Rhinoplasty (Nose Job)

Rhinoplasty (nose reshaping surgery) by Dr. David Hill MD, fellowship-trained plastic surgeon. $6,100–$10,700. Open or closed technique under general anaesthesia. Addresses nasal hump, tip refinement, nostril width, and breathing function. One of Chicago's most credentialed rhinoplasty surgeons. Recovery: splint for one week, most swelling resolves over six to twelve months.

Fulcrum Aesthetics offers rhinoplasty performed by Dr. David Hill MD, whose fellowship training at Rush University Medical Center included significant reconstructive and aesthetic nasal surgery. Rhinoplasty at Fulcrum addresses both cosmetic and functional concerns, and Dr. Hill works with each patient through detailed preoperative consultation and imaging to define the goals and the surgical plan before operating. The open rhinoplasty approach uses a small transcolumellar incision to allow direct binocular vision of the entire nasal framework — the upper lateral cartilages, lower lateral cartilages, and nasal bones — enabling the most precise reshaping of complex anatomical relationships such as nasal tip projection, rotation, definition, and dorsal hump reduction. The closed (endonasal) approach works entirely through intranasal incisions without the transcolumellar scar, and is selected for cases where limited changes are required or anatomical access is sufficient without external exposure. Both approaches allow osteotomies (controlled fracture and repositioning of the nasal bones) to narrow the bony base, cartilage grafting using septal, ear, or rib cartilage to provide structural support or increase projection, and tip refinement through suture techniques and cartilage modification. Functional rhinoplasty to address a deviated septum, turbinate hypertrophy, or valve collapse — improving nasal airflow — can be performed simultaneously with cosmetic changes in a single anaesthetic session. Surgery takes two to four hours under general anaesthesia. Recovery involves a dorsal splint or cast for one week, with most bruising resolving over two to three weeks. The full rhinoplasty result — particularly tip refinement — is typically assessed at twelve months as residual swelling clears gradually. Pricing from $6,100 to $10,700.