If you’re researching rhinoplasty in London, Ontario, chances are one of your first questions is: what does it actually cost? It’s a completely reasonable thing to want to know, and I want to make it easy for you.
In my practice, I believe every patient deserves clear, transparent information before making any decisions about surgery. That’s why I’ve put together this guide — to give you an honest picture of what rhinoplasty costs here in London, Ontario, what’s included in that number, what factors affect the final price, and what you can expect at every step of the process.
Here are the current price ranges for rhinoplasty and nasal surgery at my London, Ontario practice. Please note that these fees may change at any time. I will always be transparent with you as to costs.
Primary (First-Time) Surgical Rhinoplasty: $9,000 – $11,000 This covers the full surgical procedure for patients who have not had previous nose surgery. Whether you’re addressing aesthetic concerns, breathing issues, or both, this range reflects the complexity and scope of most primary rhinoplasty cases.
Revision Rhinoplasty: $12,000 – $15,000 Revision rhinoplasty — surgery to correct or refine a previous nose job — is more technically complex and requires additional time, skill, and planning. This is reflected in the higher price range.
Non-Surgical Rhinoplasty: $1,200 for the first treatment, $950 for subsequent treatments For patients looking to make subtle changes without surgery, non-surgical rhinoplasty uses injectable fillers to smooth, lift, or reshape the nose. Results are temporary but immediate, with no downtime required.
Every patient receives a clear, transparent breakdown of their final costs before any surgery is agreed to. There are no surprises. I’m committed to making sure you have all the information you need to make a confident, informed decision.
When you receive a quote for rhinoplasty, it’s important to understand what that number actually covers. At my practice, the fee you are quoted typically includes:
I always encourage patients to ask for a complete breakdown of costs so you’re comparing the full picture — not just one line item in isolation. However, please note that this quote does not include any revision work in the future.
No two noses are the same, and no two rhinoplasty procedures are identical. Several factors influence where your final cost lands within the range:
The complexity of your procedure A straightforward cosmetic rhinoplasty addressing a single concern, like reducing a nasal hump, is generally less complex than a procedure that addresses multiple structural issues simultaneously. More complexity means more surgical time and precision.
Primary vs. revision surgery Revision rhinoplasty is almost always more involved than primary surgery. Scar tissue from previous procedures, changes to the underlying cartilage and bone structure, the need for ear or rib grafts, and the need for precise correction all add to the technical demands of revision work, which is reflected in the cost.
Functional vs. cosmetic goals Some of my patients come to me primarily to improve their breathing, addressing a deviated septum, collapsed nasal valves, or other structural obstructions. Others are focused on aesthetics. Many want both. Procedures that address functional and cosmetic goals together may involve additional steps and time.
Surgeon experience and specialization Rhinoplasty is widely considered one of the most technically demanding procedures in facial surgery. The nose sits at the centre of your face, and even small changes have a significant impact on your overall appearance. I’d encourage anyone considering rhinoplasty to look carefully at their surgeon’s training, experience, and whether they specialize exclusively in nasal surgery. These things genuinely matter when it comes to your results.
This is one of the most common questions I hear, so let’s address it directly.
Cosmetic rhinoplasty is not covered by OHIP or private insurance plans in Canada. If you’re having surgery purely for aesthetic reasons, in order to change the shape, size, or appearance of your nose, then the full cost is your responsibility.
Functional rhinoplasty may be partially covered. If your surgery is medically necessary to correct a breathing problem, such as a deviated septum that impairs airflow, OHIP may cover a portion of the procedure. Coverage depends on your specific situation and requires a proper assessment. I’ll discuss your eligibility during your consultation and help you understand what, if anything, may be covered in your case.
If you’re unsure whether your procedure qualifies for any coverage, it’s always worth asking.
Patients sometimes wonder whether travelling to Toronto for rhinoplasty would be more or less expensive. Based on publicly available pricing from Toronto-area surgeons, primary rhinoplasty in Toronto typically ranges from $15,000 to $20,000 or more.
My primary rhinoplasty pricing of $9,000–$11,000 in London, Ontario is highly competitive, and I’m proud to offer that alongside fellowship-level training in nasal surgery, a full academic appointment at Western University’s Schulich School of Medicine, and a practice that focuses exclusively on rhinoplasty and nasal surgery. You don’t have to travel to Toronto or pay Toronto prices to access specialized care.
