Beverly Hills Office
9025 Wilshire Blvd Suite 202
Beverly Hills, CA 90211

Temecula / San Diego Office
40963 Winchester Road
Temecula, CA 92591

Rancho Cucamonga Office
8916 San Bernadino Rd #110
Rancho Cucamonga, CA 91730

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Initial Consultation

At the initial visit, your doctor will likely ask you to describe in detail what you would like improved. Be specific about what you would like done.

Your doctor will be limited by the internal and external structures of your nose. They cannot create any nose, but it can be helpful to bring pictures of noses that you like. After examining your nose, your plastic surgeon can give you an idea of what improvements can be made on your particular nose. If your surgeon fully understands your expectations, she'll be able to determine whether your goals are realistic.

Your doctor will consider your entire face when planning the operation. If you have a very weak chin, this may create the illusion that your nose is larger than it is. Some patients choose to have chin augmentation along with rhinoplasty. Your physician will discuss this with you.

Be sure to tell your plastic surgeon if you've had any previous nose surgery or an injury to your nose, even if it was many years ago. You should also inform your surgeon if you have any allergies or breathing difficulties. You are at increased risk for complications if you have diabetes, poor circulation, heart, lung or liver disease, smoke, have a family history of blood clots, take certain medications, etc. You'll want to discuss your medical history thoroughly with your physician before you choose to undergo surgery.

The Surgery
Anesthesia: General or Sedation
Location: Hospital, surgical center or office
Surgery time: 1-4 hours

Rhinoplasty is one of the most common procedures plastic surgeons perform and also one of the most difficult as the surgeon performs it mainly by feel. Rhinoplasty may be performed in order to increase the patient's ability to breath, improve the nose by reducing or reshaping it and/or, straightening an injured nose.

There are two main options for the incisions that your plastic surgeon can use: closed rhinoplasty and open rhinoplasty.

Closed rhinoplasty involves incision confined to the inside of your nose. Swelling improves soon and recover is fast. However, your surgeon may have a limited ability to achieve some changes in your nose because of her or his inability to see parts of the inside of the nose.

Open rhinoplasty involves a small incision across the columella, between the nostrils, in addition to incisions on the inside of your nose. Open surgery is usually preferred in more complicated cases.

Some surgeons prefer the open rhinoplasty because it allows them greater visibility of the nose. Swelling and bruising lasts longer with open rhinoplasty. Either way, if you sleep with your head elevated for the week following your nose surgery, the swelling will be minimized and will subside much faster. When deciding on open vs. closed rhinoplasty, you should follow the advice of your plastic surgeon.

The Operation:
Nasal surgery can change your nose by recontouring the underlying cartilage and bone. Your surgeon can make your nose larger, shorter, smaller, straighter, or thinner. Most of the incisions for reshaping the nose are made internally and scars will not be visible.

How thick or thin your skin is plays a big role in the results of the operation. Thick skin will not "drape out" as well over the new underlying structure as thin skin. But, thick skin will hide small irregularities of the cartilage and bone better than thin skin.

The operation normally lasts about 1-2 hours. The surgery will either be performed under local anesthesia with heavy sedation, or under general anesthesia.

Common changes made:

  • Tip of the nose: corrected by adding or excising cartilage at the tip and stitches the cartilage together. A low tip of the nose can be raised by adding cartilage to support the tip, removing excess cartilage in the septum, or repositioning the cartilage.
  • Dorsal bone: the hump of the bridge can be corrected by removing (with a chisel or rasp) excess cartilage and bone, then brings the nasal bones together.
  • Wide bony portion of nose: corrected by breaking the bones of the nose and repositioning them inward.
  • Wide base of the nose: corrected by removing tissue at the base of the nose and the nostrils moved closer together.
  • Nostrils too wide: corrected by removing small wedges of skin from
    their base and bringing them closer together.
  • Angle between nose and lip: corrected by trimming the septum.

For more information visit The American Society for Aesthetic Plastic Surgery (ASAPS) and The American Society of Plastic Surgeons (ASPS).