Patient education is as essential as surgical precision, and when it comes to rhinoplasty, myths and misconceptions are everywhere—from outdated fears to flat-out fiction. Led by renowned facial plastic surgeon Dr. Richard Westreich, our team is grounded in truth, transparency, and a deep respect for individuality. Below, we’re debunking the eight most common rhinoplasty myths with evidence, experience, and insight.
Myth 1: Rhinoplasty Is Only Cosmetic
Rhinoplasty, often linked to aesthetic enhancement, also addresses important medical issues related to nasal structure and airflow through functional rhinoplasty. This approach corrects anatomical problems like:
- Deviated septum
- Collapsed or narrow nasal valves
- Turbinate hypertrophy
- Nasal trauma
These conditions can lead to:
- Chronic congestion
- Sinus infections
- Snoring
- Breathing difficulties
Unlike cosmetic rhinoplasty, which focuses on appearance, functional rhinoplasty aims to restore nasal function, enhancing sleep quality, exercise capacity, and overall well-being.
Learn More: The American Academy of Otolaryngology
Myth 2: Any Surgeon Can Perform a Rhinoplasty
Rhinoplasty is one of facial plastic surgery's most complex and delicate procedures. It demands technical precision and a nuanced understanding of nasal function, structural dynamics, and aesthetic balance. Achieving consistent, natural results requires a surgeon who combines scientific rigor, experience, and artistic vision.
When choosing a rhinoplasty surgeon, look for the following:
- Board certification in Facial Plastic Surgery or Otolaryngology
- Extensive experience specifically in rhinoplasty
- A portfolio of natural-looking results
- Mastery of open and closed techniques
- Ability to perform both cosmetic and functional procedures
- Active participation in professional societies
- A philosophy prioritizing balance, breathing, and beauty over trends
Notably, Dr. Richard Westreich’s rhinoplasty credentials include:
- Double board-certified in Facial Plastic Surgery and Otolaryngology (ENT)
- Creator of the Foundation Rhinoplasty™ technique
- 20+ years of experience with over 5,000 facial procedures performed
- Former President of the New York Facial Plastic Surgery Society
- Faculty at SUNY Downstate and Mount Sinai
- Multi-year (14+) Castle Connolly and New York Magazine Top Doctor
- Published expert on advanced rhinoplasty techniques and cartilage grafting
Read Dr. Westreich’s research on nasal cartilage grafting and nasal deviation
Myth 3: Rhinoplasty Leaves Obvious Scars
In most cases, rhinoplasty does not result in visible scarring, primarily when performed using a closed (endonasal) technique, where all incisions are made inside the nostrils.
Dr. Westreich specializes in this approach, which allows for the reshaping of cartilage, bone, and soft tissue without any external incision. Because the nasal skin remains undisturbed on the surface, patients benefit from:
- No visible scarring
- A quicker recovery
- Better preservation of the blood supply, which also reduces long-term thinning of the skin
In cases where more complex access is required, an open rhinoplasty may be recommended. This involves a small external incision on the columella (the strip of skin between the nostrils).
When performed by an experienced surgeon like Dr. Westreich, this incision is meticulously closed and typically heals into a fine line that becomes nearly invisible over time.
Learn More: Outcomes of Closed versus Open Rhinoplasty: A Systematic Review - PubMed
Myth 4: The Results Will Look Fake or Obvious
This myth often stems from high-profile surgical failures or cookie-cutter approaches. Our team believes the best rhinoplasty is the one no one notices. Dr. Westreich uses a sculptural philosophy to enhance harmony—not erase character—so your nose blends naturally with your features. His work focuses on light, shadow, proportion, and subtlety, not trends or stereotypes.
Myth 5: Rhinoplasty Is Only for Young People
While many patients seek rhinoplasty in their teens or twenties, the procedure is not limited by age. Dr. Westreich frequently treats adults in their 40s, 50s, and beyond, addressing age-related nasal drooping, cartilage collapse, or longstanding breathing issues. The key is a customized plan that accounts for aging skin, cartilage structure, and overall health.
Age-specific considerations include:
- Teens (15–17): Must have completed facial growth; emotional maturity and parental support are essential.
- 20s–30s: Optimal healing potential; ideal for primary cosmetic refinement or minor revisions.
- 40s–50s: May require structural support to address weakened cartilage or tip descent.
- 60s+: Often focused on function and subtle rejuvenation; careful assessment of skin quality and medical status is key.
With the right surgeon and tailored approach, natural and lasting results are achievable at any age.
Learn More: Nasal changes in different age groups - PMC
Myth 6: I’ll Have to Redo My Rhinoplasty Every Few Years
When performed correctly, rhinoplasty results are designed to last a lifetime. Dr. Westreich's structural techniques are engineered to withstand the natural aging process. While the soft tissues of the face continue to mature, the surgical framework of your new nose remains stable and enduring.
Learn More: Rhinoplasty - Mayo Clinic
Myth 7: Recovery Is Unbearably Painful
While swelling and congestion are common, most patients report only mild to moderate discomfort. Dr. Westreich uses Exparel, a long-acting numbing medication that provides targeted pain relief for up to 3 days post-surgery, significantly reducing the need for narcotics. Many patients manage recovery with Tylenol alone and return to their daily routines within a week.
We recommend the following to support healing:
- Apply cold compresses around the eyes and cheeks to reduce swelling
- Sleep with your head elevated to minimize fluid retention
- Avoid strenuous activity and heavy lifting for at least 2–3 weeks
- Follow a nutrient-rich diet high in antioxidants, vitamin C, and protein
- Stay hydrated and avoid alcohol or smoking during recovery
Myth 8: Non-Surgical Rhinoplasty Produces Similar Results
While non-surgical rhinoplasty using dermal fillers can provide temporary improvements, such as camouflaging a dorsal hump or lifting a drooping tip, keep the following in mind:
- It cannot match the precision, permanence, or structural correction achieved through surgical rhinoplasty
- Filler cannot reduce the size of the nose, improve airflow, or correct underlying asymmetries
- Results typically last 6 to 24 months and may carry vascular risks, especially in patients with prior nasal surgery
Dr. Westreich performs non-surgical rhinoplasty selectively, after careful evaluation, and typically recommends surgery for patients seeking long-term, functional, and sculptural change.
Learn More: Nonsurgical Rhinoplasty Using Fillers - StatPearls - NCBI Bookshelf
What You’ve Heard Isn’t Always What You Should Believe
Rhinoplasty is one of the most misunderstood procedures in aesthetic medicine, but we’re here to help you begin with clarity, education, and trust. With over two decades of experience, dual board certification, and a reputation for natural, refined results, Dr. Westreich blends scientific rigor with artistic insight to deliver outcomes that are balanced, beautiful, and built to last. Let evidence, artistry, and experience guide your next step. Contact us today to book your consultation and learn more.
