John Layke, DO, FACS

Dr. Laykes follow up is unmet! I have a few friends with different doctors who continue to reiterate that the level of care provided is astounding. I am incredibly grateful to Dr. Layke for his care and execution. I trusted him - this was 7 years I wanted this and the results thus far are amazing and complimentary. His staff is amazing and they also played a roll in my selection! I will be a long time client!

One of the best decisions of my life was going to Dr. Layke. His staff is wonderful and the whole team at bhpsg really cares for their patients. I had a great experience with Rebecca, Ava, Esther, and everyone else at the office, they are just amazing. I highly recommend going to Dr. Layke for a consultation...he will change your life. I did my nose with him and I could not have loved it more. I was so fearful my nose would end up looking like all other BH fake noses. Everyone is in disbelief I had a rhinoplasty because my results are so natural! He listened to everything I wanted and more. Thank you Dr. Layke!!!!! You are the best.

I am a very picky and very detail oriented person. I researched for months and called over 30 different doctors looking for that magical surgeon in the Goldilocks zone of bedside manner, consistently great results, and price. Let me save you the work and tell you now, Dr. Layke is that doctor!

I got a septo/rhinoplasty and an upper Bleph and I absolutely love my results! Dr. Layke is a highly skilled surgeon with such a great eye for facial balance and beauty. My surgery went so smoothly and he promptly answered every question I had during my recovery. I had some unexplained dizziness (it ended up being from the swelling in my nose) and he was so helpful and supportive. He ordered blood work to be thorough and honestly made me feel like I was the only patient he had!

When I first saw Dr. Layke’s picture on Real Self and that he was located in Beverly Hills, I almost didn’t call his office. I honestly just thought “oh, a hot shot Beverly Hills doctor that is probably totally full of himself and going to make me feel like crap that I don’t look like a model!” But it was all the reviews here that convinced me to reach out and I’m SO happy I did.

He is actually a really sweet, attentive, smart, kind, witty person and a great listener. He is someone who is curious about life and to me that is one of the best qualities in a doctor. There’s nothing worse than a doctor who has decided they know everything and they don’t listen if you bring up something outside their comfort zone. His office staff was always prompt and courteous and I never had to wait more than 10 minutes for an appointment.

I can’t say enough kind things about Dr. Layke and I highly encourage anyone who is on the fence to book a consultation. He’s a gem!

Updated on 26 Nov 2023:
As far as the process itself: I went for a consultation and knew by the end that I wanted to book with him. They offered me a discount for booking on the same day so I went ahead and did that, but only because I was so sure. I felt like he really listened to me and we did a 3-D simulation of what my nose would look like and I told him a couple little tweaks of things to make sure our visions aligned.

They happened to have an opening so I booked my surgery for 2 weeks later and did some blood work at the lab upstairs from their office that same day, to make sure I was ok to be put under general anesthesia. At this point I also started preparing for surgery by eating really well, continuing to exercise, not drinking any alcohol and taking supplements like arnica and bromelain.

Two weeks later, I went back to Dr. Layke's office (they have a surgery center right their in their office which is so cool to not have to go to a hospital and be exposed to illness while you're getting surgery!). Before surgery Dr. Layke came in to take some "before" pictures and a nurse gave me some pre surgery meds. I've had other surgery so I wasn't super nervous about being put under, but their anesthesiologist is an amazing doctor who has a fantastic and super calming personality. He came in to meet me pre surgery as well. (Dr Layke has a podcast called "Forever Young" and he has an episode where they interview their anesthesiologist. I suggest listening to it if you'd like to get a sense of the work he does. He's a real pro! )

Next I went into the surgery room. The staff were all very sweet and kind and put me at ease. They put in an IV and then within about 10 minutes of arriving in there, I was out. It felt like 2 seconds went by and then I was awake again! I woke up and didn't feel a lot of pain, I just felt a little woozy and groggy and like there was pressure in my face. Within 15 minutes of waking up I was able to stand, have a drink of water, and get into my wheelchair to be wheeled down to their underground parking garage to be picked up by my husband.

I once got advice from a nurse friend of mine that if you ever get surgery and they give you pain meds, for the first few days, just take the pain meds on time and don't "chase the pain". I did that so I was in very little pain after my surgery. Because I was on the pain meds it just felt like incredible pressure in my face. The part that SUCKS after this surgery is how dry your mouth and throat will be from breathing through your mouth only for the first week. I figured out a whole system of how to get comfortable. I bought dry mouth spray and this gel you can rub on your tongue. They sell it on Amazon and that helped a lot. I also slept with a humidifier blowing right into my face, and I drank "throat coat" tea. Sleeping was the worst part. I would fall asleep for a couple hours and wake up with the driest mouth I've ever experienced. Luckily, you get your splints out of your nose after 7 days so it is a temporary state. I just surrendered to the fact that I was going to be taking mini naps day and night that first week because real sleep for more than a few hours was tricky. Also have a lot of soft foods on hand. For the first few days my teeth were sore. I had smoothies, drank bone broth, had mashed potatoes, with chicken and veggies cut up super tiny.

