Aesthetic concern
Nasal shape or breathing.
The nose sits at the center of the face, so small refinements have an outsized effect on balance. Just as often, the concern is functional — a nose that looks fine but does not breathe well.
Form + function
Assessed together
3D imaging
At every consultation
AAAASF
Accredited surgical suite
Dr. Kirwan
Board-certified surgeon
Overview
Balance, not a new nose.
Rhinoplasty is one of the most technically demanding procedures in facial surgery because the nose is built from skin, cartilage, and bone that all have to work together. A change of a millimeter is visible, so planning is meticulous.
Dr. Kirwan approaches the nose in proportion to your chin, brow, and midface rather than against a generic ideal. When breathing is the real concern, the internal structures are corrected at the same time so the result looks and functions better.
Contributing factors
What patients bring in.
Dorsal hump
Tip definition
Asymmetry
Obstructed breathing
What you might notice
What you might notice.
Profile
- Visible dorsal hump
- Drooping tip when smiling
- Nose looks long or over-projected
Front view
- Bridge appears crooked
- Wide or bulbous tip
- Nostril asymmetry
Function
- Congestion on one side
- Trouble breathing at night
- Reduced airflow with exercise
Balance
- Nose overpowers the face
- Weak chin exaggerates the nose
- Features feel out of proportion
Treatment options
Shaped to your face.
Rhinoplasty
Reshapes the bridge, tip, and proportions of the nose, correcting the septum and airway when breathing is affected.
Procedure detailChin augmentation
A stronger chin can rebalance the profile so the nose no longer looks larger than it is.
Procedure detailInjectable refinement
In select non-surgical cases, filler can camouflage a small contour irregularity — discussed honestly at consultation.
Procedure detail
Medical content on this page is illustrative and is reviewed with Dr. Kirwan before any treatment is recommended. Images do not represent patient results.
Questions
Common questions.
Will my nose look done?
The aim is a nose that suits your face and looks unoperated. Preserving natural contours and avoiding an over-narrowed bridge is central to the technique.
Can you fix my breathing at the same time?
Yes. Functional correction of the septum and nasal valves is routinely combined with cosmetic reshaping in a single procedure.
How long until I see the final shape?
You will look presentable within a couple of weeks, but the tip refines over many months as swelling fully resolves. Rhinoplasty rewards patience.
Is a weak chin related to my nose?
Often, yes. On profile a small chin makes the nose look larger, so balancing the two can give a more harmonious result than treating the nose alone.
Next step
Plan it in proportion.
Imaging lets you see reshaping in the context of your whole profile before anything is decided, including whether the airway should be addressed.