Rhinoplasty

Refining the shape of the nose and improving facial balance

The nose plays a central role in the overall balance of your face. Even subtle differences in its shape or position can influence how your other features are perceived. You may notice that the bridge draws attention in profile, or that the overall shape feels slightly out of proportion with the rest of your features—even if it’s difficult to define exactly why. Often, it is not about a single detail. It is more a general impression that something feels slightly off. The nose may appear more prominent than you would like, less refined in certain lighting, or simply not fully aligned with your overall features. These are often subtle observations, but they can still affect how comfortable you feel with your appearance. If you have been noticing these concerns, exploring rhinoplasty can help you better understand what options exist. The purpose of rhinoplasty is not to create a completely different nose, but to refine the structure in a way that feels balanced, natural, and consistent with the rest of your face. Because your nose is unique in its shape, structure, and proportion, rhinoplasty is one of the most individualized procedures in facial plastic surgery. Careful planning is essential so that any adjustments remain in harmony with your anatomy and preserve the natural character of your features. At PIPS (Partners in Plastic Surgery of West Michigan), rhinoplasty is performed as a cosmetic procedure with a focus on refining shape, proportion, and overall facial harmony. The approach is measured and intentional, with the goal of creating a result that feels appropriate rather than overdone.

When rhinoplasty may be considered

You may begin exploring rhinoplasty when your nose feels out of balance with the rest of your face or draws attention in a way that does not feel consistent with your features. This awareness often develops gradually. You may notice it more in photographs, in certain angles, or at specific moments rather than all the time. The nose may feel slightly too prominent, less defined, or simply not aligned with the overall proportions of your face. In many situations, what you are looking for is not a dramatic change. The goal is often to soften certain elements, improve definition, or create a more balanced relationship between the nose and the rest of your features. Rhinoplasty offers the opportunity to refine these elements in a way that feels cohesive and natural, without changing the identity of your face. The intention is not to make the nose stand out, but to allow it to integrate more naturally within your overall appearance.

Planning your procedure may

Planning rhinoplasty begins with a careful evaluation of the structure of your nose and how it relates to the rest of your face. The shape of the nasal bones, the position and strength of the cartilage, and the overall contour all play a role in determining what changes are appropriate. Facial balance is a central part of this process. The relationship between your nose and surrounding features, including your chin, lips, and forehead, helps guide decisions about how much refinement is needed and where those adjustments should be focused. This stage is also an opportunity to talk through your expectations in a clear and realistic way. Subtle changes often have the greatest impact, especially when they respect your natural proportions. The goal is to develop a plan that feels aligned with your features, rather than based on a fixed idea of what a nose should look like. Thoughtful planning helps ensure that the result feels balanced, natural, and consistent over time.

How the procedure is performed

Rhinoplasty is performed using techniques that allow careful reshaping of the nasal structure while preserving stability and long-term support.

In some cases, a small incision may be placed across the columella to allow full visualization of the nasal structures, particularly when more detailed refinement is needed. This approach allows for a high level of precision when shaping the bridge and refining the tip.

During surgery, the underlying structures of your nose are adjusted to create a smoother and more balanced contour. The bridge can be softened to reduce prominence, and the nasal tip can be refined to improve definition and proportion within your face.

Cartilage may be carefully repositioned or refined to support a natural and stable result. Each step is performed with attention to how the final shape will integrate with your overall facial features.

The approach remains controlled and precise, focusing on refinement rather than dramatic change.

Benefits of rhinoplasty

Refining the shape of your nose can have a meaningful impact on overall facial balance. Because the nose is central to your face, even subtle adjustments can influence how your other features are perceived. When the proportions of your nose feel more aligned with the rest of your features, your overall appearance often feels more harmonious without drawing attention to any one area. The goal is not for the nose to stand out, but for it to feel less noticeable within the overall composition of your face. This level of refinement typically creates a result that appears effortless and natural across daily moments, from conversations to reflections to photographs.

Recovery and healing

After surgery, a protective splint is placed over your nose to support the newly shaped structures during the early stages of healing. This splint is typically removed after about one week. Swelling and mild bruising around your nose and eyes are expected in the early phase of recovery and gradually improve over time. The initial changes tend to settle within the first few weeks, although healing continues beyond that. Rhinoplasty requires patience, as the final result develops gradually. It may take up to one year for swelling to fully resolve and for the shape of your nose to become fully refined. During this time, the tissues settle and adjust, allowing the final contour to emerge in a natural and balanced way.

