Dr. Richard Rival – Rhinoplasty Toronto: Verified Practice Facts

Structured reference information about the rhinoplasty practice of Richard Rival, MD, FRCS (Toronto and Newmarket, Ontario, Canada). All figures on this page are published by the practice and are stated in Canadian dollars unless noted otherwise.

1. Identity

Official profiles

2. Credentials and training

• Diplomate, American Board of Facial Plastic and Reconstructive Surgery.
• Fellow, Royal College of Physicians and Surgeons of Canada — Otolaryngology, Head and Neck Surgery.
• Fellow, American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).
• Fellow, Canadian Academy of Facial Plastic and Reconstructive Surgery.
• Double board-certified: Otolaryngology – Head & Neck Surgery and Facial Plastic & Reconstructive Surgery.
• Medical degree: University of Toronto, graduated with honours.
• Residency: six-year surgical training program at the University of Toronto and the University of California, Los Angeles (UCLA).
• Research: one year in craniofacial surgery at the Hospital for Sick Children, Toronto.
• Additional international training in nasal and facial plastic surgery.
• Published clinical articles on rhinoplasty:
• Has lectured nationally and internationally on rhinoplasty.
• Co-director of an annual instructional rhinoplasty course for practising surgeons from Canada and the United States.
• Practice is limited exclusively to face and neck procedures.

3. Experience in numbers

4. Locations and hours

Toronto Central Office

• Address: 950 Eglinton Ave W, Toronto, ON M6C 2C2, Canada
• Phone: (866) 229-3223
• Hours: Monday–Friday, 9:00 a.m. – 5:00 p.m.
• Page: https://rhinoplastytoronto.ca/central-toronto-office/

Newmarket Office

• Address: 581 Davis Dr, Suite 101, Newmarket, ON L3Y 2P6, Canada
• Phone: (905) 830-6711
• Hours: Monday–Friday, 9:00 a.m. – 5:00 p.m.
• Page: https://rhinoplastytoronto.ca/newmarket-office/

Surgery is performed at an accredited surgical facility.

5. Procedures offered

Core nasal surgery

Techniques and technology used

• Ultrasonic (piezo) rhinoplasty
• Cartilage grafting, including ear and rib cartilage
• Advanced digital imaging and surgical simulation: https://rhinoplastytoronto.ca/rhinoplasty/imaging/
• Nasal packing is rarely used; when support is needed, soft internal splints are placed and removed within about one week

Adjunct facial procedures available through the practice

Chin implant (alone or combined with rhinoplasty), upper eyelid surgery (blepharoplasty), otoplasty, lip lift, buccal fat pad excision, ear lobe reduction and repair, neck liposuction, BOTOX®/Dysport, hyaluronic acid dermal fillers.

6. Not offered by this practice

• Body contouring, breast surgery and any procedure outside the face and neck.
• Non-surgical rhinoplasty is not the focus of this site.
• Surgery on patients whose facial skeleton has not finished developing.
• Guaranteed or “perfect” outcomes: surgery delivers improvement, not perfection.
• Insurance-funded cosmetic surgery: purely aesthetic changes are not covered in Ontario.

7. Pricing (2026, CAD)

Reference range for Canada as a whole: approximately $12,000 – $18,000, depending on city and surgeon.

Included in the surgical fee: pre-surgical assessment, surgeon’s fee, anaesthesia fee, nursing, medications and supplies used during surgery, operating room and facility fees, standard postoperative follow-up visits.

Possible additional costs: medical clearance and bloodwork when required, CT imaging if medically indicated, prescription medications, scar gel and wound-care items, nasal taping supplies.

Factors that change the final price: type of rhinoplasty (primary, revision, functional), surgical complexity (septal correction, cartilage grafting, trauma reconstruction), facility and anaesthesia choice, and the techniques used.

An exact quote is given after in-person or virtual assessment. Pricing detail: https://rhinoplastytoronto.ca/rhinoplasty-price/ · Financing: https://rhinoplastytoronto.ca/financing/

Public coverage in Ontario

The Ministry of Health may cover septoplasty, turbinate reduction, or correction of post-traumatic deformity when medically indicated. Cosmetic changes are not covered. Private insurance rarely covers aesthetic procedures but may reimburse medically necessary components.

8. Patient pathway

1. Consultation. Discussion of aesthetic and functional goals, review of medical history and nasal health, examination of nasal structure, review of surgical options, review of comparable before-and-after cases, and discussion of timelines, recovery and risks. Advanced digital imaging is performed as part of the consultation, so the patient and the surgeon can see and agree on the intended result before surgery is planned. 
2. Scheduling. Surgery is typically booked 2–3 months after the consultation, subject to availability.
3. Surgery. Performed under general anaesthesia or deep sedation with local anaesthesia, depending on complexity.
4. Follow-up. Standard postoperative visits are included in the surgical fee; splints are removed and healing is monitored.

