Few facial features have a greater impact on someone’s appearance than the size and shape of their nose. There is no “ideal” nose, so Dr. Scott Gayner performs rhinoplasty with the goal of producing results that look natural and harmonize well with other facial features. With rhinoplasty (often called a “nose job”), our patients from Lancaster, York, and even Scranton, PA, often need a very slight alteration to attain a much more attractive and balanced appearance. Dr. Gayner is a top board-certified facial plastic surgeon with years of experience working with the delicate nasal area. He has both the surgical skill and artistic eye to make the fine adjustments that are necessary to create a beautiful nose and help patients look their best through rhinoplasty in Harrisburg.
Before & After Photos
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Keep in mind that each patient is unique and your results may vary.
What Is Rhinoplasty?
Rhinoplasty is a surgical procedure that can reconstruct and improve the form of the nose, aesthetically enhance it, balance it in relation to other facial features, and restore lost function. It achieves these goals by correcting congenital issues, damage due to previous nasal trauma, breathing issues, aesthetic disproportions, or a failed primary (first) rhinoplasty.
What Can Rhinoplasty Achieve?
Dr. Gayner performs rhinoplasty to make one or a combination of improvements to the nose, which may include:
Some of the most common requests for rhinoplasty that patients describe to Dr. Gayner include removing a hump or bump in the nasal bridge, narrowing nostril width, balancing the angle between the nose and mouth, as well as correcting congenital disorders, injuries, or other issues that affect breathing, such as a deviated septum (often referred to as a septoplasty).
What’s an Ethnic Rhinoplasty?
Ethnic rhinoplasty is a specialized type of cosmetic nose surgery. The surgeon reshapes the nose to fit better with the other facial features while maintaining characteristics associated with the patient’s ethnic heritage. These procedures, which vary with ethnicity and patient preferences, often involve reshaping the tip, nostrils, or nasal bridge.
What Our Patients Are Saying
"I had a wonderful experience at Stratis Gayner and would recommend them to anyone. I loved that the staff was friendly and made me feel comfortable in an awkward situation. I called several times with questions and never felt like I was bothering anyone. And best of all, I have an excellent result that is very natural. Thanks a bunch."
Read more testimonials from our real patients.
What Happens at a Rhinoplasty Consultation?
During your consultation, Dr. Gayner reviews your goals and helps you determine whether rhinoplasty is right for you. After carefully examining your nose and face, he may use computer-simulated imaging to guide a discussion of how you would like your nose to look and how that could be accomplished through rhinoplasty. Using our Vectra 3-D imaging device, Dr. Gayner will mock up a 3-D model to compare what you might look like before and after surgery. This imaging allows Dr. Gayner a clear way to communicate the options and possibilities that nose surgery can achieve and gives patients a way to visually represent their concerns and what they would like to improve.
Rhinoplasty is an incredibly versatile procedure that can correct a variety of aesthetic and functional concerns of the nose. By using leading-edge techniques, Dr. Gayner can reduce the appearance of a nasal hump, resize the nostrils, or adjust the projection of the nose. There are very few aesthetic concerns that can’t be alleviated with surgery.
How To Choose the Best Rhinoplasty Surgeon for You
When it comes to choosing a surgeon to perform your nose surgery, take your time and carefully consider their:
A Focus on
Facial Plastic Surgery
Board-certified facial plastic surgeon Dr. Scott Gayner has extensive specialized training in facial surgery and is at the forefront of innovative facial rejuvenation techniques.
Rhinoplasty Surgery Techniques
While he customizes each procedure to the unique needs of the patient, Dr. Gayner begins with one of the following techniques:
The open technique involves an incision between the nostrils at the columella (the fleshy outer end of the septum). Dr. Gayner prefers this option because it provides the greatest access, both visually and physically, to the internal structures of the nose. Open rhinoplasty is a much easier and more reliable method when grafts need to be secured to the skin, cartilage, or bone.
The closed technique is performed through incisions placed within the nostrils. While this technique does not leave an external scar, it limits the changes that can be accomplished.
How Is Rhinoplasty Surgery Done?
Dr. Gayner performs rhinoplasty at an ambulatory surgery center using sedation or a general anesthetic. Dr. Gayner reshapes the structure of the nose through carefully placed incisions. Once he has made the incisions, he can change the size and shape of the nose by manipulating the underlying bone, cartilage, or both.
