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Nose Surgery by Boston Plastic Surgery Specialist Dr. Bartlett

Doctor Bartlett - Rhinoplasty

Rhinoplasty, or nose reshaping, is a surgical procedure used to improve the appearance and/or functionality of the nose. With the help of rhinoplasty in Boston, patients can finally get the attractive nose they’ve always dreamed of.

No other facial feature has the power to dominate the character of the face more than the nose. If your nose is out of proportion or has an unfavorable shape, it can detract from an otherwise attractive face. Nasal surgery can deemphasize a patient’s dominant nose and rebalance their facial proportions.

Rhinoplasty Expert Dr. Richard Bartlett 

When it comes to choosing the best rhinoplasty surgeon for your procedure, it’s vital that you choose someone with experience and a high degree of skill. Acclaimed board-certified plastic surgeon Dr. Richard A. Bartlett is one of Boston’s top experts in primary rhinoplasty, revision rhinoplasty, and reconstructive rhinoplasty and can improve the shape, size, or angle of your nose.

Because rhinoplasty is an intricate procedure that requires sculpting of the nose, it is important to choose a plastic surgeon who possesses both surgical skill and artistic vision. 

As a craniofacial expert, Dr. Richard Bartlett has a unique appreciation of how anatomy relates to form and beauty. He is able to analyze your facial features and uses computer imaging to determine how to best alter the shape of your nose to improve facial symmetry. Dr. Bartlett will spend as much time as necessary to discuss your goals and create a surgical plan to help achieve them. 

Am I a Good Candidate for Rhinoplasty?

Ideal candidates for a nose job are patients who are unhappy as a result of cosmetic and/or functional nasal issues. Examples of cosmetic issues include oversized nostrils, a nasal hump, a wide or narrow nasal bridge, a crooked nose, and a drooping or rounded nasal tip.

Ideal candidates are in overall good health. Patients who have no post-surgery healing conditions are excellent candidates for rhinoplasty. If you are a non-smoker or are willing to quit, rhinoplasty may be right for you.

Good candidates have realistic expectations in terms of the procedure’s results. In order to develop realistic expectations before the date of surgery, patients must review rhinoplasty before and after photos and meet with Dr. Bartlett for an informative consultation.

Candidates must have completed their facial growth. Patients who are not pregnant or breastfeeding are suitable candidates for rhinoplasty. The best candidates are aware of the risk and the investment necessary for rhinoplasty surgery. Candidates must be committed to following preparation and recovery directions as closely as possible.

Rhinoplasty is often performed in conjunction with other facial procedures. A facelift or blepharoplasty can be performed for more dramatic results.

Your Rhinoplasty Consultation

During your consultation, Dr. Richard Bartlett will listen to your concerns and goals for rhinoplasty. He will examine your nose and the extent of your concerns. Dr. Bartlett will also evaluate your medical records.

Next, he will design a personalized rhinoplasty surgical plan to achieve your goals. Dr. Bartlett will discuss the plan in detail, including preparation, the surgery itself, the recovery process, and the potential cost. He will also show you before-and-after photos. All your questions will be answered. Finally, a date will be scheduled for the surgery.


  • About the Surgery – Rhinoplasty can be used to correct a variety of common cosmetic complaints. It is also a reconstructive surgery alternative for patients with nasal deformities or significant breathing problems, including patients with deviated septums and patients born with a cleft lip and palate.
  • Surgical Setting – outpatient setting
  • Anesthesia – A general anesthetic is typically used.

The Procedure

Depending on the surgical plan, the rhinoplasty procedure can last from 1.5 to 3 hours. General anesthesia will be administered to start the surgery.

Once the anesthesia has taken effect, incisions will be created. Dr. Bartlett will perform either open rhinoplasty or closed rhinoplasty depending on the patient’s goals.

For open rhinoplasty, an incision will be created across the columella, which is the thin section of external tissue separating the nostrils. The skin of the nose will then be lifted for greater access.

For closed rhinoplasty, the incisions will instead be created inside the nostrils, and the skin will not be lifted.

Next, the surgeon will make the necessary changes to the bone, cartilage, and/or soft tissue based on the goals of the patient. In some cases, a graft will need to be created. Grafts add support to the nasal structure and are harvested from the patient’s rib, ear, or septum cartilage.

Once the patient’s goals have been achieved, the incisions will be closed.

Nasal Surgery Recovery

Following the nose surgery operation, a nasal splint (plastic cover) is placed on the nose and left on for one week. Packing is usually not used. Pain is mild, but swelling and bruising can be significant and may last for up to 2 weeks or longer.

Nose blowing is prohibited for 2 weeks and stuffiness persists during that time. Light exercise is permitted after 2 weeks, but more serious exercise has to wait for 4 to 6 weeks. Final results are evaluated 6 months from the time of surgery.

My only regret about my surgery is not doing it sooner. Dr.Bartlett seems very conservative in his approach and prior to surgery I was a little nervous that I would come out with such minimal change in my nose appearance that all the money would not be worth it. This was not the case. My results were so natural looking you would never think I had a “nose job”. I could not be happier with how I look. I’d say what sets Dr.Bartlett apart from other surgeons is he uses a conservative approach so that it’s not obvious you just had surgery and that the final result still looks like YOU. I think that’s every clients dream. Best thing about this experience was how easy and pain free it all was. Honestly I could not believe it. This is why I say my only regret is not doing it sooner. My only other surgery was removal of my wisdom teeth, and in comparison the rhinoplasty was a walk in the park. The day after my surgery I was walking around Boston and went to the movies with my mom. *

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How Much Does A Rhinoplasty Cost?

In the case of functional rhinoplasty, health insurance may cover part or all of the procedure’s cost. With purely cosmetic nasal surgery, no coverage will typically be provided. Generally, the price of rhinoplasty is dependent on the techniques required, the type of anesthesia used, and many other factors.

Schedule a Consultation for Your Rhinoplasty

If you are unhappy with the shape, size, length, or overall appearance of your nose, contact our office to schedule a consultation and find out more about rhinoplasty in Boston. Board-certified plastic surgeon Dr. Richard A. Bartlett can formulate a personalized surgical plan for your rhinoplasty and provide you with amazing results. 

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