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Achieving facial harmony and balance through strategic, personalized rhinoplasty

Dissatisfaction with one’s nose can cause low self-esteem and unpleasant self-consciousness. Disfigurement or a dysfunctional nasal shape can also cause medical issues, such as difficulty breathing. Luckily these issues can be remedied with a rhinoplasty in Las Vegas with Dr. Engineer, a board-certified plastic surgeon, and consummate cosmetic artist.

Under the capable and compassionate care of Dr. Engineer, rhinoplasty may be able to revitalize the entire face, providing an overall more pleasing and balanced aesthetic. Imperfections in the nasal bridge, tip, and nostrils can all be modified to help better draw the gaze towards the eyes and the smile. 

In addition to conventional primary rhinoplasty, Dr. Engineer performs revision rhinoplasty to help correct prior surgical results, and ethnic rhinoplasty to provide cosmetic and structural changes for clients of Asian, African, Native American, Middle Eastern, and Hispanic/Latino descent.

What is rhinoplasty and what can it accomplish?

There are a wide variety of reasons that patients choose to undergo rhinoplasty, more colloquially known as a “nose job.”

Nose Job Las Vegas
  • Rhinoplasty can treat an overly large nose to bring it more into proportion with the rest of the face. Through the use of implants and grafting, a disproportionately small nose may also be treated with rhinoplasty. Rhinoplasty may also improve symmetry of the nose or reform the tip
  • Rhinoplasty commonly treats humps, bumps, or dents on the bridge of the nose. An exaggerated drooping or bulbous appearance at the tip of the nose may also be corrected through rhinoplasty. Rhinoplasty may be used to treat a very hooked or upturned nasal shape.
  • Irregularly shaped or very wide nostrils may also be improved through this procedure. Upturned nostrils which cause a patient dissatisfaction or discomfort may be ameliorated with rhinoplasty as well.
  • A deviated septum that causes trouble breathing is also a common reason to undergo rhinoplasty.

As rhinoplasty may be used to treat such a wide variety of complaints, it follows that this procedure must be completely customized to the medical needs and aesthetic desires of the patient. 

At his Las Vegas area-based practice, Engineered Aesthetics Plastic Surgery, Dr. Engineer continues his lifelong commitment to working side by side with his patients to recommend and carry out what he views as the best possible treatments for their specific needs.

What is ethnic rhinoplasty?

For decades, rhinoplasty outcomes reflected the dominant idea that a Westernized look was the best aesthetic for all clients, regardless of their backgrounds. Today, surgeons are careful to preserve and honor each client’s unique ethnicity, modifying results to both celebrate the innate beauty and reduce cosmetic flaws. Dr. Engineer is experienced in performing customized ethnic rhinoplasty procedures for patients of African, Native American, Asian, Middle Eastern, and Hispanic/Latinx descent. 

What is revision rhinoplasty?

While everyone hopes their surgery will go right the first time, it happens sometimes that the primary surgeon did not go far enough in their attempts to correct nasal imperfections of the bridge, tip, or nostrils. Other times, the primary surgeon may have over-operated, removing too much cartilage, skin, or bone. Patients also sometimes seek out revision rhinoplasty to correct breathing problems that resulted from their original nose surgery. 

Dr. Engineer has performed hundreds of revision rhinoplasty procedures, helping his patients to regain their confidence and achieve the aesthetic goals they wished for previously. Because revision surgery must address scar tissue, it’s important to choose a veteran surgeon such as Dr. Engineer who can perform complex, delicate techniques and still deliver a natural-looking outcome.

Nose Surgery Las Vegas

It is Dr. Engineer’s pledge to take the time to genuinely understand his patients’ concerns, goals and needs in order to develop what he believes will be their best possible surgical plan.

What is the difference between open and closed rhinoplasty?

During an open rhinoplasty, a small incision is made at the columella at the base of the nose. From here, the surgeon is then able to lift up the skin and perform corrections of the bridge, tip, and nostrils with the greatest ease. Open rhinoplasty is often required for complex surgeries such as revision rhinoplasty.

