Rhinoplasty is surgery to change the size, shape, and projection of the nose. The procedure can smooth an unwanted bump, make a wide nose narrower, or straighten out one that is misaligned. It can also refine the slope of your nose or change the shape or position of its tip. These revisions can bring harmony to your facial features and improve your overall appearance.

Dr. Michael Zenn is among the most experienced board-certified plastic surgeons performing rhinoplasty in the Raleigh and Cary area. He combines over 25 years of plastic surgery experience with expert surgical skills and an eye for aesthetic detail.

Dr. Zenn’s All-Ivy-League pedigree is unusual in the world of plastic surgery. It includes a medical degree from Cornell University, general surgical training at Cornell Medical Center, plastic surgery training at Massachusetts General Hospital / Harvard University, and a head and microsurgical neck fellowship at Memorial Sloan Kettering. This background and his extensive surgical experience provide attractive, predictable, and natural-looking outcomes for his patients.


Dr. Zenn’s Approach to Rhinoplasty

Typically, younger patients in the Raleigh and Cary area choose to have rhinoplasty because they aren’t happy with the way their nose looks. Dr. Zenn can help them achieve a more balanced and pleasing appearance.

He may also recommend rhinoplasty to older patients who have always been unhappy with their profile or have broken their nose in the past and do not like how it looks now. Through surgery with hidden incisions, Dr. Zenn can subtly reduce the size or alter the appearance of the nose to give patients an improved profile.

As part of his process with rhinoplasty, Dr. Zenn uses:
  • Computer morphing to show patients how they may look after the procedure.
  • A general anesthesia, so patients are asleep and comfortable.
  • An open surgical technique. The “open” approach allows him to see the internal structure of the nose and provide more stable and refined results.
  • An artist’s eye. He focuses on outcomes that complement each patient’s facial proportions and features.


“Dr. Zenn’s kindness and skill has changed my life. It is amazing to me that someone who is so talented and skilled and confident can also be as approachable, kind, genuine and nice as Dr. Zenn is.”
-Happy Patient


Your Rhinoplasty Consultation

At your initial consultation, Dr. Zenn will ask you about your reasons for visiting the practice and the aesthetic changes you are considering. If your nose is an area of concern, he will evaluate whether rhinoplasty will adequately address your needs and develop a treatment plan around your goals. If the reason for your concern involves problems breathing through your nose, we will refer you to a breathing specialist in the area.

During your consultation, Dr. Zenn will take several photographs of your face and nose. He will use these images to create a computer model that will show how changes to the size, slope, shape, and width of your nose may affect your appearance. At home, you can consider the proposed changes for a few days, discuss with others, and even mark changes to reflect your preferences. Dr. Zenn has found this to be a valuable exercise to insure realistic expectations and clarity on what can be achieved with surgery.

Sharing your expectations is key to a successful outcome with rhinoplasty. Based on your goals, Dr. Zenn will help you understand what the procedure can accomplish. He will listen to and incorporate your aesthetic vision, creating a surgical plan that will offer you the most flattering results possible.


Your Experience with Rhinoplasty

Your surgery will take place at an accredited facility in the Raleigh and Cary area. For your safety, a board-certified anesthesiologist/CRNA will administer anesthesia. When you are completely asleep and comfortable, Dr. Zenn will:

  • Revise the underlying structure of your nose to reshape it.
  • Use an open procedure to allow for more precise results.
  • Perform the surgery in a way that leaves only a small, inconspicuous scar where the bottom of the nose meets the face. All other incisions are inside the nose and not visible.

Patients should expect some swelling, bruising, and tenderness following rhinoplasty, the degree of which depends on the surgery performed and is patient specific. Your nose will have a small splint for the first week, and Dr. Zenn will instruct you on how to care for and protect your nose as it heals. Facial bruising can be present for two weeks or more. Patients may return to work at a week, but important social engagements should be delayed for a few weeks. Full active exercise can be performed at four weeks after surgery. While an immediate change will be obvious, it takes months for swelling to completely resolve and for the final result to be evident. The goal is a nose that is more in line with your aesthetic goals and in harmony with your other facial features.

If you have always wanted to change something about your nose, you may be a good candidate for rhinoplasty. Raleigh and Cary area patients can contact Zenn Plastic Surgery online or by phone at (919) 480-3885 to schedule an initial consultation.

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