Rhinoplasty (Nose Job)

Rhinoplasty by Dr. Jorge de la Pedraja at Gables Plastic Surgery in Coral Gables, Miami. The closed (endonasal) approach is the primary technique, with an open columella incision available when needed for complex structural refinements. Addresses dorsal humps, nasal tip projection, width, asymmetry, and breathing concerns. Full aesthetic results visible at approximately one year as residual swelling fully resolves.

Gables Plastic Surgery offers primary rhinoplasty led by Dr. Jorge de la Pedraja, who performs nasal reshaping using the closed (endonasal) technique as his primary approach — an incision-only-inside-the-nostrils method that leaves no external scar and results in less swelling and a generally shorter recovery compared to the open approach. For cases requiring a higher degree of tip definition work, columellar strut grafting, or complex structural repair, an additional transcolumellar (open) incision across the base of the columella may be added to provide direct visualization of the nasal framework. The rhinoplasty procedure addresses the full range of nasal concerns: reduction of a dorsal hump (removal or rasping of excess bone and cartilage on the nasal bridge), refinement of the nasal tip (tip rotation, deprojection, or definition through cartilage-reshaping techniques), narrowing of the nasal base with alar base reduction when appropriate, correction of asymmetries, and improvement of the nasal airway when deviated septum or turbinate hypertrophy is contributing to obstruction. Dr. de la Pedraja discusses the patient's aesthetic goals, facial balance, and ethnic background to plan a result that harmonizes with the overall facial proportions rather than applying a standardized aesthetic. The procedure is performed under general anesthesia on an outpatient basis. Recovery involves a nasal splint for one week; most bruising and acute swelling resolves within two to three weeks, allowing a return to social activity. The nasal skin, particularly over the tip, retains residual swelling for up to twelve months — the timeline quoted by the clinic for fully visible final results.