... Read More
This 31 year old existing patient requested improvement in the appearance of her nose. She asked Dr. Parker to make her nose smaller, reduce the hump and set back and refine the tip. Several months after her consultation, Dr. Parker performed the surgery, making these changes to the patient’s nose with an open rhinoplasty procedure. The patient’s... Read More
This 21 year old was referred to Dr. Parker by a family member. She asked him to correct the dorsal hump which had developed on her nose. She was happy with the appearance of her nasal tip and did not want this operated upon. Dr. Parker performed a closed rhinoplasty, removing the bony cartilaginous hump, then performed infractures to appropriately... Read More
This 27 year old was referred to Dr. Parker by another patient asking for correction of her crooked nose, dorsal hump, bulbous tip and wide nostrils. Dr. Parker performed an open rhinoplasty, straightening her crooked nose, taking down the bony cartilaginous hump, infractures to appropriately narrow this part of the nose, a tiplasty to refine her... Read More
This 42 year old felt her nose was too large for her face. She asked Dr. Parker to reduce her dorsal hump, refine her bulbous tip and make the nose look smaller and in better proportion to her face. Using computer imaging prior to surgery allowed the patient and Dr. Parker to precisely plan the details of the procedure. Dr. Parker subsequently performed... Read More
This 32 year old, status post 3 prior rhinoplasties, requested Dr. Parker to improve the appearance of her nose. Specifically, the patient desired a sleeker dorsum and more defined nasal tip. She also requested a chin implant to make her chin somewhat more prominent and create better balance with her nose. Using an open rhinoplasty technique, Dr.... Read More
This 18 year old asked Dr. Parker to improve the appearance of her nose and correct her breathing obstruction. She had struck a coffee table with her nose many years ago. Since then, her breathing has been impaired on the left side and she was concerned about her dorsal hump and crooked appearance of her nose. During an open rhinoplasty, Dr. Parker... Read More
This 37 year old was referred to Dr. Parker by her primary care physician for a secondary rhinoplasty and to correct breathing problems. She had undergone a closed rhinoplasty by another surgeon several years ago. She presented now with difficulty breathing from both sides of her nose and concerns about the external appearance of her nose . She felt... Read More
This 28 year old Hispanic patient requested Dr. Parker to improve the appearance of her nose. She broke it several years ago with blunt trauma. The patient said she did not like her dorsal hump, broad tip, excessively wide base of the nose and retracted columella. Dr. Parker reviewed these concerns with the patient during her initial consultation... Read More
This 25 year old presented to Dr. Parker asking for correction of her dorsal nasal hump, which she said developed over time. Dr. Parker performed a closed rhinoplasty, taking down the bony cartilaginous hump as well as infractures to appropriately narrow this part of the nose. Postoperatively, the patient experienced very little bruising and no pain.... Read More
This 27-year-old patient was bothered by her dorsal nasal hump and wide nasal tip. An open rhinoplasty was performed by Dr. Parker to take down the dorsal hump as well as reshape a more delicate pleasing nasal tip. Postoperatively, the patient was very happy with the improved shape of her nose. Read More
This 61 year old presented to Dr. Parker with concerns about the appearance of her nose and some difficulty breathing. She was specifically bothered by the appearance of her dorsal hump, the crooked look of her nose, her asymmetric tip which dipped downward with smiling and persistent breathing difficulties on the right side of her nose, as well.... Read More
This 30 year old, referred to Dr. Parker by several former patients, requested an improvement in the appearance of her nose. In particular, she was bothered by her prominent profile. Dr. Parker performed a closed rhinoplasty. The patient healed rapidly after surgery and is delighted with the natural appearance of her pretty nose. Read More
This 49 year old existing patient of Dr. Parker came in requesting improvement in the appearance of her nose. She asked Dr. Parker to remove the dorsal hump and refine her broad tip, and she wanted her nose to look natural. She asked Dr. Parker not to make drastic changes. Dr. Parker performed an open rhinoplasty during which he removed the bony... Read More
This 31 year old was referred to Dr. Parker by several other patients. She was bothered by the appearance of her nose, in particular the dorsal hump, bulbous tip, wide base and the nose pulling downward when she smiled. Dr. Parker performed an open rhinoplasty during which he removed the bony cartilaginous hump, performed infractures, refined the... Read More
This 29 year old, referred by another former rhinoplasty patient of Dr. Parker’s, requested improvement in the appearance of her nose. She felt it was too large for her face, crooked, and too wide with an ill-defined tip that she called “chubby”. Dr. Parker performed an open rhinoplasty whereby he reduced the dorsal profile, straightened... Read More
This 25 year old, referred to Dr. Parker by several other patients, expressed concern about the appearance of her nose and lower eyelids. Specifically, the patient did not like the bump on her nose and her drooping nasal tip, which worsened when she smiled. She also asked to have the puffiness corrected on her lower eyelids. Dr. Parker performed... Read More
This 60 year old existing patient came to Dr. Parker asking for a better looking nose. During high school she had sustained a nasal fracture, and afterwards her nose developed a dorsal hump and crooked appearance. The patient was happy with her nasal tip and did not want that aspect to be changed. Dr. Parker performed a closed rhinoplasty which allowed... Read More
A nose that is out of harmony with other facial features draws attention and affects the overall aesthetics of the face. Dr. Parker performs rhinoplasty (nose job) in Paramus, New Jersey, to help patients achieve a more refined, natural nasal contour that complements the other facial features, while also correcting any internal deformities that may be causing breathing difficulties.
