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  (Insurance often cover procedure)
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Tel. 800-373-0731
Office Hours:
M-F 10:00am - 4:30pm Pacific Time
 
 
  Many of out of town patients have their initial physical exam and consultation immediately prior to scheduled surgery.

During this consultation, the doctors will discuss the surgery in full detail.


(For more info click here).
 
 
 
 


Tel.

O u r   L o c a t i o n :

Los Angeles



 
 

Our Location

Los Angeles

By Appointment Only

We do not see patients
without scheduled appointment.

Tel:

Office Hours:
M-F 10:00am - 4:30pm Pacific Time

 
m o d e l
  Rhinoplasty, popularly known as "the nose job," Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures You would be surprised how much a little thinning or up-turning of the nose can soften or balance a face.

The introduction of advanced Rhinoplasty techniques has made it possible to achieve beautifully- pleasing outcomes.
 
   
Procedure
Nasal Cosmetic Surgery
- Special

Nasal Surgery
Special (this Month)
Special (this Month)
 
  In the Silverlake Virgil Surgical Center we accept the following payment:
   
  • Cash
  • Credit Cards
 
   
 

Are patients outside of the Los Angeles area able to have a consultation and surgery on the next day? We can help you with Travel Arrangement . (For more info click here)

Many of out of town patients have their initial physical exam and consultation immediately prior to scheduled surgery. During this consultation, the doctors will discuss the surgery in full detail.

 
 
  What are the different types of nasal surgery?  
  The following are some of the different types of nasal surgery:

Rhinoplasty
Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

Rhinoplasty is the surgical repair of a defect of the nose, including reshaping or resizing the nose. Rhinoplasty may be performed to accomplish the following:
change the size of the nose
change the shape of the nose
narrow the nostrils
change the angle between the nose and lips
PHOTO GALLERY

HOW RHINOPLASTY CAN HELP ME?

Improve the appearance of your nose and face
Create gorgeous and natural-looking harmony and balance among the facial features
Correct problems that affect breathing function (deviated septum)

"Ethnic rhinoplasty"

Our doctors have a lot of experience with Hispanic nose surgery, African American rhinoplasty and Asian rhinoplasty. Our doctors are well versed in the physical nuances of each ethnicity and how they usually affect the shape and size of the nose.

 
  Nasal surgery  
  Nasal surgery includes any surgery performed on the outside or inside of the nose. A common type of reconstructive and cosmetic surgery, nasal surgery may be performed to accomplish the following:  
 
improve breathing
correct congenital or acquired deformities
change size or shape of nose (cosmetic)
repair nasal injuries
 
     
  Septoplasty
Septoplasty is the surgical correction of defects and deformities of the nasal septum (the partition between the nostrils). Examples of septoplasty include the following:

 
 
correction of a deviated septum
  A deviated septum is a condition in which the partition (septum) between the nostrils is not in a straight vertical alignment. A deviated septum can cause obstructed airflow. A deviated septum can be caused by a birth defect or injury.
correction of cleft defects that affect the nose and nasal cavity
 
Will Insurance cover my surgery?
If your requests are of a functional nature (for example, you cannot breathe through your nose), many insurance companies will cover the part of the surgery that is required to correct these problems.

However, any requests that relate simply to change of appearance are generally not covered by insurance companies, and do require a cosmetic surgery fee.
   
 
  Procedure Description  
  An open or a closed technique is performed to make the nose smaller, reduce a hump on the nose, change the shape of the tip and sides of the nose, as well as other changes.

An incision will be made to gain access to the framework of the nose. This incision is usually placed within the nostrils. Cartilage is then sculpted away to reduce the size or shape. If the opposite result is desired, tissue may be added to increase the size of the nose. The septum may be trimmed to correct droopiness or may be realigned to correct breathing problems.

Most nasal surgery patients have a definite idea as to how they would like to improve or refine the shape of their nose. Usually they don’t like the “nasal hump” on the bridge, the thickness of the nasal tip, or the width of their nose. The nasal septum, (the structure that separates the two nostrils inside the nose), is composed of cartilage and bone. It may become deviated or twisted, either through the trauma of birth, or as the result of an accidental injury. This deviation may alter the pattern of air flow through the nose, making it more difficult to breathe. In addition, the nose may appear crooked with a “hump”.

