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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 or Los Angeles, we want to assist you to take a closer look at the process.

Before & After Rhinoplasty with Dr. Nassif

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Primary Celestial Rhinoplasty with Dr. Paul Nassif

Patient recieving rhinoplasty in Beverly Hills with Dr. Nassif

Dr. Paul Nassif Performs a Primary Rhinoplasty

What are the benefits of rhinoplasty? 

Rhinoplasty can enhance the look and function of the nose while improving confidence and eliminating self-consciousness caused by your nasal appearance. 

Rhinoplasty benefits include the following:

  • Reshape the nostrils
  • Reduce the nasal tip
  • Reduce the bridge
  • Enhance the balance and harmony between other facial features
  • Correct a deviated septum
  • Improve breathing
  • Increase or decrease the size of the nose

Am I a candidate for rhinoplasty? 

Before deciding whether to pursue rhinoplasty in Los Angeles or Beverly Hills with Dr. Nassif, consider what makes a good candidate:

  • Your current nose makes you self-conscious or unhappy
  • Your nose has changed with age
  • Nasal deformity that needs to be corrected
  • You are well-adjusted and have reasonable expectations of the surgery, such as wanting to improve the way you look, not look perfect
  • Your nose has stopped growing, generally from the mid-teens on
  • You’re able to take sufficient recovery time off of work
  • You are a nonsmoker or are willing to stop smoking at least 6 weeks prior to surgery

Your Rhinoplasty Consultation

Private Consultation With Dr. Nassif

The first step in finding out more about rhinoplasty in Los Angeles or Beverly Hills with Dr. Nassif 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."

Review Medical History & General Health

During your personalized consultation for a nose job in Beverly Hills or Los Angeles with Dr. Nassif, he 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.

Customized Recommendations Based On Your Desires

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.

Dr. Nassif and his staff have made my rhinoplasty journey a very pleasant experience. My questions are always answered thoroughly and I couldn’t be happier with my results.

Sydney K.

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

Brief Consultation Pre-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.

Anesthesia Options

When you go into the operating room, you will be administered the appropriate anesthesia. Most often, 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.

Interior Incision To Reduce The Appearance Of Scars

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.

Length Of Procedure

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.

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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.

Dr. Paul Nassif explains how rib cartilage is used in surgeries.
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Home of the Celestial Rhinoplasty® & Celestial Nasoplasty®

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.

Rhinoplasty Recovery

The healing process for your rhinoplasty begins immediately when you awaken in the recovery room. Your nose may be stuffed with packing to sustain the altered structures. In addition, Dr. Nassif will place a stint on the exterior of your nose to hold the newly-shaped nose in place. If you experience pain or nausea in the recovery room, inform the attending nurse so you can get help. The nurse will administer medications so you are comfortable and relaxed. Your rhinoplasty surgeon will prescribe you pain, nausea, and anti-inflammatory medications to take during your recovery period so that your healing process is smooth.

The day after your procedure, the packing and splint will be removed from your nose and replaced with a taped dressing. The tape will need to stay in place for one week. During this time, avoid getting the dressing wet as this can lead to the growth of bacteria and the potential for infection. There will be prominent bruising and swelling of the face and nose. Expect to see red and swollen eyes from the procedure. Take all medications as directed by your surgeon. This remains especially important for any steroids and antibiotic medications. This prevents the nose from becoming infected or other complications.

Limit your diet to light, bland foods for the first few days following your procedure. If you don’t experience any difficulties, you can move onto heavier, tastier foods. Please adhere to the dietary guidelines provided to you after surgery. Avoid foods and spices that have been known to cause you sneezing or other reactions.

To prevent the formation of blood clots, walk around several times each day for a minimum of ten minutes. In addition to warding off the formation of blood clots, this promotes the circulation and healing of tissues. Don’t bend or exert yourself physically until cleared by your physician. Though the stitches will be tiny, they still have the potential to break when you exert yourself.

To bring down the swelling, sleep with your head elevated above your heart. This isn’t required, and a pillow isn’t likely to dislodge the nasal cast. However, this position is the most comfortable way to avoid a smothering sensation while sleeping. Also, if you normally sleep with your pet, your furry friend must sleep alone for a few weeks following surgery – no pets in bed. No matter how clean your dog or cat is, harmful bacteria must not be brought near to your incision site.

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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.

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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.

Get the most from life

Dr. Paul Nassif understands the importance of feeling confident in your appearance. He works with patients to enhance their natural beauty and allow them to get the most out of life. If you are interested in an appointment with Dr. Nassif, contact our office to schedule your consultation.

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