As the central feature of the face, the size and shape of your nose can affect your entire appearance. A nose that’s too large for your facial structure can feel overwhelming, while one that’s too small can make your chin or jaw seem too heavy by comparison. A rhinoplasty is cosmetic nose reshaping surgery that can bring your nose into better proportion with your other facial features. Rhinoplasty can also be performed for medical reasons, such as to correct abnormalities like a deviated septum that can interfere with breathing while awake or asleep.

Recognized as a rhinoplasty specialist and one of the top cosmetic surgeons in the Mobile-Pensacola metro area, Dr. James Koehler is a board certified cosmetic surgeon serving patients from Gulfport to Gulf Shores and beyond. Dr. Koehler offers a wide range of plastic surgery procedures for both men and women, and is known for his caring commitment to a patient-first approach. Dr. Koehler has written book chapters on rhinoplasty and lectures extensively on the topic to other doctors.

Contact us online or call our Fairhope, Alabama practice at 251-929-7850 to schedule your rhinoplasty consultation today.

Are You a Candidate?

If you’re bothered by the appearance of your nose or have ongoing respiratory or sinus problems due to your nose’s internal structure, you may be a candidate for nose surgery. Men and women considering rhinoplasty should be in good physical and mental health, and have realistic expectations about their results.

Rhinoplasty is one of the only cosmetic surgery procedures that can be performed on patients who are under the age of 18, because the nose reaches physical maturity faster than the rest of the body. However, while rhinoplasty can be scheduled as soon as the nose has reached its full adult growth (around age 15 in girls and age 16 in boys), it’s important to remember that the decision to make a permanent change to the body requires a certain amount of emotional maturity as well.

Meet Dr. Koehler

Educated at the University of Alabama and in practice for over 15 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.

Meet Dr. Koehler

About Nose Reshaping Surgery

There are a number of concerns related to profile, size or contour irregularities that could lead patients to consider a “nose job.” Dr. Koehler can address many appearance issues during rhinoplasty:

  • Restore improved proportions to a nose that’s too large for the rest of the face
  • Even out bumps, dips or excessive width in the nasal bridge
  • Fix a nose tip that’s bulbous, hooked, dips too low or is too upturned
  • Slim down overly large nostrils, or improve nostrils that are wide, uneven or upturned
  • Improve general symmetry and alignment in the nose
  • Correct any irregularities or structural problems due to an old nose injury that healed improperly
  • Open an obstructed airway, whether due to congenital nasal structure, abnormality or trauma

In many instances, feeling unhappy with how your nose looks is due to a combination of concerns, all of which can be resolved through cosmetic nose surgery. For example, you may want to eliminate a prominent bump on the bridge of your nose, yet also want to correct a deviated septum. Dr. Koehler will discuss all of the possibilities with you at your consultation so you can decide together how rhinoplasty can best meet your cosmetic goals.

Please visit our Real Patient Photo Gallery to see real patients’ nose job pictures before and after rhinoplasty.

Rhinoplasty Costs

The price range for nose surgery from our practice averages from $5,800 to $7,500, although this amount may vary depending on your specific goals and whether additional procedures are performed at the same time. If breathing impairment is severe enough that rhinoplasty is being performed primarily out of medical necessity rather than as a cosmetic procedure, your health insurance provider may cover all or part of the surgery. Dr. Koehler and his staff are happy to answer any questions you may have about cosmetic surgery pricing and help you fully understand the costs associated with your rhinoplasty.

What to Expect

A successful nose reshaping surgery begins with a consultation, during which Dr. Koehler will explain the steps he will take during surgery, what you can expect during your procedure and throughout your recovery, and also the results you’re likely to see.

Rhinoplasty is usually performed under general anesthesia, and may be either an opened or a closed procedure. In a closed rhinoplasty, the incisions are hidden inside the nose, while an open nose surgery requires an incision across the slender piece of tissue that separates the nostrils, right at the base of the nose. Through these incisions, Dr. Koehler can reshape the nose as needed, which can include removing or adding cartilage, bone and tissue. In some cases, Dr. Koehler may use dermal fillers to refine your new nose contours even further.

After surgery, Dr. Koehler will typically NOT need to pack your nose however, paper tape and support through an external splint will be used. Rarely splints will be place inside the nose. You can expect to see some swelling and bruising following your nose job, although much of the swelling may be inside the nose. Congestion is common after surgery and can last for a few weeks, or until post-surgical swelling dissipates.

Dr. Koehler recommends sleeping with your head supported upright the first few nights to help you feel more comfortable. Most patients return to work or school 1 to 2 weeks after surgery, and any residual bruising can typically be covered by makeup after the first week. Swelling in the tip of the nose takes the longest to resolve. Although you will see significant improvement after 4-6 weeks, it can take up to a year or more for the swelling in the tip of the nose to complete resolve in order to see the final result.

Risks and Complications

Rhinoplasty is considered a low-risk procedure overall, with the main concern being the high level of technical skill that’s required in order to deliver the most optimum results. For this reason, it’s essential to choose a very experienced rhinoplasty surgeon for your nose reshaping surgery, which will help reduce the chance for surgical complications as well. Dr. Koehler will discuss all the risks and benefits associated with rhinoplasty during your consultation so you can feel fully prepared about what to expect.

Your New Look

Following rhinoplasty, you should see a definite improvement in your nose shape, size and profile, especially in relation to your other facial features. Your profile should look more symmetrical and proportionate, without prominent contour irregularities.

If you underwent nose surgery to correct a deviated septum or other structural abnormality, you should see an improvement in your breathing functionality, and may notice an absence of snoring as well as a more restful night’s sleep free of sleep apnea. Most importantly, you can enjoy the improved self-image that comes from feeling more confident in your appearance.

Dr. Koehler has the right combination of surgical skill and focus on patient care to help you feel and look your best. Please don’t hesitate to Contact us online and schedule your nose surgery consultation today, or call us at 251-929-7850.


Rhinoplasty (Nose Job Surgery)
Service Type
Rhinoplasty (Nose Job Surgery)
Provider Name
Dr. James Koehler,
7541 Cipriano Ct.,Fairhope,Alabama-36532,
Telephone No.(251) 929-4051
Board certified cosmetic surgeon Dr. James Koehler is known as a skilled rhinoplasty (nose job) surgeon by men and women in the Mobile-Pensacola area.