Rhinoplasty (Nose Reshaping Surgery, Deviated Septum Correction) - San Diego, CA*

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Overview

When your facial features are balanced, your face has an aesthetically pleasing appearance. That harmony can be disrupted if your nose looks larger than other features or if its shape attracts attention. It's amazing how much your appearance can be improved by changing just this one feature. San Diego Rhinoplasty specialist Dr. Richard Chaffoo performs rhinoplasty to help his San Diego County patients improve their facial harmony and confidence. When you decide to undergo cosmetic surgery, it's important to feel comfortable and confident about the plastic surgeon you choose. Dr. Chaffoo of La Jolla Plastic Surgery is among a rare group of plastic surgeons, who is triple board-certified by The American Board of Plastic Surgery, the American Board of Otolaryngology (Head and Neck Surgery) and the American Board of Facial Plastic and Reconstructive Surgery. Dr. Chaffoo has more than 20 years of experience performing facial aesthetic surgery. Realize the ultimate in form and function with a more aesthetically pleasing nose shape or size with one of the most requested plastic surgery procedures in San Diego — rhinoplasty. And, learn more about how a "nose job" can correct an imperfection resulting from either injury, genetics, or prior nasal surgery.

Ethnic Rhinoplasty

Dr. Chaffoo understands that preserving your heritage is just as important as achieving your surgical goals. Whether you are of African American, Mediterranean, Asian or Hispanic heritage, Dr. Chaffoo can help you achieve the nose you desire. Like other nose surgery procedures, ethnic rhinoplasty performed by Dr. Chaffoo involves reshaping or removing the cartilage and bone underneath the skin. It is also possible to augment the nose and add cartilage grafts to enhance the appearance of the nose. People of different ethnicities often have common concerns about their noses. Dr. Chaffoo is experienced in revising noses of all shapes and sizes, and he works with you to help achieve your cosmetic goals.

AFRICAN AMERICAN RHINOPLASTY

For African American patients, typically the shape is altered by either augmenting the nose or addressing the tip or bridge. Common characteristics of African American noses are a low bridge and a wide tip. In African Americans, reducing the size of the nose (and more specifically, the tip) too much can provide unnatural results. Usually patients opt to augment the bridge, to provide more balance to the face.

ASIAN RHINOPLASTY

Like African American patients, individuals of Asian heritage often have a low bridge. The goal of many Asian rhinoplasty patients is to build up the bridge and tip of their noses. It is also possible to improve "flared" nostrils. Like African American patients, it is important not to make the nose look too "operated on" or overdone.

HISPANIC RHINOPLASTY

In Hispanic women and men, the bridge of the nose is typically wide. Also, it is common to find weaker cartilage and an under projected tip. Bridge reduction and tip modification are popular goals for Hispanic patients.

MEDITERRANEAN RHINOPLASTY

The Mediterranean nose is typically characterized by a hump in the bridge of the nose as well as a tip that faces downward. Many patients of Mediterranean descent want to reduce or eliminate that hump altogether. Doing so completely may take away some of the patient's ethnic identity, so it is important that the patient takes into consideration how important this is to them.

ETHNIC RHINOPLASTY RESULTS

No 2 people of the same ethnicity share the exact same characteristics. Having a surgeon who understands that and sees you for the person you are can help provide results that will appear natural yet still display your heritage. Dr. Chaffoo looks forward to providing a unique surgical plan for your nose surgery.

Revision Rhinoplasty

Across the country and right here in San Diego, CA revision rhinoplasty helps men and women who are disappointed with their initial nose surgery results to achieve the look they wanted all along. Because so many people undergo rhinoplasty, there are some patients who are unhappy with the results of their nose surgery. There are a few different scenarios when revision rhinoplasty, also called secondary rhinoplasty, is appropriate. You may have simply "outgrown" your current nose and want to change the contours accordingly. In other cases, patients pursue secondary rhinoplasty because the results of their original procedures were unfavorable. Common concerns treated by secondary rhinoplasty include the following:

  • Respiratory problems caused by primary surgery
  • Too much or not enough tissue removed
  • Aesthetic complications including a hump, asymmetry, or excessive scarring

Before Surgery

Many of the men and women considering rhinoplasty (nose surgery) in the San Diego, CA area come to our practice with a lot of questions. It can sometimes seem difficult to understand exactly what's involved in this complex procedure. Rhinoplasty specialist Dr. Richard Chaffoo at La Jolla Plastic Surgery takes the time to clearly answer all your questions during your complimentary consultation.

Dr. Chaffoo appreciates the unique characteristics of each patient and creates a custom surgical plan to meet all your cosmetic goals. The criteria he uses when assessing potential rhinoplasty patients include:

  • Age: The nose continues developing until the middle teen years in most cases. Male noses generally take a couple of years longer to reach full maturity.
  • Physical health: As with any surgical procedure, you should be in good overall health to undergo nose surgery.
  • Emotional health: Having a positive attitude and realistic expectations is important. It's also critical that you are considering nose surgery because it's what you want, and not to satisfy someone else's notion of what an "attractive" nose looks like.

Surgical Technique

Nose surgery usually takes 1 – 2 hours, and is performed under general anesthesia, which is monitored by a licensed, board-certified anesthesiologist. In some cases, the surgery is more complex, including revision rhinoplasty, which can take several hours. Dr. Chaffoo discusses in detail the surgical techniques he'll use in your case at your complimentary consultation, as well as advise you about preparing for your nose surgery. Rhinoplasty techniques can differ from one plastic surgeon to another. With years of experience and training, Dr. Chaffoo is known for his precise techniques and customizing the procedure to meet the needs of each patient. That includes the unique techniques used in ethnic rhinoplasty. In most cases, Dr. Chaffoo performs nose surgery by:

  • Making incisions either on the inside of your nostrils (closed rhinoplasty) or on the outside, under the nose (open rhinoplasty)
  • Removing or rearranging bone and cartilage to mold your nose to its desired size and shape
  • Closing the incision and applying a temporary splint to the nose

Recovery

Immediately after your nose surgery, Dr. Chaffoo tapes your nose and uses a splint to temporarily stabilize it. Because it's normally not necessary for Dr. Chaffoo to pack the nose, his patients can expect less swelling and bruising after the procedure than they might with another surgeon. A team of experienced nurses carefully monitors you for any complications after your surgery until you are released to the care of a responsible adult. As the anesthesia wears off, you'll likely feel a dull ache in your nose and head; we prescribe pain medication to manage any discomfort. Over the course of the next day, your face is likely to feel bloated. We recommend keeping your head raised as much as possible during this time. You should expect black eyes initially, as well as swelling and bruising, both of which can be reduced by applying cold compresses. Be sure to refrain from any activity that has the potential to either injure your new nose or increase your blood pressure. We provide you with detailed post-operative care instructions to take with you. From time to time throughout your recovery, you will meet with Dr. Chaffoo, so that he can evaluate your progress. And even if you do not have a follow-up visit scheduled, you can always contact your patient coordinator whenever you have any questions about your recovery.

Results

Most of our patients can observe changes to their noses about 2 weeks after surgery, once the initial swelling and bruising subside. But the permanent appearance of your nose emerges gradually in the months following the procedure because residual swelling affects the nose. It might take a year before you fully appreciate the final results.

You can expect the results of your rhinoplasty to be essentially permanent, as long as your nose isn't significantly injured or traumatized at any point after surgery. Although the nose naturally changes with time, it doesn't age the way a neck or other parts of the body do. The appearance of your nose should stay relatively static for the rest of your life.

Expected Costs

Thanks to the high concentration of local plastic surgeons, the cost of rhinoplasty in greater San Diego, CA is relatively competitive. However, surgeons typically determine their fees based on their qualifications, so plastic surgery is not typically an occasion to seek the lowest possible price.

Dr. Chaffoo determines the price of each rhinoplasty on a case-by-case basis. The extent of surgery plays a role in setting cost. For example, a more invasive surgery that treats respiratory function in addition to nasal aesthetics is likely to cost a bit more than a more straightforward procedure. During your consultation, Dr. Chaffoo provides you with a cost estimate for your specific surgery, but his cost for rhinoplasty is typically between $6,500 – $9,000. If you are getting nose surgery to correct a medical problem, please let Dr. Chaffoo know so our office can coordinate with your health insurance to get your maximum coverage.

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Average Cost  
$6,500 - $9,000
Recovery Time  
2 Weeks
Average Procedure Time  
1 - 2 Hours
Post-op Follow-up  
Varies
Procedure Recovery Location  
Outpatient
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Rhinoplasty FAQs

Conditions Treated?

There two general reasons men and women in the San Diego area contact Dr. Chaffoo about rhinoplasty (informally called a "nose job"):

  • Aesthetic concerns: a desire to improve the nose's appearance
  • Functional concerns: nasal obstruction makes breathing difficult

In some cases, Dr. Chaffoo combines cosmetic and functional nose surgery. You might be considering nose surgery to:

  • Improve the shape of your nose by smoothing out a hump on the bridge or refining its tip
  • Achieve better proportion with other facial features
  • Repair damage caused by an injury or birth defect
  • Clear your airways that are blocked by internal nasal structures

Combining Procedures?

As a triple board-certified plastic surgeon, Dr. Chaffoo offers patients the option of achieving more comprehensive facial enhancement as part of their rhinoplasty operation. By including, for example, eyelid surgery or a brow lift along with nose surgery, a patient goes through a single recovery period and saves the cost of certain fees, such as for anesthesia, that would be charged if the procedures were performed separately.

Cosmetic & Functional?

Yes. In some cases, patients who want rhinoplasty to correct a breathing issue also request aesthetic changes. Likewise, a rhinoplasty performed for cosmetic reasons may also bring functional benefits. That's something Dr. Chaffoo discusses during the complimentary consultation. Even though your health insurance may cover the cost of functional rhinoplasty, they may not pay for cosmetic changes performed during the nose surgery.

Potential Risks?

Complications can occur in any surgical procedure. Numbness, difficulty breathing, postoperative nose bleeds, infection, and holes inside the septal area of the nose are potential risks. The thing to keep in mind is that they're infrequent. And, that they can be minimized by properly preparing for surgery and diligently following the comprehensive postoperative instructions Dr. Chaffoo provides. It's also important to select a board-certified plastic surgeon who specializes in nose surgery and who is also board-certified in otolaryngology (head and neck surgery), meaning the surgeon has extensive knowledge of facial anatomy. In other words, choosing a plastic surgeon such as Dr. Chaffoo goes a long way toward ensuring your health and safety.

Patient Limitations?

Other than making sure a person's nose is no longer developing, which usually stops in the late teen years, there aren't many reasons a healthy person who wants rhinoplasty couldn't get it. The biggest limitation with rhinoplasty is thick skin, because this is difficult to shrink and conform to the underlying framework of the procedure. A surgeon can only do so much with a large nose if the skin won't contract. That being said, if you are in good health and think you may be a candidate, Dr. Chaffoo would be pleased to meet you for a complimentary consultation and evaluation.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.