Rhinoplasty In Boise, ID

Trust your nose to a Facial Plastic Surgeon

Price Range: $6,500 – $7,500

Average Procedure Time: 2.5 – 3 hours

Recovery Time: 1 week

Introduction

Cosmetic Rhinoplasty

Rhinoplasty, or “nose job,” is an art of reshaping the nose, designed to enhance its natural beauty and harmony with the rest of the face.

 

Rhinoplasty is the most common facial plastic surgery performed, often pursued by those seeking to refine their nose’s shape or size, this surgery not only addresses aesthetic concerns but can also improve breathing by correcting structural issues that may cause nasal obstruction.

 

A cosmetic rhinoplasty is a meticulous process where each element of the nose—the bridge, tip, and nostrils—is thoughtfully sculpted to create a balanced and pleasing profile. 

 

Our goal is to achieve a natural, refined, functional, and durable result for every patient we operate on. This demands tailored techniques and a unique approach for each individual.

Gray Facial Plastic Surgery

Before & Afters

Primary Rhinoplasty

How is Rhinoplasty Performed?

Dr. Gray performs rhinoplasty in Boise under general anesthesia for optimal patient comfort and safety. 

 

In the majority of rhinoplasty cases, Dr. Gray uses advanced “open” techniques. This does require a small incision beneath the nose, allowing for access to the nasal framework that forms the shape of the nose. The “structure” technique means that we are not simply removing things from the nose. Rather, Dr. Gray’s facial plastic surgery background emphasizes re-shaping, re-orienting, and supporting the nasal framework. This is critical for the best long-term functional and aesthetic result. The resultant scar is typically imperceptible within three months for the vast majority of patients.

 

A crucial component of successful rhinoplasty is a thorough septoplasty. By straightening the septum, we create the foundation for a straight, symmetric nose. Any existing humps are carefully removed, and the nasal bones shifted using surgical tools.

 

To refine the nasal tip, we employ strong cartilage grafts, reshaping and reorienting existing tissue without the need for removal.

 

Following surgery, an external nasal compressive dressing and cast is applied to support the bones and help with nasal swelling. These are removed during a follow-up visit one week later.

How Much Does Rhinoplasty Cost in Boise, ID?

The cost of a Cosmetic Rhinoplasty in Boise, Idaho by Dr. Gray ranges from $6,500 to $7,500. The price is widely determined by the rhinoplasty techniques that Dr. Gray uses and the degree of changes necessary to meet your aesthetic goals. Dr. Gray’s pricing includes surgeon fees; however, facility and anesthesia fees can be variable.

 

The best way to find out how much it will cost for you is to come in for a personalized visit and let Dr. Gray create your surgical plan once an in-depth consultation process is complete.

 

Dr. Gray uses standardized photography and advanced imaging software to create a simulation of a realistic rhinoplasty result. Once a treatment plan is agreed upon, our team will be able to provide a detailed quote detailing the price breakdown for your procedure and offer financing options where appropriate.

Gray Facial Plastic Surgery

Why choose Dr. Gray for your Rhinoplasty?

Choosing the right surgeon is essential for a successful rhinoplasty—widely considered one of the most complex facial plastic procedures. At Gray Facial Plastic Surgery, we take a specialized approach that sets us apart. While many plastic surgery practices offer procedures for the entire body, we focus exclusively on one area: the face. We believe that this singular, undistracted focus allows for true mastery of the field. 

 

In the U.S., general plastic surgeons who offer rhinoplasty are certified by the American Board of Plastic Surgery, while facial plastic surgeons are certified by the American Board of Facial Plastic and Reconstructive Surgery, which reflects a difference in specialized training. Facial Plastic Surgeons spend their entirety of their training on the face, nose, and neck.

 

Dr. Gray is one of the few fellowship-trained Facial Plastic and Reconstructive Surgeons in Idaho with dual training in Otolaryngology (ENT) – Head and Neck Surgery. This training pathway allows for the highest level of specialization regarding both the functional and cosmetic aspects of nasal surgery. 

American Academy of Facial Plastic Surgery
American Board of Otolaryngology-Head and Neck Surgery
Rhinoplasty society

RHINOPLASTY FAQs

Who is a candidate for a Rhinoplasty?

