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Rhinoplasty Preparation


Iowa rhinoplasty specialist Dr. Daniel J. Givens combines time-tested rhinoplasty techniques with the most cutting-edge innovations in nasal surgery to provide the best possible rhinoplasty results for his patients.





Iowa Nose Job

Iowa Rhinoplasty

The focal point of the face, the nose holds significant importance both aesthetically and functionally. Beyond its role in facial harmony, it serves as the primary olfactory organ and plays a crucial part in respiration. At Givens MD | Faces Medspa, Dr. Givens's goal in every rhinoplasty procedure is to achieve natural-looking and enduring results that optimize the form, size, and character of the nose.

Dr. Daniel Givens is double-board certified in Facial Plastic Surgery by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, Head & Neck Surgery, ensuring comprehensive expertise in both nasal functionality and facial aesthetics. This means that not only can your new nose appear more pleasing, but it may also function better.

While many rhinoplasties are elective cosmetic procedures, a significant number are performed to address breathing issues or to correct nasal structure following injury. Following surgery, patients can retain their natural appearance but with improved facial symmetry and a more natural aesthetic.

Rhinoplasty Before and After Images

Every year over half a million people will consult a facial plastic surgeon to improve the appearance of their nose, an operation called a Rhinoplasty, or nose plastic surgery. Since the nose is one of the most defining characteristics of the face, even a slight alteration can greatly improve one’s appearance. There are a number of reasons to consider rhinoplasty surgery, not all of which have to do with enhancing your appearance, but certainly, building self-confidence can be life-changing. View some of Dr. Givens rhinoplasty before and after photos.


Rhinoplasty Recovery

Initial Days Post-Surgery

Immediately following your rhinoplasty procedure, you can expect swelling, bruising, and some discomfort. Dr. Givens will provide detailed post-operative instructions to ensure your comfort and optimize your healing process. It's normal to initially experience congestion and difficulty breathing through your nose.

Weeks 1-2

During the first two weeks of recovery, it's essential to prioritize rest and follow Dr. Givens' guidelines diligently. Swelling and bruising will gradually subside, and any discomfort can typically be managed with prescribed pain medication. You'll need to avoid strenuous activities, including heavy lifting and vigorous exercise, to prevent complications and promote optimal healing.

Weeks 3-6

As you enter weeks three through six of recovery, you'll notice significant improvements in swelling and bruising. While most patients feel comfortable returning to work or school within this timeframe, it's crucial to continue avoiding activities that could put strain on your nose. Follow-up appointments with Dr. Givens will allow him to monitor your progress and address any concerns that may arise.

  • What do neuromodulators do?
    Neuromodulators (including Botox and Dysport) relax the muscles and reduce fine lines and wrinkles in the face and neck. These treatments combat forehead lines, glabella lines ("11's" between the brows), crows feet (around the eyes), smile lines, neck lines, and other wrinkles associated with aging. They can also be used to help sculpt and lift facial features including for a nonsurgical brow lift and a nonsurgical neck lift.
  • What is the difference between BOTOX and Dysport?
    While BOTOX and Dysport both use the same substance (botulinum toxin A) and are based on the same mechanism of action, the size of the molecules in the injections are significantly different. Dysport contains smaller molecules of botulinum toxin type A than BOTOX. - Dysport can spread through your cells more easily - Dysport may begin working slightly faster than BOTOX - Results from Dysport and Botox last for a similar amount of time
  • How many units of Botox will I need? How many units of Dysport will I need?
    The amount of units needed can differ from person to person depending upon your desired outcome, the area of concern to be treated, the strength of the muscles in the area, and whether the treatment is for prevention or to treat existing fine lines and wrinkles and their severity.
  • When will I see results from Botox and Dysport?
    Most patients can expect to notice early results of Dysport between two to five days following treatment, while results from Botox may take seven to fourteen days. The degree of muscle relation can continue to evolve for about two weeks and the results last for three to four months. The longer the BOTOX treatments have been routinely performed, the more relaxed the facial wrinkles will appear over time. Results of Dysport are similar, but often with a slightly quicker onset of action.
  • How long does Botox last? How long does Dysport last?
    Results may vary based upon the dose given, as well as on muscle strength of the area and metabolism, as our bodies metabolize (or break down) the Neuromodulators over time. Treatment to maintain your results are recommend every three to four months. Using medical grade skin care products at home as part of a daily skin care regime can help to maintain your results and improve the appearance and quality of your skin.
  • Does Botox and Dysport hurt?
    Many of us are not big fans of shots, especially needles in general. However, Neuromodulators are generally quickly injected with a minimal amount of discomfort, using the smallest needle available. Many of our patients barely notice the injections.
  • Who are good candidates for BOTOX and Dysport?
    BOTOX and Dysport have been proven safe and effective for treatment of a wide variety of patient and wrinkle types, however, the earlier the treatment is started, the more favorable the results can be. Some patients are not candidates for this type of treatment and include those diagnosed with neurological conditions or disorders affecting muscle movement, history of allergy to the botulinum toxin product, or those with unrealistic expectations from the treatment. Patients who are pregnant or nursing are discouraged from undergoing treatment.


The BBL helps turn back the visible signs of aging, anywhere on the body. The light energy delivered by Forever Young BBL HERO™ selectively targets problem areas such as pigment, redness and vessels.



Threadlifts pull the skin back slightly therefore lifting and tightening the face. A PDO thread lift is customized to your unique skin type, skin texture and aesthetic goals.

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