Beverly Hills Rhinoplasty

A revision rhinoplasty, sometimes called a secondary rhinoplasty, occurs when a patient has a second, third (or more!) rhinoplasty procedure because they are unhappy with the results of their first rhinoplasty. It becomes increasingly difficult the more surgery that has occurred previously around or on the nose. Some of the aspects making it more difficult include increased scarring, higher risk of wound healing problems and infection, and decreased availability of cartilage to use to help strengthen the nose. Because of the difficulty, it is important to find an experienced surgeon to address a revision rhinoplasty case. In addition to being a more difficult surgery, there may be an increased chance that rib cartilage may need to be harvested or used to help create a strong support for the nose. Rib cartilage can be obtained safely from the patient themselves or donor rib can be used to avoid an extra incision. The final shape from a revision case can take a little bit longer to come as there is more healing that is required.

Men and women of color sometimes want to change certain aspects of their nose, yet want to retain the characteristics linked to their heritage. Many of the classic rhinoplasty teachings were focused on Caucasian noses. These techniques are generally used to reduce the size of the nose such as reducing the “hump” or making the tip smaller. However there are clear anatomic differences between various races that require different approaches from the traditional techniques. These may require actually building up the nasal bridge or increasing tip support and projection as opposed to a desire to make the nose smaller. My goal is to create an outcome that enhances appearance while also preserving the ethnic identity.

Preservation rhinoplasty is a relatively old concept that has become popularized again with improved techniques. It involves using techniques that reduce the amount of surgical trauma that the nose experiences during surgery. There is less elevation of the skin, and specialized tissue handling to minimize injury to the tissues. The goal is to reduce the amount of swelling and healing that needs to occur while still achieving beautiful results. There are multiple ways that preservation rhinoplasty techniques can be used and they are great in combination with traditional open rhinoplasty techniques. I am pleased to offer techniques that will help to reduce the swelling and experience after surgery using preservation rhinoplasty techniques.

While I am very attuned to helping a patient reach their goals it is quite difficult to exactly match the appearance of a particular person. As a rhinoplasty surgeon, my goal is to create a functional, beautiful nose that draws attention to the eyes.

Certainly, the further from a goal appearance they are at baseline, the more challenging it is to achieve that final result. This is not necessarily a failure or shortcoming of the surgeon, but just from the difficulty in controlling all aspects of the rhinoplasty procedure.

A nose job is measured in millimeters and sub-millimeters and variables such as the strength of the cartilage harvested, the healing process of the patient, and the surgical technique are just some of the factors that add variability to the surgery. Ultimately, I find nose surgery to be one of the most challenging and rewarding surgeries.