Cosmetic Surgery Tips

How Much Is Nasal Surgery for Pug

The cost of an enlarging nasal opening surgery in dogs will run between $200 and $1,000. The price of your dog’s correctional procedure depends on the severity of the malformation and the procedure used. Some veterinarians will use a laser instead of a scalpel blade, which will raise the price tag.

The cost of entropion surgery for dogs can range anywhere between $300 and $2,000. Many factors can affect what the ultimate cost comes out to, such as your location and your dog’s health condition, so it’s important to check with your dog’s vet on what you will be charged for before agreeing to the surgery.

How Much Is Nasal Surgery for Pug

Enlarging the nasal openings is a surgical procedure used to correct stenotic nares (narrow nostrils) in brachycephalic dog breeds. Stenotic nares is a component of brachycephalic syndrome, an upper airway obstruction disorder seen in breeds like the Boston terrier, Pug or Bulldog. Stenotic nares results from a malformation of the alar folds that form the nostrils. The external nares is made up of three cartilages: The accessory cartilage, the ventral parietal cartilage, and the dorsal parietal cartilage. The alar folds are the fleshy, lateral borders of the nostrils that collapse inward upon respiration. In the case of stenotic nares, the alar folds collapse farther than needed, resulting in complete temporary closure of the nostril. 

To fix stenotic nares, surgery is needed. This is done by a veterinarian or veterinary otorhinolaryngology specialist, who takes out the extra tissue wedge from the alar fold.

Enlarging Nasal Openings Procedure in Dogs

The dog will need to be fasting (no food or water) the night before surgery and the day of surgery. Prior to anesthesia, the dog’s blood will often be tested to ensure his/her organs are functioning properly and signs of undiagnosed diseases are absent from the blood work. As some bleeding is always expected in a surgery, the veterinarian may perform a coagulation test or test to ensure the dog has enough clotting factors (platelets) in the blood. 

  1. An IV catheter is placed 
  2. A pre-anesthetic, pain medication, and antibiotic are injection to the dog. 
  3. The dog will be feeling drowsy from the pre-anesthetic/sedative. 
  4. The dog will be placed under general anaesthetic and intubated.
  5. The dog is placed in ventral recumbency with the head facing the end of the operating table. 
  6. The vet will inject a local anesthetic to the nasal tissues. 
  7. The nose is scrubbed for surgery
  8. The veterinarian will use a #15 blade scalpel to create angled incisions in the alar fold in the shape of a triangle. This incision pattern will be repeated to the adjacent nostril. 
  9. Once the external wedge has been removed, the vet will work his/her way inside the nostril, removing pie-shaped sections of cartilage from the alar fold. 
  10. Hemorrhaging will be controlled with direct pressure. 
  11. A 4-0 Monocryl suture will be placed in the alar fold. The stitches with run from the outside to the inside to close the opening in the skin. 
  12. The process with be completed on both nostrils, achieving symmetrical nostril openings. 
  13. Sponges will be placed on the nose to keep it moist and clean. 
  14. The dog will be allowed to rest in a recovery kennel. 

Efficacy of Enlarging Nasal Openings in Dogs

Enlarging nasal openings in dogs is a highly effective surgical procedure used as a multi-pronged treated to alleviate brachycephalic airway syndrome. Opening the nostrils helps more oxygen flow and reduces reparatory effort. The procedure itself is relatively simple to perform, requiring very little anesthesia with minimal complications. The majority of patients show improvements immediately following surgery. 

Enlarging Nasal Openings Recovery in Dogs

Dogs that have undergone a stenotic nares correction surgery will be released from the hospital the day of the surgery. Some canines appear drowsy and inactive, whereas other dogs return to normal behavior quickly. In either case, the dog must be confined and restricted of physical activity to prevent the sutures from coming loose. An Elizabethan collar should be sent home with the dog to prevent rubbing of the incision site. Pain medications, paired with a broad spectrum antibiotic will be administered as directed by the veterinarian. 

Cost of Enlarging Nasal Openings in Dogs

The cost of an enlarging nasal opening surgery in dogs will run between $200 and $1,000. The price of your dog’s correctional procedure depends on the severity of the malformation and the procedure used. Some veterinarians will use a laser instead of a scalpel blade, which will raise the price tag. 

Dog Enlarging Nasal Openings Considerations

The use of anesthesia is always a concern for dog owners, but due to the fact that the dog is under constant monitoring, anesthetic risks are minimal. Your veterinarian will take special considerations as enlarging nasal openings in dogs is a surgery that requires careful monitoring. Additionally, if your dog’s respiratory obstruction is due to other malformations associated with brachycephalic airway syndrome, such as an elongated soft palate, correcting the stenotic nares will not completely fix the problem. 