Rhinoplasty Specialist Trained by Masters
Dr. Parker was fortunate to train under several master rhinoplasty surgeons during his plastic surgery residencies at NYU Medical Center and Manhattan Eye, Ear, and Throat Hospital. In his private practice, Dr. Parker has maintained a strong interest in rhinoplasty, performing many rhinoplasties each year. Dr. Parker is a member of The Rhinoplasty Society, a prestigious organization composed of 150 premier surgeons throughout the world who specialize in noses. These surgeons go through an extensive vetting process in order to become members of this organization. They are considered innovators in their field and deeply committed to aesthetic and reconstructive nasal surgery.
From an anatomy perspective, the nose is a complex structure (see illustration). The upper 40% of the framework consists of paired nasal bones, which are not movable. The lower 60% of the nose is made of movable cartilage. The two nasal passages are separated by the nasal septum, which is composed of both bone and cartilage.
What Issues Can Rhinoplasty Treat?
People from Ridgewood, Paterson, Jersey City, and beyond visit Dr. Parker for rhinoplasty to improve the size and shape of their nose. He may also correct breathing problems at the same time by correcting a deviated nasal septum and other related internal nasal structures.
Dr. Parker reviews details about all of the issues he can correct with rhinoplasty (with patient photo examples) in this blog post and this rhinoplasty infographic.
How Much Does a Nose Job Cost in New Jersey?
At Parker Center, the cost of rhinoplasty typically ranges between $6,450 and $11,670. Your total cost will depend on your anatomy, your desired results, and the complexity of the procedure. At your consultation with Dr. Parker, we will provide a detailed price quote that includes surgeon’s fees, operating room and anesthesia costs, supplies, and pre- and post-operative care. Visit our Pricing page for detailed information.
Paul M. Parker, M.D., FACS
Board-Certified Plastic Surgeon
Known for his surgical talent and caring personality, Dr. Parker has been serving the community for over 25 years. He has dedicated his practice to the education, safety, and comfort of his patients—making each one feel as important as family.
Depending on your anatomy and the changes you would like to make, Dr. Parker may perform a closed rhinoplasty, open rhinoplasty, or tip plasty. During your consultation, Dr. Parker will explain his recommended surgical plan to improve the appearance of your nose. To help you understand your options, we will photograph your face and review computer images of what your nose should look like after surgery.
How Is a Closed Rhinoplasty Performed?
A closed rhinoplasty is performed through incisions that are completely hidden on the inside of the nose. This technique is indicated for adjustments to the nasal bones and cartilage to improve the profile of your nose. If your nasal tip needs reshaping, Dr. Parker will perform an open rhinoplasty. At the same time, if appropriate, he can perform deviated septum repair.
Before & After Closed Rhinoplasty*
Before and After This 25-year-old wanted to correct her dorsal nasal hump, which had developed over time. Dr. Parker performed a closed rhinoplasty to narrow this part of the nose.
What Is Open Rhinoplasty Surgery?
Open rhinoplasty involves a small, inconspicuous incision underneath the tip of the nose in the skin between the nostrils, called the columella. This incision is connected to incisions inside the nose. These cleverly hidden incisions allow Dr. Parker to “open” the nose, providing unparalleled exposure to the underlying bone and allowing him to make very precise adjustments under direct vision.
Before & After: Open Rhinoplasty*
What Is a Nasal Tip Plasty?
A nasal tip plasty involves improving only the cartilage that shapes the tip of the patient’s nose (see illustration)—it is not a surgical technique, but an area of focus. Almost always, Dr. Parker will use the open rhinoplasty approach to achieve the most natural-appearing, symmetric tip he can.
Before & After Tip Plasty With Nostril Reduction*
Before and After This 26-year-old patient wanted her nose to be less bulbous and narrower on the sides. Dr. Parker performed an open tip plasty to refine the tip cartilage and remove the fleshy side walls of the nose, known as the alar bases.
What Should I Expect at My Rhinoplasty Consultation and Imaging Session?
Your consultation is where the fun really begins—and Parker Center has made the experience particularly special! During your appointment, Dr. Parker will spend extra time with you to ensure that he understands your goals and that you are fully educated about your options so you can make a well-informed decision.
In addition to your time with Dr. Parker, you’ll also have the opportunity to meet with our imaging expert so you can see the possibilities of your procedure. One of the best ways to understand what rhinoplasty can achieve for you is to see a picture of the possible results on your own nose. Using our advanced computer imaging technology will give you a very good idea as to how your existing nose can be sculpted to the nose you desire.
