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Introduction to Rhinoplasty

Dr. Farhad Ardesh, a double board-certified facial plastic surgeon with over 11 years of experience, provides rhinoplasty in Los Angeles to patients from all over.

A correctly performed nose reshaping surgery creates a more attractive, harmonious balance for your facial features. A nose job, medically termed “rhinoplasty,” is one of the most challenging and delicate to perform. Rhinoplasty addresses both cosmetic and functional issues, and when done right, creates a more attractive appearance, and free breathing.

Rhinoplasty Los Angeles

How does rhinoplasty work?

Every person has a unique nose structure. The shape, size, and projection of your nose, if out of balance, is a distraction from your other facial features. Rhinoplasty is the surgical procedure that reshapes the nose structure.

Smiling model with curly hair

Am I a candidate for Rhinoplasty?

Most patients who want to change the way that their nose looks will likely make good candidates for a rhinoplasty. The specific criteria listed below will help you to determine your suitability, and an initial consultation in our Los Angeles practice with Dr. Ardesh will be the best way to confirm this. Candidates for rhinoplasty are men or women who fit the following criteria:

  • Facial growth has completed; reached physical maturity
  • In good overall physical health with no serious medical conditions
  • Has reasonable goals and expectations for the procedure
  • Are a nonsmoker, or will cease smoking for several weeks leading up to and after the procedure to aid in healing and recovery

Cost of Rhinoplasty in Los Angeles

Because no two rhinoplasties done by Dr. Ardesh are exactly the same, providing a one-size-fits-all cost estimate for the procedure could be impractical and not very helpful for our patients. As each of our patients come to us with unique personal concerns and a unique physical anatomy, our recommended surgical approach will likewise be entirely unique to you. Thus, the costs associated with our rhinoplasties also vary from patient to patient. During a personal consultation with Dr. Ardesh in his Los Angeles practice, however, you will be provided an all-inclusive and exact cost for your procedure, well before the date your surgery is scheduled to occur.

Why choose Dr. Ardesh for rhinoplasty in Los Angeles?

Rhinoplasty is a delicate and challenging procedure. To achieve results that are balanced, symmetrical, and enhance your other features requires an evaluation of your facial structure, including size, shape, and chin size and projection. The ideal nose is a nose that suits your features perfectly – ensure you select a highly-skilled, experienced facial plastic surgeon for this procedure.

  • Dr. Ardesh is a double board-certified facial plastic and reconstructive surgeon.
  • He served as a professor in the departments of head and neck surgery, ophthalmology, and dermatology at Loma Linda University before establishing his private practice.
  • He is often called upon to correct failed rhinoplasty surgeries.

Education

  • Undergraduate: BS, Biology, the University of North Carolina at Chapel Hill
  • Medical: MD, University of North Carolina School of Medicine, Chapel Hill
  • Residency: Head and Neck Surgery, University of Minnesota, Minneapolis
  • Fellowship: Facial Plastic and Reconstructive Surgery, University of Washington, Seattle

Board certifications

Professional memberships

Fellow, American College of Surgeons (FACS)

Hospital Privileges

Roxbury Surgical Institute, Los Robles Hospital, Loma Linda University Medical Center

Awards

Experience: It matters.

Rhinoplasty requires superior surgical skills, along with experience. Dr. Ardesh has 11 years in practice, is a former college professor, and performed over 150 rhinoplasty surgeries last year. If you are considering a Beverly Hills nose job, you want to be very, very happy with the result. It is unfortunate, but many nose jobs require revision, whether the result was too large, too small, uneven, collapsed, or other problem. You need this surgery performed right the first time – contact Dr. Ardesh today.

Before & After

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He answered all my questions and concerns and explained everything that would happen before, during, and after the full rhinoplasty where he had to rebuild my entire nose due to a break that happened in my childhood that never healed properly and a severe deviated septum. You cannot tell that I had any type of facial surgery because of the way he worked his magic to make sure I didn’t have a bad scar. It looks 100% natural and the way it should have been if I had never broken my nose.

- E.A.

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What is the rhinoplasty procedure like?

Rhinoplasty takes place while you are under intravenous sedation and local anesthesia or general anesthesia. The procedure will not be painful, and you will remember little, if any, of the surgery. Extensive surgical planning and excellent execution will create balance and harmony – our Los Angeles rhinoplasty is never a “one size fits all” procedure.

During surgery, excess cartilage may be removed to create a more refined nose structure. A hump on the nose bridge is resolved, or nostrils reshaped. Some patients want to achieve more definition at the nose bridge, which may require a cartilage graft. In some cases, the nasal bones will be corrected to narrow the upper nose bridge. A custom rhinoplasty takes three to four hours to complete.

Types of incisions

Open rhinoplasty

This approach involves placing an incision at the base of the columella, the strip of tissue between your nostrils. This approach makes it possible to access the entire nose structure.

Closed rhinoplasty

For minor changes, closed rhinoplasty is an option. This approach is to place incisions within the nostrils, leaving no visible scars.

