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What is a Rhinoplasty?

Rhinoplasty, commonly known as a nose job, is one of the most gratifying surgeries performed by plastic surgeons. The procedures require the highest quality of experience, detail, and artistry to be performed correctly. Dr. Paul Chasan states, “Rhinoplasty is one of the most beautifying procedures of the face.”

Our Rhinoplasty in San Diego is a surgical procedure that refines the appearance of the nose. Whether a bump on the nose or a bulbous tip, the overall result is a more attractive nose and a more harmonious appearance. Nose reshaping can dramatically improve someone’s appearance and increase their beauty while still retaining their individual look.

Female Rhinoplasty Before & After

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Male Rhinoplasty Before & After

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Dr. Paul Chasan Discusses Rhinoplasty Techniques

Rhinoplasty Surgery Explained by Dr. Paul Chasan, San Diego Plastic Surgeon [Video]

Rhinoplasty Reveals / Testimonials

What does Rhinoplasty Surgery Involve?

Rhinoplasty operations are very goal-oriented.  An experienced plastic surgeon will take the time to look at your face, talk to you about what you are hoping to get from a rhinoplasty operation, and plan out your expected outcome from the procedure.

People can seek a rhinoplasty for functional reasons (breathing difficulties) or aesthetic reasons (easily corrected defects like a dorsal hump, bulbous tip, drooping tip, prominent nostril, or hanging columella). Most patients will find they experience a combination of functional and cosmetic effects from Rhinoplasty surgery.

Cosmetic rhinoplasties usually include modification of both the nasal septum and the nasal tip. Your surgeon will likely have to detach the tip of the nose to change the shape of the bridge (dorsal hump). And if a surgeon only wanted to improve airflow, they must adjust the tip of the nose to accommodate more room through the nostrils.

When it comes to rhinoplasty, the bottom line is you need an experienced surgeon—one who sees the nose as a comprehensive system of intimately connected parts and understands how the structures interrelate. Dr. Chasan has performed thousands of Rhinoplasty Procedures, and it is exactly this kind of experience that can make your outcome more predictable, as well as save you from having a secondary procedure.

Types of Rhinoplasty

Ethnic Rhinoplasty: Ethnic rhinoplasty centers on preserving the ethnic particularities of a person. Different ethnicities have subtle or pronounced nuances that make them unique and true to heritage. An ethnic rhinoplasty preserves those traits while meeting the patient’s desires for cosmetic improvements. A superior, well-versed cosmetic surgeon who understands these nuances of anatomy and has extensive prior experience is the best promise of a natural, satisfactory, and complementary ethnic rhinoplasty.

Revision Rhinoplasty: When a patient isn’t pleased with a past rhinoplasty, or when his or her personal ideals have since changed, whether the rhinoplasty was recent or done years ago, a revision rhinoplasty can be done to correct these. The revision rhinoplasty warrants particular attention and skill as it deals with bone and tissue that has already been manipulated.

Functional Rhinoplasty: If a patient is experiencing nasal breathing constrictions or an abnormality in the working of the nose, due to a birth defect, accident or trauma, functional rhinoplasty corrects the condition and restores proper function to the nose; with its secondary goal being enhanced aesthetics. A deviated septum, nasal fracture or broken nose, cleft lip and palate, and MOHs defects can all be corrected with functional rhinoplasty.

Woman Smiling with Her Hand on Her Cheek

Preservation Rhinoplasty

Preservation rhinoplasty is a surgical procedure designed to preserve the natural structures of the nose while enhancing its appearance. Unlike traditional rhinoplasty, which involves removing cartilage and bone from the nose, preservation rhinoplasty focuses on reshaping the existing structures to achieve a more aesthetically pleasing result.

During a preservation rhinoplasty procedure, Dr. Chasan will carefully manipulate the cartilage and bone of the nose to achieve the desired shape and size. This may involve adding or removing small amounts of tissue or reshaping the existing structures to create a more harmonious appearance.

