Rhinoplasty (also known as a "nose job") is one of the most commonly performed plastic surgery procedures each year in the United States. It can dramatically improve the overall shape and appearance of the face, enhance the profile, and address a wide range of concerns, from aesthetic proportions to breathing issues. Cassileth's team of plastic surgeons performing rhinoplasty in Los Angeles can deliver beautiful results tailored to your anatomy.
Nose surgery is an ideal option for anyone looking for a more balanced and harmonious facial appearance with a more refined nose. When considering changing the shape, size, or contour of the nose, it is important to weigh your options and research the best rhinoplasty surgeons in your area. Dr. Sarmela Sunder and Dr. Catherine Chang are industry leaders specializing in face and neck procedures and experienced in rhinoplasty. As a top rhinoplasty surgeon in Beverly Hills, Dr. Sunder treats top influencers and celebrities for face enhancements and cosmetic procedures, including nose jobs, and Dr. Chang is sought after by celebrities for her nose surgeries and revisions.
Browse our gallery of plastic surgery results to see the real-life difference our work has made on patients just like you, who came to us for help and care.
*Individual results may vary
Every surgery will yield unique results, but before-and-after images are an excellent way to see the quality of natural-looking outcomes our experienced plastic surgeons are capable of providing.
Dr. Cat Chang is amazing! I wish there were more than 5 stars I could give her. After years of contemplation, I went ahead and had the rhinoplasty (nose job) I have always wanted with Dr. Chang. I could not be more pleased with the results!
Your nose plays a huge factor in your overall appearance. Rhinoplasty surgery can correct any asymmetry, refine a dorsal hump, reduce the size of nostrils, bring balance to the face, and draw attention to the eyes.
Rhinoplasty surgery can correct any problems that directly affect breathing such as a deviated septum.
The nose is the focal point of anyone's face and hence can either enhance or take away from your natural beauty. Sometimes a nose may be too prominent and take away from the balance and harmony of one's face. Rhinoplasty will refine the overall shape and appearance of a patient's facial features with natural results tailored for each patient's unique anatomy. Interestingly, even a small alteration can have dramatic results.
More specifically, a nose job can correct a high or low nasal bridge; drooping, wide, or overly projected tip; deviated septum; crooked nose; long or short nose; or wide nostrils.
Every facial surgery requires a unique approach, and this is especially true for rhinoplasty. Because the nose is so prominent and such a defining feature, Dr. Sunder and Dr. Chang highly prioritize an initial consultation to establish exactly what each patient wants their new nose to look like and what they do not like about their nose.
Careful examination of the external appearance and internal structures of the nose will help your plastic surgeon to shape a plan that maximizes safety and efficiency, as well as cosmetic and functional results. We use Vectra 3D imaging for rhinoplasty patients to aid in determining the best approach. This system allows the surgeon to alter a three-dimensional image of the patient in order to visualize how various changes would impact not only the nose, but the look of the entire face.
Reshaping the nose involves many fine details, including determining the ideal nose size to suit the patient's anatomy, addressing any breathing issues, and refining the nasal bones and tip. We use a meticulous technique to chisel a new shape, remove any hump or bulbous tip, and reshape the patient's cartilage. Sometimes a patient may want a nose job to get a higher or larger nose bridge, in which case we can add height to the nose by grafting cartilage from the ear or rib.
Men and women coming to Cassileth Plastic Surgery for rhinoplasty have similar questions. Here are answers to the topics that often come up at our practice regarding nose surgery in Los Angeles:
Our surgeons specialize in cartilage grafting and meticulous removal of excess tissue during a nose job. Since cartilage is contoured differently in each patient's nose, we reshape structures as needed with a cartilage graft from inside of the nose to create the more symmetrical shape and profile.
Noses change over time, so we take into account how every rhinoplasty patient's nose will look shortly after surgery, as well as in five to 10 years. A nose that looks "perfect" in two months will appear overdone a year after surgery. The key to a beautiful and natural-looking nose job result is careful analyzation, planning, communication, and attention to detail.
Rhinoplasty is an outpatient procedure, so patients typically go home after surgery. Typically, about one week of downtime is required after nose surgery. The nose cast will be removed seven days after the procedure, which is also when sutures from an open rhinoplasty are removed. Depending on the thickness of a patient's skin, we may inject a steroid to help bring down the swelling during a post-op appointment. Bruising and swelling will resolve after about four to six weeks. Overall healing will take at least a year, with nose job results continuing to improve during that time.
With the advanced rhinoplasty techniques we use, patients generally do not need to have packing in their nose after surgery. In the cases where packing is required, it is usually only in place overnight.
Whether any bone breaking is necessary depends on a range of unique factors, including the pre-surgery anatomy of the nose, as well as the ultimate size and shape the patient wants to achieve. More precisely, if a patient has a dorsal hump (a bulge on the nasal bridge), the bones will need to be broken during a nose job to achieve correction.
Open rhinoplasty involves an incision at the base of the columella, which is the strip of tissue between the nostrils. This allows the surgeon to directly see the cartilage, allowing for more exact results and refinement. This is ideal for addressing a deviated septum, improving breathing, and addressing a larger area, such as the nasal bridge.
In closed rhinoplasty, there are no external incisions. All the work is performed inside the nostrils. This method is ideal for minor tip refinement and bone changes. Because this method is less invasive, patients sometimes have a quicker recovery.
If a nose job involved significant change, such as a hump removal, patients can see results as soon as their cast comes off. For procedures focused more on refinement, such as correcting a bulbous tip, noticeable results may take a while longer to develop. This is because refinements can sometimes involve a matter of millimeters, making them noticeable only after any swelling subsides.
Harmony and balance are very important to facial aesthetics, which is why Cassileth Plastic Surgery offers procedures to address cosmetic issues with a range of prominent facial features beyond the nose. Ear surgery, facial implants, and chin augmentation and reduction are available, as is facial fat grafting to restore volume where desired, blepharoplasty to correct sagging eyelids, and brow lift surgery to lift the forehead.
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