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Given the central location of the nose, it plays a key role in achieving a balanced, attractive face. The eyes, mouth, cheekbones and face shape all play a supporting role to the most defining feature of a person’s face. The shape, size, width, curvature and contour of the nose determines how the other features of the face are viewed as a congruent whole. Thus it is no surprise that surgery to change the features of the nose, called a Rhinoplasty, is the third most popular plastic surgery procedure and the most common facial plastic surgery procedure. For those hoping to alter the way their nose looks to make it more aesthetically pleasing, Dr. Lapuerta is a rhinoplasty specialist in Houston, TX who can help.

  • Review from J. O.
  • Source: Google
  • Nov 18, 2018
Dr. Lapuerta and his staff really are all 5-star. You feel like you are a VIP from the moment you arrive. With such a delicate subject, Dr. Lapuerta can make you feel at ease. He has operated on me and friends and family. We were all pleased with our outcomes and continue to recommend him.


Rhinoplasty or a nose job, is a cosmetic surgical procedure offered by Dr. Lapuerta that helps Houston, Pearland, and Katy patients have a more desirable nose that is proportional with the rest of the face. Rhinoplasty is done for a number of reasons, including altering how the nose bridge looks, reshaping the nose tip, and enlarging or reducing the nose size. It is sometimes performed to correct nasal breathing and to shorten or widen the base of the nose. It is important for patients to find an experienced surgeon when considering rhinoplasty, and Dr. Lapuerta’s twenty years of experience benefits any patient considering a nose job in Houston.


Individuals unhappy with the shape or size of their nose or portions of the nose, make for good candidates. A nose job may also be a great option for individuals who have trouble breathing out of their nose, including those with a deviated septum. Candidates for a nose job in Houston should be in good overall health, have specific concerns that can be addressed with a nose job and understand the benefits and limits of a rhinoplasty. While a rhinoplasty can address both cosmetic and functional concerns, most patients seek a rhinoplasty to correct one of the following problems:

– Size
– Width
– Shape
– Bulbous or square shaped tip
– Nostril size and shape
– Angle of the nose in relationship to the face, including the profile and
projection of the nose
– Humps and bumps
– Depressions or indentations

Patients considering rhinoplasty should be mature both physically and mentally. The nose continues to grow from birth through adolescence and most will be mature between the age of 15-17. The age of 17-18 is an ideal time for those considering rhinoplasty for a few reasons. The nose is physically mature and patients are generally mentally and emotionally mature enough to make this choice appropriately. Additionally, it is a time associated with significant change in most people’s lives as they graduate high school and begin educational pursuits or enter the workforce. Choosing to have a rhinoplasty at this stage of life, allows patients to be known and remembered by the appearance they feel confident sharing with the world without drawing undue attention to the changes they have made. Regardless of when a patient decides to have a rhinoplasty, it will allow the world to appreciate the harmony of one’s facial features without focusing on the nose itself.

Patients considering a rhinoplasty in Houston by plastic surgeons should have realistic expectations regarding the outcome of the surgery. During a consultation, Dr. Lapuerta will review the concerns regarding the nose and determine whether a rhinoplasty can achieve those goals. A clear understanding between the patient’s goals and what can and cannot be achieved with rhinoplasty is an important part of developing an individualized surgical plan that will achieve the desired outcome. Dr. Lapuerta uses photo imaging of the patient’s face and nose to discuss and describe what can be done. Patients are able to visualize a general idea of how their surgery will alter the shape of their nose and impact their overall appearance. An informed discussion that allows for patient’s questions to be fully addressed is essential to optimizing the outcome of a rhinoplasty surgery.


Rhinoplasty is a broad term that is used to cover a wide range of surgical techniques that are used to address different aesthetic nasal issues. Since rhinoplasty can be applied to multiple procedures, there are various surgical considerations to consider prior to having this surgery. Two of the most common surgical techniques for a nose job are open rhinoplasty and closed rhinoplasty.

