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A Surgeon Trained Where Rhinoplasty Is Pioneered

Rhinoplasty is widely regarded as one of the most demanding procedures in plastic surgery; a millimeter changes everything. Dr. Jacob G. Unger, MD, a board-certified plastic surgeon and member of the American Society for Aesthetic Plastic Surgery, has devoted a significant portion of his career to nasal surgery. He completed residency at UT Southwestern, currently the nation's top-ranked plastic surgery program, then advanced fellowship training in France, Turkey, and Belgium under internationally recognized facial surgeons. More than a dozen of his peer-reviewed publications focus specifically on rhinoplasty technique.

Dr. Unger Talks About Rhinoplasty

We offer three-dimensional imaging using the cutting-edge technology of the Vectra 3D system to simulate the proposed before and after results of rhinoplasty surgery. This gives us a powerful tool, ensuring open communication and creating clear goals for the procedure. It is our desire that the patient have an active role in determining and seeing what the surgical result should be. There are, of course, limitations to what can be done based on nasal anatomy, history, previous injuries, and natural shape. All of your questions will be answered fully during your face-to-face consultation with Dr. Unger.

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What Is Rhinoplasty?

Rhinoplasty, often called a nose job, is a surgical procedure that reshapes the bone, cartilage, and soft tissue of the nose. Dr. Unger accesses the underlying nasal framework through carefully placed incisions, most hidden inside the nostrils, and refines the structure to improve appearance, breathing, or both.

The nose is a layered architecture. Bone forms the upper third, cartilage shapes the middle and lower portions, and skin drapes over the entire framework. Reshaping this structure may involve removing a dorsal hump, refining a wide or bulbous tip, straightening a deviated bridge, or adding cartilage grafts to support and strengthen the nose. According to the American Society of Plastic Surgeons, it remains one of the most commonly requested facial procedures in the country.

Benefits of Rhinoplasty

A well-executed rhinoplasty does more than alter a single feature. It restores proportion across the entire face, draws attention back to the eyes, and softens the overall profile. Patients often describe the result as looking like themselves, only more balanced.

Functional improvements matter as much as aesthetic ones. Reshaping the nasal airway can resolve longstanding breathing issues, ease chronic congestion, and improve sleep quality. The Cleveland Clinic notes that many patients pursue rhinoplasty for a combination of cosmetic refinement and functional relief, and Dr. Unger frequently addresses both in a single procedure.

Are You a Candidate for Rhinoplasty in Nashville?

Most healthy adults seeking refinement of nasal shape, size, or function are good candidates. During your consultation, Dr. Unger will review your medical history, examine the internal and external structure of your nose, and discuss your goals. Strong candidates typically share these traits:

  • In good general health and a non-smoker
  • Age 16 or older, with facial growth complete
  • Bothered by a dorsal hump, bulbous or drooping tip, crooked bridge, or wide nostrils
  • Experiencing breathing difficulty or nasal airway obstruction
  • Seeking improvement rather than perfection
  • Comfortable with a recovery that unfolds gradually over several months
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Why Choose NPSI for Rhinoplasty?

Dr. Unger's expertise in nasal surgery extends well beyond his clinical practice. He holds a voluntary faculty appointment as Assistant Professor of Clinical Plastic Surgery at Vanderbilt University, where he teaches aesthetic surgery to plastic surgery residents. He serves as Associate Editor of Plastic and Reconstructive Surgery — Global Open and Section Editor for Aesthetic Surgery Journal — Open Forum, two of the field's leading peer-reviewed journals. He has lectured on rhinoplasty across four continents and is regularly referred patients by other plastic surgeons facing complex nasal cases.

Patients also travel to NPSI in Nashville from across the country in part because of Vectra 3D imaging, which simulates proposed rhinoplasty results before surgery and gives patients a clear, shared plan with Dr. Unger.

