Rhinoplasty is one of the most intricate facial surgeries because it requires a balance between aesthetic goals and proper nasal function. When a patient has had prior nasal surgery, the anatomy and scar tissue can make the process even more complex. Finding the right surgeon to take care of these complex cases is crucial.
At Robey Plastic Surgery & Regenerative Medicine, Dr. Robey performs both primary and revision rhinoplasty with a focus on form and function. She is an expert in complex cases, as well as straightforward ones. Whether the goal is to improve airflow, adjust previous results, or refine nasal contours, Dr. Robey approaches each procedure with meticulous precision. Anyone planning a rhinoplasty in Carmel, IN, will find that Dr. Robey’s skill and precision set the standard for care.
Rhinoplasty is a nose contouring procedure that refines or reconstructs the internal and external structures of the nose. It can adjust proportions, correct deformities, or improve nasal airflow when structural issues interfere with breathing. During nose contouring in Indianapolis, Dr. Robey reshapes the cartilage and bone to make the nose smaller or larger, reduce bumps or adjust the size of the tip.
At Robey Plastic Surgery, several different types of rhinoplasty are offered, depending on the situation. Options include:
Request Your ConsultationAesthetic rhinoplasty is used to refine the visible structure of the nose to improve facial balance and proportion. Adjustments can include reshaping the bridge, refining the nasal tip or correcting asymmetries.
Dr. Robey evaluates the bone and cartilage structure carefully to produce natural contours that fit the rest of the features. Proportion and symmetry are important, with subtle changes that retain unique facial characteristics. This type of facial plastic surgery in Indianapolis can be performed on its own or in combination with other nose and face surgeries.
Functional rhinoplasty improves airflow and corrects structural blockages that interfere with breathing. Problems such as a deviated septum, collapsed nasal valves, turbinate hypertrophy or internal scarring can obstruct airflow and lead to chronic congestion.
During surgical correction, Dr. Robey strengthens internal supports while preserving or restoring the nose’s natural framework. Enhanced breathing can make daily activities more comfortable and reduce dependency on nasal sprays or medications.
Revision rhinoplasty addresses concerns that persist after previous nasal surgery, whether cosmetic, functional or both. Scar tissue, altered cartilage and changes in nasal support often make secondary operations more challenging than primary cases.
It is important to get an accurate assessment from a surgeon experienced in revision surgery so that the area can be corrected without compromising the stability or function of the airways. Each case requires detailed planning to rebuild or reshape the nose while preserving the integrity of these structures.
Septoplasty is a surgery that specifically corrects deviations or irregularities in the septum, the cartilage and bone wall dividing the nasal passages. A deviated septum can cause chronic congestion, nosebleeds or snoring when one side of the airway becomes narrowed. This condition can be present at birth or can be caused by injury to the nose.
Straightening and stabilizing the septum can help restore more consistent airflow and make breathing easier. The internal improvement from septoplasty often complements other nasal surgeries by addressing the functional foundation of the nose. With septoplasty in Indianapolis, Dr. Robey discusses whether functional improvements are necessary or if cosmetic adjustments can be performed during the same procedure.
During an open rhinoplasty, a small external incision along the columella (the strip of tissue between the nostrils) is combined with intranasal incisions. The nasal skin is lifted to expose bone and cartilage for direct visualisation and reshaping. This method provides greater control for complex or revision cases that need detailed correction. The incision is external, but heals with minimal visibility.
Incisions inside the nostrils are utilized during closed rhinoplasty, leaving no external scar. The technique allows adjustments to the nasal bridge and tip. It is often suitable for less complex changes and may involve slightly faster recovery. As the best rhinoplasty surgeon in Indianapolis, Dr. Robey works with patients to determine which method is right for the situation.
Ideal candidates for rhinoplasty typically share certain characteristics that help support a safe and predictable outcome. Candidates for rhinoplasty:
Each evaluation involves a detailed consultation where Dr. Robey will review anatomy, function and goals and determine whether rhinoplasty is the right approach.
The first step of rhinoplasty involves a detailed discussion of nasal concerns, breathing function and aesthetic goals. Dr. Robey examines the internal and external structures of the nose and may use imaging to show potential outcomes.
The consultation is centered around understanding anatomy and what can realistically be achieved through surgery. As an experienced Indianapolis rhinoplasty surgeon, Dr. Robey helps patients make informed decisions about the surgery.
Before surgery, Dr. Robey gives patients all of the specific instructions needed to prepare for the surgery. Patients sometimes need to avoid certain medications and stop smoking if applicable. It is also important to arrange for a ride home after surgery. Medical history and anesthesia options are reviewed, as well as what to expect during and after surgery.