Insurance information

Rhinoplasty at PIPS is performed exclusively as a cosmetic, self-pay procedure. Insurance is not accepted for rhinoplasty. During your consultation, the cost of the procedure and available payment options will be reviewed so you can clearly understand what to expect before making any decisions.

Rhinoplasty at PIPS

Partners in Plastic Surgery of West Michigan

Rhinoplasty at PIPS is performed by Dr. Paige Goote, a fellowship-trained plastic and reconstructive surgeon with specialized training in aesthetic surgery. Her approach focuses on careful evaluation, precise technique, and an understanding of how your nose fits within the overall balance of your face. Attention is given to proportion, contour, and subtle refinement so that the result feels natural and consistent with your features. The goal is not to create a standardized outcome, but to achieve a result that feels appropriate for your face and maintains its natural character. Procedures take place in our private surgical facility located within the PIPS practice in Grand Rapids, serving patients throughout West Michigan.

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Anna Gelder, RMA

Anna Gelder, RMA

Registered Medical Assistant

With more than 15 years of experience in the medical field, Anna brings a diverse and well-rounded clinical background to her role. She began her career as a dental assistant before advancing into medical assisting, where she was selected to participate in the first-ever Medical Assistant Apprenticeship Program through Grand Rapids Community College. This experience helped shape her strong foundation in clinical excellence and patient-centered care.

For the past eight years, Anna has specialized in plastic surgery, where she is dedicated to guiding patients through every stage of their journey with professionalism, compassion, and meticulous attention to detail. She takes pride in creating a supportive, reassuring environment and contributing to a positive patient experience from consultation through recovery.

Ashley Marcinowski, RMA

Ashley Marcinowski, RMA

Registered Medical Assistant

Ashley is deeply passionate about her work and committed to delivering an exceptional level of care to every patient she serves. She believes that truly outstanding patient experiences are built on trust, communication, and genuine connection. By taking the time to listen, understand each patient’s goals, and provide thoughtful, personalized guidance, Ashley strives to create a supportive and elevated experience from start to finish. Her priority is ensuring that every patient feels comfortable, confident, and genuinely cared for throughout their journey.

She takes great pride not only in the quality of care she provides, but also in the meaningful relationships she builds along the way. Ashley is dedicated to fostering a welcoming and positive environment where patients feel valued, understood, and at ease. Helping patients feel empowered and confident in themselves is one of the most rewarding aspects of her work.

Katy Otte

Katy Otte

CRNA Anesthesia Director

Kathryn Otte, CRNA is a Certified Registered Nurse Anesthesiologist at Partners in Plastic Surgery of West Michigan, where she specializes in anesthesia care for cosmetic surgical procedures. She earned her Bachelor of Science in Nursing from University of Detroit Mercy and her Master of Science in Nursing, with a focus in anesthesia, from Oakland University.

With over a decade of experience, Katy brings a thoughtful, patient-centered approach to every case. She is deeply committed to safety, precision, and creating a calm, reassuring environment where patients feel fully supported throughout their surgical experience. Known for her attention to detail and intuitive care, she prioritizes both clinical excellence and patient comfort.

Katy serves as our Anesthesia Director, where she is dedicated to upholding the highest standards of care.

Katelyn Richards, BSN, RN

Katelyn Richards, BSN, RN

Aesthetic Nurse Injector

Katelyn is an experienced Aesthetic Nurse Injector with 14 years of nursing experience, the majority of which has been spent in the pediatric emergency department. Her extensive clinical background has shaped her meticulous attention to detail, patient safety, and ability to deliver calm, compassionate care in high-pressure environments.

For the past three years, Katelyn has specialized in aesthetic medicine and is certified in both neurotoxins and dermal fillers. She is known for her refined technique and artistic eye, focusing on subtle, natural-looking results that enhance each patient’s unique features. Katelyn is passionate about helping patients feel confident and empowered in their own skin, combining clinical precision with a personalized approach to care.

She is currently pursuing her Nurse Practitioner degree at Wayne State University, further expanding her knowledge and commitment to excellence in patient care.

Tonya Snyder

Tonya Snyder

Practice Manager

Tonya Snyder (formerly Tonya Neve) serves as Practice Manager at Partners in Plastic Surgery of West Michigan in Grand Rapids, where she leads the operational, financial, and strategic direction of a multi-provider plastic surgery and aesthetic practice. With more than 25 years of healthcare experience, she oversees budgeting and financial performance, revenue cycle management, human resources, compliance, vendor negotiations, marketing initiatives, and technology integration.

