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Personalized Rhinoplasty for Natural, Refined Results

The goal of every rhinoplasty in Nashville by Dr. Unger, recognized for excellence in plastic surgery is to create a personalized plan and achieve results uniquely tailored to the needs of each patient. Primary rhinoplasty is accomplished by accessing the bony and cartilaginous skeleton of the nose through carefully hidden incisions, mostly inside of the nostrils. Excess bone and cartilage are removed, and oftentimes, cartilage grafts or struts are added to help remodel and strengthen the nasal framework. The skin is then redraped over the improved and restructured framework, which gives the nose its new appearance. The changes may be subtle or dramatic, completely depending on the needs of each patient.

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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Rhinoplasty Before & After Photos

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Some Common Reasons People Consider Rhinoplasty

  • Big tip (bulbous, boxy, amorphous, or protruding)
  • Drooping or hanging tip
  • Dorsal hump (the bump on your nose seen in profile)
  • Crooked nose (angulation, C-shape, or even S-shape to the bridge or tip)
  • Wide nose or narrow nose
  • “Nose too small” or “nose too big” for your face
  • Breathing problems
  • Desire for a more refined nasal appearance
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Why Choose NPSI for Rhinoplasty?

Dr. Jacob Unger, a board-certified plastic surgeon, specializes in rhinoplasty in Nashville to refine nasal contours and enhance facial harmony. Using advanced 3-D imaging, he helps patients visualize potential results, ensuring confidence and clarity throughout the process. Whether addressing cosmetic concerns or functional issues like breathing difficulties, Dr. Unger tailors each procedure to achieve balanced, natural-looking results that complement your unique features.

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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.

Frequently Asked Questions Rhinoplasty

Am I a good candidate?

The best candidates are in good health, over the age of 16, and non-smokers. Prospective patients must have reasonable complaints with nasal appearance and/or breathing, coupled with realistic expectations of the result. Desiring improved facial harmony and nasal refinement is the goal. Those seeking perfection are likely not good surgical candidates.

How do I know if I will like the result?

We have the cutting-edge technology of 3D imaging to both examine a patient’s current nose, and evaluate the surgical simulation in real time. However, the human body is complex and everyone heals differently. There is no way to guarantee a surgical outcome. Only you can determine if you are comfortable taking the risks of undergoing rhinoplasty. We are focused on open communication of goals and desires and take all the time necessary to ensure that patient and surgeon are on the same page with the same plan prior to undergoing a procedure.

How long does the result last?

Rhinoplasty affects the underlying support structure of your nose, and thus results in permanent changes. While there will be some mild changes that may occur with aging, the overall result can be counted on to last for the rest of your life!

Will my breathing be improved?

As part of your complete consultation and evaluation, any breathing problems or history of nasal airway obstruction will be duly noted and examined. In the majority of cases where there is a component of nasal airway obstruction, even if your goals are mainly focused on cosmetic changes, your breathing will be much improved afterwards. This is because by reshaping and strengthening the nasal framework to create a harmonious and beautiful result, Dr. Unger will also recreate the appropriate architecture of your internal nasal airway.

How long is the procedure?

The procedure length varies depending on the complexity of your procedure. Primary rhinoplasties typically range from 1.5-3 hours, and average 2 hours. Revision procedures or complex airway procedures can take longer, particularly when cartilage from the ear or rib is required.

What kind of anesthesia is used?

Safety is always of the utmost importance. Because this procedure requires involved work on the airway, we employ general anesthesia to ensure the highest level of patient safety, and to ensure complete comfort throughout the procedure.

Where will the procedure be performed?

As Nashville Plastic Surgery Institute has a State Licensed Out Patient Surgery Center within our office facility, your procedure will likely be performed in this private, safe, state-of-the-art Operating Room within our office. Certain cases, for various reasons, may be performed in an Out Patient Surgery Center of a local hospital.

How long is the recovery?

You will have some bandages in place for 1-2 days, and a nasal splint for 1 week in most cases. Sutures are removed within 1 week. Any bruising and the majority of the swelling tend to fade away after the first 1-2 weeks, after which time you will likely be ready to return to work or school. The swelling slowly subsides thereafter and usually is minimally visible by 6 weeks, although it takes 6 months – 1 year for the swelling to fully subside to see the absolute final result.

When can I exercise again?

For the first two weeks, you want to avoid heart rate elevation with any strenuous activity as it can cause bleeding or increased swelling. After 2 weeks you can gradually restart an exercise regimen. You want to avoid any activities that require sudden movements of the head or that can cause inadvertent contact with your nose. In addition, movements that require putting your face down or below the level of your heart can worsen swelling and prolong recovery.

Is rhinoplasty painful?

Patients often find that recovery from rhinoplasty is less painful than expected. While it will be hard to breathe through your nose until the bandages are removed, most people find a wonderful improvement in their breathing after that first week. Pain medicine is usually only needed for the first few days after the procedure, but our office is available at all times to ensure you have all of the care and medications you need.

What is open versus closed rhinoplasty?

Closed rhinoplasty indicates that all incisions are made inside of the nose. Open rhinoplasty also includes a very small incision across the columella, the bridge of skin that separates your two nostrils. The scar from the open approach is less than 5 millimeters, and is nearly imperceptible once healed. The open approach allows for better exposure to the nasal anatomy. The decision to perform one’s rhinoplasty open or closed is determined by the individual’s needs and goals. This discussion and decision will be part of the face-to-face consultation when the best, individualized plan is created for you.

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