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What is a Rhinoplasty

Rhinoplasty is an operation on the nose to improve the appearance and harmony of the nose on an individual patient’s face. In addition to augmenting, reducing, or refining the nose, the procedure can address any airway obstruction all in one operation

These benefits are not only physical but generally result in an improved self confidence and self esteem.


For rhinoplasty surgery, there are two surgical techniques: open and closed. In an open rhinoplasty procedure, a small incision is made on the external part of the nose in between the two nostrils in addition to incisions hidden inside the nose. This allows for direct manipulation of the nasal cartilage and bone. In a closed, or endonasal, rhinoplasty, all incisions are hidden incisions inside the nose.

Since closed rhinoplasty allows for complete concealment of incision scars, it is often the more attractive option. However, even open rhinoplasty incisions can become nearly undetectable when your procedure is performed by an experienced and board-certified plastic surgeon like Dr. Michael Eisemann.

There are risks and benefits to each option, and it’s our job at Eisemann Plastic Surgery to give you all the available information and help you make a decision about what’s best for your goals.


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Am I a Candidate for Rhinoplasty?

If you would like to improve the appearance of your nose, a rhinoplasty procedure could be right for you. This cosmetic procedure can remove a hump or bump, straighten the nose, narrow the nose tip, adjust the nose tip projection, alter the size of the nose, alter nostril size, and reduce nostril width. There are several types of rhinoplasty, including:


Rhinoplasty procedures are performed to alter the cosmetic appearance of one’s nose.


Between 5-9% of the time revision nasal surgery may be required to improve the appearance of the nose or improve the airway function. This is generally due to healing factors or cartilage shifts that occur in the time after surgery. To address this advanced techniques including extracorporeal septal reconstruction may be required. This involved removal of the septum, straightening it and replacing it back into the nose. Techniques using the Piezoeletric ultrasonic system may be used to reduce bleeding and swelling, preserve the mucosal lining, and create precise bone cuts for manipulation. Occasionally, a patient’s own cartilage from the ear or rib are used to assist in reconstruction.

Revision rhinoplasty is regarded to be one of the most complex procedures in plastic surgery. Dr. Eisemann has a special expertise being Triple Board Certified in Plastic Surgery, Facial Plastic Surgery, and Ear Nose and Throat / Head and Neck Surgery.

Most importantly, Dr. Michael Eisemann enjoys helping patients with challenging and complex revision surgeries. He enjoys helping patients who have had unfortunate setbacks and finds performing these surgeries gratifying for himself and the patient.


The nasal septum is the partition between your right and left nasal passageways . When it it is deviated significantly to one side or the other, individuals experience nasal airway obstruction which will require reconstruction.

Airway Improvement

Procedures to help with support of the structure of your nose that may limit airflow and cause nasal airway obstruction.

To find out if you’re a candidate for this procedure, schedule a consultation with Houston Rhinoplasty Surgeon Dr. Michael Eisemann. One of his board certifications is Otolaryngology (Ear, Nose, and Throat) which makes him uniquely qualified to perform cosmetic nasal surgery. He is also certified by the American Board of Plastic Surgery (ABPS) and the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). Additionally, he lectures, publishes articles, and educates residents on various aspects of plastic surgery. For over 30 years, Dr. Michael Eisemann has helped men and women in the Houston, Texas area as well as around the world, restore balance to facial features through personalized rhinoplasty procedures.

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Real Patient Results

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To learn if you are a good candidate please contact our experienced Houston plastic surgeons, Dr. Michael Eisemann and Dr. Bradley Eisemann, at our accredited surgical center in Houston, Texas.


During your consultation, Dr. Michael Eisemann and Dr. Bradley Eisemann will perform a comprehensive examination of your nose to determine if you are a candidate for the rhinoplasty procedure. This surgery is appropriate for most people over the age of 16 who are physically and psychologically healthy and whose facial maturation is complete.
As part of the examination, Dr. Michael Eisemann and Dr. Bradley Eisemann will check for any functional airway problems inside your nose which can also be addressed during your procedure.

To help you visualize your postoperative nose, we perform computer morphed simulations of your face to allow you to get an idea of what to expect after surgery. The goal is to produce an aesthetically natural and attractive nose that is balanced and harmonious with the complete face. This process is completed by Dr. Eisemann with each patient to ensure that all of your goals are met.

You will make choices regarding your preference for general anesthesia in the hospital or local anesthesia with intravenous sedation performed in our nationally accredited Eisemann Surgery Center. Our facility is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF) . If you are healthy, this is often a more attractive options for patients due to safety, convenience, privacy, and price. Patient’s with significant medical issues are more safely treated under full general anesthesia in a hospital setting.

Experience and Expertise by Eisemann and Eisemann in Rhinoplasty

  1. Office surgery with local anesthesia and intravenous sedation
  2. Closed and open rhinoplasty
  3. Piezo ultrasonic rhinosculpture
  4. Nasal fillers for non-surgical rhinoplasty
  5. Diced cartilage grafts
  6. Graft harvesting from rib, concha. septum and tragus
  7. Spreader flaps and grafts for middle vault collapse
  8. Extracorporeal and intracorporeal septum reconstruction
  9. Tip cartilage suturing technique with invisible graft techniques

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Schedule your initial consultation to see how our experienced team, Dr. Michael Eisemann and Dr. Bradley Eisemann, can help you. The Eisemann Plastic Surgery Center serves Houston, Clear Lake, and surrounding communities in Texas. Please contact us below or call (713) 790-1771 today.

