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The Maercks approach to rhinoplasty

As with most cosmetic surgeries, rhinoplasty has multiple techniques that a surgeon can choose from, and that choice will vary based on the patient and the desired outcome. With nose surgery, there is either a “closed” or “open” approach to surgery. With the closed approach, visible scarring is reduced because incisions are made within the nostrils. The open approach involves an extra incision across the piece of skin between the nostrils.

Although most surgeons prefer the open approach, Dr. Maercks rarely deviates from a closed approach. The main reason is that the vascular structures divided in the open approach result in slower healing and prolonged swelling. Thanks to his international training and extensive experience, Dr. Maercks is able to handle advanced maneuvers and changes without opening the nose. However, in rare cases and complex revision rhinoplasty procedures, he may choose to utilize the open approach. He is committed to always doing what is right and best for his patients. If it’s not necessary to open up your nose, he won’t do so. He will never submit you to complications and risks that aren’t absolutely crucial to your outcome.

Goals of rhinoplasty

Dr. Rian Maercks designs a bespoke rhinoplasty procedure for each unique patient, never performing in a “cookie-cutter” fashion, but rather taking into consideration the patients’ areas of concern, desired goals, facial structure, and surgical history. When you want to change your nose for cosmetic or functional purposes, allow us to help. A nose job can correct a wide variety of concerns, including:

  • Droopy, bulbous, or upturned nasal tip
  • Crooked, wide, or oversized nose
  • Uneven or oversized nostrils
  • Visible depression or bump in the bridge of the nasal profile
  • Anatomical abnormalities, such as a deviated septum

What to expect during your consultation

Whether you have trouble breathing or sleeping or simply don’t like the way your nose looks, rhinoplasty may be exactly the solution to your problem. Dr. Maercks meets with every potential nose surgery patient before deciding to perform the procedure. After reviewing your medical and surgical history and going over the nuances of rhinoplasty, he will provide you with a profile tracing that shows you the most important aesthetic and functional features of your nose. 

With a balanced approach in mind, Dr. Maercks usually combines facial fat grafting and sometimes chin procedures with rhinoplasty. After creating your personalized treatment plan, he will discuss the exact details and options for modifying the plan. Rhinoplasty with Dr. Maercks is a truly different experience because instead of asking you to describe your concerns, he prefers to directly show his aesthetic conception to initiate the conversation.

How rhinoplasty is performed

Rhinoplasty is usually done on an outpatient basis. General anesthesia is performed by a certified anesthesiologist to ensure that the patient is safe and comfortable during the procedure. If a closed rhinoplasty is being done, surgical incisions are made within the nostrils to give Dr. Maercks access to make surgical modifications. If an open rhinoplasty is being done, Dr. Maercks will make a small incision on the thin strip of flesh that separates the nostrils. After the modifications have been made, sutures are placed to close the wound and the nose will be covered with a surgical bandage.


After surgery, rhinoplasty patients are required to rest at our facility until the anesthesia has completely worn off. Once released from the facility, a responsible adult should drive you home. Get comfortable on a bed or couch, and make sure you have access to your medication, soft foods, and any necessary liquids that won’t require you to move around much. 

The nose and possibly the eye area will be bruised and swollen immediately after surgery. Most of the swelling will go down after a few weeks, and most patients take pain medication to deal with discomfort after surgery.

Strenuous activity can increase the chances of bleeding, and should therefore be avoided immediately after surgery. While short walks can be good exercise and get the blood flowing, anything more than a leisurely-paced stroll should be avoided until you have approval from Dr. Maercks. 

An important part of recovery is keeping up on your follow-up visits and following all the instructions given. Visiting Dr. Maercks to check the progress of your healing and to remove sutures is crucial. He will also advise you when it’s best for you to return to your regular work and activity schedule after surgery.

Why choose The Maercks Institute for your Miami nose job?

The Maercks Institute is a high-profile, Miami-based surgical center that offers a variety of advanced techniques in surgical procedures that challenge “status quo” plastic surgery by delivering personalized results that appear as if they are made by nature. Here patients are considered in a manner that is anything but cookie-cutter, and a perspective of optimizing aesthetics in the most natural way to highlight their individual beauty through bespoke designed interventions is utilized. Dr. Maercks is a board-certified aesthetic, craniofacial, and reconstructive plastic surgeon who uses attention to detail, artistic vision, and experienced judgement in every procedure he performs. In his work as medical director at The Maercks Institute, he elevates the standard of patient care and safety, and he has changed the lives of thousands of patients since opening his surgical center in 2009. He is an expert who will formulate the ideal treatment for your goals. If you’re in Miami and you’re interested in undergoing a nose job or revision rhinoplasty, we invite you to contact us today to schedule a consultation. 

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Patients notice results of rhinoplasty about two weeks after surgery, although the final results may not be visible until the nose fully heals. This can take up to a year as residual swelling dissolves and the nose takes its new shape.

Patients can cover the bruised area 3 to 5 days after surgery, and swelling and bruising typically improve within two weeks. Although your nose continues to age whether you have rhinoplasty or not, the results of a rhinoplasty are considered permanent.

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Revision rhinoplasty

Revision rhinoplasty is nose surgery that is performed for the second time. If you’ve decided to undergo revision rhinoplasty, it’s very important to choose the right surgeon. This is because revision rhinoplasty is a delicate and complex procedure. Sometimes there isn’t much cartilage to work with, or there may be scar tissue to deal with.

Revision rhinoplasty is done to correct the mistakes or unsatisfactory outcome of the first surgery, or even breathing issues that have arisen from the procedure. Unsatisfactory rhinoplasty results may occur due to the surgeon who performed it, or from improper healing. Scar tissue may have developed, or the nose may appear too “worked on”. Whatever your areas of concern may be, Dr. Maercks can help. We recommend that you wait at least one year after your original nose surgery to undergo a secondary procedure. 

Good candidates for rhinoplasty

Whether you’ve always disliked your nose or it’s a more recent area of concern, if you’re considering undergoing a nose job in Miami, we would love to speak with you. The best candidates for rhinoplasty are those who:

  • Are unhappy with the appearance of their nose
  • Have a broken nose or problems resulting from a previous rhinoplasty
  • Have trouble breathing or sleeping due to a deviated septum
  • Are non-smokers in good overall health
  • Understand what a rhinoplasty can accomplish and have realistic expectations
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What risks are associated with a nose job?

No surgery is without risk, and the benefits should always be weighed against the chance of complications before you undergo any surgery. of course, choosing a board-certified, experienced surgeon greatly decreases the chances of complications or problems before, during, and after surgery. It’s also important to closely follow the home care instructions we provide you with to ensure that your recovery is smooth and successful. Potential risks of rhinoplasty include:

  • Alteration of skin sensation
  • Infection
  • Bleeding
  • Poor wound closure and healing
  • Skin discoloration
  • Breathing obstructions

How much does rhinoplasty in Miami cost?

The cost of a nose job will vary based on the patient, but typically rhinoplasty in Miami can range anywhere from $5,000 to $15,000. We will be able to provide you with an exact estimate during your consultation. It’s also good to note that some insurance companies cover part or all of a rhinoplasty procedure, depending on the reasons behind the surgery. The best way to determine if your insurance company covers the costs of your surgery is to contact them before any appointments are scheduled. Insurance companies will typically pay if the surgery is performed to correct a structural defect that causes sinus or breathing problems or irregularities to the nose that are caused by trauma or injury.

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