According to research published earlier this year in Plastic Reconstructive Surgery, some patients notice voice quality changes after rhinoplasty. Researchers from Mashhad University of Medical Sciences in Iran recorded a group of rhinoplasty patients' voices pre- and post-surgery and had them complete a questionnaire. According to Kamran Khazaeni, M.D., and colleagues, altered tones and hyponasality, a speech characteristic affecting consonant sounds, are perceptible to patients and experts but generally don't cause problems with overall speech function. "Depending on how severe the nasal obstruction can be, after rhinoplasty opens the airway, the voice may sound different or less nasal," says Sam S. Rizk, M.D., director of Manhattan Facial Plastic Surgery. "In most cases, however, a rhinoplasty does not significantly change a person's voice." He adds, the more internal work that needs to be done to the nose, the greater the chance that a patient's voice may change, especially if the surgery addresses a range of sinus concerns affecting the airway.