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



Dr.Burke specializes in both surgical and nonsurgical rhinoplasty. The procedure chosen depends on a careful evaluation of your nose at the time of consultation and may include digital computer imaging.



Who would be a possible 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 of most to resume normal activities the same day as treatment.


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.

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?Please 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 with a significant deformity of the 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

  • If you have 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 as an outpatient.
  • If airway correction is done simultaneously or extensive grafting is necessary, the procedure is done in the hospital under general anesthesia and an overnight admission may be arranged.
  • 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. The nose may be packed for 24-48 hours. The cast or splint is usually removed in 5-7 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 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.