Rhinoplasty
Reshaping the nose (for appearance, for breathing, or for both), planned by a surgeon whose specialty is the nose itself.
Explore rhinoplastyOtolaryngology · Head & Neck Surgery · Burlington, Ontario
The nose,
inside and out.
Dr. Justin Khetani is a Royal College-certified otolaryngologist and head & neck surgeon, fellowship-trained in rhinology and anterior skull base surgery. Surgery that cares how a nose looks and how it breathes.
- Royal College certified · FRCSC
- CPSO #86787
- Fellowship · Rhinology & Anterior Skull Base, University of Alberta
- Fellowship Co-Director · McMaster University
- Joseph Brant Hospital · Hamilton General Hospital
Assessment first. Restraint always.
II · Surgical Procedures
Three operations. One anatomy.
The septum, the sinuses and the shape of the nose are one connected system, and are treated that way.
Septoplasty
Straightening a deviated septum to restore airflow: through the nostrils, with no external incisions and no change to the nose's appearance.
Explore septoplastyEndoscopic Sinus Surgery
Opening the sinuses' natural drainage pathways when medical therapy isn't enough, performed entirely through the nostrils.
Explore sinus surgery
III · Why It Matters
Form & function
Form follows breathing.
A dorsal hump, a drooping or bulbous tip, asymmetry: the reasons people consider rhinoplasty are usually visible from the outside.
The same cartilage that shapes a profile also holds the airway open. Obstructed breathing is often a structural problem of the same anatomy.
Where appearance goals and a breathing problem coexist, they can often be addressed in one operation, assessed together at one consultation.
Appearance goals and breathing problems are assessed together at one consultation, including which parts of a combined operation may be OHIP-insured.
IV · Pathways
Two ways into the practice.
Medical and cosmetic care follow different pathways in Ontario. Knowing which applies to you makes the first step simple.
OHIP-Insured Care
Breathing, sinus & nasal concerns
Blocked nasal breathing, chronic sinusitis, nasal polyps, recurrent infections and nasal injuries are medical concerns. Assessment is insured by OHIP when medically indicated and generally begins with a referral from your physician or nurse practitioner. Each condition is explained, with its options and their trade-offs, on the conditions pages.
- Referral fax (physicians)(905) 639-2253
- ENT office(905) 639-2244
Cosmetic Consultations
Rhinoplasty for appearance
If your interest is the appearance of your nose, you can request a consultation directly; no referral needed. Cosmetic surgery is not covered by OHIP; consultation details and any fees are confirmed by the office when you book.
Where breathing and appearance overlap, both are assessed together. That combination is the practice's particular strength.
V · The Surgeon
Credentials you can check yourself.
- Certification Royal College certified: Otolaryngology · Head & Neck Surgery (FRCSC)
- Public register College of Physicians & Surgeons of Ontario, CPSO #86787 Register entry, College of Physicians and Surgeons of Ontario (opens in a new tab) ↗
- Fellowship training Rhinology & anterior skull base surgery, University of Alberta
- Academic leadership Fellowship Co-Director, Rhinology & Endoscopic Skull Base Surgery, McMaster University
- Hospital surgery Joseph Brant Hospital, Burlington · Hamilton General Hospital
- Research Peer-reviewed author: rhinology, endoscopic sinus & skull base surgery
Societies & groups
Canadian Academy of Facial Plastic & Reconstructive Surgery
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Canadian Rhinologic Society · Centres of Excellence listing (CRSwNP)
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American Rhinologic Society
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McMaster Skull Base Group (MacMINS)
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Membership or listing records a professional relationship, not an endorsement of this practice. Every affiliation, with its public source.
VI · What to Expect
A surgical consultation, not a sales appointment.
Whatever brings you in, the sequence is the same: assessment first, an honest recommendation second, surgery only where it is appropriate.
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Referral or request
Medical concerns arrive by physician referral; cosmetic consultations can be requested directly. Either way, the office arranges your appointment.
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Consultation & examination
A focused history and examination of the nose (outside and inside, including nasal endoscopy where indicated), with your goals discussed privately.
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A clear recommendation
What Dr. Khetani recommends and why: the expected benefits, the limits, the risks, the alternatives, and whether OHIP applies. Sometimes the recommendation is not to operate.
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Surgery & follow-up
Surgery is performed in hospital, with informed consent completed beforehand and structured follow-up arranged as your recovery requires.
VII · Beyond the Operating Room
Assessment first. Medicine before surgery.
For chronic sinus disease and nasal polyps in particular, the first question is never which operation, but whether an operation is needed at all.
Nasal polyps & biologics
Medical management of chronic rhinosinusitis with nasal polyps is a core focus of the practice: structured medical therapy, assessment for the newer biologic medicines, and surgery only where it is earned. Dr. Khetani is a Phase 3 trial investigator in this field, and the Burlington practice is listed among the Canadian Rhinologic Society's Centres of Excellence for expedited CRSwNP care.
Clinical trials
The practice takes part in clinical research on chronic sinus disease and nasal polyps, including Phase 3 trials of biologic therapies and work on AI-assisted imaging for nasal endoscopy. Patients who fit a study's criteria can ask to be considered; participation is always voluntary and never a condition of care.
Teaching residents & fellows
Dr. Khetani co-directs the McMaster Rhinology & Endoscopic Skull Base Surgery Fellowship, and the practice teaches surgical residents as well as fellows: McMaster otolaryngology residents train with him in clinic and in the operating room.
Before you call.
For medical concerns (blocked breathing, chronic sinusitis, nasal polyps and similar), an OHIP-insured assessment generally requires a referral from your physician or nurse practitioner, faxed to (905) 639-2253 (physicians: referral information). For cosmetic rhinoplasty, you may request a consultation directly through the office at (905) 639-2244 or via the consultation request form.
Septoplasty and endoscopic sinus surgery are generally insured by OHIP when they are medically indicated. Rhinoplasty performed for appearance is not insured; where a procedure combines functional and cosmetic elements, the insured and uninsured portions are explained clearly at consultation, before anything is decided.
Surgery is hospital-based. Dr. Khetani's elective surgery is based at Joseph Brant Hospital in Burlington, with complex and skull-base procedures performed at Hamilton General Hospital as part of the McMaster Skull Base Group. Consultations take place at the Burlington office on Plains Road East.
From the Practice
On Instagram.
Notes from the clinic, plain-language explainers on the nose and sinuses, and the occasional look behind the scenes.
Follow @khetanimedical (opens in a new tab)Posts open on Instagram. Nothing on the feed is medical advice, and patient images are never posted without written consent.
VIII · Visit
Burlington, on Plains Road East.
Consultations are held at the Burlington office, with surgery in hospital. Appointments are required; the office will confirm details when your consultation is arranged.
Looking for non-surgical treatments? Select injectable care continues through Khetani Medical Aesthetics.
- Address
- 1435 Plains Rd E, Unit 5, Burlington, ON L7R 3P9
- ENT office
- (905) 639-2244
- Referral fax
- (905) 639-2253 (for referring physicians)
- Directions
- Open in Google Maps
When you call
Answered promptly, day or night.
The office phone is answered by an AI phone assistant (Phelix) that takes your details, records what you need and routes it to the right person, so a referral question, a booking or a post-operative concern is addressed promptly rather than waiting in a voicemail queue. How it works.