March 10, 2026
Beauty and the Beasts | Episode 10 Rhinoplasty Nose Surgery Form, Function, and Natural Results
Beauty and the Beasts | Episode 10 Rhinoplasty Nose Surgery Form, Function, and Natural Results
In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella dive deep into the art and science of rhinoplasty, one of the most challenging and rewarding procedures in plastic surgery.
Rhinoplasty is often misunderstood as a purely cosmetic operation. In reality, it requires a unique blend of structural engineering, aesthetics, and functional airway preservation. The surgeons explain why rhinoplasty is a completely different skill set from most other plastic surgery procedures and why experience matters so much when shaping the nose.
The conversation explores the differences between open and closed rhinoplasty and why the choice of technique depends more on the surgeon’s goals and experience than on patient preference. Dr. Pacella and Dr. Jejurikar explain why open rhinoplasty often allows for better cartilage control, tip support, and long term stability, and why the small scar at the base of the nose is typically inconsequential.
They discuss why patients should not bring celebrity noses to their consultation and why nasal skin quality, facial balance, and individual anatomy make copying another person’s nose unrealistic. The surgeons emphasize the importance of maintaining identity, culture, and facial harmony, explaining that the goal of rhinoplasty is for the nose to fit the face, not to become the focal point.
The episode also covers key differences between male and female rhinoplasty. The surgeons explain why subtlety is especially critical in men, why straight or slightly prominent nasal profiles are often masculine, and how over reduction can lead to feminized or unnatural results.
A significant portion of the discussion focuses on functional rhinoplasty and breathing. Dr. Pacella explains why evaluating nasal airflow, septal deviation, and internal nasal valve anatomy is essential before surgery, and why imaging such as CT scans can help guide surgical planning. Dr. Jejurikar discusses how aesthetic maneuvers can affect airflow and why protecting breathing during surgery is just as important as improving appearance.
Recovery expectations are discussed in detail, including what patients can expect when the splint is removed, why swelling improves gradually over months, and why tip swelling often lasts the longest. The surgeons explain why patients may look socially presentable within weeks but should expect the final result to evolve over a full year.
Dr. Pacella also shares a personal story about undergoing rhinoplasty himself for breathing issues, highlighting how being a patient can shape a surgeon’s approach to comfort, technique, and postoperative care.
This episode is ideal for patients considering rhinoplasty, those researching nose surgery for cosmetic or breathing concerns, and anyone who wants a realistic understanding of results, recovery, and long term outcomes.
Subscribe for honest, experience driven conversations on plastic surgery, facial aesthetics, and evidence based care.
In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella dive deep into the art and science of rhinoplasty, one of the most challenging and rewarding procedures in plastic surgery.
Rhinoplasty is often misunderstood as a purely cosmetic operation. In reality, it requires a unique blend of structural engineering, aesthetics, and functional airway preservation. The surgeons explain why rhinoplasty is a completely different skill set from most other plastic surgery procedures and why experience matters so much when shaping the nose.
The conversation explores the differences between open and closed rhinoplasty and why the choice of technique depends more on the surgeon’s goals and experience than on patient preference. Dr. Pacella and Dr. Jejurikar explain why open rhinoplasty often allows for better cartilage control, tip support, and long term stability, and why the small scar at the base of the nose is typically inconsequential.
They discuss why patients should not bring celebrity noses to their consultation and why nasal skin quality, facial balance, and individual anatomy make copying another person’s nose unrealistic. The surgeons emphasize the importance of maintaining identity, culture, and facial harmony, explaining that the goal of rhinoplasty is for the nose to fit the face, not to become the focal point.
The episode also covers key differences between male and female rhinoplasty. The surgeons explain why subtlety is especially critical in men, why straight or slightly prominent nasal profiles are often masculine, and how over reduction can lead to feminized or unnatural results.
A significant portion of the discussion focuses on functional rhinoplasty and breathing. Dr. Pacella explains why evaluating nasal airflow, septal deviation, and internal nasal valve anatomy is essential before surgery, and why imaging such as CT scans can help guide surgical planning. Dr. Jejurikar discusses how aesthetic maneuvers can affect airflow and why protecting breathing during surgery is just as important as improving appearance.
Recovery expectations are discussed in detail, including what patients can expect when the splint is removed, why swelling improves gradually over months, and why tip swelling often lasts the longest. The surgeons explain why patients may look socially presentable within weeks but should expect the final result to evolve over a full year.
Dr. Pacella also shares a personal story about undergoing rhinoplasty himself for breathing issues, highlighting how being a patient can shape a surgeon’s approach to comfort, technique, and postoperative care.
This episode is ideal for patients considering rhinoplasty, those researching nose surgery for cosmetic or breathing concerns, and anyone who wants a realistic understanding of results, recovery, and long term outcomes.
Subscribe for honest, experience driven conversations on plastic surgery, facial aesthetics, and evidence based care.