Rhinoplasty can be performed for cosmetic reasons or functional.

Approach to Rhinoplasty

In general, there are two main approaches to the procedure; open rhinoplasty which is making an incision on the columella or underneath and closed rhinoplasty which involves making an incision inside the nose where no scar is seen on the outside of the nose.


Dr. Rikesh Parikh is one of the best doctors in the NW! He did a Rhinoplasty for me about 2 weeks ago, and it looks TOO perfect. I recommend everybody to go to Dr. Parikh for facial and body surgery.

Nose Aesthetics Male vs Female

The look of the nose in a man is different than in a woman. In men the nose generally has less angle between the upper lip and the bottom part of the nose called the columella around 90 to 95 degrees. Women can tolerate more tip rotation upwards. Also the dorsum or bridge of the nose in a male is usually straight down versus a female nose where it is straight or slightly sloped in. Female noses may also have a slight supratip break between the dorsum and the beginning of the tip. The skin over the nose is generally thicker than in a female. Thick skin can mask the underlying framework changes made during rhinoplasty as opposed to thin skin which can show the framework easily.


Rhinoplasty candidates are in relatively good health. They have been thinking about a rhinoplasty procedure for sometime. They have clear goals and expectations of what they think their nose should look like. At times, rhinoplasty may involve the use of cartilage or bone from other areas of the body if necessary. The risks and benefits of the procedure should be very clear. It is very important that the surgeon and patient are on the same page in terms of expectations and results. Dr. Parikh performs an in depth tailored consultation for each patient planning to undergo a rhinoplasty procedure.

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