Closed rhinoplasty does not require any external incisions or scarring. The surgeon is able to make adjustments through the nostrils. The downside of closed rhinoplasty is that it is best suited for clients requiring only subtle or minor changes.

What are the benefits of rhinoplasty with Dr. Engineer in Las Vegas?

  • Elegant, nuanced and natural-looking results
  • Improved balance among the features
  • A more youthful-looking nose
  • Corrections of the nasal bridge, tip and nostrils
  • Improved nasal symmetry
  • Correction of structural imbalances
  • A boost in self-confidence and self-esteem
  • Long-lasting outcome

What are the risks of surgery?

Rhinoplasty is the most complex and intricate of all elective cosmetic surgeries. Because it is a surgery, it comes with the typical risks of any surgery such as bleeding, scarring and numbness. 

Other risks of rhinoplasty concern the final look and results of the procedure. Asymmetry and poor integration with the rest of the face can be avoided by only contacting a plastic surgeon who specializes in and is extremely experienced in rhinoplasty.

Who is a good candidate for rhinoplasty?

As long as the nose is fully grown, patients can safely and effectively undergo rhinoplasty to help achieve a well-balanced and proportional nasal shape and size. Any client undergoing surgery should be a non-smoker who is in good mental and physical health, and who is free from major medical issues such as hypertension, which might impede surgery and/or recovery. 

Lastly, patients should be realistic in what they hope rhinoplasty can achieve. Dr. Engineer can make you look like the best version of yourself possible, but he cannot make you look like someone else entirely

What will my recovery entail?

Following your surgery, you will experience swelling that can take some time to fully subside. The majority of this swelling should be reduced within 2 weeks, at which point it should be mostly noticeable only by you, your surgeon, and closer friends. Pain will be readily managed through pain medication, though you will feel a deep soreness or pressure as the nose heals.

What are the costs for rhinoplasty?

Costs for the procedure will vary depending on the extent and nature of the work performed, as well as facility fees, anesthesia fees, recovery fees, and surgeon’s fees. The total for a nose job in Las Vegas may range from about $7,000 to upwards of $12,000.

From the initial consultation, through the procedure, and afterward, we at Engineered Aesthetics Plastic Surgery pride ourselves on welcoming each patient as a member of the family.

Before & After


Why choose Dr. Nitin Engineer for rhinoplasty?

With more than 10 years of training and a wealth of surgical experience, Dr. Engineer is able to offer a fully personalized and soothing rhinoplasty experience. Difficulties with the aesthetic qualities and medical function of your nose can be very stressful, and you deserve to be treated with kindness, compassion, and competence.

Dr. Engineer utilizes the full weight of his experience and training to ensure he is fully aware of your goals, that you understand the possible risks and potential rewards of your rhinoplasty in Las Vegas, and that you are supported throughout your procedure and recovery.

It is Dr. Engineer’s pledge to take the time to hear and genuinely understand his patients’ concerns, goals, and needs in order to develop what he believes will be their best possible surgical plan. From the initial consultation, through the procedure, and afterward, we at Engineered Aesthetics Plastic Surgery pride ourselves on welcoming each patient as a member of the family.

Plastic Surgeon Las Vegas - Dr. Nitin Engineer


Will health insurance pay for rhinoplasty?

If rhinoplasty is being done solely for cosmetic reasons, most insurance plans will not cover it. If rhinoplasty is being done to fix a deviated septum (septoplasty), or to fix breathing issues and other structural problems that present a health risk or concern, health insurance is more likely to cover it.

Is rhinoplasty painful?

The procedure is done under anesthesia so it is not painful. After the procedure, pain can be mitigated with medication. You should, however, be prepared for a recovery period of about 2 weeks, during which time you will feel pressure and tightness in and around the nose.

What anesthesia is used?

Rhinoplasty is done under either general anesthesia, or local anesthesia with IV sedation.

How long is the surgery?

Most rhinoplasty surgeries are done in 1 to 2 hours.

Can I drive home after the procedure?

As the effects of the anesthesia tend to last for a while after surgery, you should have a friend or family member drive you home after the procedure.

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