110 Copper Creek Drive, Suite 300

Markham, Ontario



Dr. John Kao
Dr. Ron Wallman


Commonly referred to as a “nose job”, rhinoplasty is the surgical procedure designed to reshape the nose. As part of this procedure, multiple areas of the nose can be targeted: the size of the nose can be reduced or increased, the shape of the tip of the nose and the bridge can be modified. Additionally, the nostrils can be narrowed and the angle between the nose and upper lip can be changed.


Patients may decide to have rhinoplasty for aesthetic reasons, but also to correct some problems with breathing.

Given the multiple changes that can be achieved with rhinoplasty, Dr. Kao and Dr. Wallman will discuss your goals, and provide multiple changes that can occur to help determine your desired outcome.

There are two ways Dr. Kao and Dr. Wallman can perform rhinoplasty. In a “closed” rhinoplasty, a small incision will be made on the inside of the nose. In an “open” rhinoplasty the incision is made in the tissue between the nostrils (referred to as the “columnella”). Once either incision is made, Dr. Kao and Dr. Wallman can access the internal structure of the nose and make the required modification.

Silicone gel implants are also available in Canada. These implants are made of a solid gel are called “gummy bear” implants because inside, they look and feel like gummy bears. Dr. Wallman and Dr. Kao will discuss with you what choice of implant will best help to achieve your desired results.

Once the incision is made, Dr. Kao or Dr. Wallman will create a pocket to place the implant. Depending on your size and shape of your breasts, this pocket will either be made directly behind the breast tissue or beneath your pectoral (chest) muscles. The implant is then inserted to complete the procedure.

Most women return to work and their usual activities in about one to two weeks following the insertion of implants. Following the procedure, it is normal to experience swelling and bruising. However, this will dissipate quickly.
Other potential complications include infection, blood accumulation in the breast which may require draining or side effects from anesthesia.

As part of the natural healing process, scar tissue forms around the implant. In a small percentage of women, the scar tissue becomes firm and tight. This is called a ‘capsular contracture’ and may result in the implant being compressed, causing the breast to feel more firm than usual. This can be treated through the removal of the scar tissue or, in more rare cases, the removal and reinsertion of a new implant.

Breast augmentation does not usually affect a woman’s ability to breast feed, unless nipple sensation is reduced, however some women do report changes in the sensitivity of the breast and nipples. It is important for women with implants during their routine mammograms to inform their health care practitioners of their implants as they may require additional imaging to capture a full view of their breasts.

Rhinoplasty is typically done on an outpatient basis, and does not require an overnight stay. After your surgery, you can expect your nose and eye area to be bruised, swollen and achy, which can last for a few weeks. In one to two weeks, all dressings, splints and stitches should be removed. It is recommended not to participate in strenuous activities for two to four weeks after surgery.

Before & After

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Before & After