Enlarging Nasal Openings Prevention in Dogs

Stenotic nares and brachycephalic syndrome are congenital issues related to the facial structure of brachycephalic dogs. Responsible breeding, whereby we do not breed those dogs with stenotic nares, is the way forward. 

Your vet may have recommendations for easing your dog’s breathing prior to surgery, such as minimizing exposure to hot and humid weather, maintaining a healthy weight, and using a harness, rather than a collar, for attaching a lead.

What is endoscopic sinus surgery?

Most sinus surgery today is performed endoscopically. This involves using tiny telescopes to look up into the nose and into the sinus cavities. These small telescopes along with small microsurgical instruments can be used to open and go into the sinus cavities and clean the sinuses out.

Puss, polyps, and the like can be removed and sent to pathology for examination. This type of sinus surgery is usually reserved for children who do not respond to conventional methods of treatment with antibiotics or allergy treatment.

The advantage of this type of surgery is that it enables the surgeon to look directly into your child’s sinus passageways and remove any abnormal findings as well as to correct any bony or anatomical abnormalities.

This type of surgery causes little pain to the patient after the procedure, and there are no incisions or black or blue marks on the face or eyes.

What conditions might require endoscopic sinus surgery?

If your child has one of the following conditions, she may need endoscopic sinus surgery:

  • anatomical (bony) abnormalities of the nose or sinus cavities
  • nasal polyps
  • deviation of the nasal septum
  • fungal infections
  • tumors
  • cystic fibrosis

How long does the surgery take?

This surgery can take as long as four hours, or be as short as 30 minutes, depending on the degree of sinus involvement.

What are the risks of sinus surgery?

As with most surgical procedures, sinus surgery has some associated risks. Each operation can have varying degrees of risk, depending on your child’s unique situation.

What should you expect during surgery?

  • Endoscopic sinus surgery usually takes between one and three hours and is done in the operating room with the child under general anesthesia.
  • Most young children spend the night in the hospital, but some older children may stay for only a couple of hours after surgery.
  • Endoscopic sinus surgery may be performed at the same time as another operation such as septoplasty, tonsillectomy, adenoidectomy, or insertion of ear tubes.

What should you expect after surgery?

  • Your child will have intravenous (IV) fluids until time you leave the hospital. Clear liquids for your child to drink are available in the Post Anesthesia Care Unit (PACU), also called the recovery room.
  • Your child may complain of a sore nose, not being able to breathe through her nose, and difficulty swallowing.
  • A pain reliever may be given for pain. An antibiotic is occasionally prescribed to prevent infection.
  • The head of the bed will be raised in the PACU to help with swelling, breathing, and drainage. At home, you should have pillows or a recliner chair available to help your child stay comfortable with her head elevated above the level of her chest.
  • There may be packing in the nose to prevent bleeding. Sometimes, this packing is dissolvable. The physician may remove this packing in one or two weeks or it may dissolve on its own. If the packing needs to be removed, it may be done in our office for older, cooperative children, or may be done in the operation room under anesthesia.
  • If a septoplasty (straightening of the bone and cartilage in the center of the nose) is performed, then splints will be placed inside the nose at the end of the operation. These will be removed at the physician’s office in one to two weeks and may cause some discomfort while they are in place.
  • If packing is used, your child may be able to feel it in her nose. She should be told before surgery that she may feel like there’s something in her nose when she wakes up. If packing is not used, swelling may cause this feeling. Your child will be told that she won’t be allowed to forcefully blow her nose for a week or two.
  • You may see a small piece of gauze taped under your child’s nose. This is called a “drip pad.” This is usually only needed for the first day, if at all. The drainage from her nose will probably be tinged with blood. Your child may cough or spit up some pink or brown mucus.
  • Most children are fussy the first few hours after this procedure.
  • Your child may begin normal play after several days, but may need to stay home from school until the discomfort improves.
  • Your child’s doctor may recommend the use of nasal ointment, salt-water spray, or nasal steroid spray after surgery. Follow instructions carefully.

When should you call your child’s physician?

The following are some of the symptoms that may indicate a need for you to promptly contact your child’s physician:

  • bright-red bleeding from her nose or mouth
  • double or impaired vision
  • a persistent leak of clear fluid from her nose
  • if your child vomits bright-red blood or a coffee ground-like material
  • if your child develops a croupy (barky) cough/cry or wheezing
  • if your child’s temperature rises to more than 101.5 degrees F rectally or to more than 100.5 degrees F orally
  • vomiting (or if the vomiting becomes severe)
  • signs of dehydration (a child can become dehydrated when he has prolonged or severe vomiting and is not able to drink enough fluid)

Having an Upturned Nose Is No Cause for Concern

upturned nose

An upturned nose is one with a tip that’s angled upward. The angle can vary from slightly upturned to an exaggerated angle that makes the nose appear short and the nostrils prominent.

