Rhinoplasty in Plano & Dallas, TX | Nose Surgery Services Overview
Rhinoplasty is one of the most detailed procedures in facial plastic surgery. A small change to the bridge, tip, nostrils, or nasal angle can alter the way the entire face is perceived. For that reason, Dr. Derek Sheen approaches rhinoplasty with restraint, precision, and a clear understanding that the nose cannot be treated in isolation.
Rather than relying on a single rhinoplasty technique, Dr. Sheen draws from a broad surgical foundation to perform primary rhinoplasty, revision rhinoplasty, septoplasty, male rhinoplasty, and ethnic rhinoplasty. Dr. Sheen also utilizes both open and closed rhinoplasty techniques and will methodically choose the approach that gives him the right level of access and control for each case. His planning is highly individualized, with careful attention to nasal anatomy, skin thickness, ethnicity, gender, facial proportions, and long-term support.
To learn more about rhinoplasty in Plano, Dallas, Frisco, Flower Mound, Highland Park, Park Cities, Southlake, Fort Worth, throughout North Texas, and across the DFW metroplex, schedule a consultation with Dr. Derek Sheen. During your visit, Dr. Sheen will review your concerns, evaluate your nasal structure, and help determine which surgical approach makes the most sense.
53-Year-Old Female
This 53-year-old patient is shown three months after an extended preservation deep plane facelift and neck lift, lower eyelid transconjunctival (scarless) blepharoplasty, facial fat grafting, and buccal fat reduction. Botox was also used to improve brow asymmetry. The preservation technique maximizes cheek and jowl elevation while minimizing skin delamination, allowing the skin to remain more closely connected to the deeper tissues and redrape smoothly. The result is a refined jawline and neck with balanced, natural facial proportions.
42-Year-Old Female
This 42-year-old patient is shown six months after an extended preservation deep plane facelift and neck lift, an endoscopic brow lift, lower eyelid transconjunctival (scarless) blepharoplasty, facial fat grafting, buccal fat reduction, and removal of a substantial volume of prior facial filler. The filler had contributed to heaviness and downward displacement through the lower eyelid and lid-cheek junction. Deep-plane repositioning restores the cheeks and jowls at the structural level, while limited skin undermining preserves more native skin attachments for smooth, natural redraping. The jawline and neck are sharply defined while maintaining an unoperated appearance.
43-year-old female
This 43-year-old patient is shown five months after an extended preservation deep plane facelift and neck lift, an endoscopic brow lift, upper eyelid blepharoplasty, facial fat grafting, buccal fat reduction, and correction of a ptotic (“witch’s”) chin. She is also shown two months after a subsequent rhinoplasty. The facelift achieves substantial elevation of the cheeks and jowls with limited skin delamination, preserving native skin attachments and promoting smooth redraping. The neck is cleanly defined, while refinement of the nose and chin brings the facial profile into greater balance.
60-year-old male
This 60-year-old male patient is shown three months after an extended preservation deep plane facelift and neck lift, an endoscopic brow lift, lower eyelid transconjunctival (scarless) blepharoplasty, facial fat grafting, buccal fat reduction, and correction of a ptotic (“witch’s”) chin. The extended preservation technique repositions the cheeks and jowls at the deeper structural level while limiting skin undermining, so the lift is not dependent on excessive skin tension. His jawline and neck are strongly defined while preserving a natural masculine character.
Rhinoplasty Procedures Offered by Dr. Sheen
Rhinoplasty
Primary rhinoplasty is performed for patients who have not had previous nasal surgery and want to significantly improve the shape, proportion, or function of the nose.
Dr. Sheen approaches rhinoplasty with an emphasis on both appearance and breathing. The nose should look better, but it should also work well. Depending on the patient’s anatomy, he may refine the bridge, narrow the nasal bones, improve tip definition, adjust nostril shape, correct asymmetry, or strengthen internal support.
Some patients need an open rhinoplasty for better visualization and control. Others may be candidates for a closed approach, where incisions are concealed inside the nose. Dr. Sheen does not force every patient into one technique. He selects the method that best fits the anatomy, goals, and complexity of the case.
The goal is a result that feels definitive and unmistakably refined, while still looking balanced, natural, and fully integrated with the rest of the face.
Revision Rhinoplasty
Revision rhinoplasty is considered when a previous nose surgery has left cosmetic concerns, breathing issues, asymmetry, structural weakness, or a result that no longer feels aligned with the patient’s goals.
These cases are more complex than primary rhinoplasty. Scar tissue, missing cartilage, weakened support, and altered anatomy all have to be evaluated carefully. Dr. Sheen approaches revision rhinoplasty on a case-by-case basis, with an honest discussion about what can be improved and where limitations may exist.
For some patients, revision surgery may involve rebuilding structure with cartilage grafting, improving nasal support, correcting tip shape, or refining areas that were overdone or undercorrected.
Septoplasty
Septoplasty is performed to correct a deviated septum, which can contribute to nasal obstruction and difficulty breathing.
The septum is the internal wall that separates the two sides of the nose. When it is crooked, blocked, or poorly supported, airflow can become restricted. Septoplasty focuses on improving that internal structure so that air can pass more freely through the nose.
In many cases, septoplasty can be performed on its own. It may also be combined with rhinoplasty when a patient wants to improve both breathing and appearance. Dr. Sheen evaluates function as part of every rhinoplasty consultation because nasal surgery should not compromise the airway for the sake of appearance.
Male Rhinoplasty
Male rhinoplasty requires a different eye than rhinoplasty for women. The goal is usually not to soften the nose too much or create a delicate appearance. A strong bridge, appropriate projection, and balanced tip shape often matter more.
