Dr. Kobienia develops an individualized treatment plan for each of his nose surgery patients.

There are two primary techniques used to perform rhinoplasty: the closed technique and the open technique. Although Dr. Kobienia strongly favors the open technique, which utilizes an incision made across the columella, the narrow strip separating the nostrils to provide more access to revise the existing structures of the nose. The closed procedure is performed using incisions hidden within the nose only.

During surgery, Dr. Kobienia makes the predetermined incisions in order to access the underlying cartilage. Depending on the desired shape, he will remove, add, and/or reshape the cartilage. Once the reshaping has been completed and the nose has been sculpted into its desired form, the skin is re-draped and the incisions are closed using sutures. A splint, bandages, and possibly some soft internal packing may be used to help protect the nose during recovery, which can be done at home. Most patients are able to return to their normal routines within one to two weeks of undergoing rhinoplasty.