Tonya works closely with physicians and staff to refine workflows, strengthen internal policies, and implement systems that support both efficiency and long-term sustainability.

Her leadership style is hands-on, data-driven, and solutions-focused, with a focus on strengthening systems, communication, and team effectiveness. She is deeply engaged in process improvement and operational strategy, ensuring that the practice delivers a seamless and elevated patient experience.

Earlier in her career, Tonya spent over two decades at Lacks Cancer Center supporting breast oncology care—an experience that continues to shape her patient-centered perspective and commitment to compassionate service.

Lisa Perdue

Lisa Perdue

Medical Esthetician

With over 25 years of experience in the skincare industry, Lisa is a highly experienced Medical Aesthetician known for her clinical precision and advanced treatment expertise. She is certified by InMode in Morpheus8 radio frequency micro-needling, Fusion Light Hair Removal and Lumecca IPL, and has completed extensive continuing education with leading chemists, researchers, and pioneers in medical aesthetics nationwide.

Recognized for her depth of knowledge in device-based and corrective treatments, Lisa develops comprehensive, evidence-based treatment plans tailored to each patient’s skin physiology and long-term goals. She excels at translating complex scientific concepts into clear, actionable guidance, empowering patients to make informed decisions about their care.

Committed to innovation and clinical excellence, Lisa remains at the forefront of aesthetic technology and procedural advancements. Her focus on safety, outcomes, and individualized treatment ensures consistently natural, confidence-enhancing results built on trust and long-term relationships.

Marie Smith

Marie Smith

Administrative Assistant

With 28 years of dedicated service, Marie Smith has been an exceptional administrative leader and trusted right hand to Dr. Dennis Hammond. Throughout her tenure, she has played an integral role in supporting both the clinical and academic success of the practice.

Marie oversees the credentialing of fellows, coordinates implant research studies, manages travel logistics, and serves as Dr. Hammond’s scheduler for academic engagements and professional activities. Her precision, organization, and deep understanding of the practice’s operations make her an invaluable part of the team.

Beyond her impressive expertise, Marie is known for her kindness and welcoming spirit. She brings warmth to every interaction and is always recognized for her genuine, bright smile. Her dedication, positivity, and heart for service make her truly one of a kind.

Melody Watkins

Melody Watkins

Patient Service Representative

Melody is a valued member of our front office team, serving as a Patient Service Representative (PSR). With more than 19 years of experience in the medical field, she brings a wealth of knowledge and a well-rounded background, having worked in Cardiac and Vascular care, Dermatology, and now Plastic Surgery. Her diverse experience allows her to provide patients with attentive, knowledgeable support from the moment they walk through our doors.

Melody is passionate about creating a warm, welcoming environment and takes pride in helping patients feel comfortable, confident, and cared for throughout their experience with our practice. She truly enjoys building connections with people and ensuring each patient feels at ease.

Rebekah Ross, RN

Rebekah Ross, RN

Registered Nurse - Surgical Center

Rebekah Ross has been a Registered Nurse for 15 years. Her first 3 years of nursing were spent at Mercy Health Saint Mary’s taking care of elderly, cardiovascular, and kidney transplant patients. In 2014, she made the move to work in outpatient surgery at the same hospital. The main focus of that outpatient surgery center was breast cancer and reconstructive surgery.

Rebekah worked with these patients in all areas of surgery including pre-op, operating room, and post-op. She took a break for a couple years for her family, and then started working at Partners in Plastic Surgery. You can find her in the operating room following her patients through the entire surgery process from start to finish.

She truly loves this because she can really focus on her patient and give them her full attention. Having the same nurse throughout their surgery day makes them feel more comfortable and at ease.

Tracie Marcus

Tracie Marcus

Surgery Scheduler

Tracie has worked as a Surgery Scheduler at Partners in Plastic Surgery for over 15 years coordinating surgical procedures with accuracy, efficiency, and care. She works closely with physicians, clinical staff, and patients to ensure every step of the scheduling process is smooth, organized, and clearly communicated.

From coordinating operating room availability and managing provider calendars to confirming pre-operative requirements, she carefully oversees every detail to help procedures stay on track.

Understanding that preparing for surgery can feel overwhelming, Tracie strives to make the experience as straightforward and reassuring as possible. Known for her calm professionalism, attention to detail, and commitment to patient-centered service, her thoughtful approach helps ensure that patients feel confident and well supported throughout the surgery scheduling process.