Individuals aged 16 and older, including both adults and teenagers, may be suitable candidates for rhinoplasty in Boise. It’s essential that facial growth and maturity are fully complete. If you’re dissatisfied with the appearance of your nose and have specific concerns you’d like to address, enhance, or correct, this procedure could be an appropriate option.

 

Ideal candidates for a Rhinoplasty should:

  • Be in good physical health
  • Have no serious medical conditions
  • Be non-smokers
  • Maintain realistic expectations about the results of the procedure
What are the benefits of a Rhinoplasty?

Rhinoplasty can:

  • Enhance facial symmetry and balance
  • Create a nose that harmonizes with your other features
  • Draw attention to your eyes and smile
  • Smooth out bumps, depressions, and other irregularities
  • Improve breathing and optimize airflow
  • Elevate your overall quality of life
  • Boost self-confidence and self-image
What is the risk of a Rhinoplasty?

Risks associated with rhinoplasty surgery include breathing difficulty, infection, scarring, nosebleeds, septal perforation, asymmetry, or poor cosmetic results. Always make sure to find a board-certified surgeon who specializes in rhinoplasty to minimize the risk of poor outcomes.

What are the different types of Rhinoplasty?

Primary Rhinoplasty (“Cosmetic Rhinoplasty”):

 

Primary rhinoplasty refers to the original (or first-time) rhinoplasty. As rhinoplasty is a complex and detailed procedure with every patient having unique anatomy, the best opportunity for perfect results is during primary rhinoplasty. In subsequent (or revision) rhinoplasty surgery, the scar tissue and work done during previous surgery significantly complicates the procedure.

 

Revision Rhinoplasty:

 

Revision rhinoplasty is a procedure to correct unsatisfactory results from a previous rhinoplasty. This surgery is more complex due to the altered anatomy caused by scar tissue and prior surgical manipulation. Additional support grafts are often needed to stabilize the nose, which can be taken from the ear (conchal grafts) or the rib (chondral grafts). Dr. Gray is one of the few rhinoplasty experts in Idaho who performs rib cartilage grafting for major revision cases.

 

Functional Rhinoplasty:

 

A patient may present with nose issues regarding breathing or trauma. When a patient undergoes rhinoplasty with a history of problems with breathing or due to injury to the nose, it is considered a functional rhinoplasty.

What is the difference between Open versus Closed Rhinoplasty?

Open Rhinoplasty:

 

Favored by Facial Plastic Surgeons who practice “open structure” techniques.

 

Open Rhinoplasty involves a small incision, about 5-6 mm wide, placed under the nose between the nostrils. This allows the skin and soft tissue to be lifted off the underlying cartilage and bone, providing a full view of the nasal structures. This technique is ideal for major rhinoplasty procedures as it offers excellent visibility for precise results, minimizing the risk of errors. Dr. Gray prefers to use this method in his surgeries. While some patients worry about scarring, the incision is typically placed so that the scar becomes virtually unnoticeable after healing.

 

Closed Rhinoplasty: 

 

Favored by General Plastic Surgeons who practice “reductive rhinoplasty” techniques.

 

A closed rhinoplasty, or “scarless” rhinoplasty has no external nasal scar, as incisions are behind the nostrils inside the nose.

 

However, surgeons have less visibility with a closed rhinoplasty. That means the changes are more limited, and not as much delicate work can be achieved. True structure of the nose cannot be addressed. In addition, the incisions and “under the hood cartilage removal” in a closed rhinoplasty can make the structure of the nose weaker.

What is the cost of a Cosmetic Rhinoplasty?

Dr. Gray believes in complete transparency with procedure pricing. Dr. Gray’s cosmetic rhinoplasty fee is located on our Procedure Pricing Page.

What is the recovery timeline for a Rhinoplasty?

Patients typically recover from a Rhinoplasty in 2 weeks, with average social downtime 7-10 days. 

 

The final result of a Rhinoplasty can take up to 12 months. It is important to understand this and be mentally prepared prior to making this decision. 

 

Surgery Day:

 

You’ll arrive at surgical center in the morning for check-in. After your nose surgery, a small cast will be placed on your nose. You’ll rest in the recovery area and go home the same day. Cold compresses, head elevation, and rest are important for the first evening.