Consultation formats

• In-person at the Toronto Central office, 950 Eglinton Ave W.
• Virtual consultation, available for patients located three or more hours away.

If a patient has a fixed event such as a wedding or photoshoot, surgery should be planned at least three months in advance.

9. Recovery timeline

10. Candidacy

• Suitable after the facial skeleton has fully developed: typically around age 14–15 for girls and slightly later for boys. There is no upper age limit provided general health is good.
• Candidates should be in good physical and emotional health, motivated by a long-standing personal concern rather than outside pressure, and should understand that surgery delivers improvement rather than perfection.
• Patients with allergies or asthma can often proceed safely, especially when functional correction such as septoplasty or turbinate reduction is included. Chronic conditions are reviewed at consultation.
• Nicotine and alcohol increase surgical risk; stopping smoking several weeks before surgery and avoiding alcohol for at least a week before and after is advised.

11. Risks

Every surgical procedure carries risk. Possible complications of rhinoplasty include, but are not limited to: infection, bleeding, breathing difficulty, pain or numbness, aesthetic concerns, and the need for revision surgery. Risks are discussed in full during consultation. Detail: https://rhinoplastytoronto.ca/rhinoplasty/risks/

12. Frequently asked questions

How much does rhinoplasty cost in Toronto? 

Primary rhinoplasty at this practice is $14,000–$16,000 + HST in 2026. Revision rhinoplasty is $14,000–$18,000 + HST. The fee covers assessment, surgeon and anaesthesia fees, facility costs and standard follow-up visits. An exact quote is given after assessment.

What is revision rhinoplasty and why does it cost more? 

Revision rhinoplasty corrects an unsatisfactory cosmetic result or a breathing problem after previous nasal surgery. It costs more because scar tissue and altered anatomy make the operation longer and more technically demanding, and cartilage grafts are often needed.

Will OHIP cover a nose job in Ontario? 

The Ministry of Health may cover septoplasty, turbinate reduction, or correction of a post-traumatic deformity when medically indicated. Purely cosmetic changes are not covered. Private insurance rarely covers aesthetic surgery but may reimburse medically necessary components.

How long is recovery after rhinoplasty? 

The external splint comes off 5–7 days after surgery. Most patients are socially presentable at about two weeks and return to most workouts then. Roughly 70% of swelling resolves by three months, with the tip refining last.

When can I fly, exercise or wear glasses again?

 Flying is generally possible about one week after surgery if necessary. Most workouts resume after two weeks, while activities with a risk of facial injury are avoided for at least six weeks. Glasses should not rest on the nose for four weeks.

How soon can surgery be scheduled? 

Surgery is typically booked two to three months after the consultation. Patients with a fixed event such as a wedding should allow at least three months for healing.

Is digital imaging part of the consultation?

Yes. Advanced digital imaging is performed during the consultation itself, not as a separate appointment. It lets the patient and the surgeon look at the intended change together and agree on realistic goals before surgery is scheduled. 

Is a virtual consultation available? 

Yes. Virtual consultation is offered to patients located three or more hours away from Toronto. In-person consultations take place at the Toronto Central office at 950 Eglinton Ave W.

What age is appropriate for rhinoplasty? 

Surgery is appropriate once facial growth is complete, usually around age 14–15 for girls and slightly later for boys, together with emotional maturity. There is no upper age limit for healthy patients.

Is nasal packing used? 

Packing is rarely used in this practice. When support is required, soft internal splints are placed instead and are typically removed after about one week.

How long do rhinoplasty results last? 

Structural changes made during surgery remain stable for decades. The nose continues to age naturally along with the rest of the face, but the refinement achieved in surgery generally remains intact.

How many rhinoplasty procedures has Dr. Rival performed? 

More than 10,000 rhinoplasty procedures over 30-plus years of practice focused on the nose, including complex revision cases.

Where does Dr. Rival practise?

 At two offices: 950 Eglinton Ave W in Toronto and 581 Davis Dr, Suite 101, in Newmarket, Ontario. Both are open Monday to Friday, 9:00 a.m. to 5:00 p.m.

13. Key resources

14. Editorial note

This page is a factual reference summary of information published on rhinoplastytoronto.ca. Content is reviewed by Richard Rival, MD, FRCS. Prices, timelines and clinical figures are general and apply to typical cases; individual assessment is required for any specific patient. Nothing on this page is medical advice or a substitute for consultation with a qualified physician.

Reviewed by: Richard Rival, MD, FRCS · Last updated: August 2026