Jesse E. Smith, M.D., F.A.C.S

A Colleyville-Fort Worth Rhinoplasty specialist, Jesse E Smith, MD, FACS, is not your average plastic surgeon. He is specially trained in facial plastic surgery, a rigorous additional course of study focusing only on cosmetic surgery of the face. He is double board certified in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Smith has performed hundreds of rhinoplasty procedures.

Colleyville – 817-503-2442

Fort Worth – 817-806-4245

What is Rhinoplasty (“Nose Job”)?Preservation RhinoplastyChoosing a Rhinoplasty SurgeonRhinoplasty Before & AfterHow Does Rhinoplasty Work?Rhinoplasty CostNon-Surgical RhinoplastyReconstructive RhinoplastyRevision RhinoplastyRhinoplasty RecoveryFrequently Asked Rhinoplasty Questions (FARQs)

Jesse E Smith, MD, FACS, performs rhinoplasty (“nose job”) in Fort Worth and Colleyville. He is specially trained in facial plastic surgery, a rigorous additional course of study focusing only on cosmetic surgery of the face. He is double board certified in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Smith has performed hundreds of rhinoplasty procedures.

If you are considering rhinoplasty in Fort Worth or Colleyville, we invite you to schedule a consultation with Dr. Jesse E. Smith. Take the first step towards enhancing your appearance and boosting your confidence.

What is Rhinoplasty (“Nose Job”)?

Rhinoplasty, aka a “Nose Job,” is a surgical procedure to correct the form and/or function of the nose. It can reshape the nose and make it fit better with other facial features. It may also be used to improve breathing function by relieving obstructions in the nasal airway.

How do I choose a rhinoplasty surgeon?

To find the best rhinoplasty surgeon near you, consider a surgeon with a profile like Dr. Smith’s, who not only holds dual board certifications in Facial Plastic and Reconstructive Surgery and Head and Neck Surgery but also has extensive experience in rhinoplasty. His background includes a fellowship in Facial Plastic and Reconstructive Surgery and a role as an Assistant Fellowship Director, demonstrating a deep knowledge of and dedication to the art and science of rhinoplasty.

When choosing a rhinoplasty surgeon, it’s crucial to ensure they meet certain standards and offer a comprehensive approach to care:

  • Certification and Training: Confirm that the surgeon is certified by the American Board of Plastic Surgery and has undergone specialized training in rhinoplasty. This ensures they adhere to the highest standards in the field.
  • Surgical Techniques: Verify that the surgeon is proficient in both open and closed rhinoplasty techniques. This versatility can provide you with more options tailored to your specific needs.
  • Review Their Work: Request to see before-and-after photos of previous patients. This will help you gauge the surgeon’s expertise and the quality of results you might expect.
  • Communication: Ensure there is open, two-way communication. The surgeon should provide personalized answers and explanations, making you feel comfortable and informed about every aspect of the procedure.
  • Safety and Facility Standards: Make sure that the surgery will be performed in a hospital or an accredited operating facility, prioritizing safety and professionalism.

Additionally, pay attention to the surgeon’s bedside manner. It’s important to choose someone who offers personalized care and treats you as an individual rather than just another case. This ensures a supportive experience before, during, and after your surgery.

Benefits of Rhinoplasty

Patients consult with Dr. Smith about rhinoplasty for one or more of several common issues. He offers surgical and non-surgical approaches to suit each patient’s unique needs.

We usually divide the nose into horizontal thirds. The upper, middle, and lower third. These areas can all be adjusted with rhinoplasty. Common adjustments include nasal humps, low and upper thirds, nasal tip, and nostrils.

Each of these areas requires a unique approach and considerations which will be influenced by the other features of your face. During your consultation, you and Dr. Smith will discuss each of these factors and then make a plan to achieve your goals.