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Rhinoplasty Before & After Photos

View All Rhinoplasty Results

What to Expect Before, During, and After

Consultation and Cost

  • A private, in-person evaluation with Dr. Unger to review your goals, anatomy, and medical history
  • Vectra 3D imaging to visualize potential changes to your nasal shape
  • A discussion of open versus closed technique and the right approach for you
  • A personalized surgical plan, written quote, and review of financing options
  • Cost varies based on complexity, anesthesia, facility fees, and whether grafting or revision is needed

Procedure Steps

  • General anesthesia for full safety and comfort throughout
  • Incisions are placed inside the nostrils, with a small additional incision across the columella for open rhinoplasty
  • Reshaping of bone, cartilage, and supporting structures based on your custom plan
  • Cartilage grafts are added when needed to refine or strengthen the nasal framework
  • Skin redraped over the new structure and closed with fine sutures
  • Most primary nose jobs in Nashville take 1.5 to 3 hours; revisions may run longer

Recovery and Results Timeline

  • Light bandages for 1 to 2 days, plus a nasal splint worn for about a week
  • Sutures removed within 7 days
  • Most bruising and visible swelling fade by 2 weeks
  • Return to work, school, and light activity is usually possible after 7 to 10 days
  • Strenuous exercise resumes gradually after 2 weeks
  • Subtle residual swelling continues to refine for 6 to 12 months
  • Final results are long-lasting, with only minor age-related changes over time
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Open vs. Closed Rhinoplasty and Other Approaches

Closed rhinoplasty places every incision inside the nostrils, leaving no visible scar. Open rhinoplasty adds a small incision across the columella — the strip of skin between the nostrils — which gives Dr. Unger fuller access to complex anatomy. Both approaches produce excellent results when matched to the right patient.

NPSI also offers primary rhinoplasty for first-time patients and revision rhinoplasty for those whose previous surgery didn't meet their goals. Functional rhinoplasty addresses breathing concerns alongside cosmetic refinement.

Related Procedures

A balanced profile sometimes calls for more than nasal surgery alone. Dr. Unger may discuss adding a chin implant to improve facial proportion or facial fat grafting to restore volume in adjacent areas.

The Best Decision I Have Ever Made. Real Patients, Real Reviews

Dr. Unger and his team are the absolute best!

They have taken the best care of me through this whole process. They were always available to answer my questions and make sure I had everything I needed. I will always be thankful to Dr. Unger and his team, and I couldn’t be happier with the results! If you want the best, don’t look any further. You will not be d...

M.H.

NPSI not only has the most beautiful and relaxing facility but the kindest staff!

Tracy Jensen was phenomenal. She talked me through everything while receiving lip filler and made me feel so comfortable and relaxed. My filler looks SO natural and perfect for my face. I’m so happy with my results. I 100% recommend Nashville Plastic Surgery Institute to anyone looking to add a little boost to their app...

C.F.

Dr. Unger and his team are the very best.

Dr. Unger and his team are the very best. My husband is a physician, and we were VERY selective when choosing my plastic surgeon. Going to Dr. Unger for my surgery was an easy decision: he’d been recommended to us by countless physicians and patients. I’d also seen his flawless results on many friends, all of whom...

P.S.

I recently had a HydraFacial at Nashville Plastic Surgery Institute (NPSI), and it was life-changing. Struggling with dull, congested, and uneven skin had severely impacted my confidence and relationships. From the warm, welcoming atmosphere to Amanda's professional and compassionate care, every step of the treatment was exce...

S.H.

The best care and attention to my medical needs whether medical procedures or aesthetics.

Comforting setting and accessible. Dr Unger is the BEST. I have had breast reconstruction due to breast cancer and cosmetic procedures. Both turned out fantastic. Thank you to all the wonderful staff.

B.W.

Dr Cash and his staff have been the best through my breast cancer Revision!!

On day one for a consult my husband and I knew we liked him. He actually listens to me and what my concerns were. I was very nervous swapping plastic surgeons through this journey and so glad I chose him. He cares! I would recommend him to anyone without a doubt!!! Thank you so much for everything so far.

D.T.

I am beyond happy with my results.

