Rhinoplasty Beverly Hills

This is both the most challenging Plastic Surgery operation we perform and perhaps the most exciting. Dr. Ghavami has a special interest in rhinoplasty particularly since it is very interlinked with one’s ethnic background. He regularly lectures, teaches and writes about his techniques and methods of nasal analysis. Your nose is one of the most important aspects of your facial attractiveness and facial characteristic. It is important to not “erase” or distort your ethnic heritage or overall facial personality. Also, the nose is the center of the face and it is important that any work done on your nose fits your face.

There is much more to creating a natural nasal appearance than simply taking down a hump and narrowing or raising the nasal tip. Dr. Ghavami was fortunate to have learned from many of the leading masters in rhinoplasty during his Plastic Surgery training at UTSW. Dallas is a central learning place of rhinoplasty for many surgeons around the world because the Annual Dallas Rhinoplasty Symposium is held there every year, for over 25 years. Dr. Ghavami has been given the honor to serve as a member of the teaching faculty for this historic conference. Dr. Ghavami has a particular passion for this meticulous and exact operation and takes time to understand each patient's desires and ethnic differences. He specializes in both primary and revisional (corrective or secondary) rhinoplasty, and "ethnic rhinoplasty" (Hispanic, African American, Middle Eastern, and Asian Noses). Revision rhinoplasty has become more common today as patients many times have had poorly done noses that have lost their strength, shape, beauty, and get in the way of healthy breathing. Often times, revision rhinoplasty becomes more of a reconstructive surgery, as the nose has been depleted of its cartilage and support. Grafts are taken from the septum, and possibly the ear or rib cartilage to re-create a natural, more balanced nose that functions properly. Collapse and breathing issues are corrected at the same time.

When you view our website, we challenge you to cover up the “before photo” and look only at the “after” result to the right which will not look like the patient has had a “nose job.” This is clear evidence of Dr. Ghavami’s skills and philosophy on creating the most natural results possible. There is no reason that anyone should know that you have had a “nose job.” At Ghavami Plastic Surgery, we customize a natural nose for each patient that is like no other. The “cookie cutter” approach is NEVER used and no short cuts are taken. Your nose should be unique to your face and your face only and not look “done.” Pleas visit our Rhinoplasty Case Studies below and our complete Photo Gallery. Care has been taken to include noses that are all very different from one another to show you the variety and uniqueness of each nose and the work done on them.

Rhinoplasty, or nose surgery (“nose job”), is one of the most common and challenging plastic surgery procedures performed today. It can reshape, reduce or augment a person’s nose to achieve facial harmony and boost self-confidence. It may be performed as a reconstructive procedure to correct a birth defect or an injury such as a broken nose. Rhinoplasty may be performed for functional rather than cosmetic reasons as well. Combining nose reshaping with septoplasty can effectively treat certain breathing problems, such as those caused by a deviated septum. In addition, Dr. Ghavami specializes in ethnic (Hispanic, Middle Eastern , African-American, and Asian) rhinoplasty, difficult rhinoplasty, reconstructive rhinoplasty, revision rhinoplasty, and secondary rhinoplasty. We offer complex revisional surgery also. This often includes taking cartilage from other sources than the nose to rebuild the nose when too much cartilage has been taken away.

Very few Plastic Surgeons specialize in rhinoplasty in addition to other plastic surgery procedures. Dr. Ghavami has published numerous textbook chapters and articles on rhinoplasty. In addition, he is on faculty at the Annual Dallas Rhinoplasty Symposium and the Pan-Pacific Surgical Association (Hawaii Plastic Surgery Symposium).

Please visit our PHOTO GALLERY to view our natural and beautiful results. Many more patient examples are also available to view in the office during your complimentary consultation.

Lastly, many of Dr. Ghavami’s expert textbook chapters and articles are shown in our Publications section.

