Rhinoplasty in 
Denver, CO

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Expert Rhinoplasty Surgery in Denver with Dr. Manish Shah

Unrivaled Expertise and Dedication
Rhinoplasty, or a “nose job”, is Dr. Manish H. Shah’s signature procedure and one of the most requested at Shah Aesthetic Surgery. Widely regarded as a top rhinoplasty surgeon in Denver, Dr. Shah specializes in aesthetic, functional, and reconstructive nose surgeries. Whether it’s refining the tip, smoothing out humps or indentations, reshaping wide nostrils, or creating overall facial harmony, cosmetic rhinoplasty is designed to enhance your appearance without compromising nasal function. Some patients seek rhinoplasty to correct trauma-related deformities or breathing issues, while others simply want a more balanced and proportionate look. Whatever the goal, Dr. Shah takes a comprehensive approach to ensure results that look natural and feel right for each unique face.
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Ideal rhinoplasty candidates are in good health, emotionally mature, and have completed facial growth, typically after age 14 for girls and 17 for boys. Dr. Shah emphasizes that patients should seek rhinoplasty for themselves, not to meet someone else’s expectations. Using advanced consultation tools like 3D imaging, Dr. Shah helps patients set realistic goals and visualize the outcome before surgery. It’s also important to understand that rhinoplasty creates permanent change, so careful planning and communication with an exceptional plastic surgeon are key to long-term satisfaction.
If you’re considering rhinoplasty in South Denver, consulting with an experienced, board-certified facial plastic surgeon is essential. Dr. Shah is the only Colorado member of the prestigious Rhinoplasty Society and is Vice President of its Board of Directors. He is also the only surgeon in the state offering both ultrasonic rhinoplasty and preservation rhinoplasty, two of the most advanced techniques available. Patients from Colorado and around the world choose Dr. Shah for his technical expertise, artistic eye, and compassionate care. Schedule your consultation today to begin your personalized journey toward refined, natural results.
month after rhinoplasty

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Rhinoplasty Procedures Before and After

revision rhinoplasty before and after
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ethnic ultrasonic rhinoplasty facial enhancements
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Am I A Good Candidate For Rhinoplasty Surgery?

If you are unhappy with the overall look of your nose and have specific concerns you would like to improve, enhance, or correct, this treatment may be the right answer. It’s very important that expectations are understood and a qualified facial plastic surgeon is consulted, as your nose and facial profile will be changed. Furthermore, facial growth and maturity should also be complete. This aspect of the nose reshaping process will be addressed during your consultation, especially for teens.

What Are The Benefits Of Cosmetic Nose Surgery?

Aesthetic rhinoplasty is a renowned and reliable choice for men and women in the Denver, CO, area who want aesthetic improvements to their nose and/or need functional improvements for breathing and better comfort. Advantages of a nose job include:
  • A surgical plan personalized for your unique needs
  • Reduced or increased nose size
  • Reshaped nostrils
  • Fixed bumps, humps, crookedness, and more
  • Addressing “too much” of the nostrils showing
  • Reduced size of the nose tip
  • Balanced facial harmony and balance
  • Improved breathing
  • Repaired deviated septum
  • Boosting your confidence and self-image
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Rhinoplasty Consultation

Unrivaled Expertise and Dedication
Your rhinoplasty consultation with Dr. Manish Shah will allow for a physical examination of your nose after discussing your relevant pre-history. Dr. Shah will then typically take multiple pictures of your nose from various angles to assess its anatomy for rhinoplasty surgery. He takes these digital photos and puts them into rhinoplasty simulation software. With this software, he can simulate various changes to your nose to give you an approximate idea of your possible outcomes.

It is important to note that rhinoplasty simulations do not guarantee or warrant any particular outcome. Dr. Shah uses the simulations to help educate you, the patient, about what is possible and what is not possible. Rhinoplasty can be combined with other cosmetic surgery procedures, and surgeons who perform these surgeries often have extensive expertise in facial enhancements.

What Are The Different Types Of Rhinoplasty?

Open Rhinoplasty

With an open rhinoplasty, the incisions are made on the tissue between the nostrils or on the natural crease of the nose just above the lips. This allows for greater access and view of the confines of the nose. As rhinoplasty is a complicated procedure, many surgeons prefer this approach as it is easier to manipulate the bones and cartilage. The skin of the nasal tip and bridge is gently lifted up to reveal the internal structures of the nose and redraped once reshaping is completed. The scars associated with this approach are tiny – less than 5mm – so they are not easily noticeable once fully healed.

