Primera Plastic Surgery
1035 Primera Boulevard
Lake Mary, FL 32746
Phone: (407) 333-3040
Fax: (407) 333-3496
Mon–Fri: 9 a.m.–5 p.m.
Sat: 9 a.m.–3 p.m. (Med Spa only)
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
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.
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.
Reviewed for clinical accuracy by Dr. Edward J. Gross on September 9th, 2026.