Rhinoplasty Before & Afters
Before
After
Before
After
Before
After
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Precision. Balance. Breathability.
Rhinoplasty (nose surgery) is a surgical procedure designed to reshape the nose for cosmetic enhancement or functional restoration. By modifying the nasal bones and cartilage, the surgeon improves facial harmony and corrects airway obstructions.
At A Glance: Rhinoplasty with Dr. Brobst
Metric |
Expectation |
Anesthesia |
General anesthesia (mandatory for airway protection) |
Procedure Time |
2.5–4 hours |
Pain Level |
Rated 3/10 (described as “congestion” rather than acute pain) |
Social Downtime |
10–14 days (cast removal at day 7) |
Full Healing |
1 year for final refinement; 80% visible at 3 months |
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Specialization Matters
Frisco is a city built on high standards. From the corporate corridors of Hall Park to the social scene at The Star, appearances carry weight. But confidence wavers when you feel your facial features are out of alignment. Rhinoplasty is widely regarded as the most challenging operation in plastic surgery. The difference between a good result and a botched outcome is measured in millimeters. This complexity is why patients from Frisco and the 121 corridor choose Dr. Robert "Bo" Brobst.
Many general plastic surgeons split their focus. They may perform a breast augmentation in the morning, a tummy tuck in the afternoon, and attempt a nose in between. Dr. Brobst takes a different approach. He dedicates his entire practice to facial aesthetics. He does not operate below the neck. This exclusive focus on facial anatomy ensures that your surgeon understands the intricate relationship between the nasal bones, the airway, and the skin envelope. We believe in a form and function philosophy. A smaller nose is useless if it compromises your breathing function. Our goal is to build you up, creating natural results that look like they belong to you, just a more balanced version.
From Dr. Bo:
"I tell patients during their consultation that the nose does not exist in a vacuum. It interacts with the chin, the forehead, and the cheeks. If we change the nose too drastically, we disrupt the facial balance.
My job isn't to give you a 'celebrity nose' that doesn't fit your ethnicity or bone structure. My job is to create facial symmetry. When I look at other facial features, I am calculating how a change in the bridge height or tip rotation will affect your eyes, smile, and profile. We want your friends to notice you look great, not that you had a nose job."
The Approach
Historically, rhinoplasty surgery was a subtractive process. Surgeons would whittle away bone and remove cartilage to make the nose smaller. Years later, those noses would collapse, leading to pinching and breathing issues. Dr. Brobst utilizes a structural procedure. Instead of simply removing tissue, we reorganize it. We often use your own cartilage, borrowed from the septum or occasionally the rib, to build strong architectural beams inside the nose. This reinforces the structure, ensuring that your aesthetic results stand the test of time.
Closed Rhinoplasty: All incisions are made inside the nostrils. This is often reserved for minor changes where structural grafting is not required.
Open Rhinoplasty: A tiny, stair-step incision is made on the columella (the strip of skin between the nostrils). This allows Dr. Bo to lift the skin and view the cartilage and bone directly.
For most patients requiring significant reshaping or airway correction, the open approach provides the visibility needed for precision. The scar on the columella heals exceptionally well, becoming virtually invisible within a few weeks.
Functional Relief
Many patients seeking rhinoplasty in Frisco are motivated by cosmetic reasons, but an equal number suffer from trouble breathing.
North Texas is known for allergies, but often the root cause of chronic congestion is a deviated septum. This occurs when the thin wall of bone and cartilage separating your nasal passages is displaced to one side. During your rhinoplasty, Dr. Bo can perform a simultaneous septoplasty to straighten this wall. Improving the airway often involves reducing enlarged turbinates (the internal filters of the nose) and placing spreader grafts to keep the internal valves open. This dual approach ensures you leave surgery with a nose that looks better and functions perfectly.
The Process
Good candidates for nose surgery are healthy individuals who have realistic goals. During your consultation, we will review your medical history to ensure you can safely undergo general anesthesia. You may be a candidate if you have:
We also treat teenagers, but we require that facial growth is complete. This typically occurs around age 15–16 for girls and 17–18 for boys.
The Timeline
Recovery is a commitment. We value transparency, so we want you to know exactly what to expect.
You will not feel sharp pain; you will feel pressure. Most patients compare it to a severe head cold. You will have a cast on the bridge of your nose and possibly silicone splints inside. You must avoid strenuous activity to keep your blood pressure low and minimize swelling.
This is the most exciting day. We remove the cast and sutures in the office. Your nose will be swollen, and you may have some yellowing or bruising under the eyes, but you will immediately see the new shape.
By week two, discomfort is minimal. You can return to work and social engagements. While the nose is still healing, it is presentable. You must continue to protect the nose from trauma.
The healing process for rhinoplasty is unique. The skin takes time to "shrink wrap" down to the new underlying framework. While you will see beautiful results at three months, the final definition of the tip requires a full year to settle. Permanent changes take patience.
Investment
Rhinoplasty cost varies depending on the complexity of the case. A primary rhinoplasty is different from a revision case that requires rib grafting. Because this is a major surgery requiring a board-certified anesthesiologist and an accredited facility, we do not cut corners. Your quote will include:
We caution patients against bargain shopping for plastic surgery. Correcting a botched nose is far more expensive and emotionally taxing than investing in a specialist to get it right the first time.
If you’re thinking about getting a nose job and want to talk to a surgeon who focuses on helping you have realistic goals and a natural look, we’d love for you to visit our office. Let’s find out together if this procedure is right for you!
Insurance typically does not cover cosmetic issues. However, if you have a documented deviated septum or vestibular stenosis causing breathing issues, the functional portion of the surgery (septoplasty) may be covered. We can provide the necessary codes for you to submit to your provider.
Hygiene is critical to prevent infection. We will provide specific instructions on using saline sprays and hydrogen peroxide to keep the incisions and nostrils clean. Do not blow your nose for at least two weeks.
The nasal bones are fragile while setting. If you sustain a significant impact, call our office immediately. We may need to see you to ensure the bone has not shifted.
We can use photos as a communication tool to understand your aesthetic taste. However, copying a nose onto a different face often leads to unnatural results. We aim for a nose that fits your facial features.
Dr. Bo is board-certified in both Otolaryngology (Head & Neck Surgery) and Facial Plastic & Reconstructive Surgery. He has performed thousands of nasal procedures. This dual background allows him to masterfully handle both the tissue aesthetics and the airway physiology.
Let's Chat
We want to welcome you into our Plano office for a consultation to chat about how we can protect and preserve your beauty. We want to get to know you as a person and develop a plan that best fits your needs and lifestyle. At Brobst Facial Plastic Surgery and Aesthetics, you’re more than a patient — you’re part of our family. We want to take care of you the way family should. Schedule your consultation to get started today.
Mon - Thu: 9am - 5pm
Fri: 9am - 4:30pm
Saturday: Closed
Sunday: Closed
