Rhinoplasty Surgery and the Natural Looking Nose

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The nose is the most distinctive feature of the face. Each patients facial features differ to various degrees and it is important that your nose fits your personal facial structure. During the consultative phase of surgery I use a Digital Imaging computer to show the patient the desired result prior to the procedure. This helps the surgeon and the patient have a clear understanding of the desired aesthetic result.

The nose is judged by it's shape and size and the patients facial features. A skilled surgeon will modify the nose both by removing cartilage and/or remolding the remaining cartilage. It is key to leave enough cartilage behind to maintain the integrity of the nose. In many Plastic Surgery procedures less is more and this is certainly true with rhinoplasty surgery. The ultimate goal is a natural looking nose and one that is also functional. The aesthetic changes to the nose must often times be combined with septal work to ensure the patient has proper breathing functions after the procedure.

In my personal experience most cosmetic nasal procedures require some correction of breathing. An examination during the consultative phase as well as a detailed history will help determine these needs. A question I commonly receive is "Will insurance cover this procedure?" The answer is two fold, as they will often cover the breathing portion of a procedure the septoplasty and they will not cover the cosmetic portion of the procedure the rhinoplasty.

I perform all of my procedures in my private fully accredited surgical facility. It is important that the surgical facility you go to is accredited. This ensures its commitment to high quality care and compliance with the standards for ambulatory health care. The procedure may be done under either  general anesthesia or I.V. Sedation with local anesthesia. The anesthesia should be performed by an anesthesiologist or nurse anesthetist. The procedure itself usually takes anywhere between one to two hours. After the procedure the patient will be transferred into the recovery room and a registered nurse will be there to help with the recovery as well as the anesthesiologist. Patients stay in recovery for at least an hour until they feel comfortable with no pain and are able to ambulate with assistance. Most patients experience little to no pain and it should easily be handled with mild oral analgesics. The largest complaint is not being able to breath out of the nose for at least the first twenty four hours. Some mild bruising and swelling are expected after surgery. The bruising and immediate swelling will dissipate the first week. During the next three months ninety percent of the swelling will go down with ten percent taking up to a year to fully heal.

Feel free to ask your surgeon if you may speak with past surgical patients during your consultative period. Remember, no question is to small to go unanswered and you should have complete confidence and understanding of any procedure you may be considering. Your surgeons office should provide complete patient confidentiality and make sure that you have a good rapport with your surgeon and their staff.


My personal experience of over thirty years with rhinoplasty surgery is a very rewarding portion of my practice. I am now doing rhinoplasty surgery on my past patient's children and it is amazing to see the progression of their lives and I am grateful for their continued confidence in my skills. The key to this continued success is giving each patient a natural looking nose as if you were born with it. It is very easy to see a bad rhinoplasty however a good one should go unnoticed.

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Orange County Facial Plastic Surgeon