Nose Surgery in Louisville, Lexington, Kentucky


An unattractive nose. A nose that does not fit with the surrounding facial features. Noses that have an abnormal appearance secondary to injury, genetics, birth defects or prior surgeries.

Intended Results

A more balanced appearance to the nose. A more attractive nose in better harmony with the other facial features.


At office consultation, Dr. Salzman will have you look in a mirror and ask you to describe the changes you would like to see in your new nose. We will then take 3D pictures of your face. You will meet with Dr. Salzman in our library, and using Vetra™ 3D imaging software, he can show you what the anticipated changes might look like in real life on a large flat panel screen. This has tremedously helped our patients visualize what changes in the nose can be made safely and reliably. A print of the goal changes in your nose will be given to you before you leave the office.

Procedure Description

Rhinoplasty (nose reshaping) is done under a general anesthetic in an ambulatory setting. Either an open or closed approach is utilized. In the open approach, a small zig-zag incision is made between the nostrils to better visualize the structures and implement the changes in a more predictable fashion. The closed approach has no visible incisions as they are all inside the nose.

Recuperation and Healing

Sutures, if present, will be removed in 5 days. The plastic splint placed over the bony portion is removed at 7 days after surgery. Most patients are bruised for 7-10 days. Pain is minimal and controlled with oral medications. While the bony part of the nose may look better immediately, the finer changes to the tip where the skin is thicker may take up to 1 year to finalize healing.

BLOG: Understanding Rhinoplasty

Other Options

A chin implant and suction lipectomy of the neck or Liteshape™ of the neck may improve the overall appearance and better balance the nose on the face.


The specific risks and suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.