Does Climate Influence Your Nose Shape?

It may be an unbelievable result to many, but science has recently proven that the climate our ancestors lived in had a significant effect on the shape of our noses. 

For example, peoples in warmer and more humid climates would develop more prominent nostrils, while those in colder and dryer areas would tend towards narrower nostrils. 

Of course, not all of us still live in the kind of conditions that lead our ancestors to develop their nose shapes and nostrils. This dissonance has often lead to requests for “ethnic rhinoplasty” at our Toronto and Newmarket clinic, with patients determining that they will be the ones who get to pick the shape of their noses – not the climate or genetics. 

On the flip side, many patients feel that their nose doesn’t quite match what they think is a “common” shape for their ethnicity. These patients may look for a rhinoplasty to give them features that feel more natural to them.

This article will explore both of these motivations for rhinoplasty and what a skilled “ethnic rhinoplasty surgeon” can do to give you the nose you feel suits you best. 

Rhinoplasty for Men and Women: Stake Your Own Nose Identity 

For rhinoplasty, female and male patients often have one of the same complaints when they first visit the clinic – they feel they have a big nose compared to everyone else. 

However, these “big noses” might be the human default. The smaller nose could have been a development to prevent taking in too much air in colder climates, to protect the people living there from irritation and nosebleeds

Of course, today, in the era of air conditioning and central heating, we rarely have to worry about if our air is too hot or too cold, and our nose shape can often be more of an annoyance than a survival mechanism. 

For those who want a more streamlined nose, a bulbous nose rhinoplasty is often the best choice. This procedure reduces the cartilage inside the nose, giving it a sleeker appearance and correcting bumps and streamlining a crooked nose. After two weeks of keeping the nose covered and wrapped for recovery, you’ll have a whole new nose!

Ethnic Features and Nose Jobs: Return to Your Nose Roots

Maybe you don’t care about how big your nose is, and perhaps you just feel that another type of nose would better suit your face. After all, it is your face, and it should be a face you enjoy looking at in the mirror.

A good plastic surgeon is an excellent resource for determining what the perfect nose is for you. Of course, we believe that there is no such thing as a “perfect nose,” – but there can be a “perfect nose for a particular face.”  The most important thing is that you can sport features that you feel comfortably sit on your face and are the best expression of the “true you.” 

Want to Learn More Before Your Rhinoplasty Procedure? 

The road to rhinoplasty surgery can be uneventful with the right doctor. Dr. Richard Rival is a board-certified Otolaryngologist Head and Neck Surgeon. As a facial plastic surgeon who excels at rhinoplasty, revision rhinoplasty and renowned for working with patients seeking facial plastic surgery with an ethnic background, Dr. Rival is a top choice to correct a nasal tip or nasal bridge.

If you are interested in learning more about the rhinoplasty healing process or other cosmetic nose surgery, don’t hesitate to contact us. We’re happy to answer all of your rhinoplasty questions in an in-person or virtual consultation!

Revision Time: What to Know About Revision Rhinoplasty

Sometimes, our first nose job may not have the results that we expected. On occasion, this can be because of a plastic surgeon’s work not matching your expectations. 

Disillusion with a rhinoplasty can also happen over time, as the natural elastic qualities of skin and cartilage result in a nose job that changes slightly over time. We’ll explain all of the revision rhinoplasty risks and facts right here for those thinking of a second nose job. 

Why Revision Rhinoplasty?

So why would you go for a second nose job anyways? In our experience, there’s no one main reason that people look into revision rhinoplasty. The issues they want to resolve can range from minor tweaks to major redos. Here are some of the main reasons we’d recommend getting a second nose job – if any of these apply to you, it might be revision time. 

Not Enough Cartilage Removed 

Even a top facial plastic surgeon may be conservative in their rhinoplasty procedure: this means, to avoid a “botched” experience, they may not remove enough cartilage the first time. 

As a result, the bump removal and reduction you might have wanted won’t be apparent. However, this type of “mistake” can be easily fixed with a second nose job that re-targets the problem areas.

Too Much Cartilage Removed 

Sometimes, botched rhinoplasties create the opposite issues, where too much cartilage is removed from an area, replacing the old imbalance with a new one. This can be fixed with a second nose job. Cartilage can be taken from elsewhere in the nose, or another part of the body, like the ear or rib cage can reverse the mistake. 

We also offer injectable fillers to help smooth out places where too much cartilage was removed. These can include new injectable fillers such as Restylane®, Artecoll®, and RADIESSE®. 

Pinched Tips

Sometimes a reduction doesn’t take away too much cartilage but is too aggressive in tightening the fleshy parts of the nose, resulting in a “pinched” look. This kind of error can often lead to breathing issues. A second nose job can help round out the look of the nose while restoring easy breathing. 


