Dr. Paul K. Holden, MD
Paul K. Holden, M.D. is one of a select few double board-certified head and neck surgeons and specialty-trained facial plastic surgeons in Scottsdale, Arizona. Dr. Holden is part of a prestigious line of surgeons that date back to the original pioneers in the art of cosmetic nasal surgery.
Years of Experience
Happy Clients
Surgical Techniques
Open Rhinoplasty
Many surgeons prefer the open rhinoplasty approach during nose surgery because they can gain a better view and better access to the inside of the nose. The incision using this approach is made on the skin between the nostrils or under the nose near the nostrils. Once the incision is made, the skin is moved back to allow access to the internal structures. The incision lines, which heal nicely leaving scars barely visible, are fairly small and usually measure between 2-3 mm.
Closed Rhinoplasty
The closed rhinoplasty technique is used on noses that have features that are easily corrected. It is commonly used when the tip of the nose has good shape and is not too long, too wide, over or under projected. The incision during this approach is not visible after surgery because it is made on the inside of the nose.
Rhinoplasty Reviews
68
4.9
Rhinoplasty - Scottsdale, AZ - I couldn't be happier with my new nose.I hated my nose for as long as I can remember, when I looked in the mirror or at pictures of myself that's all I saw. The first time I met with Dr.Holden he pin pointed my exact issues with my nose with out my having to tell him. He was very kind and patient and answered all of my questions. While talking to him it was obvious he knew what he was talking about and was an expert in his field. I felt so comfortable and confident with him that I canceled my other consultes (with another surgon I used in the past) and scheduled by surgery for the next week. Dr.Holden also saw me at every one of my follow up appointments, not some nurse, which was very important to me and helped with my post surgery anxiety. With being 34 years old and a mother of 3 it was very important to me for my new nose to look natural. It does. I am thrilled when I look in the mirror and the people close to me have all remarked how wonderful it looks. While people that I haven't shared my surgery haven't noticed or at least not enough to say "oh my gosh you got a nose job!" I still look like me. :)
"I had a horrible experience with seeing another ENT a few months before seeing Dr. Holden. To the point that I literally left the office in tears. I paid $150 with this other ENT and rescheduled my entire shift to see this surgeon. I have had breathing problems with my nose for as long as I can remember. I've also become very self conscious of my nose over the years. After my bad experience with Todd Hobgood (see his page to read my review of what happened) one of my clients recommended Dr. Holden. From the beginning when I called to schedule a consult the front desk girls were so unbelievably kind! I went in to my consult with my boyfriend and my son and they were even sweeter in-person. Dr. Holden came in and spent nearly an hour with me going over what could be going on. Not once did he mention the cosmetic side until I brought it up. This shows me that he genuinely cares and is not just in it for the money! He took photos of my face from different angles. He actually listened to everything I had to say from the health portion to the cosmetic side. He gave me recommendations and referrals for the health side and then said he would be back after he edits my photos to try and show me what the nose I was hoping for would look like. He came back in the room and what I saw brought instant tears to me eyes! It was the nose I have DREAMED of!! I spoke finances with one of the ladies (who was also so dang friendly) and left in HAPPY TEARS. Not sad tears feeling insufficient like I did with the other ENT I saw. This was a few weeks ago. Every day I look at the photos he gave me and dream and set goals to one day be able to afford it! Eventually that day will come and I literally cannot wait! I work in the beauty industry and I have met many different personalities. Some great, some not so great. After that experience I can hands down say I 100% trust Dr. Holden with my life and when that glorious day comes - I'll be editing this review to post my before and after photos of my nose! You'll all be appalled with the difference. True artist. Genuine man. Give him a shot, you will not regret it! Oh, beautiful office as well!"