While many conditions are treated using rhinoplasty, a few of the most common include:

  • A bulbous tip on the nose
  • A crooked or misaligned nose
  • A boxy tip of the nose
  • A drooping nasal tip
  • A bump along the nasal bridge
  • Disproportionally sized and/or misshapen nostrils

Both aesthetic and functional concerns may be resolved with nasal surgery. For instance, Dr. Smith may be able to correct poor breathing associated with a deviated septum or other structural problems.

Preservation Rhinoplasty

The main idea behind a preservation rhinoplasty is to modify the nose while preserving as much of the tissue as possible.

This procedure demands the use of advanced surgical techniques. The surgeon will change the shape of the nose by removing small bits of cartilage and bone found under the bridge of the nose. Experienced facial plastic surgeons, like Dr. Smith, can reduce the height of the nose bridge without making changes elsewhere.

See our article on preservation rhinoplasty.

Rhinoplasty Before & After

Dr. Smith has performed thousands of rhinoplasty procedures. Here are a few examples.

Open vs. Closed Rhinoplasty

There are two broad approaches to rhinoplasty surgery: an open procedure or a closed one.

Open Rhinoplasty: In an an open rhinoplasty, a small incision is made in the columella, the area between the two nostrils, allowing the surgeon access to the nasal cavity.

Closed Rhinoplasty: In a closed rhinoplasty, the entire procedure is performed through the nostrils.

During your consultation, Dr. Smith will discuss which approach is best for your situation and goals.

What to Expect During the Rhinoplasty Procedure

During surgery, Dr. Smith will make incisions based on the closed or open technique chosen during treatment planning. In either case, bone, cartilage, and tissue will be removed and/or contoured to achieve the desired result.

In some rare cases, a graft of cartilage taken from the ear and/or rib may be needed for the ideal results. After the nasal sculpting is complete, incisions are carefully closed to offer the best healing.

While it varies by patient and the chosen operation, most rhinoplasty procedures last about two to three hours. Most patients can go home the same day as the procedure. A family member or friend should be present to supervise you at this time.

No matter which procedure is chosen, Dr. Smith uses a delicate surgical approach to ensure any potential scarring is hidden or nearly invisible after healing. This also results in less discomfort after surgery and a shorter downtime/recovery for the patient.

Who Is a Good Candidate for Rhinoplasty?

There is no specific age limit for a rhinoplasty, but most surgeons will only take patients in their late teens and older. Full facial growth should be complete before undergoing the rhinoplasty procedure.

The best candidate will also have other characteristics to ensure impeccable results. This individual will be a non-smoker or someone who has stopped smoking for six weeks or more before the plastic surgery procedure.

Ideal candidates will be in good health and have no specific medical conditions that interfere with healing after the rhinoplasty. In addition, all patients should have realistic expectations about the outcome of the surgery.

Meeting these requirements – and any others put in place by Dr. Smith is something that will be discussed in the consultation period before the procedure is completed.

Rhinoplasty Cost

Learn more about the average cost of Rhinoplasty in Dallas, TX.

Non-Surgical Rhinoplasty (“Non-Surgical Nose Job”)

If you are considering rhinoplasty but are hesitant about undergoing surgery, non-surgical rhinoplasty may be a suitable alternative for you. Non-surgical rhinoplasty, also known as a “non-surgical nose job,” is a minimally invasive procedure that can enhance the appearance of your nose without the need for surgery.

Performed in the comfort of Dr. Jesse E. Smith’s Colleyville and Fort Worth offices, non-surgical rhinoplasty involves the use of injectable fillers to reshape and contour your nose. These fillers are carefully injected in strategic areas of the nose to address specific concerns such as a drooping nasal tip, a bump along the nasal bridge, or disproportionate nasal features.

One of the key benefits of non-surgical rhinoplasty is that it offers immediate results with minimal downtime. Unlike traditional rhinoplasty, there is no need for incisions or anesthesia, and most patients can resume their normal activities right after the procedure. The results of non-surgical rhinoplasty can last anywhere from several months to a year, depending on the type of filler used.

