Beverly hills Rhinoplasty (nose job)
Your Los Angeles Nose Job Specialist
Since the nose is the most prominent facial feature, it plays a major role in determining how we look. A nose that is too large or misshapen can disrupt the symmetry of an otherwise pleasant appearance. A person who is unhappy with his or her nose often spends a great deal of time thinking about changing it. A procedure called rhinoplasty (nose jobs) makes aesthetic and structural changes possible. Dr. Simoni will evaluate the structure of your nose in relation to the shape of your face, the thickness of your skin and your age. He will work with you to try to make your nose complement your other facial features. During a nose job or rhinoplasty procedure, both the profile and frontal views are corrected.
Your Rhinoplasty Consultation
Dr. Simoni will first listen to your desires and goals. He will then examine you and make suggestions for improvement based on his assessment of your nose, your facial features and your desires. He will also help you understand the surgery with the aid of most advanced 3D computer generated before-and-after pictures. This new technology helps the doctor understand what you are seeking to achieve and helps you understand what is feasible in the most life like 3-dimentional space.
At the end of the consultation, you will have a much clearer idea of what can be achieved so that you can make this very important decision. What is the goal? After nose rhinoplasty surgery, people will say, "Hey, you look great!" but they won't know you've had nose job surgery!
About the Rhinoplasty
Dr. Simoni prefers an open-tip technique for rhinoplasty. With this technique, a small incision is made across the columella, the vertical strip of tissue separating the nostrils. The open-tip technique allows for a more direct view of the nasal structures thus more predictable result.
You can choose to reduce or increase the size of your nose, change the tip or the bridge, narrow the span of the nostrils or change the angle between your nose and your upper lip.
When the nosejob surgery is complete, a splint will be applied to keep the nasal structures immobile and help the nose maintain its new shape. Rhinoplasty can be performed in an outpatient surgical facility or a hospital. As A rule, Dr. Simoni recommends general anesthesia for most rhinoplasty procedures. The procedure usually takes about two hours, though complicated procedures may take longer.
Rhinoplasty can also be performed in combination with other procedures designed to relieve nasal obstruction. Rhinoplasty is not usually advised until a person has reached the mid-teenage years, when growth of the nose is nearly complete. This usually means 14 to 15 years of age for a girl and 16 for a boy.
Rhinoplasty Recovery & Healing
Nasal surgery produces minimal discomfort that can usually be controlled by pain medication. You will need to keep your head elevated and apply cold compresses to your eyes to reduce post-operative bruising and swelling. A little bleeding is common during the first few days following surgery, and you may continue to feel some stuffiness for several weeks.
Dr Simoni does not ordinarily “pack” the nose after surgery. Patients, therefore, are more comfortable and generally less swollen. With the elimination of nasal packing, pain, swelling, bleeding, discoloration, etc., are dramatically reduced making the recovery period much more pleasant for the patient. By the end of one week, or occasionally two weeks, all dressings, splints and stitches should be removed.
Avoid hitting or rubbing your nose, or getting it sunburned for six months. You must remember that for the initial period after surgery your nose will be more sensitive to the sun and you will have to take special precautions. Be gentle when washing your face and hair or using cosmetics.
Most rhinoplasty patients are up and about within two days, and able to return to school or sedentary work a week or so following surgery. It will be several weeks, however, before you're entirely up to speed.
The early results of this surgery are evident in two to three weeks. However, you will continue to notice an improvement in the contour and form of your nose for six to 12 months, as most of the swelling disappears. Healing is a slow and gradual process. [Read More, post rhinoplasty instruction]
FUNCTIONAL NASAL SURGERY
There are structures within the nose, namely the septum and turbinates, which affect the airflow through the nose. Dr Simoni will examine the internal structure of your nose at the time of consultation and provide information about possible improvement. Oftentimes, there is blockage of one or both of the nasal passages which results in decreased airflow. Surgery to correct these problems can be performed either alone or in combination with cosmetic nasal surgery. There is no effect on the external appearance of the nose if surgery is performed for functional reasons only.
While there is no insurance coverage for cosmetic nasal surgery, there may be available insurance coverage for functional nasal surgery. Dr Simoni will discuss this with you and cooperate in obtaining pre-certification for the functional surgery. Please bear in mind that insurance companies oftentimes require extensive x-rays and other tests as well as a six month trial of medications before they may approve coverage for this surgery. In essence, they will do everything they can to delay and/or prevent you from having this operation.
CAN I CHOOSE JUST A PART OF MY NOSE FOR IMPROVEMENT?
Yes you can! Frequently a patient will request treatment of a bulbous tip only. Or one may wish to shave down a small bump or reduce some nostril flare. And sometimes one desires to narrow the bony upper part of the nose but leave the tip alone. Dr Simoni will discuss the pros and cons of your request and together a plan for surgery can be made.
REVISION NASAL SURGERY
Plastic surgery is one of the few surgical specialties where one can get a second chance if the first operation was not totally successful. This is called secondary or revision surgery. That being said, rhinoplasty revision surgery is always more difficult and less predictable due to the scar tissue resulting from the original surgery. In essence, you do not have a “virgin” nose. Therefore, improvement and not perfection, is the goal for these operations. In nasal surgery, revision is even more difficult because it may require replacement of cartilage that was over-zealously removed during the first procedure. All of this mandates that you carefully choose your surgeon, for the first operation is always the best opportunity to get the best result. Everything after that is playing “catch up.”
PHILOSOPHY of Rhinoplasty
It is important to inject some philosophy here – which is every bit as important as the hands which perform the operation. There are some operations in plastic surgery where you want to see substantial differences (like making a breast larger or smaller). There are other procedures, such as cosmetic nasal surgery, where subtlety is essential. The ideal male nose is strong: straight, symmetric, somewhat narrow and not up-tilted – definitely not small, delicate and feminine. The ideal female nose is delicate, very slightly up-tilted and appropriate for the face. One wants to look normal, not overdone. In nasal surgery, the difference between success and failure is measured in tiny millimeters of tissue removed or changed. All of this goes towards artistic judgment. You can be assured that Dr Simoni will bring this philosophy of subtle surgery to the performance of your procedure.
A WORD ABOUT RHINOPLASTY FEES
Fees will vary widely among various surgeons. Talent, skill, judgment, experience and technique also varies significantly between surgeons. Patients sometimes choose the least expensive surgeon only to end up with fair, poor or terrible results – and then have to pay additionally to have corrective surgery, if it is possible at all. Please accept some words of wisdom: when it comes to your own face it “pays” to pay retail. The best suggestion is to visit several doctors, check their credentials, review their patient photos and choose the one with whom you feel most comfortable and confident. The fee, while important, should be the least of your considerations.
Nose Job Risks
Pain associated with the surgery is minimal to moderate and when necessary can be controlled with oral medication. Complications associated with rhinoplasty are rare. Nevertheless, there is always a possibility of infection or nosebleed. These can be minimized by carefully following your doctor’s instructions. Dr. Simoni strives to make sure the patient is realistic and understands the desired changes. He believes when patients are unhappy with their result after surgery, it usually stems from either a miscommunication between the doctor and patient and/or an overzealous correction of the problem.
Schedule your consultation with Dr. Simoni
Please call our office at (310) 360-1360 to schedule your private consultation for Los Angeles, California rhinoplasty.
Beverly Hills Rhinoplasty Before After Pictures
The following before and after photos represent examples of nose job procedures--they are real people from various walks of life who underwent Dr. Simoni's rhinoplasty procedure.