At Everyone’s ENT, we are happy to offer our patients the option of rhinoplasty. Dr. Gilliam loves her patients and believes in thoroughly educating them before they make their medical decision. This procedure is typically done for those who are unhappy with the noses they were born with, which can even at times impact the way they breathe. With rhinoplasty, our patients have a second chance to improve their appearance. The nose is extremely important in determining how a person looks. Dr. Gilliam can restructure your nose so that it fits your face better which could improve your overall self-confidence.

What is Rhinoplasty Surgery?

Rhinoplasty is also known as a “nose job.” It is the procedure that reshapes the nose and it’s one of the most common plastic surgery procedures. Rhinoplasty reduces or increases the size of your nose, change the shape of the tip or bridge of your nose, narrow the span of the nostrils, or change the area between your nose and your upper lip. As your San Antonio ENT doctor, Dr. Gilliam is able diagnose properly and advise the best course of action based on what is necessary for the procedure. Birth defects, injuries, or breathing problems are also reasons to have rhinoplasty.

Details of the Surgery

Whether you are having sinus surgery, rhinoplasty surgery, or any other surgery with us in San Antonio or Stone oak, understanding the details of the surgery is important to your overall education. The surgery will be performed while the patient is under local or general anesthesia. With local anesthesia, you will be lightly sedated and your nose and the surrounding area will be numbed. You will be awake during the surgery, but relaxed and insensitive to pain. If general anesthesia is used, you will be asleep through the operation. At the start of the procedure, incisions are made into the skin. The skin of the nose is lifted from the bone and cartilage underneath. Then, certain amounts of bone and cartilage are removed or rearranged to provide the new structure. After sculpting the bone and cartilage, the skin is draped over the new structure and it is time for the incisions to be closed. The surgeon will put a splint on the outside of the nose to help retain the new shape until the nose heals. Inside the nose, absorbent material can be placed to maintain stability of the nose. The dividing wall of the air passages (the septum) may need help in keeping stable.

Is Rhinoplasty for You?

Before getting rhinoplasty, good health and realistic expectations are important. It is also important for you to fully understand rhinoplasty. Skin type, ethnic background, and age are also factors. For example, a young patient needs to reach full growth (about 15 to 16). However, there are exceptions like in cases where breathing is severely impaired. Ask the doctor whether or not rhinoplasty is good option for you. Here are some characteristics of good rhinoplasty candidates.

  • Rhinoplasty can enhance your appearance and self-confidence, but it is important to stay realistic. It will not be a total makeover, so think about your expectations and talk about them with the doctor.
  • The best candidates seek improvement instead of perfection. This touches on the realistic expectations bullet above.
  • Patients may need rhinoplasty to correct birth defects, breathing problems, or an injury.
  • Age is a factor because the doctor prefers teenage patients to wait until they have passed their growth spurt. It is important to make sure the surgery is something the teenage patient wants, and not what their parents or other influencers want.


Whether you decide on the rhinoplasty for cosmetic or functional reasons, the person you choose for your surgery is of the upmost importance. Our surgeon has trained in ear, nose, and throat, which means you get the best care possible from the most knowledgeable doctor in Stone Oak and San Antonio, TX. Dr. Gilliam will examine your nose, and identify what factors may influence the outcome of the surgery. She will make sure you absolutely fully understand what your individual situation will be and will give you a detailed analysis of the plan. She will also explain the process of anesthesia, where it will take place, and the cost of rhinoplasty.

Uncertainty and Risk

Complications are usually rare if a qualified person performs rhinoplasty. The staff of San Antonio’s Everyone’s ENT is all about your safety during all ENT treatments from allergy shots to surgeries. Risk can be reduced if you listen to the doctor and follow their instructions. If a minor deformity occurs, corrective surgery may be necessary. Corrective surgery to fix a minor deformity would be minor. Some possibilities of complications are as below:

  • Infection
  • Nosebleed
  • Reaction to anesthesia
  • Visible small burst blood vessels

After Rhinoplasty Surgery

Please schedule to have someone drive you home since you will still be under the influence of anesthesia. During the first twenty-four hours, your face will feel puffy, you may have a headache, and your nose may ache a bit. Dr. Gilliam will prescribe you medication to take for any discomfort. For the first day after surgery, plan on staying in bed with your head elevated. Within the next two or three days, bruising and swelling around the eyes will increase, but will disappear within the first two weeks. Apply a cold compress to reduce swelling. You will experience stuffiness for several weeks. The doctor may ask you not to blow your nose for about a week while the tissues are healing. After one to two weeks, all stiches, dressings, or splints should be removed. You will be given instructions on how to get back to your normal routine. They may include:

  • Avoid strenuous activity that increases blood pressure like jogging, swimming, or sexual relations for two weeks
  • Avoid rubbing or hitting your nose for up to eight weeks
  • Keep your nose out of the sun and avoid getting sunburned for up to eight weeks
  • Glasses should not be worn for up to six to seven weeks. If completely necessary, they need to be propped on your cheeks or taped to your forehead.

Further Questions

We hope this page was helpful for you in learning about rhinoplasty. If you have any questions about the procedure, Dr. Gilliam and her staff are here to answer them for you. Request an appointment or contact us today. We would love to meet you for a consultation and get you on your way to the nose you’ve always dreamed of.