Your nose can be the dominant feature of your face, or a pleasant feature conformed to your natural appearance. The problem occurs when your nose is out of balance with the rest of your facial features. Size, shape, or abnormalities can deal a great blow to your general appearance. Or there could be some deviation issues which would cause trouble with your breathing. Whether functional rhinoplasty or aesthetic, rhinoplasty may be the solution to the problem with your nose.

What is Rhinoplasty (Nose Job)?

Rhinoplasty or nose job, is a procedure used to improve the appearance or functionality of your nose. Improvements can be made with its size, shape, width, or abnormalities. It can correct the nasal tip, nostrils, nasal asymmetry, or a depression on the bridge.

Functional rhinoplasty is performed when obstructions to breathing need correcting while nasal structural integrity is maintained.

Nose surgery is an intricate and customized surgery determined by your anatomy and the results you want to achieve. MAE Plastic Surgery in Chicago serves its residents with a skill level reached from many years of experience.

Preparing for Rhinoplasty Procedure

When preparing for rhinoplasty surgery there are only a couple of things that are procedure specific that may be of some benefit prior to the surgical date. When having any surgery on a facial feature I believe it is beneficial to have your skin optimized by having a medical grade facial that may include a chemical peel. This will help speed up the healing process and reduce the chances of infection. This should be done at least one week prior to surgery. Transcend MedSpa, housed within MAE Plastic Surgery has two superb aestheticians that will optimize your skin condition.

Besides the above, there are some basic preparations that need to be made prior to any surgery. At MAE Plastic Surgery we will provide a folder with several packets of information that will make it easy for you to be prepared for your surgery. We will not only provide basic pre-op instructions but you will also receive a list of items to have at your home that will help in the recovery process. We will provide you a copy of your detailed written consent form so that you will have plenty of time to read through it and ask questions about anything that may not be understood. Additionally, you will receive a list of medications that you will need to refrain from taking and your post-operative instructions.

Computer Digital Imaging – Your Ideal Nose!

During your consultation, your MAE surgeon uses advanced computer-imaging software to help you visualize your surgical rhinoplasty result. After consultation, Your MAE surgeon will take several pictures of your nose from different angles and upload them to a computer. These images will help explain why and how the procedure is performed.

From the computer, you and your MAE surgeon can vary the shape and size of your nose to determine a suitable goal and desired outcome. It is important to remember the engineered rhinoplasty photos from digital imaging are not a guarantee of your outcome, but ensures you and your surgeon share a common goal and your expectations are realistic.

After the imaging is complete, you will have access to your photos, including the digitally altered version on a private, password-protected program you can access on the internet. In most cases, our patients have found their rhinoplasty results are better than the enhanced versions with restraints in photo alteration.

What to Expect with Rhinoplasty

Rhinoplasty is an outpatient procedure performed under general anesthesia at our fully accredited Surgery Center. The surgery is typically completed within three hours.

When surgery is performed through the nostrils from inside the nose, it is referred to as a closed rhinoplasty technique. A closed rhinoplasty can to be converted to an open rhinoplasty with a small incision made on the columella below the tip of the nose. The scar is largely hidden on the underside of the nose. A deformed nose or a revision dictate an open approach to rhinoplasty. Your surgeon will discuss the approach required during your consultation.

Excess bone and cartilage are removed from the bridge of the nose to remove unsightly humps. Your surgeon will be careful not to remove more than necessary, which could damage nasal structure or create a scooped-out appearance. When the size of the nose is too large, excess bone and cartilage are removed as necessary.

Through the incision sites, soft tissue which covers the nose is raised, and the structure of the nose is reshaped. In some cases, cartilage might be taken from one area of the nose and grafted into another area.

Before & After Gallery

Be sure to view our Before and After Photo Gallery of rhinoplasty procedures to see real patient results at MAE Plastic Surgery.

Click Here

Functional Rhinoplasty

If you suffer from frequent nosebleeds, dry mouth (caused by nasal congestion), noisy breathing, bad breath, frequent headaches, or recurrent sinus infections, you may have a nasal obstruction. Rhinoplasty isn’t just a cosmetic procedure, but is functional as well. Functional rhinoplasty can restore your ability to breathe, while performing cosmetic changes or improve your facial appearance.


Functional rhinoplasty vs. cosmetic rhinoplasty- what’s the difference?

Functional and cosmetic rhinoplasties are often separated into two distinct categories: one addresses breathing problems, while the other addresses aesthetic issues. These procedures are done concurrently if needed.

During a cosmetic rhinoplasty, any functional issues should be addressed. Your MAE surgeon performs every rhinoplasty with an end goal of maintaining or improving nasal function, while enhancing your facial appearance.

Often, functional issues will arise during a cosmetic rhinoplasty, requiring correction to maintain proper breathing. Likewise, some patients with functional issues opt for a few cosmetic tweaks during their functional rhinoplasty. We strive to improve both – the aesthetics and functionality of your nose.

