120 Spadina Road
Toronto, Ontario, Canada M5R 2T8
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As the most prominent feature on the face, second only to the eyes, the nose is the first thing people notice when meeting one another. Men and women often opt to undergo cosmetic plastic surgery procedures to alter the size and/or shape of their nose. Whether you are looking to alter the aesthetic appearance, treat the defects of an injury, or achieve better breathing, William G. Middleton, B.Sc., M.D., F.R.C.S. can perform nose surgery. At Middleton Cosmetic Surgery Clinic in Toronto, rhinoplasty candidates can anticipate natural-looking results and a rewarding experience.
Your nose is the most prominent feature on your face, second only to your eyes. Its size and shape may be the most defining characteristic of your face. If you are unhappy with your nose, you're not alone.
Every year, hundredsof thousands of people throughout the United States elect to improve the appearance and/or function of their noses through nose surgery or rhinoplasty. Some people want a different size or shape. Others wish to repair damage caused by an injury, and some just want to breathe easier. If you have been wondering how nose surgery might change your looks, improve your self-confidence or your breathing, you should schedule a consultation with a qualified surgeon. Also, if you have experienced an injury or undergone a previous nasal surgery that produced unsatisfying results, Dr. Middleton can perform nose reconstruction ("rhinoplasty revision").
Your consultation
The ideal nose varies from face to face depending on skin type, ethnic background, age, and other variables. During your initial cosmetic consultation, Dr. Middleton will discuss your concerns about your nose, your expectations, and explain the probable outcome of your procedure.
We will show you several before and after treatment photographs of patients having similar noses, and we will explain the treatment you can expect to receive. Before and after photos may be taken of your nose to document your results.

Other considerations
Before making the decision to have a rhinoplasty, ask Dr. Middleton if there are any additional facial procedures that may enhance the effects of your nose surgery. Many patients elect to have chin or cheek implants to enhance and balance their facial features.
What will my recovery be like?
Most rhinoplasty patients are up and active within two days. Your first day should be spent in bed with your head elevated. You will wear a small splint over your nose to protect it and keep it stable, for a week or so. Your nose and head will probably ache and your face will feel puffy. This discomfort can be alleviated with medication prescribed by Dr. Middleton. After about three days, the swelling and bruising around your eyes will begin to subside. It should be almost completely gone in about two weeks. Cold compresses applied to the area will help reduce the swelling.
Some bleeding is common the first few days after surgery, along with some stuffiness that could last a few weeks. It is recommended that you not blow your nose during the first week while the tissues are healing. After ten to twelve days all dressings, splints, and sutures should be removed and you can return to a normal life. Strenuous activities, rubbing or bumping your nose should be avoided for several more weeks.
Find out if you might for a candidate for rhinoplasty. Arrange a consultation with our office.
The procedure
Your nose job procedure will be performed on an outpatient basis under local or general anesthesia. In order to provide minimal scarring, Dr. Middleton typically makes incisions inside the nose ("closed rhinoplasty"). He can sculpt the skin, tissues, and underlying bone and cartilage to your desired new shape.
Rhinoplasty can be performed for cosmetic or reconstructive reasons. While many people undergo rhinoplasty to enhance their nasal appearance, some choose this procedure to correct alterations that have been made to the nose as a result of injury or birth defect. Rhinoplasty can even help improve one's breathing. When performed to correct breathing problems, it may be covered by health insurance.
Rhinoplasty is the reshaping of the nose. It can be performed on an outpatient basis under local or general anesthesia. The procedure usually takes an hour or two, although a complicated procedure may take longer. Most incisions are made inside the nose, where they are invisible. The skin and tissues of the nose along with the underlying bone and cartilage are sculpted by the surgeon to your desired new shape.
If your nose is too large, for example, Dr. Middleton may sculpt away cartilage to reduce its size. Noses that point up or droop down can be redirected by trimming the septum which divides the two nasal passages. Skin can be removed from both sides of the nostrils at the center, to narrow the base of the nose. Sometimes the contour can be improved by adding tissue.
What about insurance?
Breathing problems are common, even in younger people. Correcting problems that interfere with your breathing may be covered by your health insurance. However, when a rhinoplasty is performed for cosmetic reasons, it may not be covered, in part or in whole, by your health insurance. It is the patient's responsibility to check with their insurance provider for information on the degree of coverage. We will be happy to answer any questions you have regarding payment.
Additionally, if you would like to achieve additional facial enhancement, you may wish to undergo facelift surgery ("rhytidectomy"). Fine lines, wrinkles, and sagging jowls can be enhanced with this procedure. Dr. Middleton can lift the hanging skin to a more youthful position and tighten the underlying facial muscles to produce a refreshed appearance.
We invite you to view rhinoplasty before and after photos; further samples may also be requested during an initial consultation at Middleton Cosmetic Surgery Clinic.
Dr. Middleton provides prospective Toronto, Oshawa and Hamilton rhinoplasty patients with the most up-to-date techniques. With a continued participation in local and national organizations that pertain to his field, Dr. Middleton is a Fellow of the American Academy of Cosmetic Surgery (AACS) and member of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). Dr. Middleton's skills and experience have led to several television appearances, including "Style by Jury" and "Skin Deep;" he has helped to enhance more than 10, 000 faces and figures since 1988.
Those in the Oshawa, Toronto, and Hamilton areas can schedule an appointment regarding rhinoplasty by calling (416) 966-3223. Dr. Middleton is also available via contact form or e-mail.