Rhinoplasty

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Virginia Beach plastic surgeon Dr. Thomas Hubbard's expertise in rhinoplasty is recognized nationally by colleagues and is the reason so many patients choose him to perform this most demanding of all plastic surgery procedures. Dr. Hubbard has presented on advanced rhinoplasty techniques at national and international meetings. He has performed this procedure in 6 countries.

To meet with Dr. Hubbard personally and learn about the most advanced rhinoplasty techniques available, request a consultation using our online form or call our office at (757) 687-1900 to schedule an appointment.

Rhinoplasty
Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • Rhinoplasty Case #226 Before Photo
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    Rhinoplasty Case #226 After Photo
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    Case #226

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  • Rhinoplasty Case #225 Before Photo
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    Rhinoplasty Case #225 After Photo
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    Case #225

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  • Rhinoplasty Case #206 Before Photo
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    Rhinoplasty Case #206 After Photo
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    Case #206

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  • Rhinoplasty Case #319 Before Photo
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    Case #319

    This 48-year-old patient from Virginia Beach came to consult with me expressing concerns about the crookedness of her nose, droopiness of her tip, and the height of her bridge. Upon examination I ... View Case 

What Is Rhinoplasty?

Rhinoplasty sculpts and reshapes the nose using surgical techniques that maintain and even improve your breathing. It may be surprising to learn that the nose is the most complex structure addressed in plastic surgery, and Dr. Hubbard has dedicated decades to mastering the art and science of this complex surgery. For over 30 years, he has attended, presented, and taught at rhinoplasty meetings all over the world. Additionally, successful rhinoplasty must consider the unique desires, aesthetic goals, and needs of each patient. Dr. Hubbard's technical precision during rhinoplasty is critical, as the nasal structures he manipulates are among the most delicate tissues of the face.

What Dr. Hubbard's Patients Say

"I first saw Dr. Hubbard on television and he seemed so honest and down to earth. I am so happy with my surgeries (rhinoplasty, facelift, abdominoplasty) that I tell everyone I know to go see Dr. Hubbard."

— B.D., Virginia Beach, Virginia

About her old nose, Patrice says, "I saw a beak." She was self-conscious about her nose, to the point that she avoided having her photo taken. Now, she says, "If I'm looking in the mirror, it's just to admire the results — not focus on what I didn't like before."

Is Rhinoplasty for Me?

Rhinoplasty can be helpful if you would like to change the shape or size of your nose. Some of the most common cosmetic concerns that Dr. Hubbard treats are:

  • Crooked nose
  • Overly large or long nose
  • Large hump
  • Wide nose
  • Round or bulbous tip

Dr. Hubbard also offers a nonsurgical rhinoplasty option. Achieved with dermal fillers, this approach can treat a number of common aesthetic concerns without an incision or the associated downtime.

Dr. Hubbard customizes the surgical techniques he uses during rhinoplasty to address your specific needs.

A Professional Passion: Dr. Hubbard explains why rhinoplasty is such a fulfilling procedure for him — and for his patients.

Rhinoplasty Before & After Photos

This woman from Newport News, Virginia, wanted to change the shape of her nose for most of her life. She came to Dr. Hubbard, who carefully analyzed the nose's structure and listened to her concerns. Using computer video imaging, together they developed a surgical plan that enabled Dr. Hubbard to deliver the beautiful result she desired. This type of result requires grafting and precise measurements throughout surgery. To see before-and-after photos of other patients and the consistent results Dr. Hubbard achieves, view our photo gallery.

Your Consultation

Great rhinoplasty results begin with a thorough discussion about the exact changes you want with surgery and an examination of the internal and external anatomy of your nose. Based on that, Dr. Hubbard then discusses what can be reasonably and realistically accomplished. Computer video imaging assists in the communication and decision-making process. After your consultation, we will also save the images in your TouchMD profile, allowing you to review them at your convenience from your computer or mobile device.

Drawing all this information together, a unique plan for each patient's needs is developed using a number of the many hundreds of surgical maneuvers he uses for the nose.

You can read more about your rhinoplasty consultation on Dr. Hubbard's website specializing in facial plastic surgery.

What the Expert Says

"The art of rhinoplasty is one of my passions. I love the unique challenge of using advanced techniques to create balance and proportion for my patients' faces, as well as enhance their breathing. Rhinoplasty is truly the combination of form and function."

— Dr. Thomas Hubbard

Your Procedure

Dr. Hubbard performs rhinoplasty surgery as an outpatient procedure with general anesthesia. Depending on your specific surgical plan, he makes incisions inside the nose, except one that may cross the skin between the nostrils. If nostril narrowing is elected, Dr. Hubbard may make another incision at the edge of the nostril.

