Rhinoplasty Techniques

As you research nose surgery, you’ve probably seen terms like open rhinoplasty, tip plasty, or preservation rhinoplasty and wondered which is the best rhinoplasty technique for you. The answer depends entirely on your goals, anatomy, past procedures, and other individual factors.

At Primera Plastic Surgery in Lake Mary, FL, near Orlando, Dr. Edward Gross is a double board-certified facial plastic surgeon who specializes in customizing surgical plans for each patient’s needs. With over 25 years of experience, Dr. Gross combines artistic judgment with medical precision to select the most effective, natural-looking approach for every case — whether it’s a primary cosmetic procedure or a complex revision.

Rhinoplasty
 Before & After Photos

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Best Nose Job | Orlando , FL
Best Nose Job | Orlando , FL
Case: 1 of 8

This 41-year-old woman from Melbourne, FL was bothered by massive dorsal hump on the bridge of her nose. Overall, she felt her nose was too big for her face, and she also experienced breathing issues. Dr. Gross performed a rhinoplasty with profile reduction, tip deprojection, and tip repositioning. Now her nose is perfectly proportionate for... Read More
Rhinoplasty | Nose Job | Orlando , FL
Rhinoplasty | Nose Job | Orlando , FL
Case: 2 of 8

Case # 739. This 55-year-old woman from Orlando was bothered by a wide nose, bulbous tip and wide nostrils.  Dr. Gross performed a cosmetic rhinoplasty/ nose job with Nostril narrowing, tip plasty, bridge narrowing and tip rotation to achieve these results.  This is a very common anatomic feature in Ethnic rhinoplasties in Peruvian... Read More
Before & After Rhinoplasty Case 964 Front View in Orlando, Winter Park & Tampa, Florida
Before & After
Case: 3 of 8

This 60 year old gentleman from Orlando had a severely deviated nose and prominent dorsal hump. Dr. Gross performed septoplasty and used osteotomies to correct the dorsum/ nasal pyramid. He shaved down the dorsal hump and straightened the crooked nose deformity.  His results show a noticeable improvement and profile is balanced. His brea... Read More
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Before & After
Case: 4 of 8

Case #478 | Rhinoplasty | Orlando: This 35-year-old business woman consulted with us for a reduction rhinoplasty. She was bothered by the large dorsal hump on her nose profile. Dr. Gross performed cosmetic rhinoplasty and tip plasty to thin her tip. A radix graft was used at the top of her bridge, and her nostrils were narrowed via Weir excis... Read More
207
Before & After
Case: 5 of 8

African-American Rhinoplasty | Orlando, FL: Bothered by: wideness and flatness of the nose bridge, and a round tip. Dr. Gross performed a rhinoplasty with tip plasty, and the patient returned to work in one week. Her nose bridge is thinner and her tip is refined yet natural. Nose surgery for Black/ Ethnic patients requires experience and spec... Read More
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Before & After
Case: 6 of 8

Case# 208 | Rhinoplasty | Nose job | Orlando: Dr. Gross shaved down the dorsal hump on the nose bridge and lifted her tip. Her nose now has a natural appearance and is more feminine. Osteotomies and tip plasty were performed through an open-approach procedure.  There is no visible scar. Read More
Nose Job | Orlando , FL
Nose Job | Orlando , FL
Case: 7 of 8

Case #687 | Revision Rhinoplasty: This Orlando, FL woman injured her nose and had had a previous rhinoplasty. Her breathing and nasal valve were obstructed and her nose was too long. Dr. Gross performed a revision rhinoplasty with ear cartilage grafting, septal reconstruction, and tip de-projection. Her breathing is now improved, and her nose... Read More
Before & After Rhinoplasty Case 882 Right Side View in Orlando, Winter Park & Tampa, Florida
Rhinoplasty | Nose Job | Orlando , FL
Case: 8 of 8

This 37-year-old gentleman from Orlando, FL, was bothered by the dorsal hump on his nose profile and by an enlarged earring hole. Dr. Gross performed a rhinoplasty to reduce the dorsal hump to a nice straight line consistent with a masculine profile. We also repaired the enlarged earring hole. There is no visible scarring from either procedur... Read More

Keep in mind that each patient is unique and your results may vary.

What’s the Best Rhinoplasty Technique?

Each nose is as unique as the person behind it, and the “best” rhinoplasty technique depends on multiple factors:

  • Your anatomy (skin thickness, cartilage strength, nasal tip support)
  • Your aesthetic goals (refinement, straightening, narrowing, etc.)
  • Functional concerns (like breathing issues or trauma repair)
  • Whether you’ve had surgery before
  • Your preferred recovery timeline

At your consultation, Dr. Gross uses computer imaging to help you visualize your likely outcome and determine which technique offers the greatest balance of precision, longevity, and natural-looking results.

Common Rhinoplasty Techniques Used at Primera

Dr. Gross routinely uses several advanced techniques, each with distinct benefits depending on the case.

