Primary Rhinoplasty


Rhinoplasty, commonly referred to as a "nose job," is a surgical procedure aimed at improving the appearance and function of the nose. The procedure can address various concerns, including altering the size, shape, and proportion of the nose, correcting a deviated septum, improving breathing, or enhancing overall facial harmony.

The first time a patient undergoes rhinoplasty, it is called Primary Rhinoplasty. Any subsequent nasal procedures are known as Revision Rhinoplasty.

What is Rhinoplasty?

The rhinoplasty procedure involves modifying the underlying structures of the nose. It typically includes reshaping the bone and cartilage, refining the nasal tip, correcting any septal deviations. Dr. Okland may use different techniques and approaches, such as closed or open rhinoplasty, depending on the patient's specific needs and goals.

The highest level of rhinoplasty is a harmony of form and function. The procedure can be broadly divided between the following two categories:

1. Functional Rhinoplasty: Rhinoplasty to improve nasal breathing, This includes correction of septal deviation, large turbinates, or valve collapse.

2. Aesthetic, or Cosmetic Rhinoplasty: Rhinoplasty to improve the cosmesis of the nose. This includes straightening of a twisted or deviated nose, improvement of the profile (dorsal hump reduction or smoothing), and creating a sculpted, defined nasal tip.

While these two categories are useful to define the goals for patient and surgeon, Dr. Okland is intensely focused on maintaining (and usually improving!) nasal breathing for all rhinoplasty patients – even those who present as a cosmetic consult.

There is an evolutionary basis for this. The noses we prefer to look at, or ‘ideal noses’, are also those that function well. Dr. Okland spent five years of residency and one year of fellowship operating only around the nose. This allowed him to become an expert on building noses that marry form and function.

How does Rhinoplasty work?

During rhinoplasty, Dr. Okland makes precise incisions to access the nasal structures. He then reshapes the bone and cartilage, removing or repositioning tissue as needed to achieve the desired aesthetic and functional improvements. The nasal tip may be modified with suture techniques and/or cartilage grafting and sculpting, and the septum can be straightened to improve airflow. The incisions are then closed, and the nose may be supported with a splint or cast during the initial healing period. Over time, swelling subsides, and the final results of the procedure become more apparent. The specific details of the procedure can vary depending on the patient's unique case and Dr. Okland's techniques. Consulting with a qualified plastic surgeon provides personalized information regarding how the procedure will work in a specific situation.

What are the Benefits of Rhinoplasty?

Improvement in nasal breathing

The nose may be obstructed for a variety of reasons, including septal deviation, turbinate hypertrophy, or valve stenosis or collapse. Dr. Okland individually tailors his rhinoplasty procedure to correct the specific signature of obstruction for each patient.

Aesthetic enhancement

The procedure can improve the overall appearance of the nose, bringing it into better proportion with other facial features. It can address concerns such as a prominent hump, a crooked nose, a bulbous tip, or wide nostrils, resulting in a more balanced and harmonious facial appearance.

Increased self-confidence

By enhancing the aesthetics of the nose, rhinoplasty can boost self-esteem and confidence. When individuals feel more satisfied with their nasal appearance, they may experience improved self-image and a positive impact on their overall well-being.

Correction of nasal deformities

Rhinoplasty can effectively address nasal deformities such as a saddle nose deformity, twisted nose, and/or traumatic injuries, which can cause breathing difficulties. By straightening and aligning the nasal structures, the procedure can improve nasal airflow and alleviate functional issues.

Improved facial symmetry

The nose plays a crucial role in facial symmetry. By addressing any asymmetry or disproportion in the nose, rhinoplasty can enhance facial harmony and balance, resulting in a more aesthetically pleasing overall facial appearance.

Personalized results

Rhinoplasty is a highly customizable procedure, Allowing Dr. Okland to tailor the surgery to each individual's unique needs and goals. The procedure can be adapted to the patient's specific anatomy, ethnic background, and desired outcomes, resulting in more natural-looking and personalized results.

Procedure Timeline

CONSULTATION: The process begins with an initial consultation with Dr. Okland to discuss patient-specific goals, evaluate the nasal structure, and determine the feasibility of the procedure. For patients with cosmetic concerns, this is an opportunity for the patient and Dr. Okland to identify the ideal nose shape to build on the operative day.