Learn More About The Rhinoplasty Procedure

Rhinoplasty Testimonial


Initial recovery from rhinoplasty typically takes about two weeks. However, you should not confuse initial recovery with final results, as those can take months to become apparent. After two weeks, the primary obstacles to seeing your final results will be bruising and residual swelling. Once these disappear, your newly contoured nose will be completely visible.

The first few days of rhinoplasty recovery can present the biggest challenges. For the first 24 to 48 hours, you will want to make sure you have someone around to help take care of household necessities while you take time to rest.

It is not uncommon to experience a headache or to notice swelling around the nose during the initial recovery period. You can control pain with medications. For swelling, you should apply ice packs and avoid strenuous or excessive movements. Dr. Michael Eisemann and Dr. Bradley Eisemann will provide you with a complete list of things you can and cannot do during this time to help ensure you do not complicate your recovery.

During your one week follow-up appointment, splints, stitches, and nasal packing are removed. At this time, many people are comfortable returning to work, but this decision should be based on the requirements of your job. Based on Dr. Michael Eisemann and Dr. Bradley Eisemann’ recommendations, you may need to avoid strenuous activities for up to six weeks.

Provided that you follow all pre and postoperative instructions, your recovery time should be minimal and your final results amazing.


It is not enough to assume a surgeon who offers nose surgery is capable of producing remarkable results. It’s important that you feel confident in a surgeon’s abilities before you commit to having your procedure performed. One of the first things to look for in a rhinoplasty surgeon is his or her training and certifications. You should only work with a board-certified plastic surgeon with hospital privileges who can perform your surgery in an accredited hospital or surgical suite. Both of these things can play a large role in your safety and final results. Your rhinoplasty surgeon should be willing to show you before and after pictures of patients he has helped through both primary and revision rhinoplasty. These pictures will give you a better idea of the type of results a particular surgeon can offer. Your rhinoplasty surgeon should listen closely to your needs from the moment you walk in the door. He or she should clearly answer all of your questions and honestly discuss things such as potential complications and rhinoplasty recovery. If you feel like a surgeon is not listening to you or is incapable of producing your desired results, look for another surgeon. Consultations for plastic surgery are not commitments. You are entitled to continue looking until you find a rhinoplasty surgeon with whom you feel comfortable and confident.

Health insurance does not cover cosmetic rhinoplasty. Often, people combine cosmetic and functional procedures. Depending on your insurance company, the functional component of the surgery, such as the correction of a deviated septum or other breathing problems, may be covered.

The duration of the procedure depends on the extensivity of the changes to be made and the surgical method (open or closed). The procedure can last anywhere from one to four hours.

The first two days after the procedure are the most difficult. After one week, packing and stitches are removed and many patients are able to return to work. It can take up to six weeks to fully recover from a rhinoplasty procedure and return to strenuous activity.

During the procedure, you’re under general anesthesia so you won’t feel any discomfort. After the procedure, you may experience some swelling and pain, but you can easily manage these symptoms with mild painkillers.

For a facial plastic surgery procedure like rhinoplasty, it’s important that your face be fully developed. For females, this occurs around age 14 or 15. For males, this occurs around age 16 or 17.

The cost of rhinoplasty varies depending on the procedure. During your consultation, Dr. Eisemann will discuss this with you.

Ultimately, it’s up to the patient to answer this question. A nose job can produce a dramatic change in a patient’s appearance which can be rewarding for both the patient and the physician. Many patients who undergo this procedure feel more confident in their appearance afterwards.

Dr. Michael Eisemann is triple board certified by the American Board of Plastic Surgery (ABPS), the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS), and the American Board of Otolaryngology (ABOto).  He also lectures, publishes articles, and educates residents on various aspects of plastic surgery.

To schedule your one-on-one consultation with Dr. Michael Eisemann and Dr. Bradley Eisemann
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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation

Practice Policy Update Regarding COVID-19

Dr. Michael Eisemann, Dr. Bradley Eisemann, and the entire staff at Eisemann Plastic Surgery are committed to the health and safety of all of our patients and ourselves.

We are thankful to be connected to Houston Methodist Hospital, one of the most respected hospitals in the country. Because of this, our screening policy is aided by the hospital's official policies and checkpoint screening measures completed prior to entering our building. These measures allow us to do everything we can, at this point in time, to minimize the chance that we expose ourselves or our patients to someone who has been sick or contagious with the virus.

We are set up to perform new consults and patient follow-ups via ZOOM video conferencing.

As of Monday, March 23rd, our office is open. We are open and seeing select patients. If you are currently on the schedule, please call our office if you have any concerns about your own health.

While all major hospitals have stopped elective surgery at this time, we are very selectively performing indicated operative procedures in our procedure room and in our AAAASF certified operating room under local and IV sedation.

As always, both Dr. Michael Eisemann and Dr. Bradley Eisemann are available by phone and email to answer any questions you may have.

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