Upturned noses are sometimes referred to as “pixie noses” or “piggy noses.” Whatever you call it, an upturned nose is like any other facial feature.

We’re all different, and unless the shape of your nose changed because of an injury or previous surgery, chances are you inherited it from your family.

From a medical standpoint, an upturned nose isn’t a cause for concern. Unless it’s interfering with your breathing, nothing needs to be done. If you’re bothered by the shape of your nose, there are surgical and nonsurgical options that can help.

Upturned Nose Causes

Let’s take a look at what can cause an upturned nose.


Your facial features are based on genetics. This goes way back in your genetic heritage, which was partially influenced by the environment of your ancestors.

The nose regulates the temperature and humidity of the air we breathe as it enters our air passages, so its shape developed based on the climate your ancestors were exposed to.


An upturned nose can be caused by sudden nasal trauma. To change the shape of your nose, the injury has to be severe, such as a broken nose. A direct frontal blow is usually what causes a nose to push inward and upward, creating an upturned appearance.

Common causes of broken noses include:

  • falling down
  • walking into a wall
  • being hit in the nose while engaging in a contact sport
  • motor vehicle collision
  • physical assault, such as being punched or kicked in the nose

Upturned Nose After Rhinoplasty

When you think of a plastic surgery-induced upturned nose, Michael Jackson is frequently the first person that comes to mind. Rhinoplasty is the surgical procedure used to change the shape of the nose.

If too much cartilage is removed from the tip of the nose or the septum, it can shorten the nose and cause the tip to turn upward. This can happen when a nose already lacks projection before surgery and an excessive amount of cartilage is removed during surgery.

Some people have rhinoplasty to achieve an upturned nose. A population-based study published in the medical journal JAMA Facial Plastic Surgery found that a nose with a slightly upturned tip was considered more attractive in females.

Gene mutations and birth defects

Certain rare gene mutations can cause medical conditions that affect physical development in the womb.

In people with these types of conditions, the nose is usually one of the features affected. These conditions can also affect the way a person’s eyes, limbs, and stature develop.

Many of these conditions also cause microcephaly, in which the head size is smaller than average. This condition can also cause developmental delays and intellectual disabilities.

Some of the conditions that can cause an upturned nose include:

  • Cornelia de Lange syndrome
  • Smith-Lemli-Opitz syndrome
  • Kaufman oculocerebrofacial syndrome
  • Toriello-Carey syndrome

Risk Factor of Having Your Nose Upturned

An upturned nose doesn’t usually cause problems. Unless you’re having trouble breathing because there’s been damage to the nasal septum — the cartilage that separates your nasal passages — an upturned nose is unlikely to pose any health risks.

Surgical and Nonsurgical Options for An Upturned Nose

Noses come in all shapes, sizes, and angles. Having an upturned nose is normal and not something you need to change unless you really want to.

If you’re unhappy with the angle or shape of your nose, here are some things you can do about it.

Highlight your other facial features

Highlighting your other facial features can help make your nose appear less prominent by taking attention away from it — though chances are others don’t notice it the way you do.

Some of the ways to achieve this include:

  • Contouring and highlighting. Use contouring and highlighting to create the illusion of a different nose shape. This involves using a dark contouring makeup to create shadows for minimizing and highlighter to put the emphasis on other areas. You can find tutorials online or ask for help at most cosmetics counters.
  • Other makeup. Draw attention to your eyes and lips with shadows, liners, and lipstick. Go for a bolder eye and a toned-down lip or vice versa to draw attention away from your nose.
  • Change your hairstyle. Certain hairstyles draw attention to the nose, such as heavy or blunt bangs or sharply angled haircuts. Soft layers, a little bit of lift or wave, and a medium length are styles that can soften facial features and pull attention away from the nose.

Stenotic Nares Surgery Cost

Stenotic nares, also known as nasal stenosis, is a condition where the nostrils are abnormally narrow, making it difficult for the affected individual to breathe properly. In severe cases, stenotic nares can cause significant breathing problems and may require surgical intervention to correct the issue. Stenotic nares surgery cost can vary depending on various factors, including the location of the procedure, the surgeon’s experience, and the specific techniques used.When considering stenotic nares surgery, it is essential to understand the potential costs involved. The average cost of stenotic nares surgery in the United States ranges from $1,500 to $4,000. This cost typically includes the surgeon’s fees, anesthesia, facility fees, and any necessary follow-up care. However, it is essential to note that this is just an average estimate, and actual costs may vary based on individual circumstances.Factors that can influence the cost of stenotic nares surgery include:

  • The severity of the stenosis: More severe cases may require more extensive surgical techniques, which can increase the overall cost of the procedure.The location of the surgery: The cost of healthcare services can vary significantly depending on the region where the surgery is performed.The surgeon’s experience: Surgeons with more experience and expertise in performing stenotic nares surgery may charge higher fees.Additional procedures: If additional procedures are required during the surgery, such as correcting a deviated septum, this can also impact the overall cost.