 

1 Day Later:

 

You may experience some swelling or bruising around your nose, though most patients report little to no pain, managed with Tylenol. A small amount of prescription pain medication is provided just in case. Take it easy for the week, avoid exertion, and use saline spray frequently.

 

1 Week Later:

 

During your post-op check-up with Dr. Gray, the cast and will be removed. Most patients are ready to resume normal social and work activities, though mild congestion and internal swelling may still feel like a head cold.

 

2 Weeks Later:

 

Swelling and bruising are nearly gone, and the incision under your nose is barely noticeable. A small amount of overall swelling may still be present.

 

1 Month Later:

 

The post-surgical period is almost over, and the results are becoming clearer, though some residual swelling persists and may fluctuate from day to day.

 

3 Months Later:

 

Swelling is steadily decreasing, especially at the bridge of the nose, which appears more refined. By now, you’ve adjusted to your new nose.

Is Rhinoplasty covered by insurance?

Cosmetic Rhinoplasty is not covered by insurance.

 

Financing is available for rhinoplasty. Please contact the office for more information. 

 

Functional (for nasal breathing) Rhinoplasty can be covered by insurance; however, it is unpredictable how much an any insurance plan will cover outright, and they typically require prior authorization, submission of photographs, and documentation of nasal trauma or nasal obstruction that fails medical management. 

 

For select patients with a desire for cosmetic changes AND also have functional nasal issues/breathing difficulty, it is possible to request insurance for a portion of the surgery and a quote can be provided for the cosmetic portion of the case. 

 

Schedule a consultation to review options. 

Modern Surgical Techniques

Open vs Closed Rhinoplasty

Dr. Gray primarily performs “open rhinoplasty.” In recent years, facial plastic surgeons, particularly those trained in the last decade, have adopted open rhinoplasty techniques due to their comprehensive understanding of nasal support mechanisms.
 
Traditionally, general plastic surgeons have preferred “closed rhinoplasty” for reducing the size of noses through the removal of cartilage and bone. However, with advanced knowledge of nasal support structures, there has been a shift towards open rhinoplasty. This technique emphasizes constructing a solid nasal framework intended to endure a lifetime. Dr. Gray advocates for the reconfiguration and reinforcement of the nasal structure using sutures and support grafts instead of excising cartilage or bone, as this approach yields more consistent and long-lasting outcomes.
Advantages of Open Rhinoplasty

Dr. Gray favors the open rhinoplasty technique for three key reasons:

 

»  It allows for a full view of the nasal anatomy, enabling a detailed examination and correction of asymmetries.

 

»  It offers greater precision, which is crucial for achieving the best results in such a delicate, prominent area.

 

»  The open approach facilitates advanced cartilage grafting, improving long-term structural support. This combination of visibility, precision, and control makes open rhinoplasty ideal for achieving better, lasting outcomes.

 

For these reasons, an open rhinoplasty lends itself to better access and better results.

Disadvantages of Open Rhinoplasty

Critics of open rhinoplasty often point to scarring and increased swelling as disadvantages. While the trans-columellar incision leaves a scar, Dr. Gray notes that it typically heals so well it’s barely noticeable. Though open rhinoplasty may cause slightly more swelling than the closed approach, Dr. Gray believes the increased precision and ability to make detailed corrections outweigh the temporary swelling.

 

It is Dr. Gray’s personal experience that facial plastic surgeons tend to favor open rhinoplasty, while general plastic surgeons tend to favor closed rhinoplasty.  

Advantages of Closed Rhinoplasty

While Dr. Gray often prefers the open approach, he acknowledges that closed rhinoplasty is a good option for minor corrections. It avoids any visible scarring and results in slightly less swelling during recovery. However, for more detailed work, Dr. Gray believes the open approach provides better precision and long-term results.

Disadvantages of Closed Rhinoplasty

While closed rhinoplasty can be adequate for minor adjustments, Dr. Gray often finds that patients require more extensive work than they initially believe. Even small cosmetic changes can impact the nose’s structure and longevity, which may require the precision and access of an open rhinoplasty. Closed rhinoplasty lacks the visibility needed for detailed bone and cartilage enhancements, which are essential for long-lasting results, and this can set the stage for a revision rhinoplasty in the future which can be much more complicated and costly for a patient. Therefore, Dr. Gray focuses on creating a strong foundation that ensures the nose ages well, rather than short-term cosmetic fixes.

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