A Balanced and Functional Approach to Nasal Surgery

Your nose plays a central role in facial harmony and overall appearance. Even subtle adjustments can create meaningful improvements in balance, proportion, and confidence. At PSG, our board-certified plastic surgeons perform rhinoplasty, or nose reshaping surgery, to refine nasal contours and enhance facial harmony. Rhinoplasty addresses cosmetic concerns related to the shape, size, or proportion of the nose. Whether you wish to smooth a prominent hump, refine the nasal tip, straighten a crooked nose, or adjust overall nasal proportions, each procedure is carefully customized to your anatomy and aesthetic goals. The result is a natural-looking nose that complements your facial features and enhances overall balance.

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Benefits of Rhinoplasty

Rhinoplasty can provide significant aesthetic improvements while preserving the natural character of your face. Depending on your goals and anatomy, the procedure may help:

  • Smooth a nasal hump or bridge irregularity
  • Refine the nasal tip or reshape the nostrils
  • Straighten a crooked nose
  • Adjust overall nasal size or projection
  • Improve facial balance and symmetry
  • Enhance harmony between the nose, chin, and other facial features
  • Increase confidence through natural, proportionate results

Whether the goal is subtle refinement or a more noticeable change, our surgeons focus on achieving results that enhance facial harmony while maintaining a natural appearance.

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Testimonials Words From Our Patients

N.G.

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am ...

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am very impressed with how the healing has gone - back pain disappeared and with how thorough he is as a surgeon I believe that’s what helped the recovery process. Would recommend him and the office to anyone. :)

R.M.

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes t...

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes the time to explain everything in detail and answer any and all questions. Her expertise and her skills are truly exceptional. She is very easy to talk to and truly a master of her profession. I would not hesitate to recommend her services to anyone who wants the best. Laurie was also amazing. She is very friendly, knowledgeable and helpful. Dr. Prince and Laurie are both a real credit to the Plastic Surgery Group at City Centre.

S.W.

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of hu...

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of humour for what was a stressful time for me. The follow up visit was on time and I was booked for a second surgery. The second surgery was again, punctual and professional with a touch of humour. I am in the process of booking a follow up to my latest surgery now. I would not hesitate to use Dr. Oxley again.

K.G.

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make s...

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make sure I am still doing well. I would recommend him to anyone who is considering this surgery. He is honest and very helpful, provided all of the information I needed to make decision regarding my surgery. I feel like it's one of the best decisions I have ever made for my confidence. He did an incredible job, I trust him 100% and would not hesitate to put myself into his care again. Highly, highly recommend Dr. Ratanshi and his team!

R.M.

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-c...

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-cell carcinoma. He has always been the ultimate professional but with a kind and gentle manner that calms any anxiety a patient might be feeling. And when my most recently removed skin tested positive for melanoma I was anxious indeed! This time it was a spot on my cheek that would require a large amount of tissue removal, a biopsy of the closest lymph node, and skin grafting, all done under general anesthesia. But I need not have worried. Dr. Mian was reassuring and amazingly skillful, the surgery was successful, the melanoma contained, and the complicated skin graft has healed so well that the incision on my face is already starting to disappear. Thank you, Dr. Mian! 

J.H.

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I...

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I found my doctor. She is knowledgeable, experienced, kind and caring. Dr Genoway listened to all of my concerns, gave me honest medical opinion, including to comeback in a few years as I am too young for a particular procedures. I felt comfortable and not rushed or pressured. Most importantly I felt safe and in good hands. Ended up having my postpartum reconstruction and 2 other procedures (long time dream) in one go. Recovery was fast considering the extent of the procedures. I didn’t need the prescribed pain medication at all. She just has this “light hand”. Most importantly, the results are better than expected! Natural looking, better version of me, but still me. I feel more confident and much happier in my own skin.

M.Y.

I had my breast surgery in Plastic Surgery Group. Well organized safe and the best care during my surgery. Thank you guys and wish you all the best. 

G.M.

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery w...

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery was scary to me but I have zero regrets. Barely any pain or discomfort after surgery and any back pain I had before is now gone. I walk straighter and clothes fit better. My self esteem has improved. Would recommend this office and the actual surgery to anyone considering it. It’s a game changer.

T.W.

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence ...

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence of having this operation, go for it!! The pain level was a 1, if that. I kept waiting for the shoe to drop and the pain to hit me, never happened. Two week post op...ready to play tennis, but will wait another week. Thank you Dr.Prince and Lori!

J.P.

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Alw...

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Always greeting you as you come in and happy to answer any questions and concerns over the phone or via email. I never once felt alone during this process. Overall I recommend this capable and compassionate team. You'll be in good hands.

J.H.

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I ...

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I was in a very dark place emotionally due to the appearance of my body. Dr. Ratanshi preformed a deep inferior epigastric perforator surgery and it was a complete success. I believe Dr Ratanshi saved my life! A very skilled surgeon and a wonderful man.

J.C.

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best...

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best think I ever did for my health. Thank you Suman worth your weight in gold. Dr Mian Life changing can't not begin to Thank you. Absolutely best experience

C.A.

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort ...

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort on their end to look after my needs put me at ease. The seamless communication and follow-up care post-surgery further solidified my trust in their expertise. I was truly impressed by the pride they take in their work, and I'm grateful for the wonderful care I received. 

