Rhinoplasty is one of the most complex and challenging plastic surgery procedures. It aims to enhance and improve the proportions of your nose to give it a flawless appearance. Whether you have breathing difficulties or want your nose to look more aesthetic, rhinoplasty may be the best choice.
Dr. Nima is a double board-certified facial plastic surgeon who takes a unique approach to nose jobs and ethnic rhinoplasty by leveraging his skilled artistic vision with over 10 years of real world experience (after residency training). His patient-centered approach ensures safe, effective, and long-lasting results. He creates a customized treatment plan for each plastic surgery patient based on their unique needs, wants, and preferences to ensure they are completely satisfied with the results.
Dr. Nima specializes in ethnic rhinoplasty and is skilled at performing rhinoplasty to change the appearance of the nose by enhancing the nasal profile, changing the shape of the nostrils, refining the tip of the nose, and narrowing the nose. An ethnic rhinoplasty procedure can be performed using both open and closed nose approaches.
Before and After Gallery
The Rhinoplasty Procedure
Rhinoplasty refers to the nose procedure that corrects the problem of a deviated septum or nose deformity. It literally means “changing the shape of the nose.” Nose surgery is typically performed under general anesthesia.
While most incisions made are internal, a small external incision is sometimes used. When the incisions are hidden inside the nose, it is called a closed procedure. Dr. Nima typically prefers an open rhinoplasty approach because it allows him to make the most precise changes to the nose that otherwise would not be seen in the closed approach.
Closed rhinoplasty is mostly done by feel and less using direct vision. The open approach is ideal for patients who want major changes to their nose, have nasal asymmetries, or need structural grafting to maintain their results for a lifetime. The downtime is very similar with both approaches, generally requiring 6-12 months before a result a deemed “final.” The incision is shaped in such a way that it becomes invisible long before the nose has fully healed. Dr. Nima uses 9 carefully placed, non-reactive sutures to close the incision so that it heals imperceptibly. It is his opinion that one cannot compare the results between open and closed rhinoplasty. He believes that the better results outweigh the use of an external incision.
In an open procedure, the surgeon makes an incision on the narrow tissue strip between the nostrils. Once the incision is made, Dr. Nima reshapes the bone and cartilage of the nose carefully without compromising the breathing function of the nose.
Dr. Nima will make sure that you have complete knowledge of the nose job procedure beforehand, and you are comfortable throughout the process of your rhinoplasty experience.
The following steps are involved in a nose job procedure:
- Call or text our office to set up an appointment
- During that call, you will meet our patient care coordinator who will go over what to expect
- Arrive to your appointment where photos are taken
- Meet with Dr. Nima for a consultation
- Dr. Nima will morph images of your nose as a communication tool to describe your ideal nose
- Schedule surgery with the Surgical Coordinator
- Receive surgical clearance from your family doctor (if over 45 years of age, otherwise just lab work)
- Arrive at the pre-op appointment at the office to receive your supplies and instructions for surgery
- Have nose surgery at Eos Rejuvenation which is accredited by Medicare and JCAHO (same as hospitals)
- Come to the office after one week for suture and cast removal
Video: Dr. Nima discusses the difference between a Closed Rhinoplasty versus an Open Rhinoplasty.
What Are the Benefits of Rhinoplasty?
While a nose job is usually done to resolve a structural issue or for cosmetic purposes, you can enjoy multiple benefits of the surgery. These include:
Restore Facial Symmetry
Nose surgery creates a balance between the nose and other facial features for a younger, attractive appearance. It addresses a wide range of problems, including a crooked or misshapen nose, deviated septum, and an enlarged nasal tip and bridge. Asymmetries of the nose can also be addressed at the time of surgery.
Change the Size and Shape of the Nose
The procedure allows you to increase or decrease the size of your nose as needed for a proportional and natural looking outcome. It can also reshape your nostrils as needed to fit your new nose. It can also change the angle between your nose and lip for a more youthful look. An ethnic rhinoplasty procedure is designed to harmonize the nose with the rest of your face while still maintaining your ethnicity.
A nose job can significantly improve your confidence and self-esteem level. In fact, studies have shown that a rhinoplasty increases self esteem, much like braces do. After getting braces, teeth are more straight, you are more confident and smile even more. That smile is magnetic because it helps you connect with other people.
Fix a Broken Nose
A nasal deformity can affect the appearance of the nose, cause breathing issues, and induce pain. A nose job allows you to fix a broken nose to save yourself the pain, discomfort, and self-consciousness for a more healthy life.
Nose surgery can make a huge difference for people with long-term and congenital breathing issues. Surgery can open the nasal airways to improve the flow of air into and out of the nose.
Alleviate Sinus Problems
More often than not, sinus problems result in constant congestion of the nose, severe headaches, and breathing difficulties. You can get rid of these issues with nose surgery. Dr. Nima is also a board certified otolaryngologist and can examine your sinuses if you have repeated infections.
