Rhinoplasty

Dr. Vladimir Grigoryants performs rhinoplasty in all its forms at his Glendale practice, including primary aesthetic rhinoplasty, revision rhinoplasty, ethnic rhinoplasty, male rhinoplasty, transgender nose feminisation, and functional septoplasty. Both open and closed (scarless) techniques are offered, with selection based on the structural complexity and degree of tip refinement required. Breathing concerns such as a deviated septum are addressed alongside aesthetic changes where appropriate. Patients travel to the Glendale clinic nationally and internationally to access Dr. Grigoryants's rhinoplasty expertise.

Rhinoplasty is a central focus of Dr. Vladimir Grigoryants's practice at VG Plastic Surgery in Glendale, California. His surgical approach encompasses the full spectrum of nasal surgery: from straightforward primary aesthetic rhinoplasty to technically demanding revision cases where prior surgery has distorted the nasal framework and depleted available cartilage support. The open rhinoplasty technique — using a small transcolumellar incision connecting bilateral intranasal incisions — provides direct binocular visualisation of the nasal tip cartilages, dorsal profile, and septal structure, making it the preferred approach for significant structural modification, cartilage grafting, and complex tip refinement. The closed (endonasal) technique, with all incisions placed within the nostrils, is used for patients requiring more limited modifications where the existing framework is adequate and precise tip work can be achieved endoscopically. Primary aesthetic rhinoplasty cases at the Glendale clinic address a wide range of patient concerns: reduction of a dorsal hump through precise rasping or controlled osteotomy, refinement of a bulbous or amorphous tip through suture techniques and selective cartilage modification, correction of nasal asymmetry, reduction of nasal length, and narrowing of a wide nasal base through conservative alar base resection. Dr. Grigoryants also performs ethnic rhinoplasty with an emphasis on preserving culturally specific nasal characteristics while achieving the patient's individual aesthetic goals — an approach requiring a nuanced understanding of how nasal anatomy varies across ethnicities and how structural support needs differ accordingly. Male rhinoplasty addresses the distinct proportional standards of male nasal aesthetics, avoiding the degree of tip refinement and nostril narrowing that would feminise the result. Transgender rhinoplasty and nose feminisation procedures adapt the nasal profile to support the patient's broader gender affirmation goals, often in coordination with other facial procedures. Revision rhinoplasty — a technically demanding subspecialty requiring harvest of additional cartilage from the ear or rib — is another strength of the practice. Functional rhinoplasty for breathing improvement (septoplasty, inferior turbinate reduction, spreader graft placement) is integrated into aesthetic cases where airway compromise coexists. Post-operative planning includes full discussion of recovery milestones: splint removal at one week, social presentability at 10–14 days, return to non-contact exercise at 3–4 weeks, and full resolution of tip refinement over 12 months. Glendale and greater Los Angeles patients as well as international visitors are seen for initial consultations at the N. Glendale Ave. office.