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Who Is a Good Candidate?

You may be a candidate for rhinoplasty if you:

  • Are bothered by the size, shape, or symmetry of your nose
  • Have breathing issues caused by internal nasal obstruction
  • Are in good general health and do not smoke
  • Have realistic expectations about the outcome of surgery
  • Have reached full facial maturity (typically age 16 and older)

If you are seeking a revision rhinoplasty, you must wait at least one year after your initial surgery to allow tissues to heal fully before considering further adjustments.

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What to Expect During Your Consultation

During your initial consultation, your surgeon will assess your nasal structure, skin thickness, and facial proportions. Together, you will discuss your goals and review potential techniques to achieve your desired outcome.

If your surgery is intended to correct breathing difficulties or repair structural deformities, a portion of the procedure may be eligible for coverage under the provincial Medical Services Plan (MSP). Cosmetic rhinoplasty, however, is not covered. Your consultation will also include a review of before-and-after examples, allowing you to visualize realistic expectations.

Rhinoplasty Procedure Overview

Rhinoplasty is performed under general anaesthetic as a day surgery and typically takes between three and four hours. The specific surgical approach depends on your goals, anatomy, and the structural changes required to achieve your desired outcome.

During the procedure, the surgeon carefully reshapes bone, cartilage, or both to refine the contours of the nose. This may include smoothing the nasal bridge, refining the nasal tip, adjusting projection, or improving overall proportion. Every step of the procedure is tailored to create balanced, natural-looking results that complement your facial features. There are two primary surgical techniques:

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Closed Rhinoplasty

In closed rhinoplasty, all incisions are made inside the nostrils, leaving no visible scars. This technique is ideal for patients requiring moderate adjustments to the nasal bridge or width.

Advantages:

  • No external scarring
  • Shorter surgery and recovery time
  • Less postoperative swelling

Limitations:

  • Limited access to the nasal tip and cartilage
  • Less suitable for extensive reshaping or revision surgery

Open Rhinoplasty

Open rhinoplasty involves a small incision across the columella (the tissue between the nostrils) combined with internal incisions. This approach provides complete access to the nasal framework, allowing for precise reshaping of bone, cartilage, and soft tissue.

Advantages:

  • Greater visibility for detailed refinement
    Preferred for complex or revision surgeries
    Allows comprehensive correction of both aesthetic and structural concerns

Both techniques can produce outstanding results when performed by an experienced plastic surgeon. For patients with minor irregularities or volume deficiencies, non-surgical rhinoplasty using dermal fillers or fat grafting may also be an option, although results are temporary.

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Preparing for Surgery

Before surgery, you will meet with your care team for preoperative planning. You will receive detailed instructions on medications, recovery, and lifestyle adjustments.

To prepare safely:

  • Stop taking blood thinners, anti-inflammatory medications, and herbal supplements (such as ginkgo biloba, St. John’s Wort, and high-dose vitamin E) two weeks before surgery
  • Avoid smoking before and after your procedure
  • Arrange for a responsible adult to drive you home and assist for the first 24 hours
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Recovery Timeline

Most patients experience swelling, bruising, and mild discomfort around the nose and eyes following surgery. Pain is typically minimal and can be effectively managed with medication. Typical recovery progression includes:

  • Light activity: Within a few days
  • Return to work: One to three weeks
  • Bruising resolution: Within two to three weeks
  • Refined results: Visible within three to six months
  • Final contour: Fully revealed within one year

During the first week, a nasal splint supports healing and helps maintain the new nasal structure. Swelling around the nasal tip may persist longer but gradually subsides as the final contour becomes visible.

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Potential Risks

When performed by an experienced surgeon, rhinoplasty is a safe and predictable procedure. As with all surgeries, however, potential risks include:

  • Infection or bleeding
  • Asymmetry or contour irregularities
  • Numbness or skin sensitivity
  • Temporary nasal congestion
  • Scarring (minimal and well concealed)
  • Incomplete correction of structural deviation

Your surgeon will review all risks during your consultation and provide detailed aftercare guidance to minimize complications.

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Frequently Asked Questions Rhinoplasty

Ready to refine your facial balance and improve nasal function? Schedule a private consultation with PSG in Surrey, British Columbia, to learn how personalized rhinoplasty can enhance both your appearance and breathing.

Will rhinoplasty change how I look completely?

No. A well-performed rhinoplasty is designed to enhance your facial features while maintaining overall balance. The goal is a refined appearance that still looks naturally like you.

Can rhinoplasty help with breathing problems?

Yes. Functional rhinoplasty can address issues such as a deviated septum or other internal nasal obstructions that may affect airflow and breathing.

Is there visible scarring?

Closed rhinoplasty involves incisions inside the nose and leaves no external scars. In open rhinoplasty, a small incision is made on the columella, which typically fades to near invisibility once healed.

When will the swelling go down?

Most swelling improves within the first three weeks, although mild residual swelling—especially at the nasal tip—may take several months to fully resolve.

Can I combine rhinoplasty with other facial procedures?

Yes. Rhinoplasty is often combined with procedures such as chin augmentation, facial fat grafting, or eyelid surgery to create a more balanced and harmonious facial profile.

Stay Connected With Us

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Schedule a Consultation

Schedule a consultation with one of our surgeons and get honest guidance tailored to your aesthetic goals, right here in Surrey.

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