Skip to main content


Since the nose sits at the center of the face, it is one of the most striking and noticeable features we see. For a man or woman who experiences a poorly shaped or sized nose, self-image and confidence can be improved with a more attractive nose size or shape. Rhinoplasty includes sculpting the bone, cartilage, and tissue in the nose to reach a more aesthetically pleasing profile while achieving facial harmony and balance. With over 20 years of experience and multiple board certifications, Dr. Alexander is uniquely qualified to perform your rhinoplasty, and he strives to bring you the highest quality of care with your procedure.

Schedule a Consultation

Incision Options

  • Open Rhinoplasty

    Dr. Alexander’s preferred method is open rhinoplasty, which is considered to be the most precise way to perform rhinoplasty surgery. With this technique, the incision is made across the columella (the tissue between the nostrils); then, he sculpts the bone, cartilage, and tissue. In some situations, additional cartilage may be taken from the septum to augment the nose before the tissues are redraped and the incisions closed. Open rhinoplasty allows for full visibility for the surgeon throughout the procedure, which means a more precise result.

  • Closed Rhinoplasty

    In closed rhinoplasty, the incisions are inside the nasal passages to sculpt the bone, cartilage, and tissue. However, Dr. Alexander rarely uses this technique due to the limited visibility allowed.



After your rhinoplasty, you will experience some temporary bruising and swelling, which will subside over the following weeks. Patients typically feel ready to return to work after a week or two and can resume all normal activities after four to six weeks.


As with any surgery, there will be some scarring at the incision sites. In open rhinoplasty, there will be a scar between the nostrils, though in closed rhinoplasty, the scars will be inside the nasal passages. However, these scars are small and typically fade with time.


Dr. Alexander hand-tailors each patient’s procedure to match his or her individual goals. The cost of rhinoplasty varies depending on the techniques used as well as anesthesia fees and the extent of the surgery. Dr. Alexander and his staff will be able to provide you an accurate cost estimate during your rhinoplasty consultation.


Rhinoplasty is performed under general anesthesia to ensure a painless surgery. Following your procedure, it is normal to experience some pain and discomfort in the nasal and cheek area. This pain can be controlled with prescribed medication, and most of our patients do well with just TYLENOL®.


  • When will I notice my results?

    Rhinoplasty results become apparent after swelling subsides over the weeks and months following the procedure. It can take up to a year for your full results to show.

  • Am I a candidate for rhinoplasty?

    Candidates for rhinoplasty should be healthy, non-smoking adults over the age of 18. Candidates should be realistic about their expectations and should desire an improvement to the aesthetic of their nose.

  • Why do I have to wait until I’m 18 years old?

    Although patients younger than 18 may desire cosmetic correction to their nose, it is important to wait until that age to ensure there won’t be any further natural changes to the nose.

  • What are the potential complications associated with rhinoplasty?

    Although rare, there are risks associated with rhinoplasty, including:

    Anesthesia risks
    Change in skin sensation
    Skin discoloration and swelling
    Need for revision surgery

  • Can rhinoplasty improve my breathing?

    Sometimes. Cosmetic rhinoplasty is designed to improve the outside appearance of the nose. If there are internal breathing problems, we may refer you to an ENT specializing in this.

A top Plastic Surgeon, Dr. George Alexander, serving more happy patients in Las Vegas, the United States and Internationally.

1725 Village Center Circle, Suite 150
Las Vegas, Nevada USA | (702) 242-6776

"Dr. Alexander and his staff are all accommodating and friendly. Dr. Alexander takes time to really address your concerns and questions. He is an awesome doctor. We highly recommend him to anyone in need of cosmetic surgery.”

Schedule a Consultation Directions to our practice