Often, a surgical procedure used to correct breathing through the nose also improves its appearance. Reduction of the “nasal hump”, refinement of the nasal tip, narrowing of the width, and straightening of the nose are combined into one procedure. In order to eliminate visible scarring, the nasal surgery is done entirely from within the nostrils. The goal is to achieve a more natural appearance, without a “turned up” or artificial look.

 
  How does our doctors figuring out what is wrong and then how to fix it?  
 
There is both a science and an art to revision rhinoplasty. There are certain approaches, techniques, and so forth that are important. Then, just like artists, and athletes, and virtually all professions in life, some surgeons are simply better at revision rhinoplasty than others.

Our doctors ENT and board certified  experienced surgeons understand the underlying causes of the various problems occurring in revision surgery. Understanding the anatomic cause of each complication provides a guide to the correct approach to repair. Often there is more than one concern and these can relate to each other in a complex fashion.

Sometimes if a problem is focused and limited, a targeted, limited approach can fix the problem. Other times, a more comprehensive reconstruction is needed.

The two approaches are the endonasal or "closed" Rhinoplasty (all incisions hidden inside the nose) and the external or "open" Rhinoplasty (all incisions EXCEPT one small incision are inside the nose. In open rhinoplasty there is one small incision across the columella (the skin between the nostrils).

In Silverlake Virgil Surgical Center, Inc our Board Certified ENT  performs both endonasal (closed) and external (open) Rhinoplasty. In his experience, the closed approach is more suitable for some noses, while the open technique is more suitable for others.

Since every nose is different and has unique surgical requirements doctor r discusses the options with each patient and is happy to describe his surgical plan in detail. Fortunately, there are no major disadvantages to either approach. However, each approach has special advantages for specific situations. Since every nose is different and has unique surgical requirements our doctors  will  discuss the options with each patient
 
 
  Intended Result  
 
To create a more attractive and better proportioned nose by changing the size or slope of the nose, shape of the tip, or span between the nostrils.
To improve breathing capability and restore proper function.
To improve overall self image.
   
Length of Procedure:
Rhinoplasty can take from one to two hours depending on the complexity of the procedure.
This surgery is done on an outpatient basis with general or local anesthesia. You will be able to rest following your surgery in the comfort of your own home.
To improve overall self image.
   
Recovery & Aftercare:
Patients may experience some degree of bruising and 1 swelling to progressively resolve over two to four weeks
A splint will be placed on the outside of the nose and possibly on the inside as well. Both types of splints are used to protect the, now delicate, nasal structures.
Bed rest the day of surgery is recommended.
Limit activity for the next two days following surgery.
Avoid strenuous activities for about four to six weeks.
Return to work in about one to two weeks.
   

W
ill insurance cover my surgery?

If your requests are of a functional nature (for example, you cannot breathe through your nose), many insurance companies will cover the part of the surgery that is required to correct these problems.

However, any requests that relate simply to change of appearance are generally not covered by insurance companies, and do require a cosmetic surgery fee.
 
 
 
TYPES OF ANESTHESIA
n our Surgical Center compare to number of other surgical center we prefer General Anesthesia, in which case you'll sleep through the entire operation
 

 

* The Information Presented On This Website Is Intended To Be Used For Informational Use Only; It Is Not Intended To Be A Substitute For Professional Advice. If You Are Planning On Having A Procedure Performed Or If There Is Anything You Don't Understand Or Have Questions About Your Procedure, Time, Price Variation Due Patient Comorbidity, Blood Work, Additional Cost for General Anesthesia, Post Surgery Recovery, Combination Of The Different Procedures. Please Consult Our Physician Who Will Be Happy During Your Free Consultation To Go Over In Details With All Your Questions.
 
 
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REVISION RHINOPLASTY
Following are some common questions asked by those considering REVISION RHINOPLASTY
 
Question: I think my first surgeon took too much from my nose. Can you fix this?
Answer: This is a common reason for revision rhinoplasty. No matter where in your nose too much has been removed, Doctor's experience is that improvement is often possible.
 
