Rhinoplasty (Nose Reshaping)

image rhino2 Rhinoplasty (Nose Reshaping)You may be considering nose surgery for many reasons, including both to enhance your appearance and to help improve your breathing. At the Alessi Institute for Facial Plastic Surgery in Beverly Hills, our surgeons perform rhinoplasty to change an undesirable shape of the nose, improve breathing, or correct a birth defect or traumatic injury.

For more information about rhinoplasty surgery and a personal evaluation of your concerns, please contact us now online or call us today at 310-657-2253.

Candidates for Rhinoplasty in Beverly Hills
The best candidates for rhinoplasty are those who are looking for an improvement, not perfection. Chances are you may be one of millions of people who has expressed unhappiness about some part of your face, especially after seeing yourself in photographs. Your nose is as unique as your fingerprints, your personality, and your perspective on life. When it comes to rhinoplasty surgery, take the time to choose a surgeon who understands and respects your unique needs. Many people like you have chosen the Alessi Institute, trusting our surgeons to perform nose surgery for the following reasons:

  • To reduce or increase the size of the nose
  • To change the shape or width of the nose tip or dorsum (bridge)
  • To narrow the width of the nostrils
  • To shorten projection of the nose
  • To change the angle between the nose and upper lip
  • To correct a deviated septum, birth defect or injury
  • To help relieve breathing problems or chronic sinus infections

Nose surgery can achieve results ranging from subtle to dramatic, depending on your needs. Your surgeon will work closely with you to make sure you have realistic expectations about the possible outcome.

Surgery Overview
Rhinoplasty is one of the most difficult facial plastic surgery procedures to perform. A skilled and experienced facial plastic surgeon like Dr. Alessi is absolutely essential for you to achieve the best possible result. Rhinoplasty has one of the highest revision (secondary surgery) rates of any plastic surgery procedure, and in fact, Dr. Alessi is trusted not only for primary rhinoplasties but also to fix unsatisfying results from other surgeons through revision rhinoplasty.

Rhinoplasty is performed with the patient under sedation or general anesthesia. Cosmetic correction of both the bridge and tip of the nose is possible. For the bridge of the nose, special surgical instruments and techniques are used to remove a dorsal hump, narrow the width and create a desirable profile. A plaster cast is applied for seven days to support and protect the nose while it heals.

The tip of the nose is shaped by cartilage underneath the skin. During surgery, cartilage can be adjusted in size and shape to refine the nose, enabling it to be in balance with the new profile. For complex nasal tips, often a small incision is placed under the nose in a well-camouflaged area. When surgery is complete, small dissolvable stitches are used inside the nostrils. A plaster cast is placed over the nose and nasal packing is inserted to help prevent bleeding and ensure that the lining of the nose heals correctly.

In most cases, incisions are inside the nostrils and occasionally at the base of the nose. Otherwise, there are no external scars unless a patient requests that their nostrils be reduced in width (alar base reduction). In this case, small incisions are required and placed in the natural crease lines, around the outer sides of the nostrils.

Rhinoplasty also may be performed to correct functional, rather than cosmetic, concerns. In these cases, your surgeon focuses entirely on the interior structures of the nose to improve conditions such as chronic breathing problems or a deviated septum. When nose surgery is performed to correct a health concern or defect, it may be covered by your health insurance plan.

Most of our rhinoplasty patients are often up and about within two days and are able to return to work in a week or so following surgery. Rhinoplasty patients need to keep in mind that while the majority of bruising and swelling should subside within a few weeks, it may take between six to one year for the final results of the surgery to be revealed. During this time, subtle changes to the shape of the nose should be expected.

Related Procedures
Most commonly, people seeking a “nose job” in Beverly Hills are primarily concerned with their nose shape and are not looking for other surgical enhancements. However, this procedure is often combined with facial implant procedures such as:

  • Chin enhancement (implant): to improve a short or receding chin for a more defined profile
  • Cheek augmentation (implants): to bring more balance and definition to overall facial features.

In some cases,  dermal fillers may also be used for facial contouring in conjunction with a rhinoplasty procedure.