The Path to Your Ideal Nose With Our Winnipeg Rhinoplasty Procedures

1. WHAT IS RHINOPLASTY?

There is a reason why rhinoplasty (or “nose job”) is consistently ranked among the top three most popular cosmetic procedures each year. When performed by someone with the proper training, talent and skill, a rhinoplasty can bring overall balance to your face, and in many cases, also make you look younger.

The art of rhinoplasty involves more than merely making your nose smaller. Your nose needs to look natural and complement all of your facial features with the right size, width and angles. The procedure is highly individualized because both the left and right sides of the nose need to match as much as possible, so it looks smooth and natural from all angles.

The face is comprised of three equal sections: the upper, middle and lower face. In a good profile, all features are in proportion with one another.

UPPERFACE: A FOREHEAD THAT ISN’T ENTIRELY ROUND OR FLAT
MIDDLEFACE: A STRAIGHT NOSE THAT HAS SOME CONCAVITY TO IT
LOWERFACE: A SLIM AND DEFINED NECK AND SOFT JAWLINE

cheeks facial surgery visage

2. ABOUT DR. ESMAIL

Dr. Ali Esmail is Winnipeg’s first and only fellowship trained Facial Plastic Surgeon. Unlike a ‘general plastic surgeon’, Dr. Esmail has 6 years of specialized training that focused on procedures from the neck up. Facial plastic surgery requires extreme attention to detail, an eye for symmetry and a drive for perfection.

When it comes to someone’s face there is no room for error, and at Visage, this is the very work ethic that drives our entire team. It is those attributes that originally attracted Dr. Esmail to the field of facial plastic surgery. His obsessive attention to detail and keen eye for aesthetic symmetry is what makes him one of the most exciting and top young surgeons in the field.

2. ABOUT DR. ESMAIL

Dr. Ali Esmail is Winnipeg’s first and only fellowship trained Facial Plastic Surgeon. Unlike a ‘general plastic surgeon’, Dr. Esmail has 6 years of specialized training that focused on procedures from the neck up. Facial plastic surgery requires extreme attention to detail, an eye for symmetry and a drive for perfection.

When it comes to someone’s face there is no room for error, and at Visage, this is the very work ethic that drives our entire team. It is those attributes that originally attracted Dr. Esmail to the field of facial plastic surgery. His obsessive attention to detail and keen eye for aesthetic symmetry is what makes him one of the most exciting and top young surgeons in the field.

facial plastic surgeon winnipeg

3. TIMELINE

Surgery

We have three options for surgery.  For those cases where there is a medical component, the operation can be done under general anesthesia at the Victoria General Hosptial.  For purely cosmetic cases the surgery can be done under general anesthesia at the Western Surgical center across the street from our clinic or under deep sedation inside our state of the art operating theatre.

The Consult

We start with a consult where Dr. Esmail or his assistant will take detailed medical history and a complete nasal exam often including an endoscopic exam of the nose.  We will discuss what you don’t like or want to change about your nose, and any breathing issues.

Photos: We take a set of 3D VECTRA photos as well as high definition 2D photos.  Using the latest technology we are able to take precise measurements and analysis of your nose and provide morphing to show you what an expected outcome may look like.

POST-OP

We see you post-op on visits at 1 week, 1 month, 3 months, 6 months and 1 year.  At each visit we will take photos and will monitor your progress at the 1 month visit we can discuss any concerns and can start injections of steroids to help reduce scar tissue and swelling in areas that need more definition.

The Consult

We start with a consult where Dr. Esmail or his assistant will take detailed medical history and a complete nasal exam often including an endoscopic exam of the nose.  We will discuss what you don’t like or want to change about your nose, and any breathing issues.

Photos: We take a set of 3D VECTRA photos as well as high definition 2D photos.  Using the latest technology we are able to take precise measurements and analysis of your nose and provide morphing to show you what an expected outcome may look like.

Surgery

We have three options for surgery.  For those cases where there is a medical component, the operation can be done under general anesthesia at the Victoria General Hosptial.  For purely cosmetic cases the surgery can be done under general anesthesia at the Western Surgical center across the street from our clinic or under deep sedation inside our state of the art operating theatre.

POST-OP

We see you post-op on visits at 1 week, 1 month, 3 months, 6 months and 1 year.  At each visit we will take photos and will monitor your progress at the 1 month visit we can discuss any concerns and can start injections of steroids to help reduce scar tissue and swelling in areas that need more definition.

woman with a nose job in winnipeg

4. BENEFITS OF A NOSE JOB

Even a small adjustment or tweak can make a world of difference in how your nose blends with the rest of your face, drawing less attention to it and putting more focus on other features like the eyes.

Most patients who choose to undergo rhinoplasty do so because they feel embarrassed or inhibited by the size, shape, or projection of the nose. As it is the central feature of the face, there is no hiding a flaw, whether it is a hump on the bridge, droopy, large, or bulbous tip, or an aesthetic problem related to overlarge, wide nostrils, or a flat bridge or asymmetrical shape. 