This patients bony and cartilage hump was trimmed down, her tip was shaped and the balance between her bridge and tip was smoothed out which brought out her other beautiful facial features. Notice how her eyes and lips look fuller.

An example of a patient with attractive features who required major tip shaping and elevation as well as narrowing of her bridge and hump. Many websites do not show the front view of their patients. While many surgeons can remove a hump, the finesse involved in nose shaping can only be truly judged on front view.

Rhinoplasty is usually an outpatient procedure performed under IV sedation or general anesthesia.

Surgeons use one of two techniques when performing nose surgery. In a closed rhinoplasty, incisions are made within the nostrils only. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils. With both methods, Dr. Ghavami gently lifts the soft tissues covering the nose. He or she sculpts the bone and cartilage to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum or in revision rhinoplasty, from the ear or ribs.

If the patient has a deviated septum, Dr. Ghavami will alter the septum and the inner structures of the nose to improve your breathing. This can include a “turbinectomy.” Then the tissues are re-draped and stitched closed. If the patient desires nostril reshaping, this is done as one of the last steps of rhinoplasty.

The entire procedure generally lasts one to two hours.

A very wide tip and large nostril base. This type of ethnic nose requires understanding of what "ethnicity" is and how a nose can be re-shaped without changing a person's ethnic features. Major tip modification with multiple cartilage grafts were needed

An extreme makeover of a Hispanic nose with no shape or characteristic shadows, angles, or highlights. Lip enhancement was also accomplished with Juvederm.

This patient is very different from the first. She has thick skin, poor cartage framework, and wide nostrils. Her nasal bridge did not require hump removal like the last.

AS WITH MOST OF Dr. GHAVAMI’s RESULTS, YOU CAN COVER THE PRE-OP VIEW AND ONLY LOOK AT THE POST-OP AND NOT KNOW THAT THIS WAS A NOSE THAT HAD SURGERY. “NATURAL” is CENTRAL TO OUR PHILOSOPHY.

For a short time after surgery, patients may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two days and return to work in about a week.

The results of rhinoplasty become gradually apparent as the days pass after surgery and swelling recedes. Swelling may reappear from time to time in the first year after the procedure. It is typically more noticeable in the morning and fades during the day.
Contact lenses can be worn immediately, but glasses may need to be taped to your forehead or propped on your cheeks for up to seven weeks.

Dr. Ghavami will show you how to tape and massage your nose after surgery to improve your results.

Patients with realistic goals for rhinoplasty are generally very happy with the new shape of their nose. Your profile photo will be emailed to you and you and Dr. Ghavami will drawing out the appropriate profile curve of your bridge that is best for your facial balance.

Dr. Ghavami also spends a lot of time and energy to make sure your nose matches your ethnicity and is a key part of his lectures to other plastic surgeons. Occasionally, a more dramatic “designer nose” can be sculpted for you as well. Dr. Ghavami spends lots of time with you during your initial consultation so that you are both on the same page with what results are best. Final results depend on the patient’s nasal bone and cartilage structure, facial shape, skin thickness and age.

Complications are rare and, when they occur, minor. These may include infection, nosebleed, or shifting of cartilage shape over time. Much of your long term final nasal shape is based on how well you skin hugs or sticks to the beautiful framework that Dr. Ghavami has sculpted for you.

Insurance may cover rhinoplasty if it is done for reconstructive or medical reasons, but likely not for cosmetic purposes. However, if there are breathing problems, sometimes pary of the surgery may be covered.

Revision or secondary rhinoplasty corrects deformities caused by a previous operation on the nose. It is a more difficult procedure to perform than primary rhinoplasty because there is less cartilage to work with and there may be scarring or skin ad soft tissue contracture (tightening). However, Dr. Ghavami is an experienced nasal surgeon and skilled in both primary and secondary (revision) rhinoplasty which can improve both the appearance and the function of the nose after it has been damaged or deformed. Revision rhinoplasty often requires more time and therefore can be a little more expensive. .