Aesthetic and functional nose surgery planned around your facial balance, nasal structure and breathing, with Dr. Telman Arakelyan in Yerevan.
Rhinoplasty · Aesthetic and functional nasal surgery
Rhinoplasty can change nasal shape, proportion and support while also addressing selected causes of nasal obstruction. The goal is not to reproduce one fashionable nose, but to develop a plan that respects your facial structure, skin thickness, ethnicity, breathing and priorities.
Your assessment covers front, profile, three-quarter and base views alongside skin quality, cartilage strength, septal position, breathing symptoms and any prior surgery. Digital modeling can help illustrate direction and proportion, but it never guarantees your final result.
Neither skin type is better or worse. Skin thickness changes the surgical strategy, the realistic degree of refinement and the speed at which the result becomes visible.
Primary rhinoplasty is performed on a nose that has not previously undergone surgical reshaping. Revision rhinoplasty addresses residual or new concerns after earlier surgery and is generally more complex because of scar tissue, altered support and possible shortage of septal cartilage.
Revision surgery is not automatically required for every early irregularity. Adequate healing and an in-person examination are usually needed before a definitive plan is made.
For a deeper look at technique, structural grafting and extended FAQs, see our rhinoplasty procedure guide.
You may be a good candidate if your concern has been stable, your expectations are realistic and your general health suits elective surgery. Surgery should wait if medical conditions, smoking, certain medications or incomplete healing raise your risk. For adolescent patients, sufficient facial maturity and careful review of motivation and expectations are required first.
A splint is commonly worn during the first postoperative period. Bruising, swelling, temporary congestion and altered sensation are expected. The nose continues to refine over many months, so an early photograph does not represent the final outcome.
Swelling, congestion and bruising are expected. A splint is commonly worn, and the nose should not be judged at this stage.
Obvious facial swelling usually decreases, though residual nasal swelling, firmness and temporary asymmetry remain common.
The bridge often looks more settled while the tip may remain rounded or firm. Definition generally improves, though thick skin and revision surgery commonly refine more slowly.
Subtle refinement continues, particularly around the tip and nostrils. Many primary cases are close to mature; thick-skin or revision cases can continue changing for 18–24 months.
This is a general guide, not a promise. Healing speed depends on skin thickness, surgical technique, grafting, previous surgery and individual tissue response.
Possible complications include bleeding, infection, scarring, asymmetry, contour irregularity, persistent swelling, altered smell or sensation, breathing difficulty, septal perforation, skin or soft-tissue compromise and the possible need for revision. Perfect symmetry cannot be guaranteed, and healing may change a technically well-planned result. These limitations are reviewed before surgery.
Sometimes, but tip changes alter the visual relationship with the bridge. The most balanced plan often requires considering both areas together rather than treating the tip in isolation.
No. Modeling helps you and the surgeon discuss direction and proportion. Biology, tissue behavior and healing prevent any simulation from guaranteeing an exact postoperative image.
Minor early irregularities often improve as swelling resolves. Revision is considered only after adequate healing, unless a specific urgent medical problem requires earlier treatment.
They can often be assessed in one operation, but the appropriate functional treatment depends on the cause of obstruction and the findings during examination.
Submit front, profile, three-quarter and base-view photographs, together with breathing symptoms, previous procedures, medical history and the changes you would like to discuss.
Medically reviewed by Dr. Telman Arakelyan, plastic and maxillofacial surgeon. Last reviewed: July 2026. This page provides general information and does not replace an individual consultation.