On the day of rhinoplasty, Dr. Robey reviews the surgical plan in detail and goes over any questions the patient may have about the process. Anesthesia is administered by an anesthesiologist to maintain comfort throughout the procedure. The incision discussed during consultation is carefully made, allowing Dr. Robey to begin refining the nasal shape and structure. Depending on the complexity of the case, the surgery may take several hours. After completion, the patient rests in a recovery area under observation before discharge.
Recovery from rhinoplasty surgery for Carmel patients is gradual, and healing continues beyond the initial few weeks. Dr. Robey provides follow-up visits and guidance to help care for the nose throughout the process and support the best possible outcome.
Results from rhinoplasty develop gradually as swelling resolves and the nasal tissues adjust to their new shape. Early improvements in contour can be seen within a few weeks once bandages and splints are removed, though the nose may still appear slightly swollen. As healing progresses, definition becomes more refined, and the nasal bridge and tip settle into their final position.
Most visible changes are apparent within three months, but subtle refinements can continue for up to a year as the last of the swelling disappears. Structural adjustments made during surgical nose balancing enhance the appearance of the nose and also help maintain long-term stability.
The final outcome offers results that fit naturally with the rest of the facial features. Dr. Robey monitors healing closely during follow-up visits to ensure the structure continues to mature properly.
Rhinoplasty can sometimes be combined with other facial procedures to address multiple areas at once:
Dr. Ashley Robey brings a rare combination of technical expertise and surgical precision to every nose surgery in Indianapolis that she performs. Her background in both plastic surgery and otolaryngology has given her a deep understanding of facial anatomy.
As a quadruple board-certified surgeon, she combines her training with extensive experience in reconstructive and aesthetic surgery. She has presented her work internationally and contributed to respected medical journals.
Dr. Robey approaches each procedure with careful analysis and open communication, and every surgical plan is based on the individual’s anatomy and goals. Her focus is on delivering precise, balanced and functional outcomes that fit with the natural shape of the face.
“Dr Ashley Robey has SKILLS! She is also professional and personable. My incisions are so clean, they look like they were drawn with a fine point pen. Her Staff is just as Amazing as She is! Dr Robey and the surgical team stood over me for 7 hrs 59 mins, until “she knew I would love it”! I’m 6 weeks post op and my expectations were more than exceeded! Please consider Dr. Robey if you’re consulting with Plastic Surgeons, you won’t be sorry!”
— L.A.
“I can not say enough wonderful things about Dr. Robey and her team! I would have considered myself “botched” from a prior surgery and in pain for many years. So scared of having a doctor not know how to properly help me and my condition. Dr. Robey knew just what to do to fix me and get me looking and feeling beautiful again! If you are looking for the job to be done right the first time, she is the surgeon for you! A+++”
— Intuitive7001
“Fantastic experience with Dr Robey from our initial appointment, surgery to post op meetings. She is very easy to talk to, really listens to her patients needs and provided excellent advice. The office staff and her nurse were very helpful and a delight to work with. Most importantly, the outcome of surgery more than exceeded my expectations.
This is the second time Dr Robey has performed surgery on me. I am proud to be a repeat customer of this practice.”
— avilamoore
Surgery typically lasts two to four hours, depending on complexity. Revision or functional cases may take longer due to the need for cartilage grafting or reconstruction. Dr. Robey takes as long as needed to make sure patients are happy with the result at the end.
Incisions for rhinoplasty in Carmel, IN, are often placed inside the nostrils or along the columella, where they become barely noticeable once healed. Most scars fade well and blend with the surrounding tissue, even in open approaches that require external access.
Results are long-lasting because cartilage and bone maintain their new structure once healed. Natural aging will continue, but the refined nasal shape remains stable for many years. Proper healing and long-term care help preserve both appearance and function.
Risks may include bleeding, infection or asymmetry, though these are uncommon when performed by an experienced surgeon. Dr. Robey takes precautions before and after surgery to support optimal recovery and minimize complications.
Cost varies depending on the complexity of the case, surgical technique, and whether functional correction is included. Revision cases or combined procedures often require additional time and resources. Those considering functional rhinoplasty in Indianapolis can discuss detailed pricing and planning during the consultation.
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Call 317.721.7110During each Rhinoplasty, Dr. Robey blends aesthetic artistry with functional precision, addressing both appearance and breathing concerns. Through her extensive training and experience, she can create authentic-looking results and long-term structural stability.
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