Dr. Aguila and the team will apply years of success in helping patients with facial surgery to help you improve your ability to breath, or make changes to improve your appearance through rhinoplasty.


Often referred to as a nose job, rhinoplasty is nasal surgery designed to improve the look of your nose and to address medical problems that may be negatively impacting your health.

Based in Norfolk, Nebraska, Dr. Demetrio Aguila is an experienced and talented surgeon who can help you improve your appearance and breathe easier if you are having nasal health problems.

Rhinoplasty helps patients:

  • Lose unwanted bumps from their nose.
  • Narrow the bridge of your nose.
  • Redesign the look or angle of your nasal tip.
  • Better balance overall facial proportions.

Along with making aesthetic changes, rhinoplasty helps patients with nasal obstructions that can make it difficult for them to breathe. These conditions often can lead to serious medical problems.

Patients with deviated septums also can benefit from nasal surgery.

What Is Rhinoplasty?

Most often, rhinoplasty is performed to promote facial harmony and help patients who are unhappy with the appearance of their nose achieve improved self-esteem and confidence about their appearance.

Rhinoplasty may be for you if:

  • Your face has stopped growing.
  • You are in good overall health.
  • You don’t smoke.
  • You have realistic expectations about cosmetic surgery.

Open and Closed Rhinoplasty

Doctor Aguila performs each of these surgeries.

Open rhinoplasty is the more common surgery of the two. During open rhinoplasty, Dr. Aguila creates a tiny incision between the nostrils. Your skin is then folded upward to gain access to cartilage and muscles inside your nose.

Open rhinoplasty is usually for people who are unhappy with the look, shape or size of their nose, and want to improve their appearance. Open rhinoplasty can also address deformities, including cleft lips.

The best feature of open rhinoplasty is that small incisions are used. This promotes better healing and leaves patients with minimal or no scarring.

Closed rhinoplasty is performed without incisions being needed on the nose’s exterior. Incisions are made inside the nostrils. This approach is often called the scarless rhinoplasty because there are no visible signs of scarring, which other surgeries can leave.

During closed rhinoplasty, Dr. Aguila can work on the tip of your nose and other areas, but patients won’t have the swelling and scarring that are common side effects of open procedures. The use of fewer incisions makes the closed rhinoplasty less invasive. But it offers similar benefits, both functional and aesthetic, to an open rhinoplasty.


Depending on your procedure and the individual patient, the recovery process can include having a splint, or packing, inserted into the nose. Splints and bandages also can be employed on the nose’s exterior for support and protection in the initial period of healing. Swelling should decrease slowly over several weeks.

Doctor Aguila’s patients have reported they are extremely pleased with their new looks following rhinoplasty.


Rhinoplasty is performed effectively and safely by surgeons around the world. It offers positive results that can lead to positive changes in patients’ lives. This procedure can improve self-confidence and allows patients to achieve the looks they desire.

Whether you want rhinoplasty for cosmetic reasons, or need it to correct health problems, this procedure can improve your look and your life.

Picking the right surgeon is the first step. TopDoc Rhinoplasty

Doctor Aguila is an experienced and trusted surgeon who takes the time to get to know his patients and learn what their goals and expectations are. Contact Dr. Aguila’s office today to learn how rhinoplasty can benefit you.

Some common nasal reconstructive procedures include:

  • Simple Suturing: Because the nose does not have a lot of additional skin, only smaller defects of the upper nose can be sutured and closed without impacting the tip of the nose or your nostrils. The majority of nasal defects cannot be treated via simple suturing.
  • Secondary Healing: This term describes the process used to repair small defects on the nose’s flat surfaces. This procedure prevents distortion of the nose tip and nostril margins.
  • Skin Graft: A skin graft is a piece of skin without blood supply. But after the graft is placed on the area to be treated, blood vessels from the treated site will reattach to the graft over 24 hours and allow the graft to take. Skin grafts can be taken from other parts of the body, often from behind the ear, the neck area or the forehead. Most skin grafts repair small defects. Often grafts can be used after cancer surgery or traumatic injury. Grafts are unique to each patient and his or her condition.
  • Local Flaps: In this procedure, extra skin can be redeployed to cover nasal defects. Flaps typically provide excellent texture and color. While flaps don’t add skin to your nose, they do use existing skin and spread it to where it’s needed.
  • Regional Flaps: This process moves extra tissue from areas near the nose or forehead. The transfer is often used to repair more complex wounds.
  • Forehead Flap: Skin from the forehead has long been recognized as best site to transfer material needed to repair the nose. Texture and color match well with the nose and scarring left on the forehead after the procedure is minimal. Forehead flaps are often employed to treat large and deep nasal defects.

Smaller defects can be treated with what is known as a two-stage forehead flap. In this procedure, the strip of skin from your eyebrow to the hairline is raised and moved to the nose.

There are other nasal reconstruction procedures that are available as well that Dr. Aguila is well-versed in.

Nasal reconstruction varies greatly depending on the patient and his or her medical and aesthetic goals and needs. Doctor Aguila relies on his years of experience to select the procedure that best suits each individual patient.

Recovery time and the number of procedures that may be needed for the best results also vary from patient to patient.

If your nose has been injured or disfigured, makes you feel self-conscious about your appearance or hesitant to socialize and be around other people, nasal reconstruction surgery can help restore your nose to a normal look.

The Aguila Team Can Help

Dr. Demetrio Aguila and his team may be able to help. Call us at 1-402-370-9515 or fill out the form on this page to set up a consultation to determine your options.

Let’s see how we can help.

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