Rhinoplasty

Dr. Andrew S. Frankel performs aesthetic, functional, ethnic, and revision rhinoplasty from his Beverly Hills practice using both open and closed techniques. The practice cites the Beverly Hills rhinoplasty range as $8,000–$20,000, with revision cases averaging higher due to complexity and potential cartilage grafting from the ear or rib. Procedures are outpatient under general anaesthesia, typically lasting one to two hours. Patients can drive and return to desk work at approximately eight days and resume strenuous exercise at three weeks. Full tip refinement results are visible over six to eighteen months.

Rhinoplasty at Beverly Hills Plastic Surgery Group draws on Dr. Andrew Frankel's fellowship training in facial plastic and reconstructive surgery and his subsequent 25+ years of subspecialty practice in Beverly Hills — a market widely regarded as among the most demanding globally for nasal aesthetics. Dr. Frankel performs both open rhinoplasty, using a small transcolumellar incision connecting bilateral marginal incisions for direct binocular visualisation of the full nasal framework, and closed rhinoplasty, where all modifications are made through intranasal incisions with no visible external scarring. The open technique is preferred for cases requiring significant structural modification, cartilage grafting, or tip refinement where visualisation of the alar cartilages is critical; the closed approach is used for patients requiring more limited changes where the existing framework is sound. Aesthetic concerns commonly addressed include reduction or refinement of a dorsal hump through rasping and osteotomy, nasal tip reshaping through suture techniques and conservative cartilage reduction or grafting, reduction of a wide or boxy tip, correction of nasal asymmetry through differential osteotomies and cartilage modifications, and narrowing of a wide alar base through conservative alar base resection. Functional rhinoplasty incorporating septoplasty for a deviated septum, turbinate reduction for chronic obstruction, or spreader graft placement to address internal nasal valve collapse may be combined with aesthetic procedures where indicated. Ethnic rhinoplasty, which requires an understanding of the anatomical differences and aesthetic priorities specific to each patient's background, is offered with a philosophy of refinement rather than homogenisation — preserving ethnic identity while addressing the patient's specific concerns. Revision rhinoplasty represents a specialised subspecialty within the practice. Correction of unsatisfactory outcomes from prior nasal surgery typically requires harvesting additional cartilage — commonly from the ear concha or, in cases requiring greater structural support, from the rib — to rebuild the nasal framework where prior surgery has over-resected cartilage or left the tip unsupported. Patient reports sourced from RealCosts.com suggest Dr. Frankel's revision rhinoplasty fees average above the Beverly Hills norm, reflecting the complexity of the cases he accepts. Recovery follows a predictable timeline: nasal packing (if used) is removed within one to two days, the nasal splint is removed at approximately one week, and patients are typically able to return to light social activities and desk work at eight days. Exercise restriction is maintained for three weeks; final tip definition and full resolution of oedema progresses over six to eighteen months.