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Rhinoplasty (nose re-shaping)

Your nose is central to your face.  Rhinoplasty significantly impacts your visual. Size & shape are important.  Small adjustments make big differences, and small precise adjustments are Dr. Laverson’s specialty!  Each nose is unique.  Your procedure is planned and individualized to your specifications.

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Rhinoplasty Considerations

Rhinoplasty SpecialistNo feature influences facial beauty more than size and shape of the nose.  Millimeters of skilled adjustment to nasal contour can beautify a face.  Rhinoplasty is highly individualized, but several adjustments to the nose are most common.  To create a “cute” nose for caucasian women, the most frequent change is lowering a small bump on top of the nose, narrowing the bridge of the nose, and refining the tip to be smaller, slightly raised, and delicate appearing.  Eyes then seem larger and more radiant.  For men, a strong, straight nose with an angular well defined tip is often preferred.  Ethnic differences are important in planning, as well as your special desire. Dr. Laverson takes all data into account (your presenting features and desired result), and details are discussed in your consultation. Other possible changes are increasing or decreasing length and/or projection of the nose, raising the top of the nose with graft(s), narrowing and/or reshaping nostrils, and lowering or augmenting the root of the nose (between the eyes).  Airway issues (obstruction with difficult breathing) may be addressed as well.  Your rhinoplasty result may be simulated in our office with 3D Portrait technology to help you visualize expected results.  Even more valuable is discussion of Dr. Laverson’s hand drawn proposed profile changes.  He uses your photos as a beginning, and sketches expected results on acetate overlay.  You decide whether or not the planned changes are what you want.  When you and Dr. Laverson come to agreement about what should be done, he uses the diagram as a guide during your procedure to produce an outcome you’ll be pleased with.

Because precision is critical, Dr. Laverson prefers open rhinoplasty technique.  Performed in our fully accredited surgery center under general anesthesia, the open approach allows direct visualization of all nasal structures, accurate evaluation of important details, and incremental adjustments until your desired appearance is achieved.  Rhinoplasty is best accomplished by surgeons with an intuitive sense of proportion and excellent surgical skills.  Dr. Laverson performs most rhinoplasty under 3.5 power magnification.  The procedure is disciplined, and executed as planned in sequential steps.  Like movements in a symphony, your result comes together during the course of a two to four hour operation.  The board certified highly experienced anesthesiologist monitors your vital functions throughout, protecting you and assuring your safety and comfort.  Splints are applied at the conclusion of rhinoplasty to stabