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  Rhinoplasty Los Angeles nose surgeon Glendale Pasadena.

Nose Reshaping (Rhinoplasty) in Los Angeles


Dr. Grigoryants, a Los Angeles rhinoplasty specialist, offers this procedure to improve the shape and breathing function of the nose. A rhinoplasty procedure needs to be individualized for each person as every person has a different face and nose. When considering undergoing nose surgery, it is important for you to chose a nose surgeon who performs rhinoplasty surgery frequently. You should also be able to view many before and after pictures of patients who underwent nose reshaping paying attention not only to the shape of the nose but also how it matches the face. It is also important to notice if there are any visible scars across the bottom portion of the nose. Rhinoplasty is one of the most commonly performed procedures by Dr. Grigoryants. Dr. Grigoryants specializes in closed or endonasal rhinoplasty 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. 


Before After
rhinoplasty los angeles   Nose surgeon los angeles PATIENT 1 : 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).
Before After  
Nose surgeon LA   Los Angeles Rhinoplasty PATIENT 2 : Endonasal rhinoplasty was performed to remove the dorsal hump, refine the tip, and shorten the projection of the nose.
Before After  
Nose surgery los angeles   Los angeles nose surgery PATIENT 3: 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.


What can be achieved with rhinoplasty?

You would first meet with Dr. Grigoryants for an initial consultation. The doctor will discuss your goals with you and examine your nose. Dr. Grigoryants will also take a picture of you and show you on the computer how your nose can be reshaped. Different realistic versions of your nose will be produced on the computer to see which nose looks better. Dr. Grigoryants will meet with you again for a preoperative visit 2-3 weeks prior to surgery to review the rhinoplasty procedure and give you preoperative and postoperative instructions.

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.


What about out-of-state and out-of-country patients?

Dr. Grigoryants performs an initial consultation over the phone or via email for patients from others states or countries.. You would need to email your face pictures (front, side, and bottom views) to Dr. Grigoryants at Dr.Grigoryants will review your pictures and respond to you.


How and where is nasal reshaping (rhinoplasty) done?

Rhinoplasty in some patients can be performed using local analgesia and sedation. General anesthesia is used in most patients to maximize patient comfort and safety. The choice of anesthesia depends on the type of nasal reshaping to be performed, your preference, and your medical condition. For most rhinoplasty patients, Dr. Grigoryants places 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.

To assure the highest safety for his patients, Dr. Grigoryants performs surgery primarily at the hospital as well as at several accredited surgical centers. Your anesthesia will be performed by experienced and board certified anesthesiologists (doctors). Our facilities have state-of-the-art equipment as well as experienced and friendly staff.


Will I have packing in my nose?

Dr. Grigoryants does not use nasal packing.


What is recovery like after rhinoplasty?

You will have a splint on your nose that will be removed on day 5 or 6 after surgery. Many patients will be instructed to continue taping the nose at night for the next 8-10 days. Dr. Grigoryants will teach you how to tape the nose and will provide you with the tape 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. 


When can I resume wearing glasses?

If reshaping of the bones is performed, then patients can usually resume wearing glasses in about 4 weeks afters surgery. However, if only tip reshaping is done, then glasses can be worn in 5-6 days after rhinoplasty.


Does insurance cover rhinoplasty?

Cosmetic rhinoplasty is not covered by insurances. Patients who have breathing problems through the nose may be eligible for insurance coverage for the medical or breathing improvement part of surgery. Coverage depends on the type of insurance.


Can rhinoplasty be combined with other procedures?

Yes. A number of patients combine rhinoplasty with other plastic surgery procedures such as breast augmentation, liposuction, tummy tuck, eyelid surgery, or brow lift.


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Dear Dr. Vladimir,
I had a mini neck lift. I could not believe my eyes when you printed out the before and after photos, I can not believe that was my turkey neck!
Dr. Vladimir Grigoryants, M.D.
Dr. Grigoryants is a board certified plastic surgeon specializing in cosmetic plastic surgery of the body and face.
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