Sometimes a rhinoplasty gives the desired result but is done in a sloppy manner that leaves scarring that won’t heal properly. A second nose job can smooth out these kinds of blemishes. 


In many cases, a rhinoplasty isn’t even with its adjustments, making the nose seem imbalanced, either horizontally or vertically. Depending on the type of asymmetry, this can be resolved by removing or adding cartilage as needed. 

Risks of Revision Rhinoplasty

There are nasal surgery risks that are associated with any kind of operation you might have. Revision rhinoplasty risks often fall into these same types of categories. While a skilled rhinoplasty surgeon can mitigate most second nose job risks, it’s still important to be aware of these revision rhinoplasty risks. These can include:


Any rhinoplasty is likely to cause some level of nosebleeding. This is not a serious nasal surgery risk unless the nosebleeding becomes chronic – in this case, you should consult a doctor.


Infection is generally uncommon after rhinoplasties but can happen. Among second nose job risks is the possibility that the more significant amount of work done on the nose might raise the risk of infection. Usually, this infection will simply result in swelling and can be combatted with antibiotics. 

Breathing Issues

If multiple rhinoplasties reduce the basic structure of the nose too much, this can result in breathing difficulties for the patient. Experienced surgeons such as Dr. Rival can ensure that the nasal passages remain intact, but some surgeons may have trouble keeping these structures undamaged through multiple rhinoplasties. 

Undesired Results 

One nasal surgery risk that you can encounter is that it doesn’t look like you imagined. This risk can be a compounding one – if you don’t like the results of a rhinoplasty, you might feel the need for a second nose job – which can then turn into the need for multiple rhinoplasties if none give you the exact result you desire. 

How Many Revision Rhinoplasties Can You Get? 

Ideally, your revision rhinoplasty will leave you with the nose you want for the rest of your life. However, one of the second nose job risks is that you might still not be satisfied with the result. But how many revision rhinoplasties can you get?

In truth, there’s no actual set number. The limit isn’t so much a hard sum, but each additional rhinoplasty comes with more complications, which increases the number of revision rhinoplasty risks.

A good surgeon can do many simple rhinoplasty operations with little problem. The more complexity that is involved over more nose jobs, the more that returns will diminish. 

The best bet is always to get the best surgeon to give their best work the first time through and for the patient to be confident in the choice they’ve made. 

First Time or Revision, Make Your Rhinoplasty The Best It Can Be

Dr. Rival is an Otolaryngologist Head and Neck Surgeon, trusted by hundreds of his patients to deliver beautiful and natural results, including rhinoplasty, brow lift surgery, forehead lift, or their non-surgical counterpart. 

No matter what kind of cosmetic operation you are looking for, surgical or non-surgical, it’s best first to consult a board-certified plastic surgeon. If you are looking for a non-surgical nose job in Toronto, don’t hesitate to contact us. We’ll be happy to answer any of your questions.

5 Rhinoplasty Choices Based on Your Aesthetic Need

Every rhinoplasty is, in its way, unique. Every patient has their own particular needs, and there are many factors to consider. 

If you’re considering rhinoplasty, you should start by considering these factors. There are among some of the most common conditions rhinoplasty can rectify.

Nose or Bridge Reduction?

Many rhinoplasties have a goal of nose reduction. However, what that means can depend on your goal when entering your consultation. Your nose is made up of both harder cartilage and softer flesh – known as “soft tissue.” 

Suppose you want the actual bridge of your nose to be adjusted. In that case, this will require an operation that alters the cartilage – this might require external incisions or an open rhinoplasty procedure. On the other hand, if you only need the tip or nostrils adjusted through nose reduction, you may only need incisions within the nose itself. 

Essentially, if you have any distinctive feature of your nose that you would like to be less pronounced, you should consider a nose reduction rhinoplasty of any type. 

Wide or Big Nose?

Some patients have a hard time outlining a specific feature of their nose that they want to be adjusted. You shouldn’t feel uncomfortable approaching a plastic surgeon if you can’t quite articulate the issue. 

Many people simply have a nose that is too wide or large for their face – better known as a “bulbous nose.” A wide or big nose can be caused by an overabundance of soft tissue or because of weak cartilage. 

Thankfully, corrective rhinoplasty can resolve these issues. Cartilage reshaping or grafts can help give a more defined profile to your nose, and the soft tissue can be reduced and trimmed. This will provide you with a much sleeker profile and not make your nose an overly prominent facial feature. 

Do You Have an Overprojected Nasal Tip?

