Your facial appearance is your calling card and creates the first impression. The size and shape of your nose play a significant role in the appeal of your face. Modern plastic surgery makes it possible, in talented hands, to create a more balanced, harmonious facial appearance by changing the shape, size, or contour of the nose.
Rhinoplasty (Nose Job) in Beverly Hills
What is Rhinoplasty
Rhinoplasty, commonly referred to as a “nose job,” is one of the most commonly performed facial surgeries. About half a million rhinoplasty surgeries are performed every year in the USA. In addition to the procedure being performed for aesthetic improvement, a nose job may also be performed to resolve breathing problems associated with a deviated septum, birth defect, or trauma. If you have been considering a rhinoplasty in Beverly Hills, we want to assist you to take a closer look at the process.
Dr. Paul Nassif Performs a Primary Rhinoplasty
Rhinoplasty Consultation
The first step in finding out more about a rhinoplasty is to schedule a private consultation. In this consultation, you will meet directly with Dr. Nassif. This gives you an opportunity to discuss your concerns and get all of your questions answered. You will have the opportunity to tell the doctor the type of nose you envision for yourself. Feel free to bring a photo of a celebrity or other person who has what you consider to be the perfect nose for you. At our offices, we have many photographs to help you through the process, including people with a similar facial structure or nose issue, so you can see the "before and after."
During your personalized consultation for a nose job in Beverly Hills, Dr. Nassif will ask you about your medical history, as well as any issue of substance abuse, tobacco use, or alcohol use. Furthermore, you will need to bring in all medications and supplements you currently take. Part of the consultation involves a full and accurate medical history. Tell Dr. Nassif about any past surgeries, procedures, and complications you have experienced in your life. He can then make a decision based upon your general health, and whether you are a good candidate for the procedure – most people are.
During your consultation, Dr. Nassif will make recommendations about the best course of action to take for your nose job to achieve the most attractive result. Every person is different, and the nose structure may need to be altered significantly or just minimally, depending upon what needs to be achieved. He will also advise you about any further cosmetic procedures available to give you the best possible appearance, such as a facelift, neck lift, brow lift, or chin augmentation. After settling on the expected type of nose job to be performed, Dr. Nassif and his NassifMD Plastic Surgery® care team will take photographs of your face for comparison and preparation purposes.
Rhinoplasty Procedure
The Evening & Morning Before Rhinoplasty Surgery
As with all surgeries, you will need to stop eating and drinking fluids for a specific period of time the evening prior to your nose job, most often midnight. In some cases, defined by your physician, you may need to take certain medications with a small sip of water, e.g. beta-blockers, cholesterol medications, or other medicines.
For the least possible chance of infection, shower with an anti-microbial soap the evening before your nose job surgery. This removes and discourages the growth of bacteria on the surface of your skin. Try not to cause too much irritation to the face, specifically the nose, while scrubbing. Repeat this process the morning before the procedure. Don’t wear nasal or any facial piercing to the hospital. We don’t want them to get lost, and they may have bacteria on them.
The Rhinoplasty Surgery
The procedure will begin with a brief consultation with the nursing staff. They will review your adherence to the guidelines in relation to smoking, eating, drinking, and bathing the evening before and day of your procedure. When you go into the operating room, you will be administered the appropriate anesthesia. Most often, Beverly Hills rhinoplasty surgeons prefer to work with general anesthesia; however, local anesthetics can also be used. With local anesthetic, you will hear the surgery being performed. This may be stressful and frightening and most patients are more comfortable with general anesthesia. Dr. Nassif will begin making the incisions for the procedure once you’re sedated.
In order to reduce the appearance of scars, incisions will be made on the interior of the nose. Tiny incisions may be required where the nostrils (nares) meet the cheek for changes made in the shape, size, and appearance of large or misshapen nostrils. Dr. Nassif will reshape your nose to match the vision you expressed in your consultation. He desires to give you only the best rhinoplasty Beverly Hills has to offer. Most nose jobs require several hours if other procedures will be performed at the same time. After closing the incisions and addressing any issues with the nasal wall, or septum, you will be sent to the recovery room.
Using Rib Cartilage in a Rhinoplasty Surgery
The question of using rib cartilage in rhinoplasty surgeries does come up quite often. In this video, Dr. Nassif breaks it all down and shows you some great examples.
