Rhinoplasty

Dr. Sheila Nazarian performs open and closed rhinoplasty at Nazarian Plastic Surgery Beverly Hills to reshape the nose for aesthetic or functional goals. Open rhinoplasty uses a small incision beneath the nasal tip for comprehensive access to cartilage and bone, while closed rhinoplasty uses internal incisions for less dramatic adjustments. Techniques include dorsal hump removal, tip refinement and narrowing, nostril reshaping, and structural correction for breathing improvement. Procedures take two to four hours and are performed in the clinic's accredited on-site surgical suite. Most patients return to normal activities within two weeks, with final results settling over twelve months.

Rhinoplasty at Nazarian Plastic Surgery Beverly Hills is performed by Dr. Sheila Nazarian using both open and closed techniques selected according to the extent of reshaping required and the specific anatomical targets involved. Open rhinoplasty — approached via a small trans-columellar incision connecting bilateral marginal incisions — allows the nasal skin envelope to be elevated and retracted, giving the surgeon direct binocular visualisation of and full access to the complete nasal tip cartilage complex, the osseocartilaginous dorsum, and the septal structures below. This comprehensive exposure makes open rhinoplasty the preferred approach for complex nasal tip work, significant dorsal reduction, structural reconstruction with grafting, and revision cases where the anatomy has been altered by prior surgery. Closed rhinoplasty, performed entirely through intranasal incisions with no external scar, is suited to cases where the required changes are less extensive — typically moderate hump reduction with limited tip work — as operative access is more restricted but soft-tissue disruption is reduced. At Nazarian Plastic Surgery, specific techniques include dorsal hump reduction (rasping of the bony dorsum combined with cartilaginous reduction to lower the profile), nasal tip refinement through cephalic trim of the lower lateral cartilages (reducing bulbosity), tip suturing techniques (interdomal and transdomal sutures to narrow and define the tip), and structural tip grafts where additional projection, rotation, or support is needed. Alar base reduction (nostril narrowing) is performed when nostril flare is disproportionate to the reshaped dorsum and tip. Functional rhinoplasty elements — including septoplasty for a deviated septum and inferior turbinate reduction for turbinate hypertrophy — are incorporated when patients present with concurrent nasal obstruction, and may qualify for partial insurance coverage. All rhinoplasty procedures at Nazarian Plastic Surgery Beverly Hills are performed in the practice's accredited on-site surgical suite under general anaesthesia with a board-certified anaesthesiologist. The procedure typically runs two to four hours depending on complexity. Bruising and swelling peak in the first three to five days; most patients are comfortable returning to normal daily activities and non-strenuous work within two weeks. The nasal tip and skin refine progressively over twelve months as oedema resolves, with subtle improvements continuing through the first year post-operatively.