Correct Congenital Issues
Whether you have clefts, lumps, masses, or underdeveloped areas of the nose, a nose job can help correct your problem areas and yield life-changing.
Solve Snoring Issues
Is snoring affecting your sleep quality? Rhinoplasty may help solve the problem. One of the causes of snoring is a restricted nasal passage. Opening the nose from the inside, will improve airflow so that you can sleep comfortably with your mouth closed. If you have nasal obstruction, you typically have to open your mouth to breathe at night, leading to snoring, and frequent wakings that inhibit you from a restful night of sleep.
Get the Nose You Always Wanted
Crooked noses are more common than you think. Are you looking for a more symmetrical nose that suits your face type? Do you suffer from a deviated septum and have trouble breathing? Rhinoplasty can refine the tip of your nose, change your nostril shape, and improve overall proportions to better suit your face. Book a consultation today and learn about your options!
Is Rhinoplasty Right for Me?
Do you experience breathing trouble or have a deviated septum?
Do you feel unhappy about how your nose looks when you stand in front of a mirror?
If the answer is ‘Yes’ to any of the questions above, you may be an ideal candidate for rhinoplasty. Many candidates look for ethnic rhinoplasty services to make their nose appear thinner.
Below are features that a rhinoplasty can treat.
- Nasal asymmetry
- Enlarged, bulbous, drooping or hooked nasal tips
- Large, wide or upturned nostrils
- A disproportionate nose in relation to the face
- Increased width of the nose at the bridge
- Disproportionate size or position of the nostrils
- Nasal profile with visible humps, lumps or depressions on the bridge
Generally, people are looking for a more symmetrical nose when they opt for a nose job. If you’re looking for similar results, you must understand that everyone’s face is asymmetric to some extent – and it’s okay. Surgical results are rarely, if ever, 100% symmetric, but there is no such thing as a perfect nose. Dr. Nima will create a nose that will fit your face, as if you were born with it. You can consult with a rhinoplasty surgeon to find out if the procedure is suitable for you.
“The moment I met Dr. Nima I was immediately impressed. He is always professional, him and his staff are always super nice, and the office is beautiful. When he showed me a projected before and after what my nose would look like after rhinoplasty, I was sold. I can’t recommend Dr. Nima enough. If you are considering rhinoplasty, do it! Dr. Nima’s work really is life changing.”-rhinoplasty patient
What Is the Cost of a Nose Job?
Since the treatment plan is devised based on the rhinoplasty patients’ specific aesthetic and functional goals, the procedure’s cost varies greatly. You can book a consultation with Dr. Nima to discuss the total cost of nose surgery. It may include:
- Surgical facility costs
- Anesthesia fee
- Medical tests
- Surgeon’s fee
- Post-surgery care
- Cost of prescription medications
Typically, the cost of a nose job depends on the following factors:
Surgeon’s Expertise and Experience
A surgeon who has a strong reputation of performing rhinoplasty procedures using state-of-the-art technology will likely charge more than a less experienced surgeon. Considering that a nose job is the most complicated plastic surgical procedure, many patients are willing to pay a little extra to get peace of mind. As they say, a professional is expensive, but an amateur will cost you a fortune.
The Quality of Surgical Facility
Surgical facilities also tend to charge depending on their reputation in the industry, as well as the equipment and technology they utilize for treating patients. If you decide to go to a popular facility that ensures greater safety and comfort, you’ll likely have to pay a slightly higher cost for the surgery. At Eos Rejuvenation, we make sure patient safety is number one.
Your surgeon may conduct the nose surgery under general anesthesia or IV sedation. They will recommend the optimal option for you based on your needs, and it will affect the cost of the procedure. Eos Rejuvenation uses the same group of anesthesiologist physicians (MDs) as Cedars Sinai Hospital. We do not use nurse anesthetists who are usually less expensive than an anesthesiologist.
Care during the Recovery
Typically, after the procedure, you will require someone to watch you for the first 24 hours. You will also receive instructions, as well as supplies, to help you recover as quickly as possible. Certain medications are prescribed, which may add to the final cost of the treatment procedure.
What Is the Recovery of Rhinoplasty Like?
After the procedure, Dr. Nima will place internal splints, as well as an external cast to protect and support your nose during the recovery process. It is common for rhinoplasty patients to experience swelling for a few weeks. Some patients may not see the full results until a year after treatment. You can expect to see and feel gradual changes in your nose for the first year.
As far as recovery is concerned, plan to take off for up to two weeks. It takes about this long for all signs of surgery (swelling and bruising) to resolve. Try keeping your head elevated most of the time and avoid doing strenuous activities during the recovery. Apart from this, Dr. Nima will guide you if you need to take certain medications or do something specific for post-operative care during the healing period.
Please note that the initial recovery is quick, but healing from plastic surgery may continue for as long as two to three years. Your skin will have to shrink to the revised and new underlying framework, so it takes time. However, it doesn’t mean you can’t go out without people staring at your nose. After the initial recovery, you can get the splint removed at one week following surgery.