Dr. Sheen evaluates the nose in relation to the rest of the male face, including the brow, chin, jawline, and overall facial structure. The procedure may address a dorsal hump, crooked bridge, wide nasal bones, bulbous tip, or breathing concerns while preserving a masculine profile.
Male rhinoplasty results should appear cleaner, stronger, and better proportioned, while still maintaining the patient’s natural character.
Ethnic Rhinoplasty
Ethnic rhinoplasty requires a more nuanced approach than simply narrowing or reshaping the nose. Patients from different backgrounds often have distinct nasal structures, skin thickness, cartilage strength, bridge height, tip shape, and aesthetic goals.
Dr. Sheen’s approach is not to erase ethnicity or impose one standard of beauty. Instead, he focuses on refining the nose while respecting the patient’s identity, facial features, and cultural aesthetic preferences.
This may involve building bridge support, improving tip definition, narrowing the nostrils, correcting asymmetry, or creating a cleaner nasal profile. The plan depends entirely on the patient’s anatomy and desired outcome.
For patients considering ethnic rhinoplasty in Dallas or Plano, the goal is a result that looks more balanced, more refined, and still authentic to the individual.
Dr. Sheen’s Approach to Rhinoplasty
Rhinoplasty is not a procedure that should be planned to consider the nose alone. Dr. Sheen studies how the nose interacts with the eyes, cheeks, lips, chin, and overall facial proportions. A nose that looks good in isolation may not be the right nose for a particular face.
During consultation, he takes time to understand what bothers the patient and what they are hoping to change. Standard imaging may be used to discuss possible refinements, but the conversation is just as important as the images. Dr. Sheen is direct about what is realistic, what is limited by anatomy, and what type of result would look balanced long term.
His approach is not built around trends or an overly operated look. It is built around structure, precision, and proportion. The result should feel significant to the patient, but natural to everyone else.
I aim to create results that are noticeable in a positive way, but never distracting or unnatural.
Why Patients Choose Dr. Sheen
Patients choose Dr. Sheen for a surgical approach that is calm, specific, and highly individualized.
His training includes a strong foundation in head and neck anatomy, followed by advanced fellowship training in facial plastic surgery at NYU. During that fellowship, he trained with multiple Manhattan facial plastic surgeons specializing in facial rejuvenation and rhinoplasty, while also serving as a Clinical Instructor at NYU.
This background gives Dr. Sheen a detailed understanding of both nasal structure and overall facial aesthetics. It also shapes the way he communicates with patients. Consultations are thorough and unhurried, with a focus on alignment, education, and honesty.
Dr. Sheen’s practice is not focused on high-volume surgery or quick fixes. It is designed for patients who value thoughtful planning, careful technique, and results that are refined, balanced, and built to last.
Schedule a Rhinoplasty Consultation in DFW Today
Rhinoplasty can change the way the nose looks, the way the face comes together, and, in some cases, the way a patient breathes. The most successful results come from a plan that respects both anatomy and identity.
To learn more about rhinoplasty, revision rhinoplasty, septoplasty, male rhinoplasty, or ethnic rhinoplasty in Plano and Dallas, schedule a consultation with Dr. Derek Sheen. Dr. Sheen will evaluate your concerns and help determine the most appropriate approach for your goals.
Rhinoplasty in Plano, TX – FAQs
How do I know which type of rhinoplasty I need?
Most patients do not need to know that before the consultation. It is more useful to know what bothers you. Some patients are focused on a bump, crookedness, nostril shape, nose size, or tip definition. Others are more concerned about breathing. Dr. Sheen evaluates the nose, the face, and the airway before recommending the right approach.
What is the difference between rhinoplasty and septoplasty?
Rhinoplasty changes the outside shape and structure of the nose. Septoplasty corrects the internal septum to improve breathing. They can be performed separately, but many patients benefit from addressing both appearance and function during the same surgery.
Do I need open or closed rhinoplasty?
That depends on the anatomy and the amount of work needed. Open rhinoplasty gives more visibility and control, especially for tip work, structural grafting, or more complex changes. Closed rhinoplasty may be appropriate for select patients who need more limited refinement. Dr. Sheen uses both techniques and chooses based on the case. When cases are appropriate, Dr. Sheen also utilizes preservation rhinoplasty techniques to maximize control and improve outcomes.
Is revision rhinoplasty always possible?
Not always. Revision rhinoplasty depends on the condition of the cartilage, skin, scar tissue, airway, and previous surgical changes. Dr. Sheen evaluates revision cases carefully and will be direct about whether surgery is likely to create meaningful improvement.
How is male rhinoplasty different?
Male rhinoplasty has to preserve strength in the face. Over-refining the bridge or tip can make the nose look too soft or out of balance. Dr. Sheen focuses on improving shape and proportion while maintaining a masculine and anatomically natural appearance.
How is ethnic rhinoplasty different?
Ethnic rhinoplasty requires respect for both anatomy and identity. The goal is not to make every nose look the same. It is to refine the nose in a way that fits the patient’s face and preserves the features that feel authentic to them.
Can rhinoplasty improve breathing?
Yes, when breathing issues are related to structural problems such as a deviated septum, valve collapse, or internal obstruction. Dr. Sheen considers function during rhinoplasty planning because the nose should look natural and breathe well.
Will my nose look obvious or “done” after rhinoplasty?
That is not the goal. A strong rhinoplasty result should improve the appearance of the nose without making it look disconnected from the rest of the face. The change may be significant, but it should still look natural, balanced, and authentic.