"Very Happy - I wanted Rhinoplasty for a pretty long time, but was always scared, or on the fence about it because I have seen so many bad procedures. Bad as in overdone, or a nose with 2 holes and tiny point that stood out as "a nose job." This was my fear. I did not want to look so different that people would wonder what I did to my face. I explained all my concerns to Dr. Holden. He assured me this would not happen, and made me feel comfortable with the procedure. It has only been 18 days since my procedure and I'm very happy with the changes. It is subtle, not drastic, and I still look like myself. I went back to work after 1 week and no one really noticed I even had this done. One guy asked me if I changed my hair. He thought something looked a little different, but could not tell what. I think this is a sign of a good procedure. Cosmetic surgery should look natural, and not overdone. I would highly recommend Dr. Holden if you are considering Rhinoplasty."
"God Bless You Dr. Holden!!! - If you are considering Dr. Holden DON'T LOOK ANY FURTHER!!! I cannot stop smiling and feeling sensational about my results! After having botched surgery with some awful so-called doctor, Dr. Holden gave me my life and happiness back, he delivered results that tremendously exceeded my expectations. My nose is perfect! His work is exquisite, customized to your unique features, and undetectable! Regardless of his expertise, he's so charismatic, down to earth, and he takes the time to listen and answer all of your concerns. I thank God everyday for helping me make this decision, I am beyond happy with my results. God bless this sensational, amazing, gifted surgeon!!!"
"I'm very grateful for Dr. Holden! I was very nervous when I first walked in his office, as I'd never had any cosmetic procedures performed before. As soon I saw him walk in the room with a contagious smile, I immediately felt a sense of relief. He was very specific when answering all of my questions, without looking rushed or uninterested. He is professional, honest, and a definitely caring Doctor. I am very happy with the results of my rhinoplasty and chin implant. He IS the best plastic surgeon! If you're considering a cosmetic procedure, I highly recommend you visit Scottsdale Plastic Surgeons!"
Rhinoplasty Surgery Process
Consultation and Preparation
You'll meet with your surgeon to discuss what you'd like to change about your nose and to ensure you're a good candidate for the surgery. Before the big day, you'll receive instructions on how to prepare, which might include avoiding certain medications. Don't worry, your surgeon will make sure you're comfortable and healthy for the procedure.
Surgery Time
On the day of the surgery, you'll be given anesthesia so you won't feel any pain. The surgeon will make tiny incisions inside your nose (or sometimes a small one under the nose), then gently reshape the bone and cartilage to give you the desired look. Once the changes are made, the incisions are closed up. You'll be monitored closely as you wake up to ensure you're feeling okay.
Recovery Process
After surgery, patients will wear a nose splint and will experience bruising and swelling around the nose and eyes. Once the bandages and splint are removed, the nose will look normal, but it may take longer for the bruising to subside completely. It can take up to a full year for the nose to gain its final contour and softness. Make sure to attend follow-up appointments with your surgeon to ensure everything is healing properly.
Photos before/after
Rhinoplasty with Chin Augmentation
Rhinoplasty with Chin Augmentation
Rhinoplasty with Chin Augmentation
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Surgical Care
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Rhinoplasty FAQs
Are Surgery Fears Normal?
Yes, and this fear is always elevated when surgery involves the face. However, more than 350,000 people in the U.S. undergo rhinoplasty each year making it one of the most common cosmetic surgeries. One way to help calm your fears is to make sure you find a reputable and skilled surgeon that has extensive experience with nose surgery.
Will Nose be Broken?
About half of rhinoplasty patients will benefit from a manual nasal fracture during surgery. This planned break allows access to perform certain functions during surgery such as narrowing the width of the nose or correcting an asymmetrical nose. This is a common practice and heals within just a few weeks following surgery.
What is a Nasal Pack?
Nasal packing is the insertion of gauze and/or cotton packs into the nasal chamber after surgery. These are used to control bleeding, but are not necessary 100% of the time. They are generally used if the surgery includes the septum.
Is Surgery the Only Answer?
Noses that are too large or too wide, or have a specific deformity may only be able to be enhanced through nose surgery. However, the look of some noses may be able to be enhanced using an injectable filler such as collagen, calcium hydroxyapatite, or fat taken from another part of the body, “injection rhinoplasty” may be an option before resorting to surgery. This is an in-office procedure that can help to soften and camouflage a bump, alter the tip of the nose, and smooth out irregularities.
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