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in Toronto, Ontario, Canada

Learn about
Rhinoplasty Surgery in 3D

Open Rhinoplasty
Closed Rhinoplasty

Both the appearance and function of a person's nose can be improved with nose surgery, technically called rhinoplasty. In Toronto, rhinoplasty specialist Dr. Richard Rival strives to achieve a natural look that provides facial balance without an obviously operated-on result.

To find out if nose surgery in Toronto can improve your appearance, request a consultation with Dr. Rival or call us toll-free at 1-866-229-FACE.

Results That Speak for Themselves

Dr. Rival is a facial plastic surgeon whose results are a testament to his experience and technique. Browse our photo gallery to see more of Dr. Rival's actual patients.

Rhinoplasty Before & After Photos
Before Rhinoplasty   After Rhinoplasty

Keep in mind that each patient is unique and your results may vary.

Am I a Candidate for Rhinoplasty?

If you are in good health and want to improve the appearance of your nose, you may be a good candidate for rhinoplasty. While there is no upper age limit for having rhinoplasty, younger patients may be advised to wait until they are 14 or 15 (when the nose is fully developed) before undergoing the procedure. Dr. Rival performs rhinoplasty to improve a variety of concerns including the following:

  • A nose that is too large or small
  • A hump or bump on the bridge of the nose
  • Nostrils that are too wide or narrow, or asymmetrical
  • A nasal tip that is over projected (sticks out too far); droopy; too small or large; round, boxy, or bulbous
  • Functional defects that impair breathing, such as a deviated septum

During your consultation, you will have the option of having Dr. Rival use computer imaging to create an approximation of your new look. The results can help you feel confident that you won't end up with an obvious nose job. Our Toronto patients enjoy seeing how different changes to the nose will affect the overall appearance of the face. For more information about this procedure, visit Dr. Rival's Rhinoplasty FAQ.

Dr. Richard Rival

Dr. Rival

Board-certified in Facial Plastic Surgery and Otolaryngology, Dr. Rival devotes his practice exclusively to enhancement of the face and neck, with a focused specialty in rhinoplasty.

Read His Bio Request a Consultation

How Do I Choose a Rhinoplasty Surgeon?

The nose is a complex facial structure that can affect both your appearance and breathing. To ensure that your nose integrates naturally with your face and functions properly, consider the following factors when choosing a rhinoplasty surgeon:

  • Board certifications: In Canada, most rhinoplasty surgeons are board certified in either facial plastic surgery or otolaryngology (head and neck surgery). Rhinoplasty often involves both cosmetic and functional enhancements, so it's ideal to choose a surgeon who has both certifications, such as Dr. Rival. Learn more about his credentials.
  • Experience: Although board certification is important, it does not necessarily mean a surgeon has rhinoplasty experience; in fact, many board-certified surgeons have little or no actual experience performing rhinoplasty. Be sure to choose a surgeon who has performed a significant number of rhinoplasty procedures for a variety of concerns and continues to perform the procedure regularly.
  • Results: Surgeons who have extensive rhinoplasty experience will have a sizable portfolio of before-and-after patient photos taken from multiple angles, not just the profile. By looking at these photos, you will be able to see the actual improvements the surgeon has made and the variety of concerns he or she has addressed.
  • Patient recommendations: When friends or family members have attractive results and positive interactions with a surgeon, it's likely your experience will be similar. Internet reviews can provide helpful information, as well.

For other considerations, visit Dr. Rival's Choosing a Plastic Surgeon page.


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How is Rhinoplasty Done?

During rhinoplasty the skin of the nose is elevated to expose the underlying bone and cartilaginous framework. These structures are then re-shaped to achieve the desired result. The skin and soft tissues will re-position themselves over the new form of the nose. Generally 2 approaches can be used: the so-called closed approach where all the incisions are inside the nose, and the open approach where a small incision is made across the skin in between the nostrils. (See illustration below.) Dr. Rival has experience in both procedures. He chooses the surgical approach that is best suited to the desired improvements. If the base of the nose needs to be narrowed or the nostrils reduced, he will remove small pieces of skin below the nostrils.

Closed and Open Rhinoplasty Examples

What is Functional Rhinoplasty?

Sometimes breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping. As a board-certified otolaryngologist (head-neck surgeon), Dr. Rival is trained and experienced in this specialized type of nose surgery. For Ontario residents this portion of the rhinoplasty surgery may be covered by the Ministry of Health.

What is Non-Surgical Rhinoplasty?

A non-surgical rhinoplasty reshapes the nose temporarily using injectable fillers such as JUVÉDERM® or RADIESSE® to build up specific areas. This technique provides minor correction for very specific concerns.

Because fillers are gradually absorbed by the body, the improvements can diminish unevenly. Dr. Rival recommends a surgical rhinoplasty performed by an experienced, qualified physician for more precise results that last indefinitely.

Learn More About Rhinoplasty Procedure

Because he is a rhinoplasty specialist, Dr. Rival maintains a specialty website all about the rhinoplasty procedure. Visit for more detailed information on nose surgery.

What is Revision Rhinoplasty?

Revision rhinoplasty, also called secondary rhinoplasty, is a surgical procedure that corrects unsatisfactory results from a previous nose surgery. An initial rhinoplasty procedure requires specialized skills, but revision rhinoplasty involves complications that make the procedure even more challenging to perform. As a rhinoplasty specialist Dr. Rival is highly educated and experienced in performing revision procedures to provide a variety of improvements including:

  • Improving symmetry between the right and left sides of your nose
  • Correcting incomplete results when not enough tissue or cartilage is removed
  • Rebuilding overcorrected areas using your own cartilage if possible

Although Dr. Rival encourages past rhinoplasty patients to meet with him as soon as they are ready to discuss their concerns, he recommends waiting about a year after the previous rhinoplasty to actually have corrective surgery. That ensures the nose has fully healed and that swelling has subsided completely.

How Much Does Rhinoplasty Cost?

At our Toronto and Newmarket practice, the cost of rhinoplasty depends on several factors, including the complexity of the case, surgical fees, and facility costs. A primary rhinoplasty typically ranges from $3,000 to $12,000; revision procedures generally cost more. The average cost of rhinoplasty at our clinic is $6,500 + HST.

Rhinoplasty is a complex procedure, and it requires both technical and artistic abilities. Your safety and outcome depend on the training and experience of your surgeon. When choosing a surgeon for your rhinoplasty, cost should be a secondary factor.

Is Rhinoplasty Covered by Medical Insurance or the Ministry of Health (OHIP)?

The part of the surgery done to improve breathing (septoplasty, turbinate reduction) is generally covered by your provincial insurance. This is billed directly to the government by your surgeon. The fee quoted to you is for the cosmetic portion of the surgery (rhinoplasty). Nasal deformity as a result of recent trauma or congenital anomaly may sometimes be covered by your provincial insurance. This usually has to be pre approved by your provincial insurance.

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