Revision Rhinoplasty
As a Los Angeles Rhinoplasty Surgeon, Dr Grigoryants offers this procedure to improve the shape and breathing function of the nose. A rhinoplasty procedure needs to be customized for each patient as every person has a different nose. If you are considering having nose surgery, it is important for you to select a nose surgeon who performs a large number of rhinoplasty procedures. You should be able to view many before and after photographs of patients who underwent this procedure paying attention not only to the shape of the nose but also whether or not there is a visible scar across the bottom portion of the nose. Rhinoplasty is one of the most commonly performed procedures by Dr. Grigoryants. Dr. Grigoryants specializes in rhinoplasty using an endonasal technique. With this technique incisions are placed inside the nose and no scars therefore will be present across the bottom portion of the nose (columella). To provide you with the safest possible experience, Dr. Grigoryants performs most of his surgeries in the hospital. Patients that travel from far away or those who undergo several combined procedures at the same time have an option of staying overnight in the hospital.

What makes a beautiful nose?

Although there are aesthetic guidelines as to what constitutes an attractive nose, for each face it takes a different nose to create an appropriate harmony and balance. Nose reshaping surgery (rhinoplasty) can help enhance the appropriate balance between the nose and facial features.

Patient1: In this patient nose reshaping (rhinoplasty) was performed to remove the nasal bump and raise the tip of the nose. Incisions were placed inside the nose (endonasal rhinoplasty).
Patient2: Endonasal rhinoplasty was performed to remove the dorsal hump, refine the tip, and shorten the projection of the nose.
Patient3: This patient has a low nasal bridge dorsal (radix), hump, and weak tip. Nose reshaping was performed using a closed (endonasal) approach The dorsal hump was reduced, cartilage grafts were placed in the bridge (radix) and tip of the nose.

Some of the effects that can be achieved by rhinoplasty include:

1. The hump on the bridge of the nose can be removed
2. The boxy or bulbous tip of the nose can be refined
3. Droopy nose can be rotated up
4. A long nose can be made shorter
5. A wide nose can be narrowed
6. Certain traumatic deformities of the nose can be improved or corrected
7. Certain causes of nasal airway obstruction can be treated

In some patients with a small chin, a chin augmentation may improve the balance between the face and the nose. A detailed analysis of your nose and facial features will be performed during your consultation. We will then discuss potential options for nasal reshaping and treatment of airway obstruction.

How is nasal reshaping (rhinoplasty) done?

Rhinoplasty in some patients can be performed using local analgesia and sedation. General anesthesia is used in other patients. The choice of anesthesia depends on the type of nasal reshaping to be performed, your preference, and your medical condition. For most rhinoplasty patients, we place incisions inside the nose. The sutures are absorbable and do not need to be removed. In some patients a small incision may need to be placed at the base of the nose.

What is recovery like following rhinoplasty?

Intranasal dressings, if used, will be removed on day 2 or 3 after surgery.

You will have a splint on your nose that will be removed on day 5 or 6 after surgery.

Most swelling will resolve within several weeks. However, it may take up to a year for all swelling to resolve completely. Most patients are very pleased with the results. Some patients request a touch-up procedure to further refine the results.

Dear Dr. Vladimir,
I am so glad I picked the right surgeon for my nose surgery. I met many happy patients in your waiting room and now I can say I am one of them. My nose looks natural and beautiful. I feel more confident about myself in public.
Thank you so much.
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