Most of the nose works well for some patients, but they feel they have an over projected nasal tip. Such a feature can quickly become a distraction for many patients. Having at least some of a nasal tip is vital since this helps define the nostrils and allows for adequate airflow. Many patients know this and worry about any adjustments to the nasal tip.

However, there are many safe rhinoplasty surgeries to help reduce an over projected tip. These simply require some incisions in the nasal tip to help reduce the projection of the soft tissue. 

Adjustments to the shape of the cartilage in the bridge of the nose can also give similar results. 

Do You Need Nostril Revision? 

Sometimes you are looking for relief after a previous rhinoplasty gave some unintended side effects. With a trusted rhinoplasty surgeon, this should, of course, not happen. However, you may have had a rhinoplasty that was too aggressive in removing tissue, leading to breathing issues.

Thankfully, a skilled plastic surgeon, especially one that specializes in revision procedures, can solve this through nostril revision. 

Rhinoplasty can be about addition as well as subtraction. Cartilage from the patient’s body, including even the rib cage, can be used to perform a nostril revision, giving the nose a complete shape and helping return normal breathing. 

Do You Need a Botched Nose Job Fixed? 

A botched nose job can be an embarrassing issue – but there are many options. You need to consider that many nose jobs take a while to heal and give the final shape entirely. 

Patience is often the best cure. 

If you do need another rhinoplasty, your choices depend on what you desire in a follow-up surgery.

If you simply want even more of a nose reduction, that is an easy fix with a second rhinoplasty. If you felt too much was taken off, you may need a surgical graft to return some of the removed cartilage. 

The most important thing is to find a rhinoplasty surgeon who will listen closely to your concerns and be upfront about what you can expect.

Have More Questions?

Dr. Richard Rival is a board-certified Otolaryngologist Head and Neck Surgeon. As a facial plastic surgeon, Dr. Rival can help with your revision rhinoplasty, an overprojected tip, as well as other cosmetic surgery or plastic surgery needs.

Are you looking to schedule a consultation for nose surgery or to reduce the size of your nose? Just like to learn more about rhinoplasty in general? Feel free to contact us – we’re happy to help! 

Nose Job Recovery: What to Expect During the Healing Process

Typically, rhinoplasty has a reasonably uneventful recovery time. While there is the chance of complication, it’s a relatively small one. 

Still, we have prepared a guide that tells you what a normal healing process should look like – and how to make the most of your nose job recovery. By understanding the rhinoplasty recovery time and recovery process, you can make the most of your nose job before and after the actual surgery. 

Open vs. Closed Rhinoplasty

The first thing to understand is that nose job recovery time will vary depending on if you had an open rhinoplasty or a closed rhinoplasty. In closed or “internal” rhinoplasty, all of the incisions are done on the inside of the nose. This is the most popular form of nose job, as it leaves no scarring. Closed rhinoplasties excel at adjusting a prominent nasal tip, and such tip rhinoplasty recovery time usually is short.

Open rhinoplasty is rarer and involves incisions into the outside of the nose. It is used when more dramatic changes are needed. Such open rhinoplasty can be used to fix very twisted noses, as well as significant changes in nose projection. 

Often, it will have a slightly longer recovery period and may leave some visible scarring that will take time to fade. If your open rhinoplasty is taking more time to heal, don’t worry – this is normal.

What to Watch For

Typically patients can go home two to three hours after a rhinoplasty. Nasal surgery risks are generally low, and nose job recovery time is usually quick. 

After a rhinoplasty, feeling tired, swollen, and congested is perfectly normal. Some patients do feel nausea – this is a symptom that you should inform your plastic surgeon about, and they can recommend medication for it.

Usually, the surgeon will send you home with a nose split to maintain your new nose shape and gauze to catch any draining blood or mucous. If you had an external rhinoplasty, there might also be stitches. Both of these measures are temporary, and your doctor can remove them after a week.

Bruising and swelling are normal after rhinoplasty. They usually start to become pronounced a few days after the surgery and should go away after two weeks. If any swelling or bruising remains longer than this, you should consult your plastic surgeon. 

Similarly, congestion is perfectly normal but should go away after a few weeks. A humidifier and regular intake of liquids can help with this. Pain and discomfort are generally minimal, and your surgeon should give you enough pain medication to handle this.

One of the most important things to remember during the nose job recovery time is that it can take time for your nose to “adjust” to its final shape. If it doesn’t quite look like how you imagined it, give it some time to settle to see the final result.

Resting and Diet While Healing 

One of the best ways to lower the nose job recovery time is through proper rest and diet

You should make sure to take it easy, especially while you have the stitches still inside. Don’t engage in too much strenuous activity, and get plenty of sleep.

Your diet matters too. For the first 24 hours, make sure to eat primarily bland foods to avoid triggering nausea due to the remaining anesthetic. Your surgeon can give you recommendations on what might be appropriate. 

