Before & After Photo Gallery of Rhinoplasty
Before & After Photo Gallery of Rhinoplasty


What is Rhinoplasty?Ann Arbor Laser Resurfacing

Rhinoplasty, can be either invasive, or more recently noninvasive.

Surgical rhinoplasty involves a specifically designed surgical procedure to reshape the nose. Its purpose are to  improve :

  • shape of a person’s nose
  • size of a person’s nose
  • symmetry of a person’s nose
  • bring the nose into better proportion with the rest of the face.

Rhinoplasty can be both a  rewarding and life-enhancing procedure—patients often notice that their overall appearance often appears to have  improved, as the nose they see now looks natural, like the nose they have always thought they should have.

What changes can I make to my nose?

The goals of nose reshaping are as individual as the patients who choose to have rhinoplasty. By reshaping the nasal structures, including bone, cartilage, and skin,  Dr.Burke can help achieve one or more of the following:

  • Straighten a crooked nose
  • Smooth a prominent bump  (or dorsal hump) on the the nose bridge
  • Shorten an over-protruding nasal tip
  • Refine the size of a bulbous (ball shaped) nasal tip
  • Narrow a nose that is too wide and disproportionate for the face
  • Reduce the size of a nose that is excessively large
  • Restore symmetry to an assymetric  nose following injury

Am I a Good Candidate for Rhinoplasty?

Men and women of all ages may benefit from rhinoplasty. Nose reshaping is one of the more popular cosmetic surgery procedures for teenage patients too, although  special care is necessary when evaluating whether or not a younger patient is ready for rhinoplasty.

For patients of any age, it is important to have realistic expectations. Rhinoplasty can help you improve upon your existing nose, but it cannot deliver “perfection” nor can it give you the nose of someone else. Dr.Burke will explain to you what is possible and help you achieve a nose that looks natural with your unique features.

What are the Types of Rhinoplasty?

Nose surgery is highly individualized, and the exact techniques Dr.Burke will use during a procedure will look a little different each time, depending on a patient’s anatomy and desired changes. In general, however, surgical  techniques fall under one of the following procedural approaches.

Open Rhinoplasty

For an “open” rhinoplasty, a small incision is made under the nasal tip, between the nostrils. This approach allows  more complete access to the nasal structures to sculpt the nose into the desired shape. Because of this increased access, Dr.Burke reserves  the open rhinoplasty approach for patients requiring more extensive reshaping and grafting. The resulting scars are well-hidden in the natural contours of the nose so they are made as inconspicuous as possible.

Closed Rhinoplasty

For a “closed” rhinoplasty, incisions are made inside the nostril. This approach is most commonly used for patients who need  minor adjustments to the nasal structures to achieve their desired improvements. The advantage of closed rhinoplasty is that there is no visible scarring after surgery; however, this approach may not be suitable for more extensive rhinoplasty procedures. It does allow access for reduction of a dorsal protrusion or hump.


A “tiplasty” refers to the area of reshaping, rather than the incision techniques. Tiplasty involves reshaping the nasal tip only, without affecting the other nasal structures. Dr. Burke may use the open or closed approach for tiplasty.

Examples of Rhinoplasty

This patient in her early 20’s presented with a complaint of a large nose with a dorsal projection (a.k.a.) dorsal hump.

She was treated with a semi open rhinoplasty which reduced the nasal hump (projection), shortened her nasal length slightly and rotated her nasal tip slightly upward.

This patient presented with a complaint of a bulbous and poorly defined nasal tip. An open rhinoplasty reduced the bulb of the nasal tip, increasing its definition and narrowing it slightly.  The nasal base was also reduced in width making it moreproportionate to the face.



This patient presented for correction of dorsal nasal projection, a long nasal length, droop of the nasal tip (ptosis), and a bulb shaped, poorly defined tip.  He was treated via a semi open rhinoplasty with shortening of the nose, tip elevation, tip refinement, and slight nasal dorsal reduction.




This woman did not like the lack of nasal projection.  She thought that her nose appeared”dished out”. Her examination confirmed lack of dorsal nasal support.  She was treated with an open rhinoplasty during which a bone graft was inserted to provide nasal projection.  This bone graft can be taken from either the hip or from the  head(outer table of the cranium) behind the hair line.

This man wanted a smaller nose with less downward slant above his upper lip. Treatment was with a semi-open dorsal reduction and tip rotation.


Tips for healing after rhinoplasty

For the first 1 to 2 weeks, many patients experience bruising and swelling. At first, you may not be able to see the improvements made during surgery. But don’t worry—the majority of bruising and swelling usually subside in 10 to 14 days. Most patients feel ready to return to work or school after 1 or 2 weeks, depending on the level of activity required. Typically after 3 weeks, most normal non-contact activities can be resumed. However, please limit strenuous activity until cleared to do so.