Are There any Risks of Rhinoplasty?
While Dr. Nima ensures that the procedure will be safe, comfortable, and effective for you, thanks to his extensive knowledge and experience, you must understand that every surgical procedure carries some degree of risk.
Dr. Nima’s goal is to minimize the risk during plastic surgery and provide maximum peace of mind. To help, you will have to follow all the post-treatment instructions properly to support the recovery process as well as treatment results.
The risks of rhinoplasty usually involve the following.
- Anesthesia complications
- Pain or numbness
- Breathing difficulty
- Septal perforation
- Skin discoloration
- Improper healing
- Visible scarring
- Complications that warrant a revision rhinoplasty procedure
- Dissatisfaction with the results
Facial Plastic Surgeon
Maintain your youthful looks and keep aging at bay with the help of a double board-certified facial plastic surgeon. Dr. Nima Shemirani has performed over 6000 facial procedures in the heart of Beverly Hills. When it comes to your face, you deserve only the best. Schedule a consultation today to see if your desired procedure is right for you.
Why Choose Dr. Nima?
Dr. Nima is a double board-certified (Facial Plastic Surgery and Otolaryngology) and well-trained plastic surgeon who has been offering safe and effective plastic surgery in Beverly Hills and Los Angeles. He uses exceptional artistic skills, advanced techniques, and the latest technology to ensure that all patients experience a desirable rhinoplasty procedure. Following a patient-centered approach, he is dedicated and committed to serving his patients with the highest level of service and care.
Dr. Nima graduated from the Medical College of Wisconsin Otolaryngology Residency (a top 20 program) and completed a fellowship in Facial Plastic and Reconstructive Surgery at the Glasgold Group in New Jersey. There he trained with some of the most skilled plastic surgeons in the world.
In addition to this, he has received multiple awards and educational teaching opportunities. He regularly lectures at both regional and national medical meetings regarding rhinoplasty. He also serves as a clinical professor at UCLA, and works with residents at UCLA Harbor hospital. Effectively, Dr. Nima is a professional plastic surgeon who you can trust for a rhinoplasty that’s safe as well as effective.
Eos Rejuvenation has set up a state-of-the-art surgical facility equipped with the latest technology and the necessary resources to ensure a comfortable experience for the patients. Dr. Nima understands that nose surgery is a complex and often very personal procedure that can affect patients’ mental wellbeing. Hence, he makes sure that he actively listens to their concerns and educates them on the basics of the nose surgery before starting so that they feel confident in their choice for rhinoplasty in Beverly Hills and Los Angeles.
Dr. Nima answers all their questions and creates a treatment plan based on their unique needs and requirements. He is very open and frank with patients, by setting up realistic expectations. If he feels that your rhinoplasty or revision rhinoplasty surgery would be too risky, or the changes too small, he will let you know. His reputation for success and his concern for patients’ health and wellbeing makes him a clear choice for rhinoplasty patients.
Frequently Asked Questions
How can Rhinoplasty reduce the size of my nose?
Rhinoplasty can help reduce nose size by removing bone, cartilage, and skin, and by reshaping nasal structures. It can also reduce the size and length of nasal tips that may be over-protruding or bulbous and reduce and/or narrow the size of noses that are too wide.
Patients who wish to reduce their nose length can have their septums and cartilage adjusted. Rhinoplasty for those who want their noses made narrower may involve breaking and repositioning of the bone inside the nose. Those who wish to correct bulbous tips and ridges on the nose can have cartilage broken, removed, and/or reshaped to achieve smaller noses with rhinoplasty.
How long does it take to see the results?
The results take an average of six to twelve months. During the first week, patients may experience swelling and bruising around the eyes. Between 80 to 90 percent of the swelling will resolve on its own in about two to four weeks.
Though six months may seem like a long time before seeing the results, the wait will be worth it for those whose noses have been affecting their confidence their entire lives. Patients in Beverly Hills can prolong the results by protecting their skin from the sun and maintaining healthy lifestyles.
What is the difference between Open Rhinoplasty vs. Closed Rhinoplasty surgery?
Open rhinoplasty is when the plastic surgeon makes a small incision in the columella, which is the vertical tissue located between the nostrils. It allows for easier access to nasal bone and cartilage and helps the surgeon perform a more precise procedure.
Closed rhinoplasty is when incisions are made inside the nose, so there is no visible scarring on the outside of the nose. It is usually ideal in cases where patients are undergoing minor changes to their nasal tips and bone structure. This form usually offers a shorter recovery time.
What is an upturned nose?
An upturned nose is when the nose has a higher tip that causes it to look shorter, especially in profile. Genetics are the most common cause, though in some cases, it can be the unwanted side effect from a previous rhinoplasty surgery. Those who want to improve the appearance of an upturned nose can do so with a procedure that will add length to the nasal tip. This can be achieved using extended spreader grafts made from cartilage harvested from the patient’s body.