“The finest nose maker in the history of medicine” - Dr. Burt Brent, World Renowned Ear Reconstructive Plastic Surgeon

"You are a true artist and a Godsend to these patients!!!” - Edward H. Yob, MD Past President, The American Society of Moh's Surgery"

Two-time winner of the James Barrett Brown prize

American Society of Plastic Surgeons

Visiting Professor for the American Society of Maxillofacial Surgery

Past President of The Rhinoplasty Society

Information for Traveling Patients

We see patients from all over the globe. Our office staff can provide you and your family with everything from help finding accommodations to local attractions to enhance your visit.

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Office Location:
1102 N El Dorado Place,
Tucson, AZ 85715

Call: 520-881-4525

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I am deeply grateful and ever so appreciative of your truly welcome and much needed help! Your surgery results are nothing short of awesome! Thoughtfulness like yours indeed takes a special caring. Again, ‘Thanks a Million’ for everything!!
- P.B.S., Revision Rhinoplasty

I wonder how you create a living thing with your hands. How do you build something out of nothing? The thought of the task baffles me, but to my father, it is mundane.
- Katharine Searcy Menick click here for the rest of her perspective

I wanted to take a minute of your precious time to thank you and to let you know the true meaning of what you have restored in her. Yours is a truly special gift and the confidence in which you handled her case allowed her to focus on healing, not worrying!
- V.B., patient’s daughter Nasal Reconstruction

I feel great every time I look into the mirror. Thank you for that gift.
- C.G., Nasal Reconstruction

Needless to say, I am overjoyed at the acquisition of my new nose - something I never imagined I would need - turned out so splendidly. It is a wonderful gift that you bring the world with your expertise, your care, and your artistry. It replaces despair with hope and, indeed verges on the miraculous. My deepest thanks.
- D.L., Nasal Reconstruction - click here for case details

I think of you every time I look in the mirror and know how blessed I am to have you as my doctor – the genius….. Everyone tells me how beautiful I look and they are amazed at your ability. Thank you for making a nightmare experience quite pleasant and even fun at times…. We have so much to thank you for. You were beyond considerate and we are beyond grateful… I get compliments almost every day on my beautiful nose.
-J.D. Nasal Reconstruction - click here for case details

You are really a miracle worker! My nose is healing rapidly and I feel normal again - a delicious feeling.
- P.F., Nasal Reconstruction - click here for case details

I am so happy for getting the surgery. The surgery has changed the outlook I have about myself and my self-confidence. So thanks again because how can I repay someone who has changed my life.
- T.P., Revision Rhinoplasty after Congenital Nasal Hemangioma

You truly gave me a new lease on life, as the saying goes. My nose is absolutely beautiful; I still get compliments on it!
- D.W., Nasal Reconstruction/Revision

Thank you so much for taking such great care of our son. We couldn’t have made it through all this without your kindness and compassion.
- B. and G. S., Nasal Reconstruction for their child

Words will never be enough to express our gratitude for the work you have done with our daughter. You have made her a whole person again. From the first day we met you, we had unending hope for her. You plainly said you could fix her when everyone else warned us not to expect much.
- Mother of K.B. Facial Reconstruction - click here for case details

I would like to take this opportunity to tell you what a magnificent doctor and artist you are! My two surgeries a few months ago - nose repair and facelift - changed my life. Everyone remarks how beautiful the work is. I feel I have lived on both sides of appearance; that is, going from droopy and haggard to looking vibrant and pleasing.
- J.T., Facelift and Rhinoplasty - click here for case details

There is rarely a day that goes by that I don't Thank God for sending me your way. My nose is beautiful.
- K.D.

Magician performs excision: arm scar disappears!
- 6 word memoir dedicated to Dr. Menick by M.F. - click here for case details

We are back home...The result is fantastic and completely in line with the vision I had in mind. Thank you for understanding and making that vision a reality. The vastly significant improvement to my breathing will certainly enhance my overall health and quality of life as well. I have the best of both worlds in aesthetics and function. I am beyond happy and satisfied. Your staff is attentive, warm and caring.
- A.C., Revision Rhinoplasty

You restored my nose and therefore my face. You gave me back my identity, and allowed me for the first time in 26 years, to feel physically whole again. I could only begin to imagine how rewarding it must be to change and restore peoples' lives, getting back confidence, changing their outlook on life and making them ready to embrace life again as it was. Because of your surgical skills and the changes you made externally, I am feeling stronger internally...
- A.C., Revision Rhinoplasty

Thank you for giving me my identity back. While I could have lived with the scars from the dogbite, my psyche feels better knowing that I present the best face I can- with your help. Thanks for sharing the benefits of your skills with me. I am honored.
- M.T., Facial and Nasal Trauma after previous failed repair

I am thankful every day for what the Doctor was able to do for my daughter.
- D.L., Father of Nasal Trauma patient after previous failed repair