It is essential to consult with a qualified healthcare provider to determine the best course of treatment for stenotic nares and to obtain an accurate cost estimate for the surgery. In some cases, health insurance may cover all or part of the cost of stenotic nares surgery, depending on the individual’s policy and the medical necessity of the procedure.

Cost BreakdownAverage Cost RangeSurgeon’s fees$500 – $2,000Anesthesia$500 – $1,000Facility fees$500 – $1,500Follow-up care$100 – $500

Overall, the cost of stenotic nares surgery can vary depending on several factors, but it is essential to prioritize the health and well-being of the affected individual when considering treatment options. Consulting with a healthcare provider and discussing potential costs and payment options can help individuals make informed decisions about their care.

French Bulldog Nasal Surgery Cost

French bulldogs are a popular breed known for their distinctive bat-like ears and wrinkled faces. However, one common issue that affects many French bulldogs is brachycephalic obstructive airway syndrome (BOAS), which can cause breathing difficulties due to their short noses and flat faces. In severe cases, nasal surgery may be necessary to improve the dog’s quality of life.

The cost of nasal surgery for a French bulldog can vary depending on several factors, including the severity of the dog’s condition, the location of the veterinary clinic, and the experience of the surgeon. On average, the cost of nasal surgery for a French bulldog can range from $1,500 to $4,000. This cost typically includes pre-operative testing, the surgery itself, post-operative care, and follow-up appointments.

During nasal surgery for a French bulldog, the surgeon will typically perform procedures such as widening the nostrils, removing excess tissue in the airway, and correcting any abnormalities in the nasal passages. These procedures are designed to improve the dog’s ability to breathe and reduce the risk of complications associated with BOAS.

It is important for French bulldog owners to carefully consider the cost of nasal surgery and weigh it against the potential benefits for their pet. While the cost of surgery may be significant, it can greatly improve the dog’s quality of life and reduce the risk of respiratory issues in the future. Additionally, some pet insurance policies may cover a portion of the cost of nasal surgery for French bulldogs, so it is worth checking with your insurance provider to see if you are eligible for coverage.

Nasal surgery for French bulldogs can be a costly but necessary procedure for dogs suffering from BOAS. By understanding the factors that contribute to the cost of surgery and exploring options for financial assistance, French bulldog owners can make informed decisions about their pet’s healthcare.

Nonsurgical rhinoplasty with injectable fillers

Injectable fillers, such as hyaluronic acid, can be injected into different areas of the nose to change its shape. This is also called a nonsurgical nose job.

Fillers have a gel-like consistency. They’re injected under the skin’s surface to add fullness. The practitioner can use their hands to manipulate the area and move the filler to even out its appearance.

Based on a 2016 report by the American Society of Plastic Surgeons, the average cost of soft tissue fillers ranges from $644 to $1,930 per syringe, depending on the type.

The number of syringes used to correct an upturned nose depends on the amount of correction required. More than one session may be needed, depending on the product used.

Nonsurgical rhinoplasty is performed in-office and takes between 15 to 60 minutes. The results can last from a few months to several years, depending on the product used.

Side effects are usually minimal. However, in rare circumstances, the filler can block a blood vessel in the nose, which can cause necrosis, or death of the skin where the filler was injected. It can even cause blindness if injected near the eye.

These complications, while rare, can be devastating. So, it’s important to find a board-certified plastic surgeon or dermatologist when getting a filler treatment to the face. The Food and Drug Administration (FDA) considers the use of fillers in the nose to be an “off-label” use.


Rhinoplasty, commonly known as a nose job, is one of the most frequently performed cosmetic surgery procedures in the United States.

Correction of an upturned nose can be performed using open and closed surgical techniques. Both usually involve placing grafts at the end of the septum and tip to help support and lengthen the nose. The grafts are made from cartilage taken from the ribs or ears.

Rhinoplasty is performed under general anesthesia, and it takes approximately two or three hours.

In 2016, the average cost of rhinoplasty was $5,046. Recovery depends on how complicated the procedure is, which varies from person to person.


An upturned nose isn’t a cause for concern, and it doesn’t need to be corrected unless it’s interfering with your ability to breathe properly. If you aren’t happy with how your nose looks, there are things that you can do to change its appearance.

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