Closed Rhinoplasty

During closed rhinoplasty surgery, incisions are made to the inside of the nose through the nostrils. This is a common technique for patients who desire mild reshaping. This approach does not cause visible scarring. For severe reshaping cases, the open rhinoplasty technique will be implemented. Dr. Shah has significant experience using open and closed rhinoplasty techniques, so he can determine the best approach for your individual case.

Nonsurgical Rhinoplasty

Non-surgical rhinoplasty is often used to hide mild irregularities on the nose, elevate the bridge, revise a previous rhinoplasty, and camouflage a nasal hump. For minor reshaping, some patients can opt to try an injectable filler to achieve results. These come in a variety of liquid substances, and sometimes a fat transfer can also be utilized. A filler can help add volume to hide small deformities, such as a bump or a bony appearance. It is important to note that fillers can only do so much in the reshaping process. Surgery is a better option for most patients and will offer a permanent solution. Dr. Shah loves to use Restylane and Radiesse as his most common fillers for nonsurgical rhinoplasty.

Tip Rhinoplasty

Tip rhinoplasty is a very common procedure in Dr. Shah’s rhinoplasty practice. The tip of the nose can vary greatly from one person to the next. A nasal tip that doesn’t blend into the rest of the nose or the rest of the face can cause visual disharmony. A tip rhinoplasty changes the appearance of the tip of the nose by either adding, reshaping, or removing some of the cartilage of the lower lateral cartilage. Cartilage grafting from other sources, like the septum, ear (concha), or rib, may also be necessary to support and define the tip and the nasal valves (internal and external).

Functional Rhinoplasty

A functional rhinoplasty is a nose surgery designed to improve the nose’s function (i.e., the ability to breathe easily) without significantly changing its appearance. In most cases, however, many patients need a combination of functional and primary rhinoplasty.

Selecting a skilled surgeon for revision rhinoplasty is crucial due to the unique challenges posed by such procedures, including higher costs and specific surgical techniques required for successful outcomes. Internal functional rhinoplasty procedures, where there are no outer nasal alterations, would include:

  • Septoplasty — This is a procedure to correct a deviated septum. A deviated septum is defined by the bending, twisting, or deviation of the cartilage wall, which divides the left and right nasal passages so that one or both are blocked. Septoplasty surgically straightens this wall, creating much easier air flow.
  • Turbinate Reduction — The turbinates are mucous membrane-covered sections of bone that line the entire length of the nasal cavity. There are three sections: the superior turbinate, the middle turbinate, and the inferior turbinate, which is the last and most likely to develop enlargement issues that contribute to airway blockage. A partial reduction of some of the turbinate tissue is all that is required to unlock the airflow.
  • Nasal Polyp Removal — Nasal polyps are small, round growths that are benign but can block the nasal passage. They can be entirely removed surgically. However, they need to be evaluated by a pathologist as they could contain a malignancy.
  • Nasal Valve Collapse — The nasal valve is the narrowest part of the nose’s airway and it’s lined with a membrane that are designed to shrink and swell as they regulate air flow. In very thin noses or in noses which have experienced trauma or disease, the nasal valve may actually collapse. Patients with short nasal bones will need middle vault support procedures to correct nasal valve collapse during rhinoplasty surgery.

Preservation Rhinoplasty

Preservation rhinoplasty works by respecting the SMAS, complex ligaments, and skin envelope within the nose in order to preserve the natural dorsum. Dr. Manish Shah utilizes advanced techniques as a way to retain as much of the patient’s bone and cartilage as possible while also reshaping the nose for the desired effect. The various benefits and combinations of plastic surgery procedures, such as rhinoplasty, emphasize the importance of choosing qualified professionals for these intricate procedures to achieve natural-looking results.

This approach can provide a more natural-looking outcome for patients. Dr. Shah has been trained by the world’s masters of Preservation Rhinoplasty and is the only surgeon in Denver and the surrounding region who can perform this specialized type of rhinoplasty operation.