Many surgeons prefer the open rhinoplasty approach during nose surgery because they can gain a better view and access to the inside of the nose. Many times the open approach is required to access the structures necessary to achieve the desired corrections. The incision using this approach is made either on the skin between the nostrils or under the nose near the nostrils. Once the incision is made, the skin is moved back to allow access to the internal structures. The incision lines, which will heal nicely and leave scars that are barely visible, are fairly small and usually measure between 2-3 mm.

The closed rhinoplasty technique is used on noses that have features that are more easily corrected. It is commonly used when the tip of the nose has an aesthetically pleasing shape and is not too long, too wide, or over or under projected. The incision made during this approach leaves no visible scar after surgery because it is made on the inside of the nose.


Rhinoplasty is performed under general anesthesia in an accredited surgical facility, such as Dr. Lapuerta’s on-site operating room and surgical facility in Houston, TX. Rhinoplasty in Houston typically takes around 2-3 hours to complete and is considered an outpatient procedure. It is essential to make sure to choose a board certified plastic surgeon with experience performing rhinoplasty, sometimes referred to as a nose job plastic surgeon. Dr. Lapuerta is an expert rhinoplasty specialist in Houston TX, with over two decades of experience, including nose jobs, to correct the full spectrum of cosmetic concerns with the nose.


Patients can expect to have moderate discomfort to mild pain after a rhinoplasty. After surgery, patients will wear a nose splint and will experience bruising and swelling around the nose and eyes. Expect bruising and swelling to begin to subside after a few days. Once the bandages and splint are removed, the nose will look normal, but patients may experience some tenderness around the nose, and will still have swelling. Any discomfort or pain can be appropriately managed with medication. Strenuous physical activities should be avoided for at least four weeks to allow for sufficient healing. While most people are comfortable with the appearance of their nose and can return to work after 3-5 days, it can take up to a full year for all of the swelling to subside and the nose to gain its new contour and softness.


Rhinoplasty is a tailored surgery, thus the cost of a nose job in Houston will vary depending on the aesthetic goals of the patient, as well as any functional corrections that need to be made. Some procedures will involve soft tissue only, while others will involve the bone and possible skin grafting and cartilage reconstruction. On average, patients can expect to pay between $5,000-$8,000. The best way to get an accurate estimate of the expected cost is to schedule a consultation with Dr. Lapuerta. During the visit, patients have the chance to explain exactly what aesthetic changes they desire for their nose so that Dr. Lapuerta can construct a treatment plan. Once a treatment plan is agreed upon, a detailed, all inclusive quote will be provided allowing patients to know the exact total rhinoplasty cost in Houston with Dr. Lapuerta. For patients who may be interested in exploring financing options, Dr. Lapuerta’s office offers a number of options for low monthly payment plans.


  • Recovery Time
  • 1-2 Weeks
  • Average Procedure Time
  • 2-3 Hours
  • Post-op Follow-up
  • 1 Week
  • Procedure Recovery Location
  • Outpatient


Yes, and this fear is always elevated when surgery involves the face. However, more than 350,000 people in the U.S. undergo rhinoplasty each year making it one of the most common cosmetic surgeries. One way to help calm your fears is to make sure you find a reputable and skilled surgeon that has extensive experience with nose surgery.
About half of rhinoplasty patients will benefit from a manual nasal fracture during surgery. This planned break allows access to perform certain functions during surgery such as narrowing the width of the nose or correcting an asymmetrical nose. This is a common practice and heals within just a few weeks following surgery.
Nasal packing is the insertion of gauze and/or cotton packs into the nasal chamber after surgery. These are used to control bleeding, but are not necessary 100% of the time. They are generally used if the surgery includes the septum.
Noses that are too large or too wide, or have a specific deformity may only be able to be enhanced through nose surgery. However, the look of some noses may be able to be enhanced using an injectable filler such as collagen, calcium hydroxyapatite, or fat taken from another part of the body, “injection rhinoplasty” may be an option before resorting to surgery. This is an in-office procedure that can help to soften and camouflage a bump, alter the tip of the nose, and smooth out irregularities.
Leo Lapuerta Plastic Surgery