929 Gessner, Ste 2200
Houston, TX 77024


251 Cully Drive, Ste A
Kerrville, TX 78028

Nasal Reconstruction (Rhinoplasty) Houston

Nose Surgery

The nose is the central feature of the face and it comes in all different sizes, shapes and configuration. An aesthetically pleasing nose can lead to an aesthetically pleasing face. The aesthetics of a nose are divided into the tip of the nose and the upper portion of the nose. In the upper nose, Rhinoplasty can be used to correct bumps, wide noses and crooked noses. In the tip of the nose, Rhinoplasty can be used to thin, shape and define the tip to one that is more aesthetically pleasing. Our goal is to provide you with a refined, elegant nose that fits your face with appropriate aesthetics and support to preserve function.


When considering a Rhinoplasty, you want to not only know your surgeon but trust that they understand how you want to look and feel, and that they can help you achieve the look you desire. The consultation gives you the opportunity to get to know Dr. Layton and discuss your goals, desires and expectations with him.

In a comfortable, low stress environment, you will have an examination by Dr. Layton where you will discuss the displeasing component of your nose and the goals and expectations you wish to achieve. He will then demonstrate correction of the problem and the surgical goal, which will give you an idea of the expected surgical outcome. You will also be able to review photos of other patients that have had a Rhinoplasty by Dr. Layton.

You will be given information to read and will be provided ample time to have all your questions answered by Dr. Layton. Our desire is for each patient to be fully informed and educated so that they are comfortable with their decisions and we are able to understand and exceed their expectations.


The procedure is performed in an accredited surgery center under general anesthesia. You will be marked by Dr. Layton before surgery and given the opportunity to ask any questions. The procedure usually takes between one and two hours to perform, depending on the structures to be altered and the extent of the alteration. You can usually go home the day of surgery.

When performing a Rhinoplasty, we prefer the open approach that allows visualization of the structures so that they may be altered and improved under direct vision. This involves an incision across the columella, which is the bridge coming up from the lip that separates the nostrils. The remainder of the incisions will be inside the nose where they will not be visible.

Once the incisions are made, the skin is elevated from the supporting bone and cartilage. The alterations of the bone and cartilage are then done in a variety of ways. The appropriate amount of correction is then tested by re-draping the skin and evaluating the new nose appearance. Once the desired look is achieved, the incisions are closed with absorbable stitches.


Prior to the day of surgery, you will be given prescriptions for antibiotics and pain medication to take after surgery. Before discharge following surgery, you will be given an instruction sheet that will explain incision care, activity detail, medication usage and follow-up appointment scheduling. Driving is not permitted while taking pain medication.

Your dressings or bandages will depend on the extent of the procedure but in general, if the bridge of the nose is altered, an external splint will be applied. You may or may not have internal splints inside the nose. If only the tip is altered, you may only have a tape bandage on the outside of the nose. Post-operative follow-up appointments usually occur one week, four weeks, three months and one year following surgery. Unlike, most cosmetic procedures, swelling tends to last longer in a Rhinoplasty and final results may not be noticed for months after procedure.

Back to Top