Upload Photos to See Your New Nose

Types of Rhinoplasty

Female rhinoplasty

During female rhinoplasty, the doctor will affect a more feminine appearance to the nose, refining a bulbous nasal tip, smoothing down the bridge, and correcting enlarged or asymmetrical nostrils.

Male rhinoplasty

Male rhinoplasty can be performed to help create a more traditionally masculine nasal structure that is proportionate and well suited to the jaw, chin, cheekbones and forehead.

Ethnic rhinoplasty

In clients of Asian, African, Native American, Middle Eastern and Hispanic/Latinx heritage, ethic rhinoplasty can be performed to help minimize cosmetic flaws in the nose while simultaneously preserving and honoring cultural beauty norms.

Septoplasty

Septoplasty can be performed to help correct the flow of breathing by straightening a deviated nasal septum and repositioning it more centrally within the nose.

Turbinate reduction

Turbinate reduction surgery can be performed to refine the nose’s inner structures, improving breathing and sleep while reducing the likelihood of headaches, congestion and sinus infections.

Revision rhinoplasty

Revision rhinoplasty is performed to help correct cosmetic and functional problems related to a primary rhinoplasty with which the patient was unhappy or unsatisfied.

Non-surgical rhinoplasty

Using dermal fillers and injectables, a non-surgical rhinoplasty can be performed to help reshape and sculpt the nasal contours, painlessly and without downtime.

close up of smiling models face with eyes closed

The day of your surgery

Fill all prescriptions before the day of your surgery. Arrange your bed with extra pillows or a foam wedge, as you will need to keep your head elevated when resting or sleeping. Ensure you have simple to prepare foods and plenty of clear liquids to drink during your recovery.

You will become fully aware after surgery, resting in our recovery area. Your nose will be bandaged, with a splint to protect your nose and packing in your nostrils. You will feel groggy but should not be in pain. Once you are fully aware, you will be released to return home and rest. You will be unable to drive and must arrange for a friend or family member to transport you and stay with you for 24 to 48 hours.

Day one of your recovery

Once you are home, you will need to rest. You will have a pain medication prescription to help you feel comfortable through the first days of recovery. The pain associated with rhinoplasty is typically very mild, and many people do not need prescription medication, just Tylenol.

One week

After one week, swelling and bruising are starting to fade, and your new nose is taking shape. The most uncomfortable side effect is that your nose will feel stuffy until the swelling goes down. Most people feel well enough to return to work or other activities within three to seven days. The splint is removed, and your new nose shape is revealed.

One month

After a month, you are starting to enjoy your new look! Your facial features will now appear balanced, without the distraction of an overlarge or protruding nose. You should be feeling almost normal within a month. Residual swelling will remain but is not very noticeable.

Six months

You may rarely think about your nose at this point, as it has almost fully healed, with all cosmetic and functional issues resolved.

One year

It may take up to one year for the full result to be achieved, as any residual swelling completely fades away.

Common cosmetic nose problems

Nose too large

The nose structure may be so large, wide, or long that it overpowers your facial appearance, becoming the focus of attention.

Hump on the bridge of the nose

A large hump on the nose bridge has a significant impact on your overall facial appearance, giving your face a “hawkish” look.

Hanging tip

A hanging nose tip distracts the eye away from the other features, and could be pointed, rounded, or pinched in appearance.

Long or wide nostrils

If your nostril structure is exceptionally wide or long, nostrils can be refined to be more balanced and less prominent.

Crooked nose

A crooked nose is often the result of an injury but may appear naturally. The entire nose structure can be straightened and corrected with rhinoplasty.

Wide nose bridge

A wide or flat nose bridge gives the face a slightly concave appearance.

Bulbous tip

A bulbous tip is typically rounded and overlarge.

How to choose the right rhinoplasty surgeon

Choosing the right surgeon is the most critical factor in a successful Los Angeles nose job. Dr. Ardesh is often called upon to repair “botched” nose jobs and resolve functional and cosmetic problems, including a collapse of the entire nose structure, called a “Polly beak” deformity. To evaluate the surgeon you are considering, review these points thoroughly:

Board certification

Ensure the surgeon is board-certified in plastic and reconstructive surgery. The only two plastic surgery boards recognized by the American Medical Association are the American Board of Plastic Surgery (ABPS) and the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). Double board certification indicates an even higher level of proficiency, experience, and education.

Review patient gallery

The surgeon should have many before and after images of former patients, particularly those with a nose similar to yours, for you to review.

Read online reviews:

Reviews from real patients about a surgeon on RealSelf.com are usually straightforward and honest. These reviews can give you an idea of what to expect in the quality of your results, with a one to five-star rating system. Healthgrades.com reveals whether a medical provider has any malpractice claims or disciplinary actions and provides patient ratings.

Dr. Ardesh has helped patients from all over:

Areas we serve


Additional Rhinoplasty Resources

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