
Living with chronic nasal congestion is exhausting. When your nasal passages stay perpetually blocked, even the simplest things feel incredibly difficult. You wake up tired, trying to get through a light workout feels like a struggle for air, and you might even find yourself relying on over-the-counter nasal sprays just to get through a normal afternoon. We understand how much this impacts your quality of life. Functional rhinoplasty offers a lasting way to repair the internal mechanics of your airway by opening your nasal passages so you can finally take a deep, effortless breath.
"It breaks my heart to see how many patients simply accept mouth-breathing as their normal. They genuinely forget what taking a full, clear breath actually feels like. Rebuilding that internal framework gives you back your basic daily comfort. A strong, open airway changes everything." — Dr. Nima Shemirani
Functional rhinoplasty is a reconstructive surgery that repairs the internal structures of the nose to improve breathing. By correcting a deviated septum, reducing enlarged turbinates, or reinforcing collapsed nasal valves, this surgical procedure is designed to clear blockages and restore optimal respiratory function.
This functional nasal surgery prioritizes how you feel and breathe rather than how you look. While a cosmetic rhinoplasty focuses on refining the external appearance, this specific procedure targets the hidden structural abnormalities that consistently obstruct airflow.
Functional rhinoplasty gives us a way to directly address the physical hurdles causing your discomfort. We treat the structural issues that are simply ignored in medical management.

A facial plastic surgeon carefully evaluates your entire internal nasal structure. We pinpoint exactly where your airway narrows to create a helpful surgical plan.
The septum is the wall of bone and cartilage dividing your nostrils. We straighten a crooked or deviated septum to ensure both nasal passages remain wide open and highly functional.
The nasal valves serve as the narrowest point of your airway, located right behind the nasal tip and along the side walls. We use sturdy cartilage grafts to prop up nasal valve collapse. This prevents the sides of your nose from sucking inward when you take a deep breath.
Turbinates are small, bony structures inside the nose that clean and humidify the air you breathe. When they swell too much, they block the airway entirely. We perform a gentle turbinate reduction to shrink the tissue and open that breathing corridor.
Repairing your nasal structure creates such a wonderful sense of physical relief. You regain your stamina and finally get to sleep soundly.

Good rhinoplasty patients feel frustrated because their difficulty breathing simply does not respond to standard allergy treatments.
Your preparation begins with a personal consultation with Dr. Nima in Beverly Hills, where he will perform a gentle, full internal airway examination. As your plastic surgery procedure approaches, you'll need to make a few temporary adjustments. About two weeks before surgery, please pause medications like blood thinners, aspirin, and ibuprofen to help minimize bleeding risks. You must also stop nicotine completely four weeks prior, as it chokes your blood supply and severely delays healing.
Before heading to the clinic, take an afternoon to set up a comfortable recovery area at home. Stock up on soft foods, saline spray, and plenty of extra pillows since you'll need to keep your head elevated while resting. Finally, arrange for a trusted friend or family member to drive you safely home from our Beverly Hills practice once you're ready to leave.
We perform this reconstructive surgery as a very straightforward outpatient procedure. We tailor the exact techniques to your unique structural needs.
"A lot of patients come in for cosmetic changes, but during the exam, I notice their nasal valves are completely collapsing. I always tell them we can make the nose look beautiful, but if we don't fix the mechanics while we are in there, we haven't done our job. Your comfort always comes first." — Dr. Nima Shemirani
You'll wake up wearing a small cast. You'll experience mild discomfort and feel extremely stuffed up. Honestly, the recovery feels a lot like managing a severe head cold for those first few weeks.
Expect 7 to 10 days of social downtime. Once the cast comes off at the one-week mark, bruising fades enough to cover easily with makeup. Many patients feel great returning to work at this time.
Take two weeks off from work. Avoid heavy lifting, bending over, and the gym for four weeks to keep your blood pressure low. Please skip contact sports entirely for several months to protect your healing nose.
Please resist the urge to blow your nose. Expect a slightly runny nose as the delicate tissues heal. Use a saline spray consistently to gently flush out your nasal passages. Sleep flat on your back, propped up on a few pillows.

You'll notice significant improvements in your proper airflow the exact moment we remove your internal splints at the one-week mark. Most patients report an immediate, overwhelming sense of relief. While the external swelling takes a few months to fully resolve, your breathing function improves almost instantly.
The results of a functional rhinoplasty are permanent. We physically rebuild the internal anatomy using highly durable cartilage grafts. While natural aging affects the skin and soft tissues over time, your reinforced airway stays open for a lifetime.
A closed approach leaves zero visible scars. An open approach creates one small incision underneath the nose. With elite surgical skill, this incision heals perfectly flat. It becomes practically invisible to the naked eye within a few short months.

If you struggle with chronic congestion, you might wonder if a surgical procedure is strictly necessary.
Feature | Functional Rhinoplasty | Medical Management (Sprays/Pills) |
|---|---|---|
| Approach | Physically rebuilds the nasal structure | Manages inflammation chemically |
| Best For | Deviated septums, collapsed valves | Seasonal allergies, mild swelling |
| Longevity | Permanent | Temporary (lasts a few hours) |
| Outcome | Restores optimal nasal airflow | Masks symptoms |
Absolutely. Many patients choose to combine their functional repairs with a cosmetic procedure during the exact same operation. Correcting a crooked nose or shaving down a dorsal hump while fixing a deviated septum ensures total facial harmony. We also frequently perform an ethnic rhinoplasty alongside functional repairs, refining the nose's shape while beautifully preserving your cultural identity. For those seeking comprehensive facial plastic surgery, combining a nose job with neck surgery or eyelid rejuvenation maximizes your healing time beautifully.
Breathing is a vital function. Trusting your airway to a rhinoplasty specialist ensures your absolute safety and your long-term comfort. Dr. Nima Shemirani dedicates his facial plastic practice exclusively to the face and neck. As a highly sought-after facial plastic surgeon, he handles the most complex reconstructive cases on the West Coast. We deliver a warm, highly supportive experience designed to guide you safely through your entire rhinoplasty journey. We prioritize your breathing function above all else, ensuring you feel completely cared for every step of the way.
You deserve to breathe deeply without a second thought. Stop fighting your own anatomy. Dr. Nima and the team at Eos Rejuvenation are ready to map out the blockages in your airway. We'll walk you through exactly how a functional nose surgery repairs your mechanics and improves your daily life.
Book your Beverly Hills Functional Rhinoplasty consultation with us at Eos Rejuvenation today.
Pricing varies depending on the specific blockages we need to repair. We provide a customized, transparent quote during your consultation after examining your internal airway.
Yes, the functional portion of the surgery is frequently covered by insurance if you have documented breathing issues. If you choose to make cosmetic changes to the nasal bridge or tip simultaneously to improve aesthetic concerns, that specific cosmetic portion remains an out-of-pocket expense.
A cosmetic rhinoplasty solely focuses on changing the external appearance of the patient's nose to improve facial features. A functional rhinoplasty specifically targets the internal structures to restore proper nasal breathing.
Yes. We frequently see patients who underwent a previous rhinoplasty surgery elsewhere that aggressively removed too much cartilage, causing their airway to collapse. A revision rhinoplasty rebuilds what was lost to successfully restore your nasal airflow.
The side walls of your nose rely on strong cartilage for support. If you naturally have weak cartilage, or if previous surgery removed too much of it, the walls become flimsy. When you inhale quickly, the negative pressure sucks those weak walls inward, which can obstruct airflow completely.