PRE-OPERATIVE PREPARATION: Preparations are made, including obtaining medical clearances, following pre-operative instructions, and discontinuing certain medications or supplements as advised by Dr. Okland.

SURGERY: On the day of the procedure, the patient undergoes surgery under general anesthesia or intravenous sedation. Dr. Okland makes the necessary incisions, reshapes the nasal structures, and performs desired modifications.

RECOVERY: Following the surgery, the patient enters the recovery phase. This involves closely monitoring the patient's healing progress, managing discomfort and swelling, and adhering to post-operative care instructions.

POST-OPERATIVE APPOINTMENTS: Multiple follow-up appointments are scheduled to monitor healing, remove sutures or nasal packing, and assess the progress of the recovery. These appointments occur within the first week, a few weeks later, and several months after the surgery.


Frequently Asked Questions?

The recovery process varies for each individual, but typically, the initial swelling and bruising subside within a few weeks. However, it may take several months for the nose to fully heal and for the final results to become apparent.
 The incisions made during rhinoplasty are typically placed inside the nostrils (closed rhinoplasty) or along the columella (open rhinoplasty). This helps minimize visible scarring. In most cases, any scars are well-hidden and fade over time.
Yes, rhinoplasty can address breathing difficulties caused by structural issues such as a deviated septum. Dr. Okland can correct these issues during the procedure to improve nasal airflow and functionality.
As with any surgical procedure, there are potential risks and complications involved with rhinoplasty. These can include infection, bleeding, adverse reactions to anesthesia, scarring, asymmetry, and dissatisfaction with the results. However, these risks can be minimized by choosing a skilled and experienced facial plastic surgeon, such as Dr. Okland.
The results of rhinoplasty are typically long-lasting. Barring any significant trauma or complications, the changes made to the nasal structure during the procedure are permanent. However, it’s important to keep in mind that natural aging processes can still affect the appearance of the nose over time.
Yes, rhinoplasty can be combined with other facial procedures, such as chin augmentation or eyelid surgery, to achieve overall facial harmony. This can be discussed during your consultation with a plastic surgeon to determine the best treatment plan for your goals.

Why choose Dr. Okland for Rhinoplasty?

Expertise and Experience

Dr. Okland completed training at the most rigorous and prestigious facial plastic and reconstructive surgery programs in the country. Between 2022 and 2023, Dr. Okland performed 370 rhinoplasty procedures – more than one rhinoplasty per day. Because of this experience and expertise, patients have come from all over the country to have rhinoplasty surgery with Dr. Okland.

Personalized Approach

Dr. Okland recognizes that every patient is unique, and he and his team take the time to listen to each patient’s individual concerns, goals, and expectations. We believe in a personalized approach, tailoring the procedure to suit each patient's specific needs, ensuring natural-looking results that enhance facial harmony.

Advanced Techniques

Dr. Okland trained with world-renowned rhinoplasty surgeon Dr. Sam Most at Stanford in residency, as well as the incredible team of Dr. Mark Clymer, Dr. Priyesh Patel, Dr. Shi Yang, and Dr. Scott Stephan at Vanderbilt for fellowship. Because of his diverse training, Dr. Okland brings the most advanced and innovative rhinoplasty techniques with him to the operating room in Denver.

Comprehensive Care

From the initial consultation to the post-operative recovery, we provide comprehensive care to our patients. We guide them through every step of the process, offering clear communication, education, and support. Our aim is to create a comfortable and positive surgical experience for our patients.

Patient Satisfaction

Our team's primary goal is patient satisfaction. We are dedicated to helping our patients achieve their desired nasal aesthetics and functional improvements. Witnessing the positive impact our work has on their self-confidence and overall well-being is incredibly rewarding for us as a team.

Safety and Results

Patient safety is our top priority. We follow stringent safety protocols and standards to ensure the highest level of safety during the procedure. Our collective expertise and meticulous approach to surgery enable us to consistently deliver excellent results that exceed our patients' expectations.

Schedule a Consultation

Fill out the form below to schedule a personalized consultation with our experienced team. During your consultation, we'll evaluate your goals, discuss the procedure, and answer any questions.Dr. Okland will develop a customized treatment plan tailored to your needs and facial features.

Take the first step towards enhancing your nasal aesthetics and functionality by scheduling your consultation today. We're excited to guide you through the process and help you achieve the results you desire.