Changing Your Nose

Rhinoplasty Austin TXAfter your eyes, your nose holds a prominent position on your face, both physically and perceptually. If it’s out of balance with your other features, it can really become a focal point when a person looks at you. Certain celebrities have made a living off a bulbous, huge nose — Jimmy Durante and Karl Malden, among others.Certain celebrities have made a living off a bulbous, huge nose — Jimmy Durante and Karl Malden, among others.

But for the rest of us a bulbous tip, a flattened middle, a bump on the bridge — are all issues that can make a person truly hate his or her nose. And it’s not like you can get away from it: it’s staring at you every morning in the mirror.

But Dr. Michelle Cabret-Carlotti or Dr. Albert Carlotti can give you a nose you actually like seeing in the mirror with nose surgery. 

Changing your nose

Clinically termed rhinoplasty, nose surgery removes, rearranges, or reshapes the bone or cartilage of the nose to correct irregularities. This is one of the original cosmetic surgeries. The first chronicled rhinoplasty dates back to 800 BC in India. Since that time hundreds of millions of people across the globe have had the proverbial nose job.

At Austin Cosmetic Surgery we don’t have “stock” changes that we push on our patients. We take an individualized approach to nose surgery that seeks to keep some features that make your nose all yours, removing those that detract. During your consultation, you will discuss your goals, along with what you like and don’t like about your nose. Our goal for your procedure is a natural, balanced result, usually opting for more subtle changes.

Benefits of rhinoplasty

These are some of the issues we correct with nose surgery:


  • Removing a bump on the bridge
  • Modifying the bridge
  • Reshaping the tip
  • Reshaping or resizing the nostrils
  • Repairing a formerly damaged nose
  • Increasing or decreasing the overall size
  • Improving breathing capacity

The procedure

Thanks to its three-dimensional nature, nose surgery presents special challenges that don’t necessarily arise when simply seeking to lessen signs of aging on the skin, for instance. Nose surgery is complex and delicate.

Patients are put under general anesthesia for our nose surgeries because the surgery can be quite involved. An “open” approach in most common. This is the method where the incisions are created across the tissue between the patient’s nostrils. It allows more significant changes to things such as overall nose size. If the goal is to reduce the nose size or shape or to straighten it, the skin covering the underlying bone and cartilage will be separated, allowing the cartilage and bone to be reshaped. Once this has been done, the skin is then re-draped over the surface. Flared nostrils can be narrowed by creating an incision at the junction between the nose and the skin of the upper lip.

If the situation is right, we may be able to use the “closed” method where all incisions are made within the nose itself. This method is used when smaller refinements are sought.

Interested in changing your nose? Call us at Austin Cosmetic Surgery, (512) 688-8000 in Austin or (480) 947-7700 in Scottsdale, to schedule a consultation.

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