Rhinoplasty

Rhinoplasty reshapes the nose to create a more balanced, harmonious facial profile.

Refine Your Facial Appearance With Rhinoplasty

Facial balance is often determined by the proportions of the nose, and even subtle changes to its shape or size can create a significant impact on overall appearance. Rhinoplasty, commonly referred to as a “nose job,” is a surgical procedure that adjusts nasal contours to enhance both form and function. At pēkomd®, our board-certified providers focus on delivering personalized care rooted in honesty, compassion, and advanced techniques. Whether you seek a subtle adjustment or a transformative change, our team is dedicated to helping you feel confident in your look and empowered in your daily life. Schedule a consultation at pēkomd® to learn how rhinoplasty can help you achieve your aesthetic or reconstructive goals.

What Is Rhinoplasty?

Rhinoplasty is a versatile cosmetic and reconstructive surgery that reshapes or resizes the nose. Through careful manipulation of nasal structures—including bone, cartilage, and soft tissues—this procedure can refine the nose's appearance, resolve breathing difficulties, or address medical conditions like congenital defects or trauma. Since every person's anatomy and aspirations differ, rhinoplasty techniques are tailored to the individual, ensuring a natural outcome that complements each patient's unique facial features.

At pēkomd®, our goal is to create a nose that both functions smoothly and harmonizes with the rest of the face. Before recommending any course of action, we thoroughly assess your medical history, facial structure, and desired results, all while prioritizing safety and realism.

Testimonials

Dr Koltz and his team are fantastic. I was always made to feel so comfortable and welcomed.

The team that he has assembled are just phenomenal women who truly brighten your day. They have offered me endless support and I will forever be grateful for them. I have received excellent care from everyone at pēkomd and would very highly recommend them. 10 out of 10!

Jennifer N.

Dr. Markov is one of the best microsurgeons in Southwest Ohio

I have had surgery is some of the top hospitals in Ohio and beyond. Dr. Markov is one of the best microsurgeons in Southwest Ohio, and the surrounding areas.His education, military background, and work experience speaks for itself. I have found him to be professional, highly-skilled, and he has excellent bedside manner. Dr. Markov treated me with respect, educated me about my options, and empowered me to decide what breast reconstruction option best for me. He approached my reconstruction surgery like Michelangelo to a painting. He was detailed oriented and cared about my final outcomes. I couldn't be happier with his performance. I highly recommend Dr. Markov for any cancer related or cosmetics surgery.

Candy

Mr. Dr. Fourman has been the best doctor hands down

Mr. Dr. Fourman has been the best doctor hands down so far that I have ever experienced in my life so far and I only have had my first office visit. He is so polite, listens and exsplained in full detail. He made me feel heard and he actually listened to me as his patient and did not belittle or make me feel like i was uneducated or wrong for my reasons to be vivisting his office. Thank you to Dr. Fourman and his wonderful staff members!

Heather

Dr. Straka is very personable, professional, and earned my trust right away!

My daughter first had some work done a few years ago with Dr. Straka. Of course she was/is a beautiful girl in every way, but this definitely enhanced things for her. I inherited the worst bags you could ever imagine. Getting older I thought let me do something for me! I scheduled a consult and I am truly sad that I had not gone sooner.

Dr. Straka is very personable, professional, and earned my trust right away! I am only 10 days post op and I love my new look already! Cristina has been very attentive from day one. I am still being checked on today. Dr. Straka is doing great things at pekomd! I highly recommend him to anyone!!!!!!! He gets a 100 stars

Youlanda J.

Thank You for saving my life!!

Dr. Fourman and his whole team have always made me feel not judged and welcomed. They are helpful, knowledgeable, informative and take time to discuss my health. There are few physicians that don’t make patients feel comfortable and Dr. Fourman is not one. So thankful I chose him as my bariatric doctor!! Thank You for saving my life!!

Amanda L

Make you feel like your best self.

Every experience I’ve had at pēkomd® has been amazing. The staff and providers truly take the time to make you feel like your best self. Dr. Koltz takes the time to get to know his patients and listens to their needs, concerns and dreams. I would absolutely recommend giving them a call and taking the steps to feeling the best version of yourself!