Home of the Celestial Rhinoplasty™
Dr. Nassif has developed a rhinoplasty technique that creates an attractively smaller, slightly upturned nose. The popular celestial nose is naturally seen in only 13% of people, and it is a much sought-after appearance these days. This type of nose, seen on Emma Stone and other celebrities, is now familiar to many people. Dr. Nassif’s Celestial Nasoplasty™ is a very popular option for many patients who would like to achieve this attractive appearance. Dr. Nassif also uses his expertise to train his fellows to perform the Celestial Rhinoplasty™ for patients.
How Did the Celestial Rhinoplasty™ Come About?
Many patients seeking rhinoplasty desire the tip of their nose to be lifted. Because of Dr. Nassif’s expertise with revision rhinoplasties, he has consulted on thousands of patients who underwent previous surgeries hoping to achieve this effect. He noticed that some of the traditional techniques to elevate the nasal tip such as the tongue-in-groove maneuver resulted in failure due to a spring-like force upon the cartilage of the nose that ended up pushing the tip down.
One patient had this unfortunate outcome happen twice before she worked with Dr. Nassif. Dr. Nassif developed the Celestial Rhinoplasty™ technique, which uniquely manipulates the cartilages of the nose to overcome these forces allowing the nasal tip to stay beautifully lifted, and he combines this with a special grafting technique to perfectly mold the tip of the nose to achieve an attractive, elegant, “cute” nose.
Things to Monitor During Recovery
Elevated temperature. Buy a small thermometer to check your temperature every six to eight hours. The first sign of infection will be an increase in temperature.
Uncontrollable pain or headaches.
Excessive redness and heat beyond expectations.
Risks
All medical procedures carry risks. These are some of the most common risks of Rhinoplasty:
Bleeding
Due to the incisions made, bleeding may occur. If excessive bleeding or a dramatic decrease in energy occurs, please contact your surgeon immediately. If unable to contact your physician, go to the nearest emergency room.
Damage to the Septum
Depending on the extent of the nose job, you may develop an injury or hole in your septum. This can be corrected by the physician.
Subpar Results & Decrease in Skin Quality
The healing process varies for each person. In some cases, the skin may not heal appropriately.
Obstruction of Nasal Passages
While rare, the procedure can result in a blockage caused by the amount of swelling in the nose.
Deep Vein Thrombosis (DVT)
Remember to move around to maintain proper circulation. A DVT refers to a large blood clot formed deep inside veins in the body. If it becomes dislodged, it can result in many problems including stroke, heart attack, or pulmonary embolism (PE).
Anesthesia Complications
Some people may suffer from problems caused by the anesthesia. This can best be prevented by discussing any past surgeries during the consultation. Advise Dr. Nassif if you have a history of anesthesia complications.
Rhinoplasty FAQ
What if I need to blow my nose the day after my rhinoplasty?
Can I present my new nose to everyone the day after my nose surgery?
Can I drive myself home after rhinoplasty?
What can I do for pain or headaches after the procedure?
I recently had a nose job in Los Angeles, but it was botched. Can I get it fixed?
What if I need to blow my nose the day after my rhinoplasty?
Do not blow your nose – it can harm the surgical site. This can rupture the stitches, cause severe pain, or cause excessive bleeding.
Can I present my new nose to everyone the day after my nose surgery?
Yes, but it won’t appear normal-sized. It will be bandaged, bruised, and swollen. After the tape is removed, the bruising may need another week to subside. The nose will continue to heal for the next month. In some cases of extensive reconstruction, the nose may require several months to attain the look desired. Don’t expect to be red-carpet ready for several weeks. The time will pass quickly, and a few months of healing is nothing when compared to a lifetime of feeling embarrassed or unhappy, and suffering from a lack of self-confidence.
Can I drive myself home after rhinoplasty?
No. Because of the effects of anesthesia, patients cannot drive themselves home after rhinoplasty. If you are out of town and need transportation, our office can help you with the arrangements, including transport.
What can I do for pain or headaches after the procedure?
Only take medications as directed by your physician. Don’t take any type of medications containing aspirin or NSAIDs, such as ibuprofen. Apply a cool washcloth or ice pack to the top of your head for pain. Just ensure the bandage does not get wet.
I recently had a nose job in Los Angeles, but it was botched. Can I get it fixed?
Absolutely! Dr. Paul Nassif specializes in revision rhinoplasty in Beverly Hills. Please see this page for information on Rhinoplasty revisions.
