Welcome to The Kentuckiana Center for Rhinoplasty, located in the Physician’s Center for Beauty, where Dr. Sean Maguire and Dr. Larry Florman are known for producing exceptional rhinoplasty results. Relying on their strong technical capabilities and eye for artistry and beauty, Drs. Florman and Maguire are committed to exceeding their patients’ expectations. They have helped over 4,500 patients enjoy a more attractive nose and greater self-confidence.
Meet Dr. Sean Maguire
Dr. Sean Maguire is an award-winning plastic surgeon who grew up in the Southwest. He graduated from Washington University in St. Louis and the University of Louisville School of Medicine, graduating magna cum laude from the latter. Dr. Maguire completed his residency training in otolaryngology-head and neck surgery at the University of Louisville and his residency training in plastic, reconstructive and hand surgery at the University of Cincinnati. After earning his certification from the American Board of Plastic Surgery, he completed a fellowship training program in aesthetic and laser surgery in Hawaii. In addition to Dr. Maguire’s private practice, he is a published author and serves on the advisory board for Suneva Medical. He also belongs to the national speaker’s panel for SkinMedica.
Meet Dr. Larry Florman
Dr. Larry Florman brings several decades of rhinoplasty experience to The Kentuckiana Center for Rhinoplasty. Having graduated medical school at the Catholic University of Louvain in Belgium, he trained in head and neck surgery at the prestigious Manhattan Eye, Ear, and Throat Hospital. He went on to complete a fellowship in plastic and reconstructive surgery at the University of Louisville. Dr. Florman is board certified in both otolaryngology-head and neck surgery as well as plastic surgery. In addition to maintaining a busy private practice, Dr. Florman has been active in academic and research activities as a faculty member in the University of Louisville’s Department of Surgery. Over the years, Dr. Florman has performed over 4,000 rhinoplasty procedures for both cosmetic and functional concerns. He maintains a patient-focused approach to cosmetic surgery and believes that patient safety comes first.
- Procedure: Outpatient
- Anesthesia: General
- Duration of Procedure: About two hours
- Initial Recovery Phase: About two weeks
- Results: Apparent after the initial recovery phase, but continue to improve for a year or more
As your most central facial feature, your nose affects the overall appearance of your face. If you dislike the size, shape or asymmetrical nature of your nose, you might feel self-conscious or embarrassed about the way it looks. If so, consider undergoing rhinoplasty, or nose surgery, with Dr. Sean Maguire and Dr. Larry Florman. During nose surgery, Dr. Maguire and Dr. Florman combine exacting surgical skill with a keen eye for artistry to provide beautiful yet natural-looking results that restore a sense of balance among facial features. To view Dr. Maguire and Dr. Florman’s patients’ rhinoplasty results, visit our rhinoplasty gallery.
What Does Rhinoplasty Correct?
With rhinoplasty surgery, Dr. Maguire and Dr. Florman can reduce the size of an overly large nose, augment a small nose, correct nasal asymmetry, narrow excessively wide nostrils, remove an unsightly bump from the bridge of the nose or improve the look of a bulbous tip. They can also correct structural nasal issues that often cause chronic breathing problems, such as a deviated septum.
Is Nose Surgery Right for Me?
Suitable rhinoplasty candidates typically include individuals who:
- Are frustrated with the size, shape, asymmetry or function of their nose
- Are over the age of 18 with a nose that has stopped developing (the plastic surgeons may perform rhinoplasty for patients who are younger than 18 years old, on a case-by-case basis.)
- Are emotionally and physically healthy
- Have realistic expectations for the outcome of surgery
- Are pursuing rhinoplasty for personal reasons and not to satisfy someone else
What Are the Most Common Rhinoplasty Techniques?
Dr. Maguire and Dr. Florman are well versed in the two main approaches to nose surgery: the open and closed techniques. With the open approach to rhinoplasty, the plastic surgeons place the incision on the columella, the thin strip of skin separating the nostrils. This gives them better visibility and thus more control during surgery, but generally requires a longer recovery period and may leave a small scar.
With the closed technique, the rhinoplasty surgeons place the incision on the interior of the nostrils. This approach does not leave any visible scars and may allow for a quicker recovery period, but the plastic surgeons have less visibility during the operation.
What Happens During Rhinoplasty?
Nose surgery is performed as an outpatient procedure, under general anesthesia.
The details of the procedure vary by patient, largely depending on the patient’s surgical goals. For instance, Dr. Maguire or Dr. Florman might remove skin, tissue, cartilage and / or bone to reduce the size of the nose, or they might use cartilage grafting techniques to enhance the size of the nose or address asymmetry. To improve the function of the nose, they might re-shape the underlying nasal structure. Before the day of surgery, the plastic surgeons collaborate with each patient to formulate an appropriate treatment plan based on his or her unique anatomical needs and aesthetic concerns.