The specifics of this procedure vary greatly depending on the patient's needs. Commonly, work is done on the septum (septoplasty). Breathing can also be improved by performing surgery on the turbinates (swellings on the sidewalls of the airway).

Dr. Hubbard performs many revision rhinoplasty cases for people who are unsatisfied with the surgery they have had elsewhere. Patients are traveling from other states, as they realize the high level of experience and expertise that rhinoplasty demands. These procedures are highly individualized and require a thorough and detailed discussion. Our staff has years of experience accommodating patients who travel to Virginia Beach for their surgery. Please visit our Travel Support page for more information.

Healing After Surgery

An external splint is in place for 1 week. If Dr. Hubbard places packing inside the nostrils, it is small and light and removed the day after surgery. Initial discomfort is easily controlled with oral medication. Most sutures of the nose dissolve. Most patients return to work in about a week, although some bruising and swelling may persist. Almost all bruising subsides within 2 to 4 weeks. 20 percent of swelling usually persists for 4 to 6 months, with a smaller percentage taking up to a year to resolve.

Revision Rhinoplasty

Priorities in Revision Rhinoplasty: Dr. Hubbard explains the special steps that are necessary in revision procedures to ensure a good cosmetic and functional result.

Revision rhinoplasty refers to redoing cosmetic and/or functional nose surgery after previous unfavorable results. This is a category of nose surgery that is best handled by surgeons with special expertise and considerable experience in rhinoplasty. Surgeons in other cities and states frequently refer patients to Dr. Hubbard for such nose problems because of his advanced qualifications.

Revision rhinoplasty begins with freeing up the old scar tissue and then repositioning the skeleton of the nose -- both cartilage and bone. This almost always is accompanied by adding grafts usually of cartilage from the nose or, if necessary, from the ear or rib. Fortunately, cartilage can be removed from either site with no change in appearance.

Grafts strengthen weakened areas, straighten crooked regions, and fill in sites that are too low. They even greatly improve breathing in some cases. Grafts are the ultimate sculpturing surgical procedure in all of medicine.

Master in the Art and Science of Rhinoplasty

Dr. Hubbard is an authority on rhinoplasty, and has authored textbooks, articles, and presented extensively on the subject.

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Rhinoplasty and Function

Often, rhinoplasty produces an improvement in nasal function. Dr. Hubbard frequently carries out special maneuvers during surgery to maintain normal breathing or improve breathing considerably. Some rhinoplasty maneuvers can double or even triple airflow. It is also important when a hump is removed from the bridge to consider adding small pieces of cartilage to maintain good breathing and also make for better long-term appearance.

Nasal valve or turbinate surgery is easily performed at the same time as rhinoplasty and can permanently cure chronic nasal congestion in many individuals. Dr. Hubbard always discusses breathing with his patients.

Nasal Tip Drooping

In recent years we have greatly increased our knowledge of what controls nasal tip position and why it moves over time. The nasal tip often moves when we smile but can also shift as a result of aging. Many say the nose grows with age, but what actually occurs is the tip drops and increases the length of nose. The tip drops because supporting structures of it weaken with time. The nose has a powerful muscle called the depressor septi that pulls downward, especially when we smile. Some individuals with a strong depressor septi muscle will avoid a full smile or cover their nose and mouth when smiling.

As outlined in Dr. Hubbard's rhinoplasty textbook chapter on controlling the tip and the long nose, we now have good surgical options to place the tip in the ideal position. Dr. Hubbard outlines some of these techniques in another chapter in the textbook "Dallas Rhinoplasty: Nasal Surgery by the Masters." Further improvement with those individuals who have a strong lip muscle that pulls the tip down is a procedure that specifically weakens only that tiny muscle and leaves the other lip muscle fully intact. This small muscle weakening procedure is easily performed with a rhinoplasty.

Dr. Hubbard's Latest Publications

Over the past 6 years, Dr. Hubbard has developed a surgical technique that leads to significantly better cosmetic results with certain nose problems and deformities. The details and results of his surgical technique were published in Plastic and Reconstructive Surgery, the most prestigious national and international journal of his specialty.

Dr. Hubbard has completed updated chapters for the second edition of Dallas Rhinoplasty: Nasal Surgery by the Masters, one of the most authoritative texts in modern rhinoplasty.

To read answers to our frequently asked rhinoplasty questions, visit our Rhinoplasty FAQ page.

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