Rhinoplasty in Denver

Rhinoplasty - Denver Facial Surgery

The Facts

  • Surgery time — 2 to 2 1/2 hours
  • Anesthesia type — General or Local with some sedation
  • Setting — Surgery Center or Office Operating Room (OR)
  • Recovery time — 10-14 days for all activities
  • Success rate — greater than 95%

Finally Got my Much Needed Rhinoplasty

Dr. Menachof’s staff told me they believe he is “the best in his field” and after having him perform my rhinoplasty and traditional face lift I agree he is the best! I could not ask for better results; in fact, the results are even better than I expected! 

Laurabeth, Greenwood Village, CO
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Reasons to Consider One

  • Self-esteem — You do not like the shape of your nose. Maybe you have never liked the shape of your nose, or you liked your nose when you were younger, but don’t like the way it has changed with age.
  • Revision — If you have had a rhinoplasty before and didn’t like the result, you might seek a revision surgery.
  • Injury — You’ve broken your nose and would like it to look like it did before your accident.
  • Function — You are having surgery to correct breathing and ongoing nasal congestion, and you decide to make some cosmetic changes to your nose at the same time.


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What You Will Experience

Dr. Menachof’s techniques have been refined and perfected over the course of 4,000 rhinoplasty procedures. You will be confident that your surgery will result in an attractive, smooth, symmetrical nose that looks extremely natural.

This surgery will give you a more balanced overall facial appearance, subtly enhancing your best features.
You will experience improved breathing and an end to sinus issues.
You will experience the results of your rhinoplasty forever, resisting the changes that occur with age.

The nose is a delicate organ, with complex nasal passageways for airflow and fluid dynamics. The nose is composed of five distinct pieces of cartilage, four separate bones, multiple ligaments, muscular attachments, varying skin thickness, and soft tissue collections. The size, shape, configuration, and relationship of all of these pieces determine the cosmetic result.

The relationship between the pieces of the nose changes as the nose heals, which is why it’s important to have an experienced surgeon who can anticipate these changes.

Dr. Menachof is an ear, nose and throat specialist, which helps guarantee that your nose will not only look fantastic following the surgery, but it will also function better than ever.

Choosing a Surgeon

  • Make sure your surgeon has extensive experience in performing rhinoplasties. This surgery takes close to 1,000 procedures before a surgeon finally understands the nuances to produce a great result.
  • Revision rhinoplasty procedures are the most difficult. If the surgeon has consistently positive outcomes with revision surgeries, he or she is likely quite capable of taking care of your rhinoplasty.
  • Look carefully at before and after photos of the surgeon’s past patients. Every surgeon sees the world a bit differently. If you like the idea of a smaller nose, find a surgeon who feels the same way.
  • When looking at photos, pay attention to how the new nose changes the other features on the face.
    • For instance, a thin nose on a wide face can make the eyes look too far apart.
    • If the patient’s face looks better balanced and more attractive overall, the procedure was done well.
  • Ask the surgeon questions about function. This will help determine how much experience the surgeon has treating nasal congestion and whether he or she routinely addresses this issue during rhinoplasty procedures.

Choose Dr. Menachof

Dr. Menachof - Denver Rhinoplasty Surgeon
  • Dr. Menachof has performed over 4,000 rhinoplasty procedures and over 1,000 revision rhinoplasty procedures.
  • As an ear, nose and throat specialist, he is known for successful outcomes with difficult nasal airway procedures.
  • Dr. Menachof consistently makes difficult and complicated noses work and appear better than ever. Dr. Menachof has patients come from all of the country for his combination of technical expertise, experience, and aesthetic success.

Rhinoplasty: Frequently Asked Questions

The cost of a rhinoplasty varies on the amount of work being done, the difficulty of the particular procedure (revision rhinoplasty is typically more expensive), the experience of the surgeon, the kind of anesthesia needed for your particular surgery, and whether or not extra costs may be incurred (needing extra cartilage, for instance).

Between four and 20 percent of people who have a primary rhinoplasty will have a revision. Often the first rhinoplasty doesn’t meet the patient’s expectations for various reasons: the rhinoplasty may not complement the patient’s face or the rhinoplasty may heal differently than the patient expected and irregularities may appear in the nose years later. Also, those with thin skin might notice more minor asymmetries in the nose.  READ MORE

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The risks of rhinoplasty surgery are extremely low. Occasionally, people bleed a little bit for several days after surgery. Infection is incredibly unlikely, and most people are treated with antibiotics for several days after surgery preventatively. A small percentage (less than 5 percent) of people will have a subtle asymmetry to their nose that can usually be taken care of easily using a local anesthetic in the office. 

The majority of nasal growth is done by the time a girl is 15-1/2 and a boy is 16-1/2. It is safe to perform a rhinoplasty any time after this. With that said, emotional maturity is equally as important. Changing your facial appearance is a really big deal; there is a lot of emotional baggage that comes with cosmetic surgery. Making sure that we are doing your surgery for the right reasons is just as important as making sure you are the right age.

Good news. Most people have very little pain following their procedure. Everyone is given prescription pain medicine, but most people need very little after the first 1-2 days. Nasal congestion is common for up to a week after surgery, which is uncomfortable, but not painful.

Before and after photos are a very important part of the process of choosing a surgeon for your rhinoplasty. Photos show the results that will be achievable through each surgeon. You can then evaluate the end results of people with similar issues to you. Carefully evaluate your surgeon’s results to make sure that your tastes and his or hers are similar.

Rhinoplasty is performed most of the time using a light general anesthetic in a surgery center. A board certified anesthesiologist is present throughout the procedure to administer the anesthetic. Most minor revision procedures can be done using a local anesthetic and some oral sedation in the office.

The short answer is no. The nose does bleed easily,  and if you are having other nasal surgery along with your rhinoplasty (sinus surgery), there is a very small chance (less than 3 percent) that packing would be used. For a rhinoplasty alone, I have never had to use nasal packing.

Swelling is a normal part of the body’s healing response and is a part of the recovery from a rhinoplasty. About 70 percent of the swelling is usually gone when you come back to see us at your one-week visit. 80 percent of the swelling is usually gone by the end of the second week. 90 percent of the swelling is gone at the end of the first month. The last 10 percent of the swelling is all located at the tip of the nose, is not noticeable by anyone else, and can take 6-12 months to completely resolve.

It depends on what you need to look like when you return to work. Most people return to work between seven and ten days after surgery. By that time, the obvious swelling is usually gone, any residual bruising can be covered with make-up, and your sutures and cast have already been removed. I

It depends on what is being done during your rhinoplasty. A relatively simple rhinoplasty can be done using a “closed” technique, meaning that all of the incisions (and therefore, all the scars) are inside the nose.

Revision rhinoplasty is a relatively common procedure. This is due to the complexity of the procedure. Revision rates are reported to be anywhere from 4-20 percent.  READ MORE

A closed rhinoplasty uses incisions that are all located inside the nose. An open rhinoplasty involves a small incision placed across the narrowest part of the bottom part of the nose (the columella).

It better be better! In the majority of Rhinoplasty procedures, we make your nose smaller. If the inside is not changed to accommodate the smaller outside, you will have breathing problems. It is incredibly important that any inside issues are addressed during your rhinoplasty in order to make sure that you are able to breath well after your surgery.