After the surgery is complete and Dr. Gayner has closed the incisions, a splint is applied to the outside of the nose to provide support and help it restructure and recover itself. All patients are able to return home on the day of surgery.
How Long Does It Take To Recover From a Nose Job?
Patients return home from surgery with a splint over the nose in the care of an adult friend or family member. Pain is usually minimal, but many patients have a dull headache and a stuffy nose.
Here is a general recovery timeline (experiences vary):
- 2 to 3 days: Swelling and bruising peak.
- 1 week: Nose splint is removed. Return to work or school.
- 2 weeks: Ready to gradually resume exercise. Swelling and bruising will begin to fade.
- 4 weeks: Resume strenuous exercise (once cleared by Dr. Gayner).
- 3 months: Swelling is significantly reduced.
- 1 year: Reach final results.
What Is the Fastest Way To Recover From a Nose Job?
The following precautions can help minimize discomfort, swelling, and bruising after a nose job:
- Keep your head elevated at all times, including while sleeping, by sitting in a recliner or propped up in bed with pillows.
- Use cold compresses as directed.
- Don’t eat salty foods.
For more helpful recovery tips, read this blog post.
Combining Rhinoplasty With Other Procedures
To more completely transform your look, Dr. Gayner can combine rhinoplasty with other facial plastic surgery procedures, including:
Surgical Rhinoplasty vs. Liquid Rhinoplasty
Liquid rhinoplasty involves using dermal filler injections to reshape the nose. Improvements are temporary, lasting 3 months to 2 years, and the changes are more limited than with surgery. On the plus side, there is no downtime with a liquid rhinoplasty and the procedure is easy to reverse. Dr. Gayner compares these procedures in this blog post.
Can you get a nose job if you’re under 18?
It’s important to wait until you’ve finished growing before making changes to your nose; therefore, the minimum age differs between girls and boys, as well as from person to person. Most of our younger patients are in their mid-teens.
Am I too old for a nose job?
There is no upper age limit for rhinoplasty as long as you are healthy and have realistic expectations. While you may have always been unhappy with the way your nose looks, your concerns might have changed over the years. For many people, the tip of the nose gradually droops as part of the aging process. As an experienced rhinoplasty surgeon, Dr. Gayner can elevate the tip without causing new concerns. Many patients older than 50 combine rhinoplasty with facelift or eyelid surgery for an even more rejuvenated look.
How do I know if I should get a liquid rhinoplasty or a surgical rhinoplasty?
Liquid rhinoplasty is limited to subtle reshaping of the bridge and tip of the nose; results are temporary. Surgery can improve the size and shape of the bridge, tip, and nostrils and make breathing through the nose easier; results last indefinitely. If you want to avoid surgery, minimize the expense, and avoid downtime, liquid rhinoplasty may be the way to go. If you want a smaller nose; changes to your nostrils, bridge, or tip; improved breathing; and long-lasting results, consider surgical rhinoplasty.
Is rhinoplasty surgery painful?
Pain after surgery is typically minimal when patients follow their post-op instructions. It’s normal for the nose to feel stuffed up and to have a dull headache initially.
How long after rhinoplasty can you exercise?
Dr. Gayner typically has his rhinoplasty patients hold off on any exercise that may raise their heart rate or blood pressure for 2 weeks to minimize swelling and avoid causing bleeding. Most patients can resume vigorous exercise such as jogging, biking, and weightlifting after approximately a month, but this timeframe depends on what was done during surgery and individual healing rates.
Will people know I had a nose job?
Not if it’s performed properly. Rhinoplasty results should look natural and provide harmony among your facial features. You want people to notice your eyes and smile instead of being immediately drawn to an out-of-balance nose.
Can my nose be fixed years after an injury?
Yes, but it will likely be a complex procedure. Because your injury probably impacted both the appearance and function of your nose, this procedure requires an experienced surgeon who understands the intricacies of the delicate inner structures of the nose. In addition to correcting nose injuries for many patients, Dr. Gayner regularly performs revisions to other surgeons’ rhinoplasty results.
Are the results permanent?
Rhinoplasty results are permanent as long as there is no impact or trauma to the nose. Noses change slightly with age, but the general size and shape remain fairly consistent over time.
Women and men visit Dr. Gayner in Harrisburg for rhinoplasty, traveling from Lancaster and other central Pennsylvania communities. To discuss what you would like to change about your nose, request a consultation with Dr. Gayner using the online form or call our office at
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