5. TYPES OF RHINOPLASTY PROCEDURES

Comparison Of Woman's Nose Before And After Plastic Surgery

1. Primary Rhinoplasty

If this is your first surgery, you fit under primary rhinoplasty.  Depending on what is required, what type of anesthesia is chosen and if any of the procedure is covered by insurance, the price will vary.

2. Ethnic Rhinoplasty

In the past ethnic rhinoplasty was done to give patients a more Western-looking nose, but today the surgery is performed in a way that enhances the appearance of the nose while maintaining ethnic features. You are able to change the way your nose looks to become more attractive according to your standards without losing any ethnic distinction. 
Woman's Nose Before And After Plastic Surgery

3. Revision Rhinoplasty

Revision rhinoplasty is a difficult surgery to master and unfortunately it is often performed with poor results by surgeons who are not rhinoplasty specialists. If you have previously undergone a rhinoplasty and are unhappy with your results, schedule a consult with Dr. Esmail and see how we can achieve your goals.  

4. Micro-Rhinoplasty

Often we see patients who have a small bump or imperfection they would like fixed. This includes some revision cases with ridges or bumps or that may require narrowing of the nostrils. Dr. Esmail uses specialized 2mm micro rasps to shave the nasal bones through tiny incisions, so small they don't even require stitches. We can perform these procedures often with freezing and no sedation at all. Some patients may prefer to take a short acting oral sedative.  Micro Rhinoplasty is often combined with liquid rhinoplasty.
woman's nose winnipeg
Closeup of a face of a woman with lips and nose

5. Alar Reduction

Alar reduction is a component of Rhinoplasty; a specific technique that addresses the width of the nostrils only. The Alar is the area of the nose that extends from the tip of the nose and rounds outwards towards the cheek. An incision is made on either the exterior or interior of the Alar region in order to remove excess tissue. 

6. Liquid Rhinoplasty

Liquid or Non Surgical  rhinoplasty is a  powerful procedure that involves the use of dermal Fillers and Botox to re-shape the nose.   not everyone is a good candidate for nonsurgical rhinoplasty so a consult with Dr. Esmail  essential prior to treatment.  This procedure is good for camouflaging bumps on the nose as well as  fixing a droopy tip and providing more tip definition.  This procedure is not good for fixing  crooked noses. non-surgical rhinoplasty should only be performed by surgeons with a knowledge of rhinoplasty.  It is one of the most dangerous areas to inject.  Because of this Dr Esmail is the only injector allowed to perform this procedure at his Visage.

woman's nose winnipeg

5. TYPES OF RHINOPLASTY PROCEDURES

Comparison Of Woman's Nose Before And After Plastic Surgery

1. Primary Rhinoplasty

If this is your first surgery, you fit under primary rhinoplasty.  Depending on what is required, what type of anesthesia is chosen and if any of the procedure is covered by insurance, the price will vary.

2. Ethnic Rhinoplasty

In the past ethnic rhinoplasty was done to give patients a more Western-looking nose, but today the surgery is performed in a way that enhances the appearance of the nose while maintaining ethnic features. You are able to change the way your nose looks to become more attractive according to your standards without losing any ethnic distinction. 
Woman's Nose Before And After Plastic Surgery

3. Revision Rhinoplasty

Revision rhinoplasty is a difficult surgery to master and unfortunately it is often performed with poor results by surgeons who are not rhinoplasty specialists. If you have previously undergone a rhinoplasty and are unhappy with your results, schedule a consult with Dr. Esmail and see how we can achieve your goals.  
Nose treatments rhinoplasty winnipeg

4. Micro Rhinoplasty

Often we see patients who have a small bump or imperfection they would like fixed. This includes some revision cases with ridges or bumps or that may require narrowing of the nostrils. Dr. Esmail uses specialized 2mm micro rasps to shave the nasal bones through tiny incisions, so small they don't even require stitches. We can perform these procedures often with freezing and no sedation at all. Some patients may prefer to take a short acting oral sedative.  Micro Rhinoplasty is often combined with liquid rhinoplasty.
Cost: $1500-2000
Pain: Mild
Anesthesia: local (freezing)
Recovery: Return to work within 24hrs.

Closeup of a face of a woman with lips and nose

5. Alar Revision

Alar reduction is a component of Rhinoplasty; a specific technique that addresses the width of the nostrils only. The Alar is the area of the nose that extends from the tip of the nose and rounds outwards towards the cheek. An incision is made on either the exterior or interior of the Alar region in order to remove excess tissue. 
non surgical rhinoplasty procedure in Winnipeg MB

6. Liquid Rhinoplasty (Non-Surgical)

Liquid or Non Surgical  rhinoplasty is a  powerful procedure that involves the use of dermal Fillers and Botox to reshape the nose.   not everyone is a good candidate for nonsurgical rhinoplasty so a consult with Dr. Esmail  essential prior to treatment.  This procedure is good for camouflaging bumps on the nose as well as  fixing a droopy tip and providing more tip definition.  This procedure is not good for fixing  crooked noses. non-surgical rhinoplasty should only be performed by surgeons with a knowledge of rhinoplasty.  It is one of the most dangerous areas to inject.  Because of this Dr Esmail  is the only injector allowed to perform this procedure at his Visage.

