Dr. Macias and her staff helped make this very personal decision easy and comfortable. They took the time to listen and answered all my questions. I was very nervous about having breast surgery but after it was done I was so happy with the results. She truly nailed it. I would highly recommend Dr. Macias to anyone considering any cosmetic surgery.
Benefits of Rhinoplasty
A rhinoplasty procedure offers several aesthetic and functional benefits, including:
- Enhances facial balance and symmetry
- Corrects bumps, depressions, or asymmetry
- Refines a wide or bulbous nasal tip
- Reduces nostril size if excessively flared
- Improves breathing by correcting nasal obstructions
- Boosts self-confidence with a more proportionate nose
Whether your goal is cosmetic enhancement or functional correction, rhinoplasty can provide long-lasting improvements that complement your natural facial structure.
Who Is a Good Candidate for Rhinoplasty?
You may be a good candidate for rhinoplasty if you:
- Feel your nose is too large, crooked, or disproportionate to your face
- Have a bump or depression on the bridge of your nose
- Experience difficulty breathing due to nasal obstruction
- Have asymmetry due to a previous injury
- Are in good overall health and do not smoke
- Have realistic expectations about the outcome of the procedure
During your consultation, our board-certified plastic surgeons will evaluate your concerns and goals to determine if rhinoplasty is the best solution for you.
Before & Afters
The Rhinoplasty Procedure Process
A rhinoplasty procedure is tailored to each patient’s unique anatomy and aesthetic goals. The two main surgical techniques include:
Open Rhinoplasty (For More Complex Reshaping)
- A small incision is made across the columella (the vertical strip separating the nostrils).
- The skin is lifted to allow for precise reshaping of nasal cartilage and bone.
- This technique is used for major structural modifications and allows greater visibility for the surgeon.
Closed Rhinoplasty (For Subtle Refinements)
- All incisions are made inside the nostrils, leaving no external scars.
- This technique is ideal for minor nasal reshaping and offers quicker recovery times.
Reshaping the Nasal Structure
- The surgeon sculpts the nose’s bone and cartilage to achieve the desired shape.
- In some cases, cartilage grafts from the septum or another part of the body may be used for structural support. When a patient does not have enough suitable cartilage available from their own body (typically the septum, ear, or rib), donor cartilage grafts may be used as an alternative.
- If necessary, the nostrils can be refined by removing small skin wedges at the base.
Closure & Recovery Preparation
- The skin is re-draped, and incisions are closed with sutures.
- A splint is applied to help maintain the new nasal shape during healing.
Procedure Time: one and a half to three hours
Rhinoplasty Recovery and Aftercare
- Same-Day Discharge: Rhinoplasty is an outpatient procedure, so patients return home the same day.
- Nasal Packing & Splints: Packing is typically removed within 24-48 hours, and external splints within one week.
- Swelling & Bruising: Peaks in two to three days and gradually subsides over several weeks.
- Pain Management: Mild discomfort and nasal congestion are managed with prescribed medications.
- Avoid Blowing Your Nose: To prevent complications, do not blow your nose for at least a week.
- Limit Physical Activity: Strenuous activities should be avoided for at least four weeks.
- Final Results: Most swelling subsides within a few months, but full refinement takes up to a year.
Following postoperative instructions ensures a smooth recovery and optimal results.
Results: What to Expect After Rhinoplasty
- Initial results are visible once swelling decreases within the first few weeks.
- Final results take up to one year as the nose fully heals and refines.
- Improvements in both nasal shape and function create a more proportionate and balanced facial profile.
- Breathing function is significantly improved in cases where obstructions were corrected.
Patients typically experience a boost in confidence as their new nose complements their facial structure more naturally.
Risks and Considerations
While rhinoplasty is a safe and effective procedure, potential risks include:
- Temporary swelling and bruising
- Mild breathing difficulties during initial recovery
- Minor asymmetry, which may require revision
- Infection, bleeding, or reaction to anesthesia (rare)
Choosing a board-certified plastic surgeon with rhinoplasty expertise significantly reduces these risks and ensures optimal results.
Preview Your Rhinoplasty Results in 3D
See your potential results before surgery with VECTRA 3D imaging. During your rhinoplasty consultation, we’ll use advanced 3D imaging to create a personalized model of your face, allowing you to visualize changes to the shape, size, and profile of your nose. This powerful tool helps you explore potential outcomes and make confident, informed decisions—before your procedure even begins.


Real Patient Testimonials/Reviews
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
Dr. Macias is AMAZING!! She is so caring and kind. She listens to her patients and seems to really love her job and cares about her patients. I would highly recommend her. Her staff also has been very wonderful and caring all the time!
I was referred to The Centre by the on call hand Doctor that reviewed my ER case after I split my thumb open. From setting up my appointment to being taken care of by the staff, it was a pleasant experience. Each member of the team I met was attentive, very forthright with any information I needed & were an absolute pleasure to be around. Dr. Downs has an amazing staff!
I’ve been going to the Spa for a few years now and have always had a positive experience with my services and staff. Everyone is always kind and informative. Ashley Kweder has easily been my favorite cosmetic injector! She has always been able execute everything I wanted, keeping me well informed and being absolutely the sweetest! Highly recommend
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
Dr. Downs and whole team at Centre PC have been amazing! They listened to me as I told them my desired results, provided different options for me, based on years of industry knowledge and worked alongside me as I navigated the headaches of insurance. I couldn’t be happier with my experience there and would highly recommend them to anyone looking to make some positive change in their life!
I love the centre. Pc. The staff they treat you like they know you forever they explain they make sure what you’re going to do and ext. Doctor Downs is the best. He’s funny but when is about to do his job is he’s very strict and very discipline no doubt. Thank you guys for make me feel happy and look beautiful 😍 God bless all of you 🙏😍
I received a rhinoplasty from Dr. Macias and my nose is PERFECT. 😍
I enjoyed my whole experience but here are a few specific highlights that stuck out:
- The staff is kind, informative, and responds quickly.
- I loved the simulation they used to show desired results.
- The staff the day of surgery was fun and helped me with my nerves.
- From the little shopping I did, their prices were the best (sometimes by far!).
Dr. Downs and his staff are amazing!
He took me on as a patient after another surgeon botched me.
Dr. Downs will take the time to review everything with you and let you know what your options are.
His staff are wonderful and they make you feel so comfortable!
You will be in great hands with Dr. Downs and his team!
Schedule
Your Consultation
Today!
Refine your facial harmony with expert rhinoplasty at The Centre, P.C.
Call 574-968-9100 (Option #2) to book your consultation today.
Frequently Asked Questions
About Rhinoplasty in Mishawaka, IN
Our surgeons use Vectra 3D imaging technology to create a digital simulation of your new nose, helping establish clear expectations and communication.
- Closed rhinoplasty is performed inside the nose with no visible scars.
- Open rhinoplasty involves a small incision under the nose for more extensive modifications.
Most patients report mild discomfort, congestion, and tightness rather than severe pain. Medication and cold compresses help reduce swelling and discomfort.
- Most patients return to work within seven to ten days after splint removal.
- Avoid strenuous activities for four to six weeks to prevent complications.
- In closed rhinoplasty, there are no visible scars.
- In open rhinoplasty, the small incision under the nose typically heals very well and becomes barely noticeable over time.
Call 574-968-9100 (Option #2) to schedule your consultation and discuss your best surgical options with our expert surgeons.