I hope you know deep in your heart how thankful I am for your skills. Let's call it a higher power that we met. I have no clue why things happen. However, I do know that our meeting each other and your willingness to come to my rescue was evident from the start. I just wanted you to know I was treated with great respect and care (kindness) which has continued to this day. I truly am a better man for having known you mentally and physically. From the bottom of my heart, thank you so very much...
- D.G., Facial and Nasal burn

I don't get on your side of town during working hours very often. I think in another month or so I will be over there and would just like to stop in real quick to shake your hand and thank you for my beautiful nose! Everything is going great. It gets better all the time.
- A.C., Nasal Reconstruction

Thank you very much for being brilliant, talented, and fun to be with. It was an amazing journey and the confidence Harper and I have in your skills made it easy to keep the Faith. We will never believe that we have said "Thank You" enough. God richly blessed our package of three, and it is important to include the hundreds of people that joined us in the long process. The kindness and helpfulness of Rachel and Tina your office staff.
- J.D., Nasal Reconstruction

I have been thinking of you and wondering how you are. My son will turn 18 soon and he is doing very well. His surgery all started with you and now he is almost grown! He wears a BAHA, a bone conducting hearing aid. I just want to say thank you for your very tender care of my son. His mom passed away nearly 4 years ago and I know she would join me in extending this thank you! You are a pretty decent ear maker too, and I would be willing to tell Dr. Brent!
- R.S., Father of Ear Reconstruction patient

I wanted to tell you how thankful I am that you worked on me today. I think it looks terrific! Your work must be so rewarding. You are life changing to so many. Thank you!
- K.D., Nasal Reconstruction

I just want to tell you and everyone else at the office, THANK YOU! You helped make my dreams come true with your patience and superb hospitality. I will be sure to tell all my friends how terrific this experience was for me. Thank you again very much!
- D.G., Rhinoplasty

I am deeply grateful and ever so appreciative of your truly welcome and much needed help! Your surgery results are nothing short of awesome! Thoughtfulness like yours indeed takes a special caring. Again, "Thanks a Million" for everything!!
- P.S., Revision Rhinoplasty

I wanted to thank you again for the great work that you did on my nose. My wife and I are very pleased. You are truly gifted. God bless.
- K.V., Nasal Reconstruction

Thank you for making a beautiful nose. I’ve always wanted a “normal” looking nose and without you I wouldn’t have had this life altering opportunity. You amaze me.
- L.S., Congenital Nasal Deformity Reconstruction

My nose is healing very well and it looks great. I must admit that I am really loving my new nose! Thank you very much Dr. Menick.
- C.M., Rhinoplasty

Your work is beautiful and so reminiscent of the Wabi Sabi concept but did you know that this advanced aesthetic concept is also a perspective and philosophy of life? Thanks for changing my life. I feel so vibrant and alive as a result of your work.
- A.C., Revision Rhinoplasty

Some gifts you hold in your hand: Some you hold in your heart. We are so grateful for the blessing of you! My family and I want to extend a sincere thank you for giving me my life back. You are a special man: Your heart heals us and your hands make us beautiful again. Dr. Menick, you create gifts like no other. No words could ever express the thankfulness I feel for you, your office staff and your hospital team...
- C.J., Nasal Reconstruction after Dogbite

Everything is going great and I have significant feeling in the nose. Once in a while certain vibrations (like singing) cause a most intense tickling/itching sensation. It’s kind of weird and exciting all at the same time. It gets better all the time. Thank you so much.
- A.C., Nasal Reconstruction

I am writing just to let you know that I am very happy with my nose now. It really changed my life a lot, now I can take lots of pictures of my face (it doesn’t matter if the light is in my face), it always looks great and I am very confident meeting people, I don’t have to hide anymore. I had some concerns about the high bridge but after 2 months I started being 100% happy. All the rib pain in the end was worth it. Thanks a lot for what you have done for me and I hope you will make many other patients happy.
- R.F., Revision Rhinoplasty


The nose is the most prominent feature of the face and a change in its shape often significantly improves overall facial appearance. Rhinoplasty is a common operation. Most patients complain of a large or wide nose, a twisted nose or obstructed nasal breathing. Depending on the problem, tissue is removed to make the nose smaller. Often, parts of the nose are reshaped or other areas enlarged (augmented) to elevate a low bridge or improve tip position or definition. Most patients are happy and pleased with their new appearance after rhinoplasty.

A nose is considered most attractive when it has a straight dorsum without a hump. The tip should be the highest point of the nose on profile. In a man, the nose should lie approximately at right angle to the lip, while in a woman it should be slightly upturned. People are often unhappy with a nose that looks too long relative to other parts of the face.

In the past, rhinoplasty was an “all take and no give operation.” It was assumed that every nose was too large and that cartilage and bone should be removed. The goal was to make all noses look smaller.