What Is the Rhinoplasty Recovery Period Like?
Following nose surgery, patients should expect to take about one week off of work or their usual routine, during which they should rest as much as possible.
For the first few days after surgery, patients should keep their head elevated at all times, even while sleeping. They may feel as though they have a “stuffy” nose and should breathe through their mouth to compensate for this. The treatment area might be swollen or bruised, and bruising might extend into the eye area. Patients should not be alarmed by the look of “black eyes”; this will resolve over time. Using saline nasal spray will help keep the inside of the nose moisturized and clean. Taking oral pain relievers as directed by Dr. Maguire and Dr. Florman, helps relieve any discomfort.
A nasal splint will be in place after surgery to provide added support to the nasal structure during the initial healing process. Patients should keep these in place until the plastic surgeons instruct them otherwise.
Some of the results of rhinoplasty become visible as the initial swelling resolves, but the final aesthetic benefits of the procedure can take up to a year to become fully apparent; this is how long it takes for all residual swelling to resolve.
What are the Benefits of Nose Surgery?
Improved nose function is a significant benefit of nose surgery for those with breathing difficulties. There are many cosmetic advantages of rhinoplasty, including:
- Improved nose symmetry
- A more proportionate nose shape in relation to other facial features
- Nasal tip reshaping
- A smoother bridge of the nose
- Decreased or increased nose size
- Nostril modifications
In addition to the physical benefits, nose surgery can improve your quality of life and increase confidence. Some patients report a more positive view of themselves and higher self-esteem, which can translate to more success in the workplace and their personal life.
What is the Difference Between an Open and Closed Rhinoplasty?
Open rhinoplasty and closed rhinoplasty are surgical techniques for incision sites. Closed nose surgery makes incisions inside the nose so that you can enjoy your results without visible scarring. Open nose surgery requires an incision in the bottom of the nose and could be the best option for certain patients and nose alterations. Open rhinoplasty may leave a visible scar that fades with time and proper care.
When Will My Breathing Improve after Nose Surgery for Breathing Problems?
Nose surgery to improve breathing problems is called a septoplasty. After your procedure, your nose may be packed with gauze or cotton to promote clotting and absorb blood. If nasal packing is required, it’s typically removed one to two days after your rhinoplasty. You may experience stuffiness from post-surgical swelling and drainage, but these will subside significantly over the first week. While full recovery and nasal clearness can take several months, you should notice improved breathing in the second week of septoplasty recovery.
Will Insurance Cover My Rhinoplasty Procedure?
Your insurance provider may cover a rhinoplasty, or septoplasty, performed for medical reasons to increase breathing function. Septoplasty (even combined with cosmetic rhinoplasty) may be considered a reconstructive procedure. You may need prior authorization and a comprehensive examination to qualify for insurance coverage for nose surgery.
How Often is a Revision Rhinoplasty Required?
Research on the prevalence of revision rhinoplasty varies and may depend on the experience and skill of the plastic surgeon. Some suggest the revision rate is 5%, while others report 15%. Corrective nose surgery requires intricate knowledge of the nasal cavity and facial structure because the procedure is complex. Dr. Maguire can improve your results and preserve breathing function with revision rhinoplasty.
How Much Does a Rhinoplasty Cost?
The cost of your rhinoplasty depends on several factors, including whether the procedure is required for breathing difficulties. The Kentuckiana Center for Rhinoplasty at Physician’s Center for Beauty will provide a detailed price estimate for your nose surgery during your consultation. Dr. Maguire can determine if your rhinoplasty can be considered medically necessary, and our office may help you with prior authorization or financing options for cosmetic rhinoplasty.
Your rhinoplasty quote will include pre- and post-op care, surgical facility costs, anesthesia expenses, medical testing and our rhinoplasty surgeon’s fees. Dr. Maguire is board-certified in Otolaryngology-Head and Neck Surgery and prides himself on close attention to detail and providing high-quality care.
Can I Combine Nose Surgery with Another Facial Plastic Surgery?
Rhinoplasty is often combined with other face procedures to help you achieve your cosmetic goals at once and streamline your recovery. Eyelid surgery, chin augmentation, facelift and other facial plastic surgeries can complement nose surgery results.
Restore Harmony to Facial Features
Undergoing nose surgery can restore a sense of harmony to facial features. To schedule a one-on-one consultation with Dr. Maguire or Dr. Florman and find out more about rhinoplasty, contact Physician’s Center for Beauty.