I don't normally sleep on my back so that part was tricky too. I had a deviated septum, so I got a more invasive surgery than just a cosmetic nose job. The more work you have done the longer the recovery. The first month you also have to sleep elevated. I bought a foam wedge on amazon and the biggest game changer was a memory foam airplane neck pillow. At night I would lie on the foam wedge with the airplane pillow around my neck and that would let me feel like I was resting my head to one side without my neck hurting. I also put pillows under my knees and arms to keep me from rolling onto my side. I ended up taking the cover off the travel neck pillow, cutting out the back behind my neck and then putting the cover back on. It was just more comfortable to not have the piece behind my head.

Dr. Layke didn't pack my nose but I did have a "gauze mustache" taped on to catch any fluid post surgery that I had to wear for the first couple days. And I had silicone splints up my nose that felt so good to have removed on day 7. It was like heaven to be able to breathe again but then you'll have fluctuating stuffiness in your nose so the breathing will come and go and improve over time.

I was suprised how long I felt tired after my surgery. I thought I would be back to myself in a couple weeks but I didn't feel normal until about 6 weeks after. I think a few things contributed to this. One, I was 44 at the time of my surgery, two, I have thicker skin which makes for worse swelling in the nose so I had some dizziness that took a while to fade, and three, I had an open rhinoplasty with nostril reduction and septum work. I would imagine if you just got your tip refined you'd be back to normal in a couple weeks. One of the most surprising things was that I barely bruised! I looked fairly normal as far as that went and I'm usually a total bruiser. I did follow the protocol the doctor gave me for arnica, bromelain and eating protein with every meal.

Within about 3 weeks I looked pretty good. My nose was still swollen but I was able to go out and socialize and not feel like I looked crazy. I'm a little over three months out now and I still have some fluctuating swelling in my nose depending on if I drink alcohol or eat a lot of salt, but overall my nose looks so adorable!

What's interesting about getting a nose job is that it doesn't really hurt that bad but there's kind of a lot of little annoying things that add up for that first month. It's like a marathon not a sprint. And according to Doctor Layke my nose will continue to refine it's shape for the next year and a half! Luckily by 3 months I stopped thinking about my nose and it's starting to just feel like my nose again. During recovery there are some weird things like how oily your nose will be! It's crazy that first month especially. The nose is trying to heal and produces so much oil. The tip feels really hard but softens over time. There's also numbness but it slowly is going away. This might be TMI but you can not pick your nose at all not even just the edge of it and that is a weird feeling. You have to flush your nose with saline and use a q-tip to get anything out of your nose. You will also have some unusual boogers the first few months. They will be bigger and a different color than usual.

The other thing was the psychological aspect of getting a nose job. I think because I was older when I got mine, seeing a different nose on my face was so weird! The day I got my cast off, I was shocked. All I could say was "Who put that fake Halloween nose on my face?" To my mind I looked like a completely different person and it was honestly hard at first. Dr. Layke was so sweet and supportive and said it will take about 5 days for your brain to adjust and he was right. By day 5 it started to look more normal but overall it took me months to fully adjust where I felt like myself completely. I think the majority of people are happy right away, so I was an unusual case but I wanted to write it here in case anyone else struggles at first. The other thing is my tip looked so upturned when I first got my cast off and I thankfully knew that this is part of the healing process but it's still hard to see when it's on your own face. It will drop and settle so don't panic if you feel a little "piggy".

Overall getting this surgery is one of the best things I've ever done in my life! I LOVE my nose now but it took me time to get there. I ended up writing Dr. Layke a long email thanking him for giving me the nose I felt like I was meant to be born with. I call it my "soul nose" haha! It's honestly one of the most natural and cute nose jobs I've ever seen and it turned out better than I could have ever imagined.

I hope I haven't scared you away by being so brutally honest about my experience. I would do it again in a heartbeat! I just wanted to keep it real so whoever does this can go in with very real expectations of what the recovery process can be like.

If you're thinking about getting a nose job I genuinely cannot recommend Dr. Layke enough! He was with me every step of the way. He did such beautiful incisions and stitches that I don't even need to put makeup over the scars to hide them. They've healed so well! I barely bruised or swelled. He promptly answered all my questions along the recovery process. He made me feel cared for rather than like he was running a factory to make money. He's a real sweetheart and more importantly a very skilled surgeon. I would be so happy for you if you had a great experience and got your "soul nose" too!

Please feel free to write me if you have any other questions and I hope this helped!

Big hug,
Laurie

Updated on 18 Dec 2023:
Here’s my 4 month update of my nose! I’m Still so happy! I only wish I would have done this 20 years sooner. Everything is healing so well and my nose is starting to feel like my own. I pass a mirror and half the time I end up saying out loud “Oh my gosh! My nose is so cute!” That was not something I ever said before ????

