Rhinoplasty in Milton, Kitchener and Guelph

Get the Profile you Desirewith a Rhinoplasty

with Dr. Matthew D. Brace MSc, MD, FRCS(C)

Double Board-Certified Facial Plastic Surgeon

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**NEW PATIENT OFFER:$1,000 Off Cosmetic Rhinoplasty *When booked by April 30th. Limited openings available.**

What is a Rhinoplasty?

The term rhinoplasty comes from 2 Greek root words: ‘rhis‘ from which we get ‘rhino’ which means nose; and ‘plassein’ from which we get ‘plasty’ or to reshape. In English, a rhinoplasty is a surgical procedure to alter the shape of the nose. As simple as this sounds, it is a delicate, intricate, and complex procedure that relies on principals of architecture and artistry to reshape cartilage and bone to create beautiful and long-lasting outcomes.

At Guelph Facial Plastics, we understand that deciding to alter the nose size, shape, or function is deeply personal. Dr. Matthew D. Brace offers custom-tailored solutions that address your specific goals and concerns. Whether you seek to refine your nasal contours, correct breathing difficulties, or achieve a more harmonious facial balance, we support you on this transformative journey.

Rhinoplasty Before & After

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* Individual results may vary.

Plastic and Reconstructive SurgeonDr. Matthew D. Brace, Medical Director

Dr. Brace is a highly respected, double-board-certified facial plastic surgeon known for creating elegant, extremely natural results. Dr. Brace is the current Vice President of the Canadian Academy of Facial Plastic and Reconstructive Surgery and adjunct faculty in facial plastic and reconstructive surgery at the University of Toronto, McMaster University, and the University of Western Ontario. Dr. Brace creates elegant refinements to recapture the natural beauty and delicate contours of the face and neck.

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Types of Rhinoplasty

There are 3 main approaches to rhinoplasty.

Endonasal or ‘closed’ rhinoplasty use invisible incisions inside the nose.
External or ‘open’ rhinoplasty uses a small incision on the skin between the nostrils and below the tip of the nose.
The third type of rhinoplasty is a ‘liquid rhinoplasty’ and is not surgery at all. This approach uses hyaluronic acid fillers to temporarily camouflage bumps and create illusions of rotation and projection.

At our office in Guelph, just a short drive from Kitchener or Milton, rhinoplasty begins with an in-person consultation wherein Dr. Brace will perform a detailed examination of your nose to determine which approach is the most appropriate for each individual.

Alarplasty

Sometimes, the only nasal feature that bothers somebody is the width of their nostrils. They love their profile, their tip, and the size of their nose. They just find that the nostrils (alar base) are wide. In these cases, an alarplasty may be all that is needed.

Under local anesthetic, incisions are made in the creases around the nostrils where they meet the cheeks, philtrum (upper lip), and inside of the nose. The nostrils can then be reduced in size and reattached with a well-hidden incision lying in the natural grooves around the nose. This procedure narrows the width of the nose and reduces nasal flare when smiling. It is often a component of a rhinoplasty but can be performed as a standalone procedure.

Ethnic Rhinoplasty

Discover the artistry of ethnic rhinoplasty, where cultural sensitivity meets surgical expertise to enhance and celebrate your unique features. Dr. Brace specializes in tailoring rhinoplasty procedures to honour diverse ethnic backgrounds, ensuring results that harmonize with your facial aesthetics while respecting your cultural identity. Whether seeking subtle refinement or more significant transformation, Dr. Brace is committed to delivering personalized care and achieving your aesthetic aspirations.

The use of preoperative rhinoplasty simulations helps communicate your desired nasal shape during the consultation. It lets you see, in real time, what different nasal shapes look like on your face. Once a plan is made, these images are used intraoperatively to guide the surgery toward your goal.

While many people desire similarly shaped noses, Dr. Brace delights in uniquely tailoring a rhinoplasty to achieve your goals while allowing you to embrace your heritage confidently.

Revision Rhinoplasty

A revision rhinoplasty procedure involves correcting and refining the results of a previous nasal surgery. It requires meticulous planning and execution by an experienced surgeon. During the procedure, Dr. Brace may address issues such as:

Asymmetry
Crookedness
Breathing difficulties
Septal perforations
Residual bumps or humps
Overly projected or drooping tips
Other aesthetic concerns

Depending on the individual's needs, the surgery may involve reshaping cartilage and bone.

In most cases, cartilage has been resected during previous surgeries and needs to be replaced. To accomplish this, Dr. Brace often uses the patient’s own rib or ear cartilage, depending on the specific needs. Other tissues, like fascia from the scalp or leg, and synthetic materials like PDS (polydioxanone) plates may also be required.

