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Back to Dr. Michael Philbin

The nose holds a prominent position on the face. It has tremendous emotional significance to each individual. A nose that is considered too large, too small, too crooked or deviates in some way from a normal range can make a person feel self-conscious. For this reason, rhinoplasty or nose surgery is one of the most common cosmetic procedures done in the nation and here at Edina Plastic Surgery.

Choosing this surgery

A rhinoplasty procedure involves several tissue types – bone, cartilage, and skin – as well as a complex structure and the important function of breathing. For these reasons, rhinoplasty requires special surgical expertise. At Edina Plastic Surgery our surgeons are not only board certified by the American Board of Plastic Surgery, but they have many years of experience.

Most rhinoplasty is cosmetic in nature and therefore not covered by insurance. Some surgical corrections for breathing problems, however, may qualify for insurance coverage. Connecting with your insurance carrier will help you know what may be covered.

Preparing for surgery

Nose surgery is most commonly conducted with general anesthesia for patient safety and airway protection. Some minor procedures can safely be done with local anesthesia – or a combination of local anesthesia and sedation. Our surgeons perform most rhinoplasty surgeries in our on-site, fully accredited and licensed surgery facility.

> Our tips for preparing for your surgery are available here.

About the surgery

Rhinoplasty can be done using a “closed” technique with incisions inside the nose only, or “open” with the same incisions as closed, along with a small incision in the skin between the nostrils. The incision choice depends on the complexity of the procedure planned.

The rhinoplasty can address issues with the nasal tip, the hump of the nose, a crooked appearance, breathing problems, or even all of these. If the nasal bones are narrowed, it will be necessary to wear a nasal splint for about a week. Swelling will occur after rhinoplasty and will start to subside in a couple of weeks. There may be some degree of swelling that lasts up to a year.

Because of the complexity of this nose procedure and healing variability, it is not uncommon to need minor revision work to make more adjustments.

Our rhinoplasty patients tell us they appreciate surgery that results in a nose that looks natural, functions properly, and coordinates appropriately with other facial features.


Open rhinoplasty


49 yo woman underwent open rhinoplasty with dorsal reduction, tip grafting and shaping. Photos 3 months post op.