Amazing doc! The most talented surgeon on the planet and I would recommend him to anyone. He had incredible bedside manner, he was half the price of other surgeons I consulted with (one asked for 40,000 for a nose job, yikes!), and he did a beautiful job. Seriously, don't go to anyone else. My surgery was extremely complicated (part of my nose was collapsed) and I was so nervous. I came out with the most perfect nose from every view. I literally did not think this was possible for a nose like mine, and to have it be flawless after so many years is incredible. He really takes your opinion into consideration in the consult and I could not have asked for better. He answered every question I had and everyone on his staff is amazing and so welcoming. If you're looking for a miracle, you've found the doc. I'll let the pictures speak for themselves now. (keep in mind this is three weeks after surgery to the day so there may still be some swelling)

I purchased the Lift + Firm Sculpting Cream and Brighten + Tighten Oil. I am really happy with the results. I found Dr Layke products online so I ordered and tried them. At the moment of life, I had lost my son and I was looking so grieved in the face. My eyes had dark circles around the puffiness around the bottom on my eyes. Just looked overall saddened I could see it in the mirror. I didn’t want to look the way my heartfelt. But with the products I receive from Beverly Hills, Dr. Layke improved my appearance and gave me back the uplifting in my face. I am still working on my heart. I am very pleased with the products how impressive they work. Thanks again

My 400cc encapsulated after breast feeding two children and everything needed a little love. I went to Dr Layke because I have seen his work, his precision is incredible. I have seen his attention to detail and I know he really cares. The staff are all so kind and it was an incredible experience. I am so happy. I can't recommend him enough for face and now for breast too. Truly an expert.

Dr. Layke's hand and eye are one of a true artist's. What I love about Dr. Layke's work is that it is so subtle; yet, it makes such an immense impact on someone's face cosmetically. I can say this confidently because Dr. Layke was extremely careful and precise when it came to enhancing my natural beauty. I wanted to do it ALL, and the beauty in working with him is that he is quick to reel you in from going off the deep end.

I had my buccal fat removed by Dr. Layke, who thought to simultaneously inject just a littttttle bit of fat into my chin to pronounce the features of my face and enhance my bone structure. People would always compliment me and tell me that I was a pretty girl; but before my surgery, I always felt like my face looked "chubby."

Now, when I walk into a room, I truly feel like I have the face of a girl who is in a league of her own thanks to Dr. Layke's work.
If you are looking for subtle, fresh, and head-turning work....Dr. Layke is your surgeon, no questions asked.

Dr. Layke performed my rhinoplasty, septoplasty and chin and neck liposuction. I’m only about a week post op but am already out and about. Although I still have bruising and swelling, I can already tell that the results will me amazing. He is so chill and sweet and easy to talk to. I knew immediately upon meeting him that he was the right doctor for me. I wanted subtle changes and he truly delivered beyond my expectations. I can’t wait to see the results once the swelling subsides. Don’t hesitate with him- he is highly skilled, very personable and his prices are reasonable! I couldn’t be happier. Thank you Dr. Layke.

Updated on 19 Jun 2021:
Photos from the operating table; the changes are super subtle and natural, and there is swelling on the table, so Im sure the results will be even better ans more refine in a few months when most of the swelling resolves!

I just had rhinoplasty on 5-13-21 with Dr. Layke and he did a DAMN GOOD JOB! I'm super happy and it's only been 3 weeks. I spoke with a few other highly rated and reviewed rhinoplasty surgeons (Bay Area and LA) and felt the most comfortable with Dr. Layke. He's super chill and was very upfront regarding the potential issues with my nose -- I have a fairly typical thick skin "drama" Persian nose. My nose went from crooked and droopy to straight and perfectly centered / up. The entire crew at his office (Rebecca Palmer is a sweetheart) was super nice and professional from start to finish. I highly recommend Dr. Layke and his office, the Beverly Hills Plastic Surgery Group.

I had my rhinoplasty and chin augmentation done with Dr. Layke and it was the best decision I have ever made. I went in for my consultation and he was so welcoming and friendly. He answered all my questions and kept me well informed of everything I needed to know. We did a simulation so I could see the predicted results of the procedure. I decided to go ahead and proceed with my rhinoplasty by Dr. Layke and I’m so happy I did. The whole staff is so nice and they really make you feel comfortable! Dr. Layke, the nurse and the anesthesiologist made me feel very safe in their hands and helped calmed my nerves. Overall it was such an easy and great experience. After the surgery, Dr. Layke even called me twice to follow up and made sure everything was okay and answered any questions I had. I never got any black eyes which I was very surprised by and the recovery was so smooth and easy. My actual results came out better than the predicted results from the simulation so I couldn’t have been happier with my procedure. Anyone considering getting rhinoplasty or a chin augmentation should go to Dr. Layke as everything came out so natural and perfect! Dr. Layke and the whole office staff are truly the nicest and most welcoming people ever!