I understand that rhinoplasty is a significant investment, and I never want cost alone to stand between a patient and a result that could genuinely improve their quality of life. Financing options are available to help make the process more manageable. During your consultation, my team can walk you through available payment plans and third-party financing options so you can make the decision that works best for your situation.
At my London, Ontario practice, primary surgical rhinoplasty ranges from $9,000 to $11,000. Revision rhinoplasty ranges from $12,000 to $15,000. Non-surgical rhinoplasty starts at $1,200 for the first treatment and $950 for subsequent treatments. Final costs are always shared transparently before any procedure is agreed to.
For a standard, elective cosmetic rhinoplasty, patients in London, Ontario can generally expect a price range between $9,000 and $16,000+ CAD. The final amount fluctuates based on the complexity of the clinical variables involved and the specific techniques required.
The financial scope changes significantly depending on whether surgery is being performed for the first time or to correct a previous procedure. A primary rhinoplasty typically falls within the standard $9,000 to $16,000 range. Revision or secondary rhinoplasties are considerably more complex — they require navigating existing scar tissue and often necessitate harvesting cartilage grafts from the ear or rib — which is why revision surgeries routinely cost anywhere from $14,000 to upwards of $25,500. Because every nose is anatomically unique, Dr. Rotenberg provides each patient with a personalized, formal quote prior to surgery that outlines their exact costs.
Cosmetic rhinoplasty is not covered by OHIP. Functional rhinoplasty — surgery to correct breathing problems caused by structural issues — may be partially covered depending on your situation. I’ll assess your eligibility during your consultation.
Revision rhinoplasty is significantly more complex. Scar tissue, altered anatomy from previous surgery, and the precision required to correct prior work all add to the technical difficulty and time involved — which is reflected in the higher cost range of $12,000–$15,000.
Non-surgical rhinoplasty uses injectable fillers to subtly reshape the nose without surgery. It’s ideal for patients who want minor refinements with no downtime. At my practice, the first treatment is $1,200 and subsequent treatments are $950.
No. Your complete cost — including surgeon’s fee, anesthesia, and facility fees — is presented to you clearly and transparently before you commit to anything. I believe informed patients make the best decisions, and that starts with complete honesty about cost.
That’s a deeply personal question, and there’s no universal answer. What I can tell you is that for patients who have spent years feeling self-conscious about the appearance of their nose, or who have struggled with breathing issues that affect their sleep and daily life, rhinoplasty can be genuinely life-changing. The best way to know if it’s right for you is to come in for a consultation and have an honest conversation about your goals and what’s realistically achievable.
Book a consultation. During your appointment, I’ll assess your nose, discuss your goals, explain what’s possible, and give you a complete, transparent breakdown of costs. There’s no obligation and no pressure — just a thorough, honest conversation to help you make the right decision for yourself. Book your consultation here.
Booking a consultation is the most important first step. Here’s what you can expect when you come in:
A thorough assessment. I’ll examine your nose carefully — its structure, skin, cartilage, and how it relates to the rest of your face. If you have breathing concerns, I’ll assess those as well.
An honest conversation about your goals. You’ll have the opportunity to share what you’d like to change and what results you’re hoping for. I’ll give you an honest assessment of what’s achievable and what approach would work best for your anatomy.
A clear cost breakdown. Before you leave, you’ll have a complete picture of what your procedure would cost — with no surprises and no pressure to commit on the spot.
Time to ask questions. This is your chance to ask anything and everything. No question is too small. I take the time to make sure every patient feels fully informed and comfortable before making any decisions.
Dr. Brian Rotenberg, MD MPH FRCSC CCPE, is a board-certified Otolaryngologist–Head and Neck Surgeon and one of Canada's leading experts in rhinoplasty and nasal surgery, practicing in London, Ontario. With a fellowship in Sinonasal Surgery from the Royal Victoria Eye and Ear Hospital in Melbourne, Australia, and over 140 peer-reviewed publications to his name, Dr. Rotenberg brings exceptional depth of knowledge to both cosmetic and functional nasal surgery and rhinoplasty. He is a Full Professor at Western University's Schulich School of Medicine and Dentistry and serves as Editor-in-Chief of the Journal of Otolaryngology – Head and Neck Surgery, with his practice focusing exclusively on rhinoplasty and nasal surgery and sleep and snoring problems.