It is now apparent that this may not be the correct choice for every nose. Cartilage gives shape and, in many instances, cartilage should be added (especially at the tip) to give the nose an attractive shape, rather than removed. Such cartilage is usually taken from the septum, the ear, or occasionally the rib, if other sources have been removed during past rhinoplasties, and added to the nose to improve its appearance. Taking cartilage from the ear does not deform it. As an analogy, it is impossible to give more shape to a seat cover by deceasing the size of the underlying furniture. It is the underlying supportive framework of a chair which gives shape to its cloth covering. In the same way, the shape of nasal bone and cartilage support the covering nasal skin to create an attractive contour. In many cases, a good result requires more that just removing cartilage.  Cartilage should be often be reshaped in different parts of the nose to improve the overall appearance. Sometimes cartilage pieces should be added, not taken away.

Click Here to See Dr. Menick’s Rhinoplasty Gallery

About Rhinoplasty Surgery

Dr. Frederick J. Menick offers a comprehensive overview of Nasal Reconstruction and Rhinoplasty on eMedicine, a web-based clinical reference guide.

Rhinoplasty is usually performed as an outpatient under general anesthesia. Most patients find that discomfort after a rhinoplasty is modest. The nose may feel achy or stuffy for several days, but, often after the first night, only a small amount of pain medication is required. Swelling and black and blue discoloration is present for approximately five to seven days. Due to internal nasal swelling, the nose may feel “stuffed,” like a cold.  An external splint is worn for seven days on the outside of the nose and then removed. “Nasal packing” is rarely used. Patients are usually presentable after a week. Usually an acquaintance or passersbys will not notice the swelling. Further swelling decreases over the next two to three weeks.  However, it may be six to twelve months before the final shape of the nose is visible because the nasal skin slowly shrinks to conform to the underlying shape of the new nose.

Incisions for a rhinoplasty are made within the nose where they are hidden. Often, an incision is also made across the columella (the “post” between the nose and the nostrils) because this allows the surgeon create a much more attractive nose than would otherwise be possible(open rhinoplasty). The scar is usually hard to see. Occasionally incisions are made in the alar groove (junction between nostril and cheek) or along the nostril margin. As mentioned, there is swelling for approximately a week to ten days. By that time, the nose looks normal and attractive. However, the final shape of the nose may not be evident for six months. It takes that long for the nasal skin to reshape to the new nasal skeleton. It is always better to “underdo rather than overdo” a nose. In approximately 2 – 5% of rhinoplasties, it may be worthwhile to perform additional surgery to create more improvement. However, this is not done for at least six to twelve months so that the final result of the original surgery is visible and areas which need improvement are identified. Most often, a revision is not required.

Many patients have nasal obstruction and difficulty breathing. This has two causes. The nasal passages may be physically narrowed by a deviated septum or weak airway support, or obstructed  by swelling due to nasal allergies and hay fever. Septal surgery may improve breathing significantly by removing deviated or thick cartilage in areas of blockage. Internal or external valve obstruction may be improved by adding support to weak areas. Nasal surgery, however, will not improve nasal allergies or obstruction due to swelling or allergy. Most noses “run” for several weeks after rhinoplasty. This is normal and is part of the healing process.

Nasal surgery for relief of nasal obstruction or to correct damage due to accidents may be covered by insurance. Surgery to improve nasal appearance, in an otherwise normal nose, is considered cosmetic surgery and is not normally covered by insurance.

Complications may follow any surgery. After rhinoplasty, patients may experience excessive bleeding. Aspirin, ibuprofen, and herb and vitimin supplements should be avoided for two weeks before and after surgery to decrease this risk. The nose should not be “blown” for two weeks. Any inner crusts are allowed to spontaneously clear. If you need to sneeze, sneeze through your mouth. Infection is rare. All scars are within the nose or, if an incision was made on the external skin, are usually minimally visible. When the septum is removed to relieve obstruction or to supply grafts to shape the nose, occasionally a septula fistula forms (a small opening between both sides of the inner nose). This is invisible but can cause bothersome crusting or noisy breathing. If it is a problem, it is sometimes correctable. Click here for rhinoplasty post surgery care instructions

Most people find that areas of  the nasal skin are numb and have less feeling for months after surgery. Although patients usually look normal and are pleased with their appearance within several weeks after surgery, occasionally a revision or “touch-up” operation is worthwhile to improve appearance or function. A revision is not performed until the swelling disappears and skin shrinkage is complete, after approximately six to twelve months. You are responsible for surgical fees, operating room charges, and anesthesia costs if a revision surgery is planned by the patient and surgeon.

Secondary Rhinoplasty

Secondary, or revisional rhinoplasty, is performed to correct an unsatisfactory result after past nasal surgery. Most rhinoplasties go well but some can be improved by further surgery. The cosmetic result may be less than desired or the breathing impaired. Many of our patients seek advice regarding improvement of their nose after a past rhinoplasty performed elsewhere. A revision rhinoplasty is approached in the same fashion as a primary one. The aesthetic problems are identified and a plan formulated to correct them.  Cartilage may need to be removed. Often, in a secondary rhinoplasty, malformed or missing cartilage must be reshaped or replaced – usually with septal or ear cartilage. Occasionally rib cartilage is needed, depending on the size and rigidity of the cartilage required to reshape and support the nose.

Click Here to See Dr. Menick’s Revisional Rhinoplasty Gallery