Nose surgery (Rhinoplasty) is one of the most sought-after procedures for both men and women who want a more attractive profile and to correct any imperfections of the nose tip, bridge, or nostrils. Rhinoplasty, commonly called a “nose job” can change the angle, shape, size, and positioning of the nose so that it is more balanced with the rest of the facial features and looks more attractive and youthful. For some patients, rhinoplasty can correct breathing problems or defects resulting from an accident or injury. Dr. Kriya Gishen is an experienced craniofacial surgeon specializing in facial cosmetic and reconstructive plastic surgery. Dr. Kriya works with each patient to create a nose that best suits the overall contours of their face to improve their appearance and confidence. If you’ve been unhappy with your nose, you have options! Call (310) 584-9990 to schedule an appointment for a personal consultation with Dr. Kriya in Beverly Hills.
Before and After Photos
Although rhinoplasties are one of the most frequently performed plastic surgeries, they are also considered the most difficult. The nose is an incredibly complex organ, and the delicate underlying structure of the nose is composed of several different types and layers of tissue, including cartilage, bone, mucosa, blood vessels, skin, fat, fascia, muscles, nerves, and connective tissue.(1) Consequently, it’s essential to choose an experienced surgeon when pursuing a rhinoplasty. After all, as those who are self-conscious about their nose know all too well, there’s no hiding this part of our face! Dr. Kriya specializes in craniofacial reconstruction and facial aesthetic procedures. Thanks to her world-class training, years of experience, and exceptional care, patients can rest assured that they are in the best hands. Like other facial surgeries, rhinoplasties are tailored to the unique needs and anatomy of the patient, and there are a variety of approaches to altering each of these tissues in order to achieve the desired results.
What Happens During a Rhinoplasty?
Rhinoplasties are performed for both cosmetic and functional reasons. For example, a dorsal hump reduction creates a smoother profile of the bridge of the nose and is one of the most frequently performed cosmetic rhinoplasties.(2) Those with a deviated septum opt for a functional rhinoplasty in order to correct blocked nasal passages and improve airflow, making it easier to breathe. Surgeons can remove sections of the nasal bones and cartilage, or simply change the angles of the individual pieces of cartilage to improve the shape, size, and function of the nose.
A Tailored Approach
Surgeons also need to pay close attention to the unique facial structure of the patient to ensure a natural-looking result that complements the rest of the patient’s facial features. In fact, the nose is one of the primary ways we determine a person’s gender when looking at their face. And, the ideal nose for women is quite different than for men, who typically have larger proportioned and more angular nasal features.(3) Dr. Kriya takes each patient’s desires, gender, and ethnicity into consideration when planning her approach to surgery. Dr. Kriya also specializes in facial feminization surgery and can create a more petite, feminine nose that aligns more closely with a patient’s gender identity.
Rhinoplasty offers several benefits for patients who want a more attractive-looking nose or simply want to fix any imperfections in their profile and facial bone structure. Nose surgery can help to:
- Reduce or increase the size of the nose
- Narrow a wide nasal bridge or nostrils
- Adjust the size and projection of the tip of the nose, or tipplasty
- Align a crooked nose
- Correct any marked deformities
- Improve breathing
- Reshape the nose after injury or an accident
- Create a more balanced facial appearance
Good candidates for rhinoplasty are in good health and have realistic expectations of what the procedure can achieve. The nose doesn’t typically finish developing for girls until they are 15, and for most boys until they reach 17 years of age. So, younger patients may need to wait until Dr. Kriya can determine that their nose has completed any remaining growth.(3)
Whether a patient is self-conscious about their nasal appearance, wishes to correct breathing problems, or both, patients should be nicotine-free for the weeks leading up to their surgery and for the duration of their recovery. Smoking, vaping, and other nicotine products constrict blood vessels and can impair the healing process. Patients should also not be cocaine users or participate in intranasal drug use.(4)
Dr. Kriya performs nose surgery at her exclusive Beverly plastic surgery center and invites you to learn more about this popular procedure. During your personal consultation with Dr. Kriya, you’ll have the opportunity to discuss your concerns and goals. After she’s examined the structure of your nose and reviewed your medical history, she’ll be able to determine whether you are a good candidate for a rhinoplasty. Contact Dr. Kriya’s office today to arrange a personalized consultation for rhinoplasty in Beverly Hills, Los Angeles.
Before your surgery, Dr. Kriya and her staff will provide you with detailed instructions on the things you should do to prepare. Following these instructions diligently will ensure that your procedure goes smoothly and that you can look forward to optimal results. This includes:
- Quitting smoking and remaining nicotine free
- Obtaining recovery medications and supplies, and filling prescriptions in advance
- Arrange for a trusted friend or family member to drive you home after surgery
- Discontinuing medications such as blood thinners and NSAIDs, as well as certain herbal supplements as instructed
- Having soft foods on hand, as chewing may be difficult during the first day or two of your recovery
Rhinoplasty procedures typically take 3-6 hours depending on the extent of surgery required, and are performed under general anesthesia. Dr. Kriya most often uses an open approach meaning there is a small incision at the base of the nose, with the majority of her incisions hidden inside the nose. This allows her better access to the internal structure of the nose, and to work more precisely. Depending upon each patient’s individual needs she alters the bone and cartilage framework of the nose to sculpt the desired contour of the nose. This may involve trimming, folding, or suturing the cartilage to adjust the shape of the nose, or to open up the airways. She may also need to shave down or reposition the nasal bones. For patients with a nasal structure that needs to be augmented, a cartilage graft may be required. Once the procedure is complete, she then re-drapes the skin and sutures the small incision on the columella, the strip of skin between the nostrils. Once healed, it is completely concealed underneath the nose.
Depending on the individual patient’s needs a nasal splint and nostril stents may be placed. Swelling and bruising are not uncommon after rhinoplasty and Dr Kriya works with patients to minimize discomfort and swelling postoperatively. Most swelling and bruising will resolve within the first 3 weeks. Dr. Kriya sees all rhinoplasty patients within the first week to remove dressings and stitches.
Nose surgery can dramatically improve your appearance by removing imperfections and adjusting the size or shape of your nose for a more desirable look. It can take up to a year for any lingering swelling to resolve and final results to become fully visible. However, once they do, you’ll be able to enjoy your results for many years to come.
Rhinoplasty procedures are carefully tailored to each patient’s goals. As a result, the final cost of a rhinoplasty will vary slightly from patient to patient. After a personal consultation, we’ll have a better idea of the scope of your surgery and will be able to give you an accurate estimate for the price of your rhinoplasty. To schedule your consultation with Dr. Kriya, call her Beverly Hills office at (310) 584-9990.
- Rettinger G. Risks and complications in rhinoplasty. GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery. 2008;6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199839/
- Dayan E, Rohrich RJ. Developing Consistency in Rhinoplasty. Plastic and Reconstructive Surgery – Global Open. 2020;8(4):e2679. doi:https://doi.org/10.1097/gox.0000000000002679
- Gupta P, Tripathi T, Singh N, Bhutiani N, Rai P, Gopal R. A review of genetics of nasal development and morphological variation. Journal of Family Medicine and Primary Care. 2020;9(4):1825-1833. doi:10.4103/jfmpc.jfmpc_1265_19
- Rohrich RJ, Ahmad J. Rhinoplasty. Plastic and Reconstructive Surgery. 2011;128(2):49e73e. doi:10.1097/prs.0b013e31821e7191