Considering a Nose Job

Considering a Nose Job? Ask Yourself These 5 Key Questions

Dr. Pearlman looking at patient's nose in a rhinoplasty consultation

Rhinoplasty, better known as a “nose job,” is performed to alter the size and/or shape of the nose and is one of the most commonly performed types of plastic surgery. 

Over 200,000 rhinoplasties are performed every year; while some simply didn’t like the noses they were born with, others needed corrections to previous surgeries or accidents that damaged their noses. Rhinoplasty is often combined with septoplasty or deviated septum surgery.

Before opting for any kind of cosmetic surgery, there are some key questions you should ask yourself before going under the knife.

Am I healthy enough for plastic surgery?

Cosmetic surgery has its risks, just like any other type of surgical procedure. The risks are even greater for people who have pre-existing health conditions. That is why it is wise to take your health into consideration before getting any type of cosmetic procedure. Your plastic surgeon may require that you receive clearance from your physician.

Generally, ideal rhinoplasty candidates meet these criteria:

  • In good mental and physical health
  • The nose has finished growing (at least 15 years of age)
  • Doesn’t smoke, or is willing to stop before their surgery
  • Has realistic expectations for the recovery process

Have I considered alternatives to rhinoplasty?

There are a number of ways you can improve your appearance without getting rhinoplasty. 

Makeup tricks can also change how your nose appears, and some cosmetic injectable fillers can alter the appearance of your nose temporarily without invasive surgery.

Related: Surgical vs Non-Surgical Rhinoplasty


Far too many people get cosmetic surgery to conform to society’s standard of beauty or to impress someone else. While a nose job—or any cosmetic surgery—can improve your appearance and life, it’s important to do it for the right reasons. Do it for yourself, not someone else.


Nose jobs can cost thousands of dollars, depending on the surgeon and the complexity of the procedure. Because most nose jobs are elective, they aren’t covered by insurance. While you may be able to set up a payment plan with your surgeon’s office, you may be expected to pay a significant amount upfront. Note that many med spas and clinics accept credit cards, so that’s always an option as well. Some patients may opt for the least expensive surgeon. You have one nose and should go to the best surgeon you can find. This is the nose you will have for the rest of your life. 


In the end, it’s worth it, but in the meantime, you will be sore after your nose job. Patients are expected to stay home for at least a week after surgery and are advised to avoid strenuous activity. Make sure you can afford to miss work or school during this time period and that you have help with daily tasks, such as child care and household chores.

Once you’ve answered yes, find your rhinoplasty surgeon.

Rhinoplasty is an extremely delicate surgery. The nose is one of your sensory organs, so you want someone who can protect the function as they’re enhancing the form. 

For example, a surgeon who is only board-certified in cosmetic surgery isn’t going to have the same level of expertise as someone who is also certified in Otolaryngology-head and neck surgery.

You should look at their level of expertise and what percentage of their practice is dedicated to rhinoplasty. 

Is it the primary surgery they provide, or is it one of many? How many rhinoplasties have they done? Do they operate all over the body or specialize in the face? Go to the surgeon’s website and look at their before and afters. Is this the aesthetic you are looking to achieve?

Rhinoplasty before and after photos are absolutely crucial. A surgeon’s before and after gallery is a testament to the level of professionalism and the quality of their work. 

Things you should consider when viewing the images:

  • Do these patients look like me?
  • Do I like the results I’m seeing? Do they look natural?
  • Are the before and after images consistent in setup, lighting, and angles?

It is a major red flag if the images look doctored or if your surgeon won’t let you see any during your consultation. 

Book your rhinoplasty consultation at Pearlman Aesthetic Surgery

Dr. Steven J. Pearlman is a dual board-certified facial and reconstructive plastic surgeon. He has performed over 7,500 rhinoplasties in his career and is a specialist in rhinoplasty techniques, including the Piezo Ultrasonic Rhinoplasty and Preservation Rhinoplasty.

Dr. Pearlman is also board-certified in Otolaryngology-Head and Neck Surgery, making him a uniquely qualified nasal surgeon. He can ensure you have a nose that makes you look and feel like the best version of yourself.

Schedule your consultation today to get started.

Not quite ready for an in-person visit? You can use our rhinoplasty planning tool to learn more about the procedures we offer. 

Virtual Rhinoplasty Consultation