Megan M.

I would say Dr. Markov is a bit of a perfectionist.

After learning I had breast cancer a second time in 2023 I opted to have a bilateral mastectomy with a DIEP flap reconstruction. I looked into 3 different doctors and while I am sure they are all very capable, I chose Dr. Markov. He was straight forward and to the point and he was local. I really liked his approach and he made me feel very comfortable. Today I had my 4 week post op appointment from the final phase of the reconstruction and I am thrilled with the results. I feel and look like myself again. Honestly they look better than they did before my mastectomy. I would say Dr. Markov is a bit of a perfectionist. The only thing left, if I opt to do this, is the tattooing. I am not sure if I am going to do that just yet, because they already look so good. Anyhow, I would 100 % recommend Dr. Markov.

Susan T.

Wish I had done this 10 years sooner.

Don't put it off any longer!
If you have thought about weight-loss surgery, Dr. Fourman is the Dr. you need to see! He's very personable, understands and is caring.I followed all the pre op instructions, did out patient, in the morning, and was up and moving around very well by that evening. He's staff is wonderful too. There are no scary front desk reception. Everyone there knows what your going through. Wish I had done this 10 years sooner. Like I said...Don't put it off for another year!

Patricia M

I couldn't be more pleased with my experience with Dr. Straka

I couldn't be more pleased with my experience with Dr. Straka and Kaleigh! Dr. Straka took the time to thoroughly explain my condition, answer all my questions, and walk me through the entire procedure. The follow-up care has been excellent as well, and I am so happy with my results. I highly recommend!!

Hannah

It’s like meeting with a friend at every consult.

Dr Koltz is one in a million. He sits down and listens to every concern. It’s like meeting with a friend at every consult. He has worked miracles for me on correcting another local surgeon mistake. He is very skilled and knowledgeable in profession. Dr Koltz and his staff treat you like family. I love them and you will too! For me there is no other choice!

Jen. H.

Feel beautiful from the inside out

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Rhinoplasty Techniques

Rhinoplasty comes in various forms, each addressing distinct concerns and patient needs. Below are a few specialized approaches:

Revision Rhinoplasty

Revision rhinoplasty corrects or refines issues resulting from a previous nose surgery. This can include cosmetic imbalances, functional problems, or simply a desire for further enhancement.

Asian Ethnic Rhinoplasty

This technique respects Asian nasal anatomy and cultural ideals. It may involve adding bridge height, refining the tip, or narrowing the nostrils, with the overarching goal of preserving ethnic identity.

Teen Rhinoplasty

For teenagers seeking to improve nasal aesthetics or resolve breathing difficulties, a careful approach acknowledges ongoing facial development. Surgeons typically recommend waiting until the nose has matured to ensure stable, lasting results.

Rhinophyma Treatment

Rhinophyma involves thick, bulbous skin on the nose, often linked to rosacea. Surgical treatments can remove excessive tissue and restore a more refined, natural contour for improved appearance and comfort.

Nasal Reconstruction

For individuals dealing with severe trauma, congenital defects, or skin cancer removal, nasal reconstruction rebuilds lost or damaged tissue. Techniques can include grafts or tissue rearrangement, with the aim of restoring both function and form.

Benefits of Rhinoplasty

Rhinoplasty offers a host of potential advantages, from enhancing one's appearance to improving quality of life:

Refined nose shape or size
Improved facial balance
Correction of congenital defects
Enhanced breathing function
Natural-looking results tailored to individual features
Boost in self-confidence
Resolution of trauma-related deformities
Greater harmony between the nose and other facial structures

woman looking over her shoulder and touching her arm with her hand

What to Expect During Your Rhinoplasty Procedure at pēkomd

Your rhinoplasty journey starts with a thorough consultation, during which our board-certified providers will assess your nasal anatomy, discuss your objectives, and ensure realistic expectations. We'll explain the relevant surgical techniques, incision placements, and potential outcomes, so you have a clear picture of what's ahead. On the day of surgery, you'll arrive at our accredited facility, where patient safety and comfort are top priorities.

