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Serving Reno for Over 25 Years

Nose Surgery (Rhinoplasty) in Reno

Unhappy with the appearance of your nose and wish to change its size or profile? Maybe you’re having trouble breathing due to a structural abnormality in your nose? Nose surgery (rhinoplasty) by Dr. Kiener may be the best solution for you.
A highly individualized procedure, rhinoplasty resizes or reshapes the nose to improve its appearance and proportion in relation to the face, resulting in a refined and beautiful look. The procedure can also correct breathing problems.

Who Should Get a Nose Surgery?

The best candidates for a nose surgery or rhinoplasty may exhibit the following conditions:
  • A nose that the individual feels is too large or too wide for their face
  • A nose that is crooked, off-center, or asymmetrical
  • Large, wide, or flared nostrils
  • Bulbous or drooping nasal tip
  • Visible humps on the nasal bridge
  • Impaired breathing due to abnormalities in the nasal structure
Dr. Kiener usually recommends that patients be at least 14 years or older before undergoing rhinoplasty. This is to ensure that the nose is fully developed at the time of surgery.

The Surgery

Dr. Kiener uses two types of rhinoplasty techniques, a “closed procedure” and an “open procedure.” The decision to use one technique over the other depends largely on the complexity of the surgery, as well as the goals established by both patient and plastic surgeon. A closed procedure involves making the incisions inside the nose, within the natural crease where the nostrils meet the cheek skin. An open rhinoplasty, on the other hand, involves making the incision across the narrow strip of tissue separating the nostrils known as the columella.
After Dr. Kiener makes the incision, he may alter the position of bones to produce a narrow nasal appearance. If a patient’s nose needs to be built up in certain areas, he may use nasal cartilage or cartilage grafted from another part of the patient’s body. If a patient suffers from a deviated nasal septum, Dr. Kiener reduces the projections inside the nose to correct or improve breathing.
The procedure takes one to three hours, and the patient is usually under general anesthesia.


A splint, internal tubes, packing, and/ or bandages are applied immediately after the procedure to protect and support the new nasal structure. Dr. Kiener recommends that patients take plenty of rest and engage in limited physical activity to speed up the healing process. Bruising around the eyes and cheeks are to be expected within the first few days following surgery. Discoloration usually disappears within a week; swelling subsides within a couple of weeks. Most patients are able to return to work within 10 days after the procedure.
If you would like more information about rhinoplasty or to schedule a consultation, contact Dr. Kiener today!