Nose Job (Rhinoplasty)

The nose provides balance and symmetry to the face. Humps, deviations, and contour irregularities are hard to disguise, making minor differences noticeable. Rhinoplasty is a functional and an aesthetic operation. The goal is to achieve a natural, balanced look while maintaining function.

The nose can be divided into horizontal thirds; irregularities can occur in each section of the nose, and can be corrected with surgery.

The upper third of the nose is the bony nose which is hard to the touch. The bony nose can be wide, narrow, shallow, or deep.

The middle third of the nose is the cartilaginous nose. This cartilaginous nose can be wide, narrow, humped, depressed, or curved.

The lower third of the nose is the tip. The tip of the nose can be boxy or narrow.

Long, short, crooked, under or over projected noses can be corrected using techniques that transverse the thirds to give a balanced, natural result.

In addition to aesthetic concerns, many patients have breathing issues. These issues can lead to mouth breathing and a nasal sounding voice. Airflow can be obstructed at multiple points in the nose and can be addressed with surgery.


The following images are an artistic representation of procedure results and are intended for educational purposes only. These are not actual patients and are not intended to guarantee results that may be obtained with surgery. Out of respect for patient privacy, Dr. Vial does not publish patient photos on the internet.


Illustration of a dorsal hump difference. This is a common complaint that can be corrected with a reduction procedure.


Illustration following a dorsal hump reduction with an open approach, resulting in a scar on the columella (seen in red on the bottom of the nose). Rhinoplasty can be done with an open or closed approach (i.e. with or without an incision on the columella). Your goals will determine what type of approach is best.