Most rhinoplasties are performed under general anesthesia, although sedation with local anesthesia may be suitable for less extensive revisions. Depending on the complexity of your case, incisions can be made inside the nostrils (closed rhinoplasty) or across the columella—the thin tissue between the nostrils (open rhinoplasty).

Through these openings, your surgeon repositions or removes cartilage, bone, and other tissues to achieve the desired shape and function. Once complete, any incisions are meticulously closed, and you'll be fitted with splints or external dressing to support the nose during initial healing. Our attentive staff will then monitor you in a recovery area before sending you home with detailed aftercare instructions.

Recovering After Your Rhinoplasty Procedure

Recovery timelines can vary, but swelling and bruising around the nose and eyes are common for the first week or two. Over-the-counter or prescription medication can help manage discomfort, and applying cold compresses may reduce swelling. While you'll likely feel ready to resume light activities after about a week, it's vital to avoid strenuous exercise or contact sports until your surgeon confirms it's safe—usually a few weeks later.

We generally schedule follow-up appointments to track your healing progress, remove any splints or sutures, and address questions as you recover. Swelling can persist for several months, though most patients see dramatic improvements as early as two to three weeks post-operation. By carefully following your post-operative guidelines, you'll help ensure an optimal outcome and a nose that blends seamlessly with your facial features.

Are You an Ideal Candidate for Rhinoplasty?

You may be a suitable rhinoplasty candidate if you're unhappy with the size, shape, or function of your nose and maintain realistic expectations about the results. Good overall health and fully developed nasal structures (usually by the mid- to late teens) are also crucial to minimizing risks and ensuring stable, lasting improvements. It's essential to communicate any pre-existing breathing issues, sinus problems, or history of nasal surgery so we can tailor a surgical approach that meets all your needs.

At pēkomd®, we advocate for honest discussions about your motivations and potential outcomes. If we determine that a non-surgical option or an alternative procedure aligns better with your goals, we'll guide you in that direction, keeping your well-being at the forefront.

Why Choose pēkomd® for Your Rhinoplasty Procedure?

pēkomd® offers a patient-centered approach that blends expertise, integrity, and advanced surgical techniques. Our board-certified surgeons leverage years of training and experience to craft results that feel both natural and transformative. We also provide a wide range of surgical and non-surgical treatments, meaning our recommendations are genuinely tailored to your concerns, not restricted by a single solution. Whether you visit our Columbus, Dayton, or Toledo office, you'll encounter the same high-quality standards, compassionate staff, and dedication to your safety and satisfaction. From the initial consultation to your final follow-up, our goal is a seamless, empowering experience.

Rhinoplasty Frequently Asked Questions

Ready to discover how rhinoplasty can refine your facial profile and enhance your daily confidence? Contact pēkomd® to schedule a personalized consultation and take the first step toward a more harmonious, comfortable you.

How long do I need to wait before seeing the final results?

Most visible swelling subsides within a few weeks, but subtle changes can continue for up to a year. Patience is key to appreciating the nose's ultimate refinement.

Will rhinoplasty leave any noticeable scars?

Closed rhinoplasty conceals incisions inside the nostrils, while open rhinoplasty uses a small incision on the columella. Scarring usually fades over time and is often inconspicuous once healed.

Can rhinoplasty fix breathing issues?

Yes. Many procedures address functional concerns like a deviated septum or restricted air passages. If you have breathing difficulties, we'll incorporate the necessary corrections into your surgical plan.

Is it possible to combine rhinoplasty with other facial surgeries?

Absolutely. Some patients opt for complementary procedures—such as a chin implant or facelift—to achieve balanced facial harmony. Your surgeon can advise on the best multi-procedure approach for your goals.

What if I've already had a nose job and want further changes?

Revision rhinoplasty can refine or correct prior outcomes. Because revision procedures often involve more complexity, it's vital to work with a board-certified surgeon skilled in advanced techniques.