Board-certified specialists providing cosmetic rhinoplasty, skin cancer reconstruction, and Botox.
Same-week appointments · 3 Denver-area offices
Our cosmetic services include Botox, skin reconstruction, and rhinoplasty.
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Cosmetic rhinoplasty adjusts the bone, cartilage, and skin of the nose to change its appearance, such as size, shape, bridge profile, or tip. Unlike functional rhinoplasty, the primary goal here is appearance rather than breathing, though the two are sometimes addressed together if you also have a breathing issue.
You may be a candidate if you're unhappy with the size, shape, or proportion of your nose and want to change how it looks. A consultation is where you and your provider discuss what changes are realistic for your specific nose and facial structure. This isn't the right time for surgery if your nose is still healing from a recent injury, or if you have an active infection or certain unmanaged health conditions. Your provider will review your health history to help determine if and when surgery makes sense.
This procedure is typically done under general anesthesia or sedation at a surgery center, not in the office. Depending on the changes needed, your surgeon may work through incisions inside the nose or a small incision across the columella, the strip of tissue between the nostrils. Surgery time varies depending on what's being changed. You'll recover from anesthesia in a recovery area before going home, usually the same day.
You'll likely wear a splint on your nose for about a week. There will be some swelling and bruising, especially around the eyes, in the days after surgery. Most people take about a week or more off work or strenuous activity. Swelling takes time to fully resolve, so the final shape of your nose continues to settle and refine over the following months.
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After a skin cancer is removed, often through a procedure called Mohs surgery, the area left behind sometimes needs more than a simple closure. Reconstruction repairs that area using techniques like local skin flaps, skin grafts, or careful stitching, depending on the size, depth, and location of the defect, especially on areas like the nose, ears, eyelids, or scalp.
You may need this if you've had skin cancer removed from your face, ears, scalp, or neck, and the wound left behind is too large or complex for a simple closure. Your dermatologist or surgeon will typically recommend this as the next step after your skin cancer has been removed.
The setting and type of anesthesia depend on the size and location of the area being repaired. Smaller reconstructions may be done in the office with local numbing, while larger or more complex repairs may be done at a surgery center, sometimes with sedation or general anesthesia. Your surgeon rebuilds the area using nearby skin or tissue, matching the color and texture as closely as possible to the surrounding skin. The length of the procedure varies widely depending on what's needed.
Recovery depends on the size and location of the repair, but most people need some time for the area to heal, with follow-up visits to check on healing and remove stitches if needed. Some swelling, bruising, or scabbing at the site is common in the days after. Scars typically fade and soften over the following months as the area continues to heal.
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Botox works by temporarily blocking nerve signals to specific muscles, which relaxes them. Cosmetically, it's used to soften the look of expression lines, like forehead lines, frown lines between the brows, or crow's feet, that form from repeated muscle movement. Medically, it's used to treat certain conditions caused by muscle overactivity, such as chronic migraines, jaw clenching or tension, or excessive sweating.
For cosmetic use, you may be a candidate if you'd like to soften expression lines on your face, especially ones that show even when your face is relaxed. For medical use, you may be a candidate if you have a diagnosed condition, like chronic migraines, jaw tension, or excessive sweating, that hasn't responded well to other treatments. This isn't right for you if you're pregnant or breastfeeding, or if you have certain neuromuscular conditions. Your provider will review your health history to confirm it's safe for you. Insurance may cover Botox for some medical uses depending on your diagnosis and plan, but cosmetic Botox typically isn't covered.
This is done in the office, and you stay awake the whole time. Your provider identifies the specific muscles to treat, then uses a very fine needle to inject small amounts of Botox at each site. You may feel a brief pinch at each injection point, but it's quick. The appointment itself usually takes about 10 to 15 minutes, depending on how many areas are being treated.
There's no downtime, and you can go back to your normal day right after, though your provider may suggest avoiding strenuous exercise or lying down for a few hours. Results build gradually over the days that follow. The effects are temporary, so repeat treatments are typically needed to maintain results over time.
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"Dr. Manan Shah has a unique combination of exceptional skill and genuine kindness. He performed my septoplasty to fix a deviated septum, and he also performed balloon dilation of my eustachian tubes. I can breathe and sleep much better, and I can finally pop my left ear after decades of pressure and inability to do so."
"I was very impressed with Dr. Fairmont who treated my sinus symptoms. She was genuinely interested in my care & she recommended new medications and therapies which are covered by my insurance. Also, she was very kind and empathetic."
"This was my first visit. Dr. Sohal has a terrific bedside manner, is very knowledgeable and the care he has for his patients is obvious. He took time to discuss my condition and treatment. And spent time answering my questions. I highly recommend Dr. Sohal!"
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