While you will be able to see the improvements Dr.Burke made during rhinoplasty after the initial bruising and swelling dissipates, it is normal to have slight residual swelling present for up to a year. This though is usually not noticeable to others.

Curious about possible rhinoplasty pricing?

Dr.Burke specializes in surgical as well as  nonsurgical rhinoplasty.

The procedure chosen depends on a careful evaluation of your nose at the time of consultation. Dr.Burke also prefers to include digital computer imaging for a more complete analysis and exploration of possible surgical visual outcomes.

Who would be a candidate for a Nonsurgical Rhinoplasty?

Patients who do not wish any surgical procedure, those who present too high a medical risk for a surgical procedure, and those who wish nonsurgical correction prior to eventually undergoing surgical rhinoplasty are all possible candidates for this procedure. Other possible candidates include those who have undergone one or more rhinoplasties and still present with assymetries and visual deformities (and either do not want to undergo further surgery or in whom further surgery is not recommended).

Advantages of the rapid nonsurgical natural rhinoplasty include the ability  to resume normal activities the same day as treatment. Some patients also want to see the possible rhinoplasty result on themselves prior to committing to an invasive surgical procedure.

Real time Digital Computer Imaging

Helps define your areas of nasal concern and determine the best options to address those concerns.


The best candidates for rhinoplasty  are those seeking improvement rather than perfection.

A nose that is cosmetically unattractive or does not “fit” with other features or has an abnormal appearance due to injury, birth defects, or disease may be recontoured through rhinoplasty.

The nasal size may be reduced or increased in size, the shape of the tip or bridge may be changed, the nostrils widened, and the angle changed between the nose and upper lip.

Ann Arbor Rhinoplasty

The nose and the chin are cosmetically related. Because of this, patients often seek out either chin reduction(genioplasty) or augmentation (either through a bony sliding osteotomy or a chin implant) at the same time.

The nose and chin demonstrate a reciprocal size relationship. With a larger nose, the chin  appears smaller. With a larger chin, the nose appears smaller.


Digital Computer Imaging for Treatment Planning.

Dr. Burke supplements nasal evaluation with digital computer imaging to help evaluate the nose-chin relationship on your face.  In some cases,  chin augmentation (chin implant) may be recommended to  enhance the results.

A rapid chin augmentation may also be done at the same time as a nonsurgical rhinoplasty.

Curious about the cost of a rhinoplasty? You may use this link to find more information regarding the Cost of a Rhinoplasty.




These are before and after photos of a woman in her early 30’s who underwent a rapid nonsurgical natural chin augmentation.  This is complimentary to a rapid nonsurgical natural rhinoplasty and provides additional facial balance where needed.



View Rhinoplasty results photos

Dr.Burke developed a nonsurgical rhinoplasty for those wishing immediate outpatient nasal correction. Although not permanent, the results are immediately noticeable, and the treatment may be repeated as necessary.



This male patient presented with an old malunited nasal fracture and a significant deformity of the nasal tip and dorsum.

He requested non surgical rhinoplasty. Pretreatment evaluation included  digital computer imaging.  Treatment was completed in the office and he returned to work.



The treatment involves careful injection of an appropriate volumizing agent with careful release of scar tissue and remolding of the external nasal architecture to create a more natural appearance and mask the underlying deformity.

This treatment is also effective for those who underwent one or more rhinoplasties, do not with to undergo additional surgeries,  and experience postsurgical external nasal deformities

 Who is a Candidate

  • An abnormal appearance of the nose as a result of birth defects, injury, or disease.
  • A nose that is cosmetically unattractive or does not “fit” with other facial features.

Intended Result

  • More attractive nasal shape.
  • Nose in better proportion to other facial features.

View Rhinoplasty results photos

Procedure Description

  • The procedure is usually done under conscious sedation on  an outpatient basis.
  • If airway correction is done simultaneously, or extensive grafting is necessary, the procedure is done in the hospital under general anesthesia.
  • Standard Rhinoplasty: Incisions are made inside the nostrils. The nasal bones, cartilage and soft tissues are reshaped to improve the external contour.
  • Open Rhinoplasty may be used for difficult or larger noses. Involves external incision across the columella (strut between the nostrils). Bones, cartilage, and soft tissues may be reshaped under direct vision.
  • Large nostrils may be reduced through tiny incisions at the outer base of the nostrils.

Recuperation and Healing

  • The patient goes home with an external cast or splint in place. In some cases, the nose may be packed for 24-48 hours. The cast or splint is usually removed in 5 days.
  • Initial discomfort is controlled with oral medication .
  • The majority of swelling and bruising subsides progressively over 2-4 weeks. External sutures (if any) are usually removed in 7 days. Internal sutures dissolve.
  • The final result is evident in 12 months.

Other Options


  • The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.