Reconstructive Rhinoplasty

Reconstructive rhinoplasty is usually done for trauma or cancer defects. These procedures may be done all at once, or in stages. These procedures improve both nasal function and the aesthetics of the nose.

Revision Rhinoplasty

Revision rhinoplasty can be a difficult operation. Dr Smith has performed hundreds of revision rhinoplasties in Fort Worth & Colleyville. Many times an open approach is needed to ensure that the underlying anatomy is in the correct position, and that all measurements are correct. Occasionally, rib or ear cartilage grafting may be necessary if all existing nasal septal cartilage has been utilized by other surgeons during previous surgeries.

Learn more about Revision Rhinoplasty with Dr. Smith.

Rhinoplasty Recovery

Dr. Smith’s number one rule after surgery is to act like you have had surgery. The first two weeks are crucial for healing, so you should avoid heavy lifting and strenuous activities.

Keep all pets and children at arm’s length, as head butts are more common after surgery than you might imagine.

Saline is used every 2 hours while awake after surgery to allow the internal nasal mucosa to heal quickly.

The first three days are the maximal swelling days. Sleeping in a recliner and keeping the nose above the level of the heart greatly assist with this edema. Most of the initial swelling is gone within the first 2-3 weeks. Residual swelling may remain for 3-12 months, depending on the extent of the procedure and the types of incisions made.

Most people take 7-10 days off from work.

The nose is kept dry for the 7-14 days in order to allow the external cast to remain intact. The cast helps shape the nose and resists swelling.

During follow-up visits with the office, we’ll monitor healing and work to make recovery a smooth process. Most swelling improves within a week and many people return to work at that time. The aesthetic outcome will improve gradually and may take up to a year to be fully apparent.

Getting Started with Your Consultation

To begin your journey towards a personalized rhinoplasty consultation, you can take these simple steps:

  1. Schedule an Appointment: Reach out to our office by calling (817) 806-4245, messaging, filling out our online form.
  2. Prepare for Your Consultation: Before coming in, gather any relevant medical history and prepare a list of questions or concerns you might have regarding the procedure.

By following these steps, you ensure a smooth start to your consultation process, paving the way for a comprehensive discussion with Dr. Smith.

Rhinoplasty Frequently Asked Questions

  • How do I find the best rhinoplasty surgeon near me?

    To find the best rhinoplasty surgeon near you, consider a surgeon with a profile like Dr. Smith’s, who not only holds dual board certifications in Facial Plastic and Reconstructive Surgery and Head and Neck Surgery but also has extensive experience in rhinoplasty. His background includes a fellowship in Facial Plastic and Reconstructive Surgery and a role as an Assistant Fellowship Director, demonstrating a deep knowledge of and dedication to the art and science of rhinoplasty.

  • Does Rhinoplasty Hurt?

    People tolerate rhinoplasty quite well. While there is pain involved with every surgery, the nose is usually slightly uncomfortable. Pain medicine is prescribed after the operation to keep you comfortable.

  • Is Rhinoplasty Safe?

    Rhinoplasty is safe in healthy individuals. As with all surgeries, the major risks are pain, infection, bleeding, need for further surgeries.

  • Will I Have Scars?

    Scars are minimal for rhinoplasty. They are hidden in the shadows of the nose, or within the nostrils.

  • What About Rhinoplasty for Men?

    Male rhinoplasty is usually done for asymmetric noses, large humps, or breathing issues. Aesthetic rhinoplasty is becoming more common, and can be a helpful adjunct in the overall appearance of the face.

  • What is the Right Age for Rhinoplasty?

    Rhinoplasty can be done on children for some traumatic purposes or for resection and reconstruction of cancer. Otherwise we usually reserve rhinoplasty for those 17 and above. We have done rhinoplasties on people into their 90’s who were healthy.