Rhinoplasty is the second most common cosmetic procedure among both men and women. It is also one of the trickiest in terms of surgical technique, so it demands the skill and artistry of a trained expert like Dr. Moradzadeh. At AM Facial Plastics, we specialize in improving the function and aesthetics of the nose through our Rhinoplasty procedures. Whether you are seeking nose augmentation, breathing improvements, correction for a nose hump, or more, we offer services in Beverly Hills, CA, that can help.
What Is Rhinoplasty?
The word “rhinoplasty” is derived from the phrases “nose molding” or “nose forming.” Often referred to casually as a “nose job,” this surgical process involves altering the nose’s structure. Modifications may involve the addition or subtraction of bone or cartilage, transplanting tissue from different areas of the body, or incorporating artificial elements to reshape the nose. Nose surgery can make the nose smaller, larger, or more symmetrical and can resolve any imperfections that can cause concerns for our patients.
Open vs. Closed Rhinoplasty
While there are several different approaches that surgeons can take to rhinoplasty, they all fall under two primary types: open and closed. Since these approaches differ in how much visibility and access they give the surgeon to the structures within the nose, it is the nature and extent of the work to be done that often determines which approach is used.
In a closed rhinoplasty, all of the work is done using incisions made inside the nose. In an open rhinoplasty, the surgeon makes an additional incision that allows the skin of the nose to be opened in such a way that allows the surgeon more direct access to the tissues therein. Open rhinoplasty allows the surgeon to actually see the anatomy of the nose, while the closed approach typically does not.
While open rhinoplasty does typically allow for more extensive and precise changes, it is more invasive, often leaving behind a scar. It may also be associated with greater swelling and other common issues. The closed approach is the opposite, requiring less downtime and scarring, but limiting the changes that the surgeon can make.
What Can Rhinoplasty Treat?
- Deviated Septum: Rhinoplasty surgery can address this common issue, where the wall between your nasal passages is misaligned. This treatment can improve breathing and enhance sleep quality.
- Nasal Obstruction: If breathing through your nose feels blocked, nasal surgery might be the solution. This procedure can clear pathways and facilitate better airflow.
- Nose Size: Concerns about your nose being too large or too small can be addressed with nose augmentation or reduction. This process adjusts size for better facial harmony, allowing it to blend in with the rest of your features.
- Nose Width: Rhinoplasty can refine the width of your nose, making it more proportionate to your facial structure. A narrower appearance can be achieved for those who feel their nose is too broad.
- Nasal Tip: For those unhappy with the appearance of their nasal tip, nose reshaping offers a way to modify its shape, elevation, or definition.
- Nostril Size and Position: A nose job can also correct imbalances in your nostrils, enhancing symmetry and improving overall nasal aesthetics.
- Nasal Asymmetry: Through nose surgery, subtle adjustments can create a more balanced and symmetrical nasal appearance, addressing any unevenness.
Rhinoplasty Versus Popular Alternatives
Both surgical and nonsurgical alternatives to rhinoplasty have gradually surfaced over the years. Generally, nonsurgical alternatives are more limited in both the extent and duration of the results they can provide, but can reduce downtime and complication risk. Popular alternatives to rhinoplasty include, but are not limited to:
Liquid Rhinoplasty: In this nonsurgical approach, we use a series of dermal filler injections to strategically reshape the nose. None of the underlying tissues, including bone and cartilage, are surgically altered in this approach. While the results are temporary, they are visible right away, and come with very little downtime.
Ultrasonic Rhinoplasty: This approach to rhinoplasty involves the use of a specialized device that emits high-velocity soundwaves to reshape the structures of the nose. While ultrasonic rhinoplasty requires an open approach, it is still considered less invasive than standard rhinoplasty, as it causes less damage to surrounding soft tissues.
Nose thread lift: Rarely requiring more than local anesthetic, nose thread lifts offer a less invasive approach to contouring and lifting the nose. In this procedure, the provider carefully inserts very thin threads (made from a kind of sugar) just underneath the skin in the areas surrounding the nose, which stimulates collagen production while manually assisting with reshaping.
How Our Rhinoplasties Are Performed
In a rhinoplasty procedure, incisions are created by the surgeon to reach the nose’s underlying bones and cartilage. The modifications involve either the removal of some bone and cartilage or the addition of tissue, which might come from a different part of the patient’s body or a synthetic source, depending on what is needed for the desired outcome. Once Dr. Moradzadeh has altered and sculpted the bone and cartilage, the nasal skin and tissue are carefully repositioned to conform to the new nasal framework. To maintain the nose’s new contour during recovery, a splint is applied externally, and internal nasal packing might be used to provide extra stability.
Rhinoplasty Preparation Best Practices
Each patient’s rhinoplasty prep process can vary based on individualized factors, which is why we always recommend reviewing best practices in a consultation with Dr. Moradzadeh. That said, there are several universal practices and precautions that every future patient can follow to support a safe and effective outcome.