Does Functional Rhinoplasty Change My Appearance?

A common question asked by our patients during consultation. The answer depends on your goal for treatment. Often, we can improve the airway without making noticeable changes to the outward appearance of the nose.

More commonly, patients want to change both the appearance and function of the nose. For these patients, we make both cosmetic and functional changes. If you want a change in your appearance, rhinoplasty can provide it. If not, we may improve your breathing without a change in your look.


Cosmetic rhinoplasty or nose reshaping, often called a “nose job”, improves the appearance of your nose.

If needed, functional rhinoplasty is often performed simultaneously with cosmetic rhinoplasty. Dr. Epstein can correct obstructions to breathing while also improving the look of your nose.

Aesthetic issues that can be corrected through cosmetic rhinoplasty:

  • Shorten a long nose
  • Narrow a wide nose
  • Build up a flat nose
  • Correct bumps or humps
  • Correct a crooked nose
  • Fix a broken nose
  • Fix a depression on the bridge
  • Remove a hooked nasal tip
  • Correct nasal asymmetries
  • Make large nostrils smaller

What to Expect During the Rhinoplasty Recovery Period:

  • Bruising and swelling around the eyes are normal and will fade within 1-2 weeks after surgery.
  • You may experience discomfort within the nose and other areas of the head, which can be controlled with medication.
  • Stuffiness and some light bleeding from the nose are common during the first few days.
  • A small external splint will be taped to your nose to protect the new shape for approximately 5-7 days after surgery.
  • You will feel more comfortable sleeping on your back for 1-2 weeks, and elevating your head with pillows will help reduce swelling.
  • You can return to light activity within a few days, or as you feel ready.
  • You may resume full activity within 3-4 weeks.

Female Rhinoplasty

Approximately 75% of rhinoplasty procedures are performed on females. Chicago women seeking rhinoplasty should understand the importance of selecting a surgeon who is adept with the nuances of performing this procedure to preserve feminine features and enhance a natural look. MAE Plastic Surgery has the experience necessary to provide women the optimal results they seek.

To properly shape a woman’s nose requires a keen insight into the essence of what makes the female face beautiful. Your MAE surgeon’s methodical process will ensure he meet the concerns unique to women.

Women desire a narrow, delicate nose structure. A nose which will not obstruct her natural feminine beauty. She wants it in harmony with her other features with the right proportion, naturally appealing, and a less dominant part of the face.

Male Rhinoplasty

Even though Rhinoplasty is the most common plastic surgery for men, a man’s nose have a masculine appearance. An easy concept, yet not followed by many plastic surgeons. While a women’s nose can be rotated on a small figure or have a narrower appearance, a man’s nose will look strange if the tip is over rotated, pinched, or concave.

A straight nose is a must on a woman’s face, but on a man’s face, some deviation can be suitable. With a straight profile or a slight convexity to the bridge, others will find it difficult to notice any evidence of a nose job.

The narrowing of the nasal bones is completely different with male rhinoplasty. Females often seek slight narrowing of the nose for frontal view, yet a male nose must be narrowed with caution. Indentations on the sides of a man’s nose is a giveaway to rhinoplasty, and are signs the surgeon has been too aggressive with the grafting away of bone structure.

Teenage Rhinoplasty

Among teenagers, rhinoplasty is the most requested plastic surgery procedure. Elective surgery on teenagers can be controversial. Some professionals argue a teenager is too immature to handle the emotional implications of surgery. Yet with proper vetting and involving parents in the consultation process, the results can be rewarding and well accepted.

Rhinoplasty can save teenagers from having to go through the cruel teasing and bullying often reported by the media. MAE Plastic Surgery supports teenage rhinoplasty after careful patient screening and discussions with teenager and parents.

Teens frequently seek nose surgery to correct a variety of issues, including breathing abnormalities. Cosmetic improvements include excessive length or width of the nose, large nostrils, a crooked or broken nose, a bump or depression on the bridge of the nose, a hooked nasal tip, or asymmetries.

The most important criteria for teenage rhinoplasty is the nose being fully developed. Studies have indicated this happens at age 13 or 14 for girls, and 15 or 16 for boys. This aspect will be closely evaluated with physical examination during consultation.

While most teenage rhinoplasty patients are female, more male teenagers are now seeking nose surgery. Common to boys, contact sports is a consideration and an important factor of when and if the procedure should be done.

Rhinoplasty Cost

Rhinoplasty is not a cookie cutter procedure as each surgery is unique. Each procedure is as different as the anatomy and goals of each patient. Your procedure is no different. Hence, it is impossible to put a price tag on this customized procedure. The cost of rhinoplasty can vary from one patient to another.

The less complex your surgery, the lower the cost. For example, if you require cartilage grafts used when building up a flat nose, the surgery will be more extensive. During your consultation, your MAE surgeon will let you know what is required for your surgery and you will be provided a breakdown of the costs.