Question: I want my nose to look natural again. Can you do this?
Answer: This is the most common request our patients have, and is perhaps the most important objective in revision rhinoplasty. Doctor is experienced at repairing the "over-operated" nose. While each case is different, in Doctor's experience it is usually possible to make significant improvement.
 
Question: My nose is too small. Can you make it bigger?
Answer: Yes, if a patient's nose has been over-operated and now looks too small, Doctor can generally improve it. He also can generally fix noses that are too short, too long, too narrow, too wide, twisted, and so forth.
 
Question: Is there a lot of pain or nausea?
Answer: Not typically. Time after time, Doctor's patients are surprised at how little pain and how little nausea there is. After-surgery pain is usually well-controlled with a mild narcotic. We are especially proud of our anesthesia team, who provide expert anesthesia that keeps after-surgery nausea to a minimum.
 
Question: What is the recovery period?
Answer:
  Patients may experience some degree of bruising and swelling to progressively resolve over two to four weeks
  A splint will be placed on the outside of the nose and possibly on the inside as well. Both types of splints are used to protect the, now delicate, nasal structures.
  Bed rest the day of surgery is recommended.
  Limit activity for the next two days following surgery.
  Avoid strenuous activities for about four to six weeks.
  Return to work in about one to two weeks.
 
Question: Will insurance cover my surgery?
Answer: If your requests are of a functional nature (for example, you cannot breathe through your nose), many insurance companies will cover the part of the surgery that is required to correct these problems.

However, any requests that relate simply to change of appearance are generally not covered by insurance companies, and do require a cosmetic surgery fee.
 
Question: I live far away, how do I arrange to see you and to have surgery?
Answer: You can contact Doctor's office and arrange an appointment. Many patients come for an initial visit and schedule surgery at the end of this initial visit. They then return for their surgery. Occasionally a patient may wish to come into town for consultation followed by surgery the next day. This is possible but obviously must be arranged in advance.
 
Question: The tip of my nose looks pointy, twisted and abnormal. Can you fix my nasal tip?
Answer: Yes, it has been Doctor's experience that significant improvements are possible in this relatively common problem.
 
Question: Do you do Computer Imaging?
Answer: Yes. Computer imaging is a very helpful way to communicate surgical goals. It is important for the surgeon to know what the patient wants to accomplish, and the patient must know what the surgeon envisions as a goal for the surgical result. Computer imaging is extremely useful to communicate this information, and we therefore perform computer imaging on virtually all patients prior to surgery.
 
Question: I'm not sure what I need to have done, I just know I don't like it!
Answer: We understand! Some patients know how they want their nose to look, but other revision rhinoplasty patients are frustrated, angry, and even a little scared. They know they don't like their nose, but they are upset and confused and just want someone to help them! We understand this and will take the time to work with you to help you have a happy outcome.
 
Question: I am scared!
Answer: We understand! You have had a bad experience, so it is okay to feel that way. It is important for you to be confident in the surgeon you choose to perform your revision rhinoplasty. Doctor is proud of his surgical results, but he also wants his patients to feel at ease. Doctor's staff plays an important role in helping his revision rhinoplasty patients feel more at ease before and after surgery.
 
Question: How do I know if I am a candidate for revision rhinoplasty?
Answer: If you have had a rhinoplasty and do not like the way your nose looks, and if you are in good health, then you are eligible for a revision rhinoplasty consultation. The next step is to meet with a skilled surgeon to see if surgery can meet your expectations. In Doctor's practice, Doctor talks to you in detail and examines you. Then, he explains his realistic expectations for your surgery and will let you know if he thinks you are a good candidate.
 
Question: Is this outpatient surgery?
Answer: YES
 
Question: Ever since my rhinoplasty, I can't breathe well through my nose. Can you fix this?
Answer: Yes. Unfortunately, this is a common complaint. Fortunately we are usually able to substantially improve nasal breathing. A number of the patients in the Photo Album had this problem. Many times, patients request improvement in breathing and appearance