These practices include, but are not limited to:
- Avoiding certain medications and/or supplements as directed
- Avoiding smoking
- Avoiding vigorous exercise and other heavy activities
- Arranging transportation
- Meal prepping before surgery
- Maintaining a healthy lifestyle (rest, hydration, diet, etc.)
Keep in mind that some of these guidelines apply only for a short window of time, and your particular case may warrant additional pre-op precautions based on your specific presentation, medical history, and other factors.
Your Recovery Timeline for Rhinoplasty Surgery
Internal and external splints will remain on the patient for about a week after the nasal surgery and then be removed by the surgeon. The individual may experience bruising and swelling for the first few weeks after the procedure and should count on taking at least seven days off from work or school. After the initial healing process, it can still take time for all of the swelling to subside. The final shape of your nose can continue to settle and refine for the first year after your surgery. By the 12-month mark, all of the swelling should be gone, and you will be able to enjoy your full results.
How Long Do Rhinoplasty Results Last?
A successfully performed rhinoplasty has the potential to last a lifetime. There are several variables not directly relating to the success of the procedure itself that can affect the longevity of your results. These factors include your genetics, skin texture and thickness, sun exposure, lifestyle, future injuries, and the natural aging process, to name a few.
Whether due to aging, an injury to the area, or personal preference, rhinoplasty patients sometimes opt to have a revision rhinoplasty done. This is when the surgeon performs another procedure to make further enhancements to the shape and size of your nose. It’s important to wait at least one year before undergoing revision, as the final results of your initial rhinoplasty need a year to take hold.
How Much Does Rhinoplasty Cost?
The extent of work to be done, your facility and provider, and several other factors can affect the cost of your rhinoplasty procedure. As one of the more sophisticated procedures in the cosmetic surgery world that is highly individualized for each patient, it is very difficult to establish a cost range, even when narrowed down to a single provider. Consulting with Dr. Moradzadeh of AM Facial Plastics will give you a clearer picture of the cost picture.
As for whether or not insurance covers rhinoplasty, the majority of major carriers usually deem the procedure not medically necessary, resulting in denial of coverage. However, in the case of functional rhinoplasty, an approach meant to alleviate breathing and/or sinus problems, deviated septum, and other common issues, part or all of the procedure may be deemed medically necessary and covered. Cosmetic or functional, it never hurts to check with your provider prior to undergoing rhinoplasty.
Rhinoplasty FAQs
Am I a Good Candidate for Rhinoplasty?
Ideal candidates for rhinoplasty are individuals seeking improvement in the appearance or function of their nose. You should be in good general health, have realistic expectations, and be a non-smoker to reduce surgical risks and enhance healing.
Additionally, it is commonly recommended by surgeons that females should postpone any functional rhinoplasty procedures until they reach 16 years of age, and males until they are 16 to 18 years old. This is to ensure that the nose has fully developed before any alterations are made. Though there is no strict upper age limit for undergoing this surgery, it’s important to note that as one ages, the nose’s structure may alter, and existing health issues could make the procedure less suitable. Consulting with Dr. Moradzadeh can clarify whether functional rhinoplasty is a good option for you.
What Is Revision Rhinoplasty, and When Is It Needed?
Nose surgery may sometimes require adjustments, leading to what is known as revision rhinoplasty. This is typically considered when the patient is dissatisfied with the outcome of the initial surgery or if complications arise. It’s a more complex procedure that should be performed by a highly experienced surgeon, usually after waiting at least one year for complete healing from the first surgery.
How Should I Prepare for Rhinoplasty Surgery?
Preparation for rhinoplasty surgery involves several steps: scheduling a consultation to discuss goals and expectations, undergoing a physical examination and possibly lab tests, stopping smoking, and avoiding certain medications. It’s also advised to arrange for a friend or family member to drive you home post-surgery and assist you during the first few days of recovery.
How Much Downtime Does Rhinoplasty Require?
Like many surgical procedures, downtime following rhinoplasty is divided into phases, and can vary significantly depending on several factors. Generally, “full downtime” (i.e., taking time off of work or other commitments) can range from 1-3 weeks, and complete healing can take as long as a year.
What Risks Are Associated With Rhinoplasty?
AM Facial Plastics adheres to industry-leading safety standards in all surgeries, but there will always be a small chance of excess bleeding, scarring, numbness in the area, impaired smell, and adverse reactions to anesthesia, among other risks. Dr. Moradzadeh will explain these in more detail as he holistically assesses your health status and additional details of your case.
Does Insurance Cover the Cost of Rhinoplasty?
Typically, insurance companies do not cover the costs of a nose job when performed for cosmetic reasons. However, if the procedure is deemed medically necessary — to correct a deviated septum or repair damage from an injury, for example — part or all of the surgery may be covered. It’s crucial to consult with your insurance provider beforehand to understand your coverage.
Choosing Us for Your Rhinoplasty Surgery in Beverly Hills, CA
Rhinoplasty can enhance your facial harmony by addressing structural or aesthetic concerns of the nose. At AM Facial Plastics in Beverly Hills, CA, we provide expert care and support throughout your healing process. For more details or to schedule a consultation, please reach out through our online form or call us today at (310) 659-9900.
