The nose is made up of skin and soft tissue that is draped over an underlying nasal framework. The nasal framework is made of both bone and cartilage. Most rhinoplasties are performed by altering the nasal framework, changing its shape. The skin is then re-draped over the “new” nose and assumes that configuration.

Rhinoplasty is performed through either an endonasal (closed) approach or an external (open) approach. In the closed approach all of the incisions are made on the inside of the nose. The surgeon then manipulates the nasal framework (bone and cartilage) from within. The open approach is performed similar to a closed rhinoplasty, however a very small incision is made on the bottom of the nose, between the skin of the nostrils (called the collumela). This tiny incision is approximately 3 millimeters in length and is not noticeable. The open approach, as the name implies, allows for better visualization and access to the nasal framework then the closed approach.

Whichever approach will produce the best result! Dr. Steiger utilizes both approaches in his practice. Since every nose is different, the approach is individualized to the patient. Each approach has its benefits. This will be determined after a thorough consultation, evaluating your unique nasal anatomy and desired result.

Dr. Steiger’s philosophy is centered around achieving natural appearing results. He believes in creating facial harmony. It is not only important to create an attractive nose, but to create one that is proportional and fitting to the face it belongs to. Rhinoplasty has evolved significantly over the past decade. Dr. Steiger uses the most advanced and proven rhinoplasty techniques to achieve this goal.

We have digital imaging software in our office, which can be utilized during the consultation as a communication tool. It is very important for Dr. Steiger to understand what his patients desire and this is a great way to make sure that everyone is on the same page. A picture is worth a thousand words.

Most procedures are performed in our fully accredited outpatient surgery center. There we have the latest equipment to provide state of the art care. We maintain the strictest safety standards as recommend by JCAHO. A board certified anesthesiologist will provide your care.

I prefer to perform rhinoplasty under a deep sedation (twilight sleep). This way you sleep comfortably through the procedure, but do not have the side effects commonly seen from the heavy doses of medication needed for general anesthesia.

There are generally three levels of anesthesia: local anesthesia, sedative anesthesia, and general anesthesia.

Local anesthesia- The nose is numbed with a local anesthetic and the procedure is performed pain-free while you are awake. You can speak and are aware of what is happening.

Sedative anesthesia- The nose is numbed with a local anesthetic and you are given an IV medication to make you sleep. You are breathing on your own, but are sleeping through the procedure and are not aware of what is happening.

General Anesthesia- The nose is numbed with a local anesthetic, you are given medications that make you sleep, and a tube is placed in your wind pipe to support your breathing. Heavier doses of medication are given then in the sedative technique.

Yes. Patients feel remarkably well after surgery and have little to no pain. Any pain or discomfort is relieved with a mild analgesic.

No! In Dr. Steiger’s opinion there is hardly ever a good reason to pack the nose. Nasal packing leads to discomfort after rhinoplasty, so he avoids this.

Most patients go back to work in 1 week, and back to full activities in 10 days. However, activities which risk bumping or traumatizing the nose should be avoided for 6 weeks.

Yes. Rhinoplasty comprises a significant portion of Dr. Steiger’s practice. As a plastic surgeon dedicated to the face, he is experienced in the most advanced rhinoplasty techniques. He writes about these techniques and presents on them at national conferences.

Yes. During the consultation, we can review before and after photographs of patients who have kindly given us permission to do so.

If you desire, our office will put you in touch with patients who have undergone the procedure and voluntarily agreed to speak with you.

Most patient do not complain of significant pain after rhinoplasty surgery. Since Dr. Steiger does not pack the nose, this significantly reduces or eliminates pain and discomfort. In order to better understand this, please visit our rhinoplasty video journey. Here you will be able to visualize the patient experience at various stages of the procedure- before and after surgery.

This is called revision rhinoplasty, an area that Dr. Steiger has particular expertise in as well. Please visit our revision rhinoplasty page.