  • Cost: $850
  • Pain:   Minimal
  • Recovery:  0 down time! 
  • Results typically last 12-18 months

6. RISKS OF SURGICAL RHINOPLASTY

As with any procedure, there are risks associated with rhinoplasty.   Given the unpredictability of the way the nose heals a change of a few mm can create an undesirable result.  Because of this given in the most experienced hands rate of revision rhinoplasty is 10-15%.

Any patient undergoing a rhinoplasty should be mentally prepared to have to require 2nd most often much smaller procedure to correct any irregularities. Other risks include prolonged bleeding, infection, and prolonged stuffiness.  Most of these are minor and resolve with time.

The art of rhinoplasty is more than merely making noses smaller. Your nose needs to look natural and complement all your facial features, balancing size, width and angles.

Cosmetic surgery on the nose is a highly individualized procedure that focuses on one or more of the features that contribute to your overall appearance.
Those seeking a wellbalanced and youthful face should aim for a nose that’s symmetrical within itself, as well as overall facial symmetry.

7. RECOVERY

Rhinoplasty is generally an outpatient procedure performed in a hospital, ambulatory surgical facility or in-office surgical suite. To determine the areas of your nose that will be addressed, your overall facial appearance, proportion and structure, as well as your goals, medical history and ethnicity will be taken into account.

With rhinoplasty, your profile complements your other facial features. Otherwise, your nose can appear too big or too short and draw too much attention. No face is perfectly symmetrical, but certain asymmetrical features, like the nose, tend to be more evident. The nose is a bilateral structure, you want both the left and right sides to match as much as possible, so the nose looks the same from the front and side views. Symmetry is crucial.

Patients generally wear a splint for the first week.  There will be bruising and swelling under the eyes and nose that will be there for a few days - a few weeks following surgery. Should avoid strenuous activity for 2-3 weeks. 

non surgical nose job

8. WHAT TO EXPECT FROM A RHINOPLASTY PROCEDURE?

Upon waking up after surgery, your nose will be covered with a splint (which you may need to wear for up to a week). You may have gauze and padding in certain areas, but will be advised of all your postop care with detailed instructions, so you’ll feel confident when you leave. Expect to be swollen and bruised around the eyes and cheek area. You may also feel like you have a cold, which is very typical.

Post-Op :  Most patients only need pain killers for the 1st 48 hours.  It is not a terribly painful surgery. Get some rest.

Week 1 :  At the end of this week your splints  come off and you get the first glimpse of your nose.   The profile will look great but the tip will look fat and the nose will look wide.  This will continue to improve over the coming months. If there is bruising the majority of it should have  resolved by 10-14 days. Dr. Esmail is unique in that he uses only dissolvable sutures during rhinoplasty. No suture removal is required at this appointment.

Month 1 : after 1 month 80% of the swelling has come down. The tip starts to show more refinement.  Breathing starts to significantly improve around this time. Think if this time frame with the analogy of loose fitting clothing. The initial swelling has resolved and  the nasal skin is sitting loosely over the structure created below. Over the next 11 months the skin well shrink wrap over this structure to reveal the work of your rhinoplasty.

 1 year :  It takes approximately 1 year with a final shape of the nose to reveal itself.  Rhinoplasty requires patience and trust in your surgeon.

9. CHOOSING A SURGEON FOR RHINOPLASTY

The most important thing you could do to insure a good outcome for  your rhinoplasty is to choose the right surgeon. Rhinoplasty is widely considered one of the most difficult cosmetic procedures to perform well.  This is why you want to choose a surgeon that does a lot of rhinoplasty and specializes in the procedure. Dr. Esmail is Winnipeg’s only fellowship trained facial plastic surgeon.  This means he focuses only on the face. Rhinoplasty is the most common procedure performed by Dr. Esmail who performs over 100 rhinoplasty surgeries each year.

10. COST OF RHINOPLASTY IN WINNIPEG

 primary: Starting at $8000 + GST  Pricing includes facility and anesthetic fees.

 revision:  Starting at $9000 + GST

 micro:  Starting at $1500 + GST

 nonsurgical:  $900 + GST

11. RHINOPLASTY & NOSE JOB FAQs

Is rhinoplasty painful?

Will I have black eyes?

How long before can wear makeup?

How long before I can exercise?

Will my breathing be improved after surgery?

Will Manitoba Health or private insurance cover  my surgery?

What type of anesthesia is used? Will I be completely asleep?

Will my nose be broken?

Will Rhinoplasty affect my sense of smell?

How can Rhinoplasty make me look younger?

Which procedure do patients often combine with rhinoplasty for the best overall rejuvenation?