Next week after the surgery, try to stick to softer, easy to chew foods such as soup or yogurt. Also, make sure to get plenty of water! You should try to avoid alcohol or spicy food during this period, as it might cause nausea through interaction with the anesthetic in your system. 

You should also watch for high sodium foods. Soon you’ll be well on the way to recovery with your brand new profile!

Want to Learn More Before Your Rhinoplasty Procedure? 

The road to rhinoplasty surgery can be uneventful with the right doctor. Dr. Richard Rival is a board-certified Otolaryngologist Head and Neck Surgeon who can help resolve breathing problems through rhinoplasty, revision rhinoplasty or another facial plastic surgery request from patients like yourself. 

If you are interested in learning more about the rhinoplasty healing process or other cosmetic surgery, don’t hesitate to contact us. We’re happy to answer all of your rhinoplasty questions in an in-person or virtual consultation! 

Can a Non-Surgical Rhinoplasty Help With a Wide Nose?

Non-surgical rhinoplasty can smooth out a lot of imperfections. The idea of getting single or multiple injections in the place of surgical plastic surgery is an enticing one, even if that injection won’t give permanent results. 

Many looking at injectable fillers for a non-surgical rhinoplasty in Toronto, Canada, or worldwide may wonder: can dermal fillers or a “liquid rhinoplasty” be of any help in giving the appearance of a less wide nose?

What is Non-Surgical Rhinoplasty? 

For those unfamiliar with the process, non-surgical rhinoplasty uses dermal fillers to smooth wrinkles and bumps. An “injectable rhinoplasty” involves fillers such as Radiesse or Restylane to even out imperfections. These procedures have become popular in Toronto and the world due to the low amount of recovery time, no side effects from surgery and a lower cost than a surgical procedure. 

Again, non-surgical rhinoplasty is non-permanent and is all about aesthetic changes to the nose and minimizing small irregularities in the nose’s appearance. However, this lack of permanence is a fair trade-off for a 15 minute to hour out-patient procedure.

Non-Surgical Rhinoplasty for Wide Nose Rhinoplasty

So can you use non-surgical rhinoplasty to address the cosmetic concerns of having a wide nose? 

Injections can add more volume to a nose to reduce the appearance of large bumps but can’t do anything about reducing the size of a nasal hump or the nose itself. If you want a permanently thinner-looking nose, you will need to opt for a surgical rhinoplasty to minimize a wide nose’s appearance. 

Also, non-surgical rhinoplasty using dermal fillers won’t make an impact when fixing a crooked nose. A crooked nose may require surgical intervention. 

That said, it’s easier to judge on a case-by-case basis whether non-surgical rhinoplasty is the right choice.

But how does this differ for both male and female rhinoplasty?

Non-Surgical Rhinoplasty for a Male Nose Job

For many male patients seeking rhinoplasty, the intent is to create a more “masculine” looking profile that matches their facial features.

For this reason, a male nose job often involves the creation of a more prominent bridge, making the bridge of the nose higher or broader. Male rhinoplasty also tries to increase tip projection. Non-surgical rhinoplasty can help in this case, as a facial plastic surgeon or a trusted medical spa can add volume to these specific areas of the nose.

Non-Surgical Rhinoplasty For Women

Compared to men, many women look for rhinoplasty, resulting in a softer-looking bridge and nasal tip, compared to the more prominent features favoured by men. 

Because of this, non-surgical rhinoplasty can smooth out bumps on the bridge but can’t provide a solution for a significant reduction of the bridge’s size or nose as a whole. 

How Would I Look After a Nose Job? Using Non-Surgical Rhinoplasty as a Test Run

In some cases, the non-permanence of non-surgical rhinoplasty can be a benefit to the procedure. Non-surgical rhinoplasty can often serve as a “test run” before a patient commits to a more permanent solution. A non-surgical rhinoplasty can provide a physical example to you before you commit to long-lasting changes.

However, this benefit is made someone obsolete by advancements in computer imaging. Now, we can show patients a close indicator of what their nose will look like before the rhinoplasty procedure is completed.

We have our own unique iPhone App that lets you see exactly how you’d look after a specific rhinoplasty procedure. Using the app gives you an option to see your desired results without even needing to pop in for an appointment.

Have More Questions About a Non-Surgical Nose Job in Toronto?

Dr. Rival is an Otolaryngologist Head and Neck Plastic Surgeon trusted by hundreds of his patients to deliver beautiful and natural results.

Deciding the type of rhinoplasty that works best for you and your needs can be tricky. We’re happy to answer any questions you might have and see if you’re a good candidate for rhinoplasty. Contact us to book an appointment today!