Rhinoplasty Reviews

My Nose Journey ❤️ I had a accident when I was young that resulted in many surgeries over the years. The rhinoplasty I had gotten started leaning to the right and overtime created breathing problem. I found Dr. Shah on a search for a nose correction specialist and hose him because the overwhelming good reviews and his experience! Immediately I noticed my breathing issues were fixed. I was so relieved because this complicated my sleeping, I could not exercise, I always had a headache. Being able to breathe through my nose again is something I will never take for granted and I am so grateful to Dr. Shah for fixing my collapsed septum. Aesthetically, I cried tears of joy when I was healing. Before, my nose was crooked and almost detached I could feel the tip cartilage pop in and out of place! I had no expectations that I would have such a straight nose and kinda expected a small improvement. Dr. Shah not only got my nose and septum so straight but he also fixed my nose to look more natural and smaller to fit my face. This is the most beautiful I have ever felt. This is how I alway felt on the inside and have struggled for so long after the accident with just wanting to feel normal and not have people comment on my scars or nose. I cannot thank Dr. Shah enough for what he has done for me. I feel so comfortable and effortless in the way I look and can finally put all my pain and suffering from my accident to rest. Thank you Dr. Shah!!! His team is always amazing in helping in any way and making sure you feel comfortable and cared for.

S.

I started going to Shah Aesthetic Surgery for a rhinoplasty by Dr. Shah which I am absolutely thrilled with. I am staying on as a patient not only because of how wonderful Dr Shah was but the whole office staff! I have been getting Sculptra, Dysport and threads from Sarah who is absolutely amazing. She makes you feel so comfortable and takes the time to explain everything and go over different options. The results are natural but beautiful!

R.R

Dr. Shah is Brilliant and I Love my Results – I couldn’t be happier with my experience with Dr. Shah! I had a large hump in my hose that had bothered me for over 30 years. I thought about it every single day, every time I caught my reflection, every time someone took a picture. I hated having my profile visible and constantly had my hair in my face to try to hide it. I was really nervous to have my nose done because I didn’t want it to look overdone, too small, or like it didn’t fit my face. Dr. Shah did an incredible job of listening to exactly what I wanted, and making my nose fit my face so well that my closest friends were blown away by how natural it looks. I feel so confident and happy!I got the Ultrasonic Piezo Rhinoplasty, which is a gentler, more refined method. I had minimal swelling and in just seven days from my surgery I was out and about excited to put my new face into the world. Dr. Shah and his staff are wonderful – professional, warm, knowledgable, responsive. Literally my only regret about this procedure was not doing it sooner. I’m so grateful to Dr. Shah for helping me feel like the best version of myself.

F.

100% trust – I have been happy after every visit – From mini facelift to fillers and beyond I have been 100% happy after every single visit to Dr Shah. I liked that he did my mini facelift under local anesthesia and sedatives but not general anesthesia. I had no pain!!!

R.

253

Total Reviews

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4.9

Average Rating

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Rhinoplasty Recovery

Rhinoplasty procedures are typically performed in fully accredited outpatient surgery centers. Dr. Manish Shah uses board-certified anesthesiologists with an M.D. He prefers to use full general anesthesia because he believes it allows for better control of the patient’s airway, which maximizes safety. No one but Dr. Shah touches the patient during rhinoplasty.

The first week is typically the hardest week for the patient. They will be sleeping with their head elevated. They will be applying ice packs to reduce bruising and swelling. They are not allowed to get their faces wet, so hair washing is a bit difficult to do. Dr. Manish Shah recommends bathing during this first week. After rhinoplasty, a cool mist humidifier at the bedside is very soothing for the face and throat.

After this week, you will typically have your external splint and any external sutures removed. At this point, you will be taught the second phase of your care. Your nose may swell after the splint is removed, but with time, it will decongest. The upper part of the nose settles after about 3 months. The bones are at their hardest at this point. Most patients don’t notice big changes for the next 5 – 6 months after this. Finally, around 10 – 12 months after surgery, the tip of the nose finalizes its cosmetic outcome. Patients must realize that patience is mandatory because it will be at least 1 year before they see how their rhinoplasty surgery turned out.

Blog

This blog provides all the information you might want about the most difficult procedure in cosmetic surgery. It was written by Manish H. Shah, MD, FACS, a specialist in rhinoplasty, revision rhinoplasty, and ethnic rhinoplasty surgery in South Denver.

Rhinoplasty FAQs

Why Choose Dr. Shah for your Rhinoplasty in Denver, CO?