Feel Confident
About Your Procedure
Our free cosmetic consultations include plenty of time with Dr. Parker, our patient care coordinator, and our imaging specialist. Once your procedure is booked, our nurse educator will meet with you for a special 1-hour pre-op education session.
Secondary rhinoplasty, also called revision rhinoplasty, is performed to correct deformities from prior rhinoplasty surgery. These procedures are typically more complicated than primary, or first-time, rhinoplasty. Secondary rhinoplasty surgeries are almost always performed after waiting at least 12 months following the prior procedure.
The intricate nature of the structures that shape the nose, as well as scar tissue from prior surgery, most commonly make a secondary rhinoplasty an especially tricky and complex procedure. Accordingly, Dr. Parker almost always uses an open rhinoplasty technique for these surgeries. Cartilage grafts are often needed to replace or support the nose as part of a secondary rhinoplasty procedure.
The best rhinoplasty is one that will not have to be redone. Dr. Parker’s revision rate following primary rhinoplasty surgery ranges from 5 to 10% and most often is needed simply for rasping dorsal callus, which may form after surgery.
Before & After Secondary Rhinoplasty*
After 3 rhinoplasties by other surgeons, this 32-year-old patient came to Dr. Parker for secondary rhinoplasty. She wanted a sleeker dorsum and more defined nasal tip.
Before & After Secondary Rhinoplasty*
This 70-year-old physician had concerns about the appearance of his nose and was referred to Dr. Parker by a friend. The patient had septorhinoplasty to improve his breathing after nasal trauma. The primary surgery was successful, but over time the patient’s nasal tip had drooped affecting both his appearance and breathing. He asked Dr. Parker to elevate his drooping nasal tip. Dr. Parker performed a secondary open rhinoplasty.
Should I Get a Nose Job, a Chin Implant, or Both?
Balanced facial features are the hallmark of an attractive face, particularly a refined facial profile, so sought after in today’s “selfie” pictures. Together, the nose and chin are important in helping determine your profile. Many patients achieve optimal facial balance with a chin augmentation at the same time as rhinoplasty. This combination procedure is performed in approximately 20% of Dr. Parker’s rhinoplasty patients and adds no extra recovery time.
Before & After Rhinoplasty With Chin Augmentation*
Before and After This patient had a custom-fit chin implant inserted during the same surgery as her rhinoplasty procedure. Note the more refined jawline and improved balance in facial features.
In addition, rhinoplasty procedures are commonly combined with eyelid rejuvenation or neck contouring. This allows the patient to have multiple areas corrected during one surgery with only one anesthesia and recovery. Usually, the recovery is similar, whether one or more procedures are performed.
Before & After Rhinoplasty With Eyelid Surgery*
Before and After This patient had a lower lid blepharoplasty performed in addition to a closed rhinoplasty.
What Is the Procedure for a Nose Job?
For your safety, Dr. Parker performs rhinoplasty (nose job) using general anesthesia. Surgery may take anywhere from 30 minutes to 3 hours, depending on the degree of complexity. You will be able to go home about an hour after surgery. There is usually little pain.
Several sutures are inserted in the columella, and a light plastic splint is applied to protect the nose. Packing is never inserted because patients don’t like it and it is unnecessary. The columellar sutures and external splint are removed 1 week after surgery. Swelling and discoloration usually subside within 7 to 10 days.
How Long Is Rhinoplasty Recovery?
Rhinoplasty recovery occurs progressively over time. Swelling and bruising are most intense the first week after surgery. During this time, you will be wearing a plastic splint to protect the nose as it heals. When the splint is removed at 7 days after surgery, swelling and some bruising will be present. Patients, however, are excited to see the improved shape of the nose even this early on in the recovery process.
Though timeframes vary from patient to patient, most patients go back to work and social activities about 1 to 2 weeks after rhinoplasty surgery. They can gradually resume exercise after 2 to 3 weeks (at least 4 to 6 weeks for swimming and contact sports). Camouflage makeup can be applied 10 days after rhinoplasty surgery. Much of the swelling will be gone 2 to 3 weeks after surgery. It often takes approximately a year for the last 10% of the swelling to disappear.
We will spend time during your pre-op education visit to carefully walk you through the details of recovery following your rhinoplasty.
Our Signature
Rapid Recovery Program
Our surgical procedures, anesthesia, medications, and aftercare are tailored to minimize post-operative discomfort and accelerate recuperation.
“I had my rhinoplasty done by Dr. Parker in June 2012. Dr. Parker is a compassionate doctor with great bedside manner and his staff is wonderful. It’s been a year since my surgery, my nose has healed with no problems and I am more than happy with the outcome. I would highly recommend Dr. Parker to anyone that is interested in getting plastic surgery.”
Rhinoplasty Patient
How Old Do You Have to Be to Get a Nose Job?
Nose reshaping is one of the most common procedures requested by teenage patients. Having a nose that is in proportion to your features can help you feel better about the way you look, but it is important to approach your decision thoughtfully. Rhinoplasty can only be performed safely and successfully after the nose has finished developing, typically by age 13 to 14 for girls and 15 to 16 for boys.
