Rhinoplasty (Nose Surgery)

Conveniently located to serve the areas of Beachwood and Cleveland, Ohio

Rhinoplasty can enhance the shape, size and general appearance of your nose. Everyone has their own idea of what is an attractive nose. For most, quite simply, it is a nose that fits their face. It is a natural looking nose that achieves a harmonious balance with your other facial features. If you feel that your nose is not a good fit for your face, you may benefit from cosmetic surgery of the nose, which also called “Rhinoplasty.”

The “hump” on the bridge of the nose can be flattened. The tip can be shaped to be less “boxy” or bulbous. A long appearing nose can be shortened. A nose that is off-center or crooked from injury can be straightened. After surgery, your nose will have a straighter bridge, a well-defined tip and an improved angle between the nose and upper lip.

Dr. Fedele Explains Rhinoplasty

What Is Rhinoplasty?

The goal of this procedure is to approve the appearance and/or function of the nose.

Rhinoplasty is the clinical name for nose surgery. Dr. Fedele can employ various techniques to reduce the size of an overly large nose or to build up a nose that is too small. He can manipulate the underlying cartilage and bone to change the visible outer characteristics of the patient’s nose. Flared nostrils can be changed.

Your options are diverse, but, thanks to Dr. Fedele’s advanced imaging software, you’ll be able to see what different alterations look like on your face long before any actual surgery is done.

Before and After Photos

What are the benefits of Rhinoplasty?

Many people seek improvements in their nose for the outward appearance but often times the problem is inside the nose as well. Difficulty breathing through the nose can be a result of trauma or injury, or simply the way your nose developed naturally. The wall separating the two nasal passages called the septum can be deviated to one side or the other causing constriction of air flow.


A Septoplasty can remove this bulging or deformed portion of cartilage and give you a straighter septum with no compromise in the air passage. In addition, a turbinectomy can also open the nasal air passages by reducing the turbinates, the internal projections that warm and moisturize the air that passes through the nose. The end result is better air flow and less difficulty breathing through your nose at night or during exercise.


When we talk about achieving a balance to your face with rhinoplasty, sometimes this involves enhancing the chin. Some people who feel their nose is projecting too far out from their face may have a small or “weak” chin.

When viewed from a profile the nose and chin are out of balance. Corrective rhinoplasty to enhance the nose may be combined with a chin augmentation with an implant. The result is a much stronger more balanced appearing profile.

Regardless of the concerns you have and what you would like to have improved, you want to know how your new nose will look on your face. Dr. Fedele has advanced digital computer imaging that can take your digital image and show the changes step by step. In this way Dr. Fedele can better explain the changes he feels will improve your appearance and you can voice your opinion as well.

You will see simulated before and after images of your nose with the changes.

The consultation is much more interactive and you will come away with a better understanding of how Dr. Fedele would change your nose and how it will look on you.

See What Our Patients Are Saying

“Dr. Fedele and his team are so wonderful!! Friendly, helpful and all about giving you the best results! Very happy with my outcome. I highly recommend Dr. Fedele” -Courtney T.

Who Is A Good Candidate For Rhinoplasty?

No one should have to live with a nose they hate seeing every morning in the mirror. Dr. Fedele’s nose surgery patients usually want to change their nose for reasons that fall into three categories:

Appearance – Cosmetically changing the appearance of the nose is the most popular reason for this surgery. This is because the nose occupies such a prominent place on the human face.

Function – Whether the problem is congenital or from trauma, nose surgery can open restricted nasal passages and improve function. This can improve the patient’s sleep.

Injury or Trauma – Trauma or injury to the nose could be recent or from a previous injury that was never addressed.

These are some of the issues usually addressed by rhinoplasty:

  • The tip is enlarged or bulbous
  • There is a bump or depression on the bridge of the nose
  • Correcting a congenital breast defect
  • The tip droops
  • The nose is out of proportion with the rest of the face
  • The nostrils are excessively flared
  • The nose is crooked or off-center

How Is The Procedure Performed?

Dr. Fedele uses an open or closed surgical method, depending on the unique situation of each patient. He prefers the closed method due to its lack of a visible scar, but that method isn’t always the best option.


Open Rhinoplasty

In open rhinoplasty, Dr. Fedele makes a small incision across the columella (the small strip of skin between the nostrils). He then lifts the skin and underlying tissue up and back from the tip of the nose to expose the bone and cartilage. Whether building up or reducing the bridge, the open method provides excellent access.

Once the changes are made, the skin and tissue is re-draped over the new underlying structure. This method leaves a small scar on the columella, but this is an innocuous area of the face. Plus, with time, the scar becomes virtually invisible on most people.

Closed Rhinoplasty

In closed rhinoplasty, all of the incisions are made within the nose, eliminating any outer scarring. The closed method is effective when the size of the overall nose is being changed, and to address breathing problems.

Once the incisions are made, the soft tissues are separated from the bone and cartilage. When the nose is being made thinner or smaller, the nasal bones will be fractured to allow reduction. If increasing the size, Dr. Fedele uses cartilage or bone from the patient’s ears or ribs, or he can opt for synthetic material.


Often what predicates one method over the other is the extent of change desired by the patient. He’ll discuss your options during your consultation.


You will return home the same day of your surgery.

Your nose will have packing in the nostrils to absorb fluids and to provide support. The exterior will be splinted to protect it. You will have some significant swelling and your eyes will likely blacken due to the tissue trauma. This is almost unavoidable due to the tissue manipulation involved with this procedure. Dr. Fedele will prescribe pain medication, which will also help manage swelling.

Over the first few days, you’ll need to keep your head elevated, even when sleeping. After around one week, your splint will be removed, but your nose and areas around your eyes will still be swollen. This will begin to improve in 10-14 days, but there will be times of swelling for a few weeks, particularly later in the day and at night. Obviously, you’ll have to avoid any activity that can bump your nose for six weeks. Overly strenuous activity will also have to wait, as this places stress on the airways during heavy breathing.


Recovery from nose surgery can be frustrating at times. This is because swelling can return, particularly at night. This is completely normal due to the tissue trauma of rhinoplasty. It will take around six months to fully realize your new nose, although this can vary between patients. But when all is said and done, you’ll be pleased with your new nose and your results will last the rest of your life.

Dr. Fedele will discuss the surgical options that would best suit your individual facial features. For more information or a consultation with Dr. Fedele about Nose Reshaping, call us at (261) 464-1616.

Rhinoplasty Consultation with Dr. Fedele

Dr. Fedele will discuss the surgical options that would best suit your individual facial features. For more information or a consultation with Dr. Fedele about Nose Reshaping, contact us online or call us at (261) 464-1616.