Open vs. Closed Techniques

The choice of whether to perform an open or closed rhinoplasty is made between the patient and the surgeon and depends on the anatomy of the patient and the intended outcome of the surgery. As each has its strengths and advantages, Dr. Chasan can perform either. In an open rhinoplasty, access to the nasal bones and cartilage is gained through an incision on the bridge of the nose, while a closed rhinoplasty accesses these areas by going through the nostrils.

Rhinoplasty Anesthesia

Rhinoplasty can be done under local anesthesia with IV sedation, causing numbness but not sleep; or general anesthesia, under which the patient wouldn’t be conscious for the duration of the surgery. The determination is made based on the depth and involvement of the procedure.

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Choosing Your Plastic Surgeon

When it comes to nose jobs, our doctor’s approach is to address the specific cosmetic issues with the nose, bringing it into harmony and balance with the rest of the face. By communicating with their patients, our surgeons make them aware of those pieces they deems necessary to change. By applying this principle, no two noses look the same. Because fractions of a millimeter make a huge difference, it is important to pick a plastic surgeon who is skillful in the art of rhinoplasty and has a commitment to detail.

Dr. Paul Chasan

Board Certified Plastic Surgeon & Founder

Dr. Paul Chasan, the founder of Ranch & Coast Plastic Surgery, is San Diego’s preeminent, board-certified plastic surgeon. He is recognized throughout the plastic surgery field for his outstanding artistry, superb surgical techniques, and sophisticated, elegant results. He specializes in cosmetic procedures for the face, breast, and body. With over 30 years of experience, Dr. Chasan, along with his highly-trained nursing and office staff, considers a positive patient experience a top priority.

Watch: Meet Dr. Chasan

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Non-Surgical Nose Reshaping

Designed by Renowned Plastic Surgeon, Dr. Paul Chasan

Many people are unhappy with the shape of their nose but are not ready for rhinoplasty surgery. Some patients are unable to undergo surgical reshaping due to other reasons. Studies suggest that wearing a device such as Nose Perfect may in fact cause an improvement in the shape of the nose over time.

Because of its ergonomic design and its gentle but effective function, Nose Perfect may help non-surgical patients to achieve a more attractive nose with minimal cost and discomfort.

Nose Perfect - Videos

Patient Testimonials

5 things to know about Rhinoplasty

1. Rhinoplasty is a 1 ½ to 3-hour surgery with results that last a lifetime

Rhinoplasty is performed as an outpatient procedure, meaning that no overnight hospital stay is required. The surgery itself takes as little as one and a half to three hours, though it is by no means a simple surgery. Although revision rhinoplasties are always an option, the results of an initial rhinoplasty surgery do otherwise last a lifetime, though the nose will continue to be impacted in age-related changes of the body.

 

2. Rhinoplasty is the most exacting and meticulous cosmetic surgery

You should only ever see a board-certified plastic surgeon with considerable experience in your procedure of interest, but if ever there was one procedure to really do your due diligence on, it is rhinoplasty. Because your surgeon will be working with multiple types of bone, tissue, and cartilage of varying thicknesses within just a few square inches of space—and given the extreme prominence of the nose—it is widely considered the most complex plastic surgery.

 

3. Rhinoplasty can have both cosmetic and medical benefits

Rhinoplasty is often considered a purely cosmetic surgery, but it actually provides a number of possible medical and functional benefits where these are needed, including such things as correcting a deviated septum, or making natural breathing easier.

 

4. Rhinoplasty is the 4th most popular plastic surgery

Rhinoplasty is performed more often than many people realize. 24 percent of rhinoplasties are done for men and 76 percent are done for women. The ages at which the procedure is most often done are between ages 20 and 29.

 

5. Rhinoplasty varies from person to person and among ethnicities

No two rhinoplasty surgeries are ever the same. A tailored surgical made is made exclusively for the patient in front of us, after extensive medical reviews, a careful inspection and deep understanding of the nasal structure, and computer imaging. For patients with distinct ethnic traits, the procedure is done so as to preserve those traits (as is usually desired), while at the same time, correcting those things about the nose that are disliked by the patient.

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