Who is a Candidate for Rhinoplasty?

The nose plays both a central aesthetic role in facial beauty and a functional role in breathing. You may be considering a rhinoplasty if you feel the shape, size, or symmetry of your nose distracts from the overall aesthetic balance and harmony of your face. If you also have difficulties with nasal breathing, altering the shape of the nose will often also improve nasal airflow and breathing. In some cases, the septum (the middle wall on the inside of the nose) is also reshaped and straightened in which case the surgery is referred to as a ‘septorhinoplasty’.

Men and women of every ethnicity and background pursue rhinoplasty for a variety of reasons. Age plays a factor and, in general, a young adult should be finished growing before pursuing surgery. There are familial, cultural, and ethnic considerations for every person and every nose. Techniques vary for each type of nose. A consultation to determine your personal aesthetic goals and an exam of your nose is required to create an individual and specific surgical plan.

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My experience with Dr. Brace and his team at Guelph Facial Plastics has been outstanding.

D.J.

The Art and Science of Rhinoplasty

Many of the maneuvers traditionally used by surgeons during a rhinoplasty are performed to create a smaller or refined nose. While these changes will look beautiful in the operating room, they can result in collapse of the nose over time leading to worsening nasal obstruction and poor aesthetic outcome. When choosing a surgeon, ensuring they have advanced training in rhinoplasty and ample surgical experience with hundreds of rhinoplasty cases can minimize these risks and the risk of requiring revision surgery. Surgeons with advanced cosmetic training through accredited facial plastic surgery fellowships and double board certification are rhinoplasty experts.

Rhinoplasty by Dr. Brace

Dr. Brace is a rhinoplasty expert trained through the American Academy of Facial Plastic and Reconstructive Surgery.

He is double board-certified in facial plastic surgery, by the Royal College of Surgeons of Canada and the American Board of Facial Plastic and Reconstructive Surgery. The process of gaining his Board Certifications required 5 years of surgical training in Canada,

1 year of dedicated facial plastic surgery training at the Ohio State University, and 2 years of surgical practice with peer review of his results. This is in addition to passing both written and oral board exams. After thousands of hours in the operating room under the tutelage of his fellowship director, and hundreds of rhinoplasty cases, Dr. Brace’s skill and expertise in creating natural, beautiful, and functional rhinoplasty results attracts patients from across Canada.

Whether your nose requires minor modifications or major reconstruction, Dr. Brace can help you achieve long lasting, natural looking, results with optimization of your nasal breathing. Dr. Brace is a nasal airway specialist and regularly teaches rhinoplasty and nasal airway surgery to surgical residents. He has presented advanced surgical rhinoplasty techniques at national and international surgical meetings to fellow surgeons and trainees from around the world.

Cosmetic vs. Insured Rhinoplasty

Another commonly asked question in our clinic is whether or not insurance (OHIP here in Ontario) will cover all or part of a rhinoplasty (nose job) procedure. Here is a breakdown of what is covered and what is paid for out-of-pocket by the patient:

OHIP-covered rhinoplasty

A rhinoplasty or septorhinoplasty is covered by insurance when there is a functional issue with the nose (i.e. deviated septum, trouble breathing, nostril collapse) or if trauma to the nose has occurred and it is causing functional impairment. In order to be covered, a referral from your physician to the surgeon (Dr. Brace) is required. Any cosmetic changes to the shape of the nose are not covered by insurance.

Out-of-pocket rhinoplasty

A rhinoplasty is paid for by the patient as soon as any cosmetic changes are desired (i.e. removal of bump, change in width, tip work, altering nostril shape/size, etc). Since Dr. Brace is a trained ear/nose/throat specialist, he will always address any functional (breathing, etc) issues at the same time as the cosmetic concerns.

We do not offer combined rhinoplasty cases, where part of the surgery is covered by the patient and part covered by OHIP. Because cosmetic cases are performed at a private surgical centre (and not at an OHIP-funded community hospital) the patient needs to cover the cost of renting the facility and we cannot bill OHIP for a portion.

Consultation

The consultation is the first and most important step in achieving a fantastic rhinoplasty result. During this visit Dr. Brace will assess your general health, your facial balance and your nose. He will then discuss your aesthetic goals and desires. Dr. Brace uses 3D computer imaging and morphing software to alter images of your consultation for nose surgery. Rhinoplasty consultations are always done in person so the doctor is able to ensure that the nose you desire is clearly communicated. From this discussion and these images he will explain the approach and surgical plan to achieve the best rhinoplasty result.

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