Is Rhinoplasty covered by insurance?
Functional rhinoplasty to correct breathing problems is covered by some insurance providers. Your surgery might also be covered if you have suffered an injury to your nose. You must check with your carrier first to determine if your surgery is included in your plan.

Cosmetic rhinoplasty is not covered by any insurance. If you are having a combination of functional and cosmetic rhinoplasty, your plan may cover the functional aspect of the surgery. Again, be sure to verify this with your provider.

Choosing your Rhinoplasty Surgeon

Choosing to have nose surgery is not a decision to be taken lightly. It includes many factors with the choice of surgeon being the most important. In considering a surgeon you must be informed about qualifications and experience. Is your surgeon board-certified? What is their level of experience? Where will the surgery take place? What about the support staff, are they caring and professional?

Nose surgery is intricate. If you opt for an inexpensive, inexperienced surgeon, there is a risk your surgery will not turn out well. In which case, you might need a second procedure to correct mistakes, and you could end up spending a lot more in the end.

Your nose is simply too important to choose a surgeon based solely on cost. Your surgery is an investment which will last a lifetime – so be sure to choose your surgeon well.

If done incorrectly, Rhinoplasty can damage the tissues within the nose and worsen existing breathing issues or actually cause breathing problems to develop. In some cases, the altered structure of the nose can collapse, causing a misshapen appearance of the nose. When a previous Rhinoplasty fails, revision Rhinoplasty is often required, which can be painful, time consuming and expensive

For this reason, surgery to correct breathing issues or improve the appearance of your nose is complex and requires extensive experience and training. Not all plastic surgeons have the necessary education, experience, and skill to perform Rhinoplasty successfully.

Furthermore, differences in ethnicity and gender come into play when performing cosmetic Rhinoplasty. A good surgeon will help you understand that while you may love a particular celebrity’s nose, that nose may not look right for your individual face shape. Your nose should look like it belongs to you – in proportion to, and in harmony with your other facial features. Most people do not want to draw attention to their noses. They simply want their noses to “fit” their faces and enhance the look of other features like their eyes, cheekbones, and mouths. Don’t hesitate to ask questions. Learn more about ethnic rhinoplasty.

When choosing a Rhinoplasty surgeon, you should make sure that he or she affords an open, friendly, and welcoming environment where you can feel free to ask questions. If the surgeon does not want to answer your inquiries or is evasive, be skeptical. A good surgeon will spend time with you to help you understand what the surgery will involve and what you can expect.

In our practice, Dr. Epstein has found that well-informed patients are more likely to feel satisfied before, during, and after the procedure. Therefore, he likes to spend plenty of time with each individual to make sure that he and the patient are on the same page.


Does the surgeon use computer imaging software?
Yes, at our practice, Dr. Epstein uses the Vectra 3D imaging camera and software to perform the imaging. This technology makes it possible to “try on” or see yourself with your new nose prior to having the actual surgery. Dr. Epstein will take an image of your face, and create a digital version of your face with your projected new nose. This will then be loaded into your private password-protected file on TouchMD, where you can view these images from home at your leisure. Then, you can discuss your choices with your family.

Check the surgeon’s experience, education, and reviews
Your surgeon must be board-certified and should belong to professional societies. He or she should have specific medical training in Rhinoplasty techniques as well as experience performing successful nose surgeries on a wide variety of patients.

Successful surgeons should also have patient reviews on websites like RealSelf as well as before and after photos on the practice website. Look for reviews by other patients who have had Rhinoplasty with the surgeon, so you can see if they were satisfied with the result. Remember, it is not enough to find a surgeon who is exclusively successful at performing other types of plastic surgery.

Why MAE Plastic Surgery for your Rhinoplasty Procedure?

Both MAE plastic surgeons are board certified, highly trained, experienced with rhinoplasty. Dr. Epstein is a member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the Rhinoplasty Society. He has performed countless successful functional and cosmetic rhinoplasties, including corrections of a variety of complex issues. His goal is to ensure optimal functioning of the nose while also improving its appearance.

Please visit the personal profile pages of Dr. Michael Epstein and Dr. Daniel Krochmal.

Our Fully Accredited Surgical Center for Chicago and Beyond

Our MAE surgeons perform most of our surgical procedures at our state-of-the-art, fully accredited surgical center in Northbrook. Northbrook Plastic Surgery has a team of board-certified anesthesiologists to provide the highest standard of care and ensuring the safest and most comfortable experience in Chicago. Read more…

We bring you the best in rhinoplasty surgery

Dr. Epstein performs rhinoplasty surgery for patients all over Chicago and the surrounding areas. Our office is only 8 miles east of Wheeling and 12 miles north of Evanston IL, so you can easily set up a rhinoplasty consultation at your convenience. Call us
today for scheduling.

Meet Dr. Krochmal Meet Dr. Epstein