Eva Mathieu

Eva Mathieu

Ciao Cosmetic Tattoo | Permanent Makeup Artist | Areola Tattoo Artist

Eva Mathieu is a 7x Certified Cosmetic and Paramedical Tattoo Artist and Licensed Esthetician with over five years of dedicated experience in advanced skincare and pigmentation. Based in West Michigan, Eva brings a sophisticated, detail-oriented approach to her roles at Partners in Plastic Surgery and her private storefront in Portage, Michigan.

Throughout her career, Eva has trained and practiced across the United States, refining a technique that blends clinical precision with artistic intuition. She specializes in creating bespoke tattoos for individuals with high standards who prioritize quality and long-term results. Whether performing restorative paramedical work or enhancing natural features through cosmetic tattooing, her mission is to help clients show up for themselves with confidence in an effortless way. Her reputation for excellence has made her a destination artist, with clients—including Miss USA—traveling from across the country to seek her expertise.

By bridging the gap between medical aesthetics and permanent artistry, Eva provides a seamless, high-end experience helping clients feel at home in their own skin without compromising on excellence

Erin Rutter

Erin Rutter

Surgery Scheduler

Erin has been an integral part of the team at Partners in Plastic Surgery since 2011, beginning at the front desk and now functioning as one of our surgery schedulers.

She is dedicated to providing a welcoming experience for every patient and strives to support both our surgeons and our patients with efficiency, professionalism and a positive attitude.

Dawn R Borreson, RN, MSN

Dawn R Borreson, RN, MSN

Aesthetic Nurse Injector

Dawn Borreson is a Registered Nurse with over four decades of experience, with 12 of those years being in aesthetics. She completed, with honors, her Bachelors and Masters Degrees in nursing through University of Detroit Mercy and has achieved numerous nursing certifications and awards.

Dawn’s professionalism and attention to detail contribute to her patients' goals of looking their best. Dawn has extensive training in dermal fillers, neurotoxins (Botox/Dysport), lasers and advanced training in biostimulators.

Dawn excels at listening to her patients concerns to customize
a treatment plan that achieves realistic and natural looking results, all accomplished in a conversational, ‘no pressure’ environment.

Dawn is a life long learner, attending conferences and advanced trainings to stay current in the ever-changing aesthetic field. Dawn enjoys being with her husband Dan, exercising, gardening, playing pickle ball and especially being with her family and grandchildren.

Ashley Wagner

Ashley Wagner

Patient Coordinator

Ashley is a Patient Coordinator with over 10 years of experience in the plastic surgery field and more than 14 years as a Registered Medical Assistant (RMA).

She is passionate about guiding patients through the consultation process and helping them feel informed, comfortable, and confident in their decisions. Ashley enjoys building relationships with patients and supporting them throughout their aesthetic journey.

Amy Rabideau

Amy Rabideau

Medical Aesthetician

Amy is a highly experienced skincare professional with over 20 years at Partners in Plastic Surgery, where she has helped clients achieve clear, healthy, and radiant skin through personalized, results-driven care. Working within a plastic surgery setting, she has developed extensive expertise in advanced treatments including dermaplaning, microneedling, customized facials, chemical peels, acne-focused therapies, and laser services targeting aging, sun damage, and hair removal.

Amy is passionate about creating tailored treatment plans that align with each patient’s unique skin concerns and goals. She also provides expert guidance on medical-grade skincare products to help patients maintain and enhance their results at home.

Known for her thoughtful and attentive approach, Amy takes the time to truly understand her patients, ensuring every treatment plan feels comfortable, effective, and sustainable. Her top priority is helping each patient feel cared for, confident, and genuinely happy with their results.

Abbie Thill

Abbie Thill

Skincare & Marketing Manager

With more than twenty-five years of experience in business management and client relations, Abbie serves as the Skincare and Marketing Manager at Partners in Plastic Surgery. She brings a results-driven yet compassionate approach to her work, blending strategic expertise with a genuine commitment to patient care and experience.

Her background in retail management, team development, marketing initiatives, and revenue growth allows her to support both the operational and patient-centered sides of the practice. In addition to overseeing skincare services and marketing strategy, she manages customer service and coordinates special events, ensuring every interaction reflects the practice’s high standards of professionalism and warmth.

Known for her exceptional communication skills, attention to detail, and collaborative leadership style, she thrives in fast-paced environments while consistently exceeding expectations. She is passionate about creating meaningful relationships and helping patients feel confident, supported, and valued throughout their journey.