Open Rhinoplasty

This technique involves a small incision on the columella—the strip of tissue between the nostrils—to provide full visibility and access to the nasal structures. It is often the preferred approach for:

  • Precise tip refinement
  • Complex or revision cases
  • Reshaping nasal cartilage with grafts

The incision placement allows Dr. Gross to make highly detailed adjustments with greater precision. Once healed, the scar is typically very small and discreet, often barely noticeable when viewed from below. Find out how open and closed rhinoplasty compare in our related blog post.

Preservation Rhinoplasty

Preservation techniques focus on maintaining more of the nose’s natural framework, minimizing the amount of tissue removed. This option is well suited for:

  • Dorsal hump correction
  • Minor shape adjustments
  • Patients with strong nasal structure

Because it disturbs less tissue, patients often experience less swelling and faster recovery than with traditional open approaches.

Tip Plasty

When nasal concerns are isolated to the tip (such as a bulbous shape, asymmetry, or drooping), Dr. Gross may perform a targeted tip plasty. Benefits include:

  • Shorter surgical time
  • Smaller incisions
  • Quicker recovery
  • A refined tip for patients who are happy with the shape of their nasal bridge

Functional Rhinoplasty (Including Septorhinoplasty)

Functional rhinoplasty corrects structural issues that affect breathing while also allowing for cosmetic refinements. Common concerns include a deviated septum or nasal valve collapse. When the septum is corrected during the procedure, it’s called septorhinoplasty. Dr. Gross may combine functional corrections with techniques like tip plasty or preservation approaches to achieve results that are both harmonious and functional.

If you are considering functional rhinoplasty, you may also want to review insurance considerations.

Rhinoplasty | Nose Job | Orlando , FL
Before and After Cosmetic Rhinoplasty With Tip Plasty and/or Functional Correction in Lake Mary, FL, by Dr. Edward Gross
Rhinoplasty | Nose Job | Orlando , FL
Before and After Cosmetic Rhinoplasty With Tip Plasty and/or Functional Correction in Lake Mary, FL, by Dr. Edward Gross
Rhinoplasty | Nose Job | Orlando , FL
Before and After Cosmetic Rhinoplasty With Tip Plasty and/or Functional Correction in Lake Mary, FL, by Dr. Edward Gross
Rhinoplasty | Dr. Edward Gross | Primera Plastic Surgery | Orlando, FL
Before and After Cosmetic Rhinoplasty With Tip Plasty and/or Functional Correction in Lake Mary, FL, by Dr. Edward Gross
Rhinoplasty | Dr. Edward Gross | Primera Plastic Surgery | Orlando, FL
Before and After Cosmetic Rhinoplasty With Tip Plasty and/or Functional Correction in Lake Mary, FL, by Dr. Edward Gross
Before & After Rhinoplasty Case 189 view-1 View in Orlando, Winter Park & Tampa, Florida
Before and After Cosmetic Rhinoplasty With Tip Plasty and/or Functional Correction in Lake Mary, FL, by Dr. Edward Gross
Before & After Rhinoplasty Case 189 view-2 View in Orlando, Winter Park & Tampa, Florida
Before and After Cosmetic Rhinoplasty With Tip Plasty and/or Functional Correction in Lake Mary, FL, by Dr. Edward Gross

What If You’ve Already Had Rhinoplasty?

Choosing the best rhinoplasty technique becomes even more critical for patients who have already undergone one or more nose surgeries. Scar tissue, weakened cartilage, and altered anatomy all increase the complexity of revision procedures.

Dr. Gross specializes in revision rhinoplasty, using a meticulous open approach and advanced cartilage grafting techniques to rebuild structure and improve previous results. He is a trusted referral destination for challenging cases across Central Florida.

Read about revision rhinoplasty recovery to learn how healing differs from a primary rhinoplasty procedure.

Which Technique Offers the Most Natural Results?

It’s not just the technique that is essential to satisfying results; it’s the surgeon behind it. Dr. Gross is known for delivering natural-looking, balanced, and individualized results that respect each patient’s facial features. His approach involves:

  • Tailoring the surgical plan based on your input and computer imaging
  • Using techniques that preserve structural integrity and reduce the risk of collapse
  • Refining the tip, bridge, and nostrils in harmony with the rest of your face

Many patients find that their results look so natural that friends and family notice an improvement, but not necessarily that it’s the result of surgery.

Let’s Find the Right Approach for You

There’s no single “best” rhinoplasty technique—only the one that best suits you. Whether you’re a first-time patient or seeking improvement after a previous surgery, Dr. Gross will help you understand your options and set realistic expectations.

At Primera Plastic Surgery, we understand that cost is also an important factor as you consider nose surgery. See our guide on how to afford rhinoplasty for tips on budgeting and financing options.

Call our Lake Mary office at (407) 333-3040 or request a consultation online to start planning your personalized rhinoplasty.

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