I felt comfortable with and confident in Dr. Unger during the entire process. The whole experience went above any expectations I had. The Nurses and office staff were so supportive and professional. I look forward to working with Dr. Unger again in the future.

A.F.

Dr. Unger and his team have been absolutely exceptional in the entire process of my mommy makeover surgery!

I could not have chosen a better doctor and facility to work with. They have been top notch at every stage and cannot thank them enough for making me feel and look so much better!!

B.G.

Dr. Unger is fantastic!

The best of the best. Very gifted surgeon who pays attention to fine details. He cares. He is thoughtful, takes his time...The entire staff are also lovely! 10/10

A. T.

Everyone in this office were professional, courteous and responsive to my questions. Special shoutout to Sophie who was my go to for so many questions and so responsive! Dr. Unger was very kind and his “bedside” manner was great. He made me feel comfortable from the beginning of my experience thru the end. I was p...

M. K.

Dr Unger and his staff are the very best! I drive 5 hours to have all my procedures performed at NPSI. I refer everyone to NPSI

A. M.

Everyone at NPSI is so welcoming and informative. I always feel extremely cared for every time I go into this office, and I will continue to recommend them to all of my friends!!!

K. M.

Dr. Unger and his entire staff are so warm and caring.

From the initial consultation to the final exam a year post surgery I always felt like I was in the best care. I’m so happy with my results! Thank you Dr. Unger!!

A. R.

I am beyond happy with my results.

I felt comfortable with and confident in Dr. Unger during the entire process. The whole experience went above any expectations I had. The Nurses and office staff were so supportive and professional. I look forward to working with Dr. Unger again in the future.

A. F.

I had the best experience being a patient of Dr. Unger and his team.

The communication, support, comfort, and care through healing was wonderful.

I highly recommend Dr. Unger for any surgery or treatment you may be interested in or need for health and longevity. I went to 4 consultations with different Doctor’s in the Nashville area and was 100% certain that he is the best!

A. E.

Dr. Unger provides exceptional care with a kind and empathetic approach, making patients feel truly heard and supported. His attention to detail is impeccable, ensuring amazing results tailored to individual needs. I highly recommend Dr. Unger for his compassionate demeanor and meticulous care.

M. P.

Dr. Unger and his staff are exceptional.

The girls who took my calls and e-mails (and there was a lot of them), the in office nurses pre and post opt, the anesthesiologist Lyn (who just might have been my favorite of all, down to earth, cool as a cucumber man, with just the most calming & reassuring presence about him), and then the man, the myth, the legend, Do...

S.R.

Dr. Unger and his staff are attentive, accessible, professional, knowledgeable, and kind.

I’ve worked closely with one of their nurses, Kandice, who has been encouraging, helpful, and supportive. I leave every visit feeling positive and confident in my progress. I would recommend this team to anyone looking to improve their physical condition and healthy lifestyle. I’m a grateful patient!

L.G.

If you are feeling a little nervous about having a cosmetic procedure done, this is your place. Dr. Unger’s staff is kind and attentive. Dr. Unger is a talent and eased my worries. My results are even more than I had imagined. Can’t say enough good things about this talented surgeon and his staff.

G.M.

Thanks to Dr. Unger and his team my confidence is skyrocketing and I'm only at 6 weeks!! The healing process has been a lot smoother than I anticipated and my scars are better than i could have ever expected. The anesthesiologist even called me personally the night before surgery and took really good care of me. I'm so glad I...

J.R.

From my very first consultation with Dr. Unger, I knew I was in the hands of an extraordinary surgeon.

From my very first consultation with Dr. Unger, I knew I was in the hands of an extraordinary surgeon and a compassionate human being. Facing breast reconstruction can be overwhelming—physically, emotionally, and mentally—but Dr. Unger and his amazing team guided me through every step with such kindness, pat...

K.A.

Dr. Unger and his team have brought me back to life.

