Rhinoplasty is the most common type of plastic surgery performed in the United States and is considered by many to be one of the most difficult operations done in modern times. This is due to the dual role of the nose in both function and aesthetics. It is a prominent feature on your face that is seen by everyone that meets you. A natural looking, proportional nose that functions well, is the overall goal. A good rhinoplasty results in a nose that fits the face, but does not draw attention; allowing the observer to focus on the eyes.

Before & Afters


Non-surgical nose job - Rhinoplasty in Troy


Nose job for men - Rhinoplasty in Michigan

This beautiful young woman had a nasal fracture when she was a teenager that she didn’t get fixed, then refractured it again 1 month before she came to see me. She was having trouble with breathing as well due to her deviated septum.
She underwent an open rhinoplasty with reduction of the large hump, bilateral spreader grafts, septoplasty, osteotomies and turbinate reduction.
She had an excellent result and is overjoyed with her result. She is breathing great and extremely happy.

More before and after photos can be found in the photo gallery and on my facebook page:

“I still look the same – just better!!!!”

Dr. Compton is a skilled, friendly, artistic doctor. I went to him with a severe deviated septum and breathing problems. We discussed my options and also my options of having my nose reshaped. I wanted my nose to look the same – just better. He took time with me and even sent me morphed photos of what to expect. I went back with my husband and we went over my options again. I never felt rushed. I decided to have my nose “tweaked” which gave me a better profile and improved the tip of my nose. I still look the same – just better!!!! I would highly recommend Dr. Compton.

– C.W.

Dr. Compton is considered Metro Detroit’s leading expert in rhinoplasty surgery. His knowledge of both the cosmetic and airway considerations allows him to provide a natural looking nose that meets patients’ expectations, while preserving nasal breathing. He is also a sinus surgeon so he has a full understanding of the nose and its functions. He has performed over 1200 nasal surgeries including rhinoplasty, septoplasty and nasal reconstruction after trauma or cancer.

Who Is a Good Candidate for Rhinoplasty?

The indications for rhinoplasty surgery can be divided into 2 major categories, restricted nasal breathing and unappealing nasal appearance. One or both of these may be desired by a patient. If a patient wants to change the appearance of their nose for a more pleasing aesthetic or to fit more proportionally with his or her other facial features, it is considered cosmetic rhinoplasty.

This type of surgery can greatly improve one’s appearance and offer significantly improved self esteem and self confidence. This type of surgery can be performed once the nasal cartilage has reached its full growth, usually around 15- 16 years of age. Cosmetic rhinoplasty is considered elective surgery – in other words, it is not mandatory that you have the surgery.

Rhinoplasty by Dr. Andrew Compton - Michigan

Your Rhinoplasty will be performed by Dr. Andrew Compton at Royal Oak Beaumont Hospital, West Bloomfield surgery center or in his office in Troy.

How To Prepare For Your Rhinoplasty

During your personalized consultation with Dr. Compton, he will ask you about your medical history and if you have had any previous surgeries. He will also ask if you are taking any medications, including aspirin or ibuprofen. It is important to stop taking these before your surgery, as they increase the risk of bleeding during and after the procedure.

Dr. Compton will also ask about your smoking history, as any nicotine use whatsoever is completely contraindicated for 3 months before and after surgery. Marijuana use should be restricted to a similar timeframe in a smoking form, edibles are permissible up to 2 weeks before and 2 weeks after surgery. There is an unknown bleeding effect that occurs with use of edibles that can lead to higher risk of complications including hematomas and severe bleeding.

Dr. Compton will examine your nose during your consultation and discuss the best technique to use during your rhinoplasty. He will review before-and-after photos with you to give you a better idea of your potential results. He will also answer any questions you may have about the procedure and/or aftercare instructions.

Once you thoroughly understand the procedure and Dr. Compton has created a surgical plan, the schedule for your rhinoplasty surgery will be finalized.

The Procedure

The duration of the rhinoplasty procedure will depend on the patient’s customized surgical plan. Duration typically lasts 1-3 hours for primary cases and up to 8 hours for revisions.

At the start of the procedure, anesthesia will be administered. Cartilage may also be harvested from a donor area like the ear or rib if a graft is called for in the specific surgical plan. If a rib graft is harvested, Dr. Compton will place an On-Q pain pump for local anesthetic delivery to provide significant patient comfort after the rib harvest. You will also stay overnight in the hospital for medical monitoring. The rib incision is placed in the area where a bra underwire would sit, or below the pec muscle in male patients. This generally heals very well and is hardly perceptible after a few months.

Incisions will be made either inside the nostrils or across the columella (the section of external tissue between the nostrils). The required corrections will then be made to achieve the goals of the patient. The incisions will be closed with sutures to complete the rhinoplasty procedure.

Rhinoplasty by Dr. Andrew Compton - Troy


In general, rhinoplasty is performed on an out-patient basis, meaning patients go home the same day after surgery. The pain is easily controlled with prescription pain medications and is described by many patients as similar to a bad cold. Most patients do not require narcotic pain medication after 48 hours.

You will have tape and a cast on your nose for one week following the procedure and may have facial swelling and bruising. These typically resolve in the first 7-10 days but may be present for up to 14 days. Physical activities will be limited, and facial pressure or trauma must be avoided.

Generally, most swelling around the nose subsides within a few months. While you may be able to see results shortly after your procedure, it is important to note that you may not see the full results from your rhinoplasty for up to a year.

It is important to follow Dr. Compton’s aftercare instructions to ensure the healing process after your rhinoplasty goes as smoothly as possible. Dr. Compton will provide aftercare at 1 week, 1 month, 3 months, 6 months and 1 year post op, then he is happy to see his patient’s every year following that. This may be altered if there is a complication or a patient is needing closer monitoring.

A follow-up appointment will be scheduled for Dr. Compton to check on your recovery progress. During this, he will assess the results of your rhinoplasty surgery.


The cost of rhinoplasty surgery depends on the techniques used during the procedure, as well as the amount of tissue removed and the time it takes to complete the procedure. If you have questions about the cost of this procedure, be sure to ask Dr. Compton during your consultation, as he will be happy to discuss the cost with you before your surgery.

If the rhinoplasty procedure is being performed to improve nasal function, its cost may be covered by health insurance. In these cases, patients are recommended to check with their provider to determine the coverage of their insurance plan. Financing options may also be discussed.

Schedule Your Consultation Today

If you are interested in learning more about rhinoplasty surgery and think you are a good candidate for this procedure, contact the office of Dr. Andrew Compton today. Dr. Compton is a double-board certified ENT and facial plastic surgeon.

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