Rhinoplasty in Delafield

Frequently Asked Questions

• Who performs the surgery, and what is his training?
  Dr. Lucas Boehm performs rhinoplasty and is the sole surgeon at Consona. He is board-certified by the American Board of Plastic Surgery, and rhinoplasty is one of the three procedures he identifies as a focus. He completed his plastic surgery residency at the Medical College of Wisconsin, followed by an Aesthetic Society-endorsed aesthetic surgery fellowship. His published work appears in Plastic and Reconstructive Surgery and Facial Plastic Surgery. Rhinoplasty cases are documented in the surgical gallery.
• What is rhinoplasty?
  Rhinoplasty is surgery that reshapes the nose to change its appearance, correct structural problems, or improve breathing. It can address a bump on the bridge, a wide or drooping tip, nasal asymmetry, or breathing obstruction caused by a deviated septum.
• Does rhinoplasty hurt?
  Rhinoplasty is performed under general anesthesia or sedation, so patients do not feel pain during the procedure. After surgery, most patients experience nasal congestion, pressure, and mild to moderate discomfort rather than sharp pain. Discomfort is typically manageable with prescribed or over-the-counter pain medication.
• Is rhinoplasty safe?
  Rhinoplasty is generally considered safe when performed by a qualified, board-certified surgeon. Reported complication rates are approximately 3%. As with any surgery, rhinoplasty has risks, which are discussed during consultation.
• How long is the recovery from rhinoplasty?
  Most patients return to desk work within 1 to 2 weeks. The external splint is worn for about one week, and bruising around the eyes typically fades within 10 to 14 days. Initial swelling resolves within a few weeks, but the final nasal shape may take up to a year to fully refine.
• What is the difference between open and closed rhinoplasty?
  Open rhinoplasty uses a small incision across the columella, the tissue between the nostrils, for full visualization of the nasal structures. Closed rhinoplasty places every incision inside the nose, leaving no visible external scar and typically resulting in less swelling. The approach is selected according to the specific changes needed.
• Who should not get rhinoplasty?
  Rhinoplasty may not be appropriate for someone whose facial growth is not yet complete, who has body dysmorphic disorder or unrealistic expectations, or who has an active nasal infection. It may also be unsuitable when an uncontrolled medical condition increases surgical risk. A thorough evaluation during consultation helps determine candidacy.
• Does Consona perform revision rhinoplasty?
  Yes. Revision rhinoplasty has its own procedure listing at Consona because surgery on a previously operated nose begins with different conditions. The surgeon is working through tissue that has already been operated on, and what is achievable is set partly by what the earlier operation left behind. If you have had nasal surgery before, schedule under revision rhinoplasty rather than primary rhinoplasty. The revision consultation is a different conversation.
• Is rhinoplasty covered by insurance?
  Cosmetic rhinoplasty is not covered by insurance. At Consona, aesthetic surgery is private pay. Functional nasal surgery for genuine breathing impairment is sometimes handled differently by insurers, but that depends on your plan, and insurance billing is not provided at Consona. Qualified borrowers can finance surgery over 12 months at 0% interest. Selecting the correct procedure listing matters: a revision consultation asks for records and photographs that a primary rhinoplasty consultation does not.