As a board-certified plastic surgeon with a specialty in facial plastic surgery, Dr. Shah has undergone rigorous training at some of the best institutions in the country. Ninety percent of Dr. Shah’s surgical practice is related to cosmetic surgery of the face, eyes, ears, and nose. Dr. Shah performs, on average, around 1000 facial surgical procedures per year. According to 2010 statistics from the American Society of Aesthetic Plastic Surgeons (ASAPS), member surgeons averaged six rhinoplasties per year. However, Dr. Shah performs, on average, around 100 rhinoplasties per year, which continues to increase every year.

Is There a Nonsurgical Alternative to Rhinoplasty?

Some patients opt for nonsurgical rhinoplasty procedures that use hyaluronic acid filler injections to camouflage a nasal hump and lift the tip a bit. The downside of the procedure is that the nose gets larger from the filler. There is also the small but real risk of blindness and soft tissue loss that can happen with any facial filler injection. Dr. Shah performs nonsurgical rhinoplasty fairly routinely for patients that are not quite ready for surgery and understand/accept the limitations and risks.

Can Insurance Cover My Rhinoplasty?

Most rhinoplasty surgery is performed for cosmetic reasons. To this end, it is not covered by health insurance. Some patients have breathing restrictions that are due to problems such as a deviated septum, hypertrophy of the turbinates, or internal nasal valve collapse secondary to middle vault narrowing. Health insurance will occasionally cover the contracted amount for the repair of these problems during rhinoplasty. It is important to note that we will bill a patient separately for the cosmetic and insurance portions of the rhinoplasty surgery. Both parts of the operation are timed separately. The patient needs to know that they will have separate out-of-pocket charges for Dr. Shah’s fee (cosmetic), the anesthesia time (cosmetic), and the facility charge (cosmetic). These are due in full prior to surgery. The insurance portion of the rhinoplasty procedure is billed separately after surgery, with a remainder billed to the patient after co-pays and deductibles are met.

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Dr. Shah’s Rhinoplasty Philosophy

Rhinoplasty is the most difficult cosmetic procedure to perform. Because of the nose’s central position on the face, it is in view at all times. Dr. Shah believes that it is important to create a nose that fits the other features of a person’s face. Often, the nose that has been bothering a patient is only troublesome because it is out of place with the rest of the face. A well-performed rhinoplasty blends a nose into its surroundings. This creates the best nose for a patient. Dr. Shah takes time to listen carefully to patients so that he can really understand what bothers them and better understand what motivated them to seek out rhinoplasty surgery.

90% of Dr. Shah’s surgical practice is related to cosmetic surgery of the face, eyes, ears, and nose. Dr. Shah performs, on average, around 1000 facial surgical procedures per year. According to 2010 statistics from the American Society of Aesthetic Plastic Surgeons (ASAPS), member surgeons averaged six rhinoplasties per year. Dr. Shah performs, on average, around 50 rhinoplasties per year. This number continues to increase every year.

Insurance for Your Rhinoplasty

Most rhinoplasty surgery is performed for cosmetic reasons. To this end, it is not covered by health insurance. Some patients have breathing restrictions that are due to problems such as a deviated septum, hypertrophy of the turbinates, or internal nasal valve collapse secondary to middle vault narrowing. Health insurance will occasionally cover the contracted amount for the repair of these problems during rhinoplasty. It is important to note that we will bill a patient separately for the cosmetic and insurance portions of the rhinoplasty surgery. Both parts of the operation are timed separately. The patient needs to know that they will have separate out-of-pocket charges for Dr. Shah’s fee (cosmetic), the anesthesia time (cosmetic), and the facility charge (cosmetic). These are due in full prior to surgery. The insurance portion of the rhinoplasty procedure is billed separately after surgery, with a remainder billed to the patient after co-pays and deductibles are met.

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Accentuate Your Features

Rhinoplasty is a simple idea to address the distaste you might feel when looking in the mirror at your facial profile. If you are dissatisfied with the appearance of your nose or if you are experiencing breathing issues, nose surgery may help. Nose surgery is a highly sought-after cosmetic procedure with very high success rates. Dr. Shah aims to reshape your nose — so your entire face looks more attractive and proportionate. Even minor tweaks can lead to a huge difference. We invite you to contact Shah Aesthetic Surgery in South Denver, and schedule a consultation.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.