ALL HAIL DR. UNGER!!!!!
Dr. Unger and his team have brought me back to life. Their work is nothing short of incredible and somehow, they are even better humans. After an abdominoplasty, lipo, and mastopexy with implants, I am over the moon with my results and the MAGIC that Dr. Unger works. I physicall...

K.S.

He’s the best of the best!!

I had a great experience with Dr. Unger. He did my surgery this year and everything looks beautiful and I feel great! The staff is very kind and patient. He is too…because I had a lot of questions (and probably some anxiety lol). He answered them all and assured me everything was going to be fine and it was! I&rs...

S.I.

Schedule Your Rhinoplasty Consultation in Nashville

Choosing your rhinoplasty surgeon is one of the most important decisions you'll make about your face. Dr. Unger and the NPSI team are here to walk you through every step with care, precision, and complete transparency. Call (615) 236-6686 or request a consultation to begin planning your personalized rhinoplasty in Nashville.

Frequently Asked Questions Rhinoplasty

Will my breathing improve after rhinoplasty?

Often, yes. When Dr. Unger reshapes the nasal framework for cosmetic refinement, he simultaneously rebuilds the internal architecture that supports proper airflow. Patients with prior nasal airway obstruction frequently notice meaningful breathing improvements.

How long do rhinoplasty results last?

Results are essentially permanent. The structural changes to bone and cartilage hold for life, with only minor changes possible from natural aging.

Is rhinoplasty painful?

Most patients describe the recovery as more uncomfortable than painful. Pain medication is typically needed for just a few days; the bigger early challenge is the stuffy feeling under the splint.

Where will my procedure be performed?

NPSI's Nashville office houses a state-licensed outpatient surgery center, so most rhinoplasty procedures take place in our private, fully accredited operating suite without a hospital visit.

Will my insurance cover any part of my rhinoplasty?

Insurance typically does not cover cosmetic rhinoplasty, though a functional component, such as repairing a deviated septum or correcting nasal airway obstruction, may qualify for partial coverage. Our team will help you understand what your specific plan may reimburse and walk through financing options for the cosmetic portion.

Can rhinoplasty be combined with other facial procedures?

Yes, and many patients choose to. Dr. Unger frequently performs rhinoplasty alongside a chin implant, eyelid surgery, or facial fat grafting in a single session to achieve more comprehensive facial harmony with a single recovery period.

How does Dr. Unger approach ethnic rhinoplasty?

Ethnic rhinoplasty is about refinement, not erasure. Dr. Unger preserves the features that reflect your heritage and identity while addressing the specific changes you'd like, drawing on the wide range of nasal anatomy he has studied throughout his international training.

Is there a non-surgical alternative to rhinoplasty?

Liquid rhinoplasty uses dermal filler to camouflage minor irregularities, such as a small dorsal hump or mild asymmetry, and it can be a good fit for patients not yet ready for surgery. The trade-off is that filler is temporary, cannot reduce nasal size, and does not address breathing issues.

What are the potential risks or complications of rhinoplasty?

As with any surgery, rhinoplasty carries risks such as bleeding, infection, asymmetry, or the need for revision. Dr. Unger's training and surgical precision are designed to minimize these outcomes, and he reviews every relevant risk in detail during your consultation so you can make a fully informed decision.

Can I fly soon after my rhinoplasty?

Most patients can fly about 1 to 2 weeks after surgery, once initial swelling has eased and Dr. Unger has confirmed healing is on track. Cabin pressure changes too soon after surgery can worsen swelling, so we recommend coordinating travel plans with your post-op timeline.

When can I wear glasses again after rhinoplasty?

Glasses can press on the healing bridge and shift the underlying bone, so we typically ask patients to avoid resting them on the nose for about 4 to 6 weeks. Contact lenses are fine during this period, and we can suggest workarounds like taping glasses to the forehead if you need them.

Will my nose continue to change shape as I age?

The structural changes from rhinoplasty are permanent and hold for life. Subtle shifts may occur over decades as skin and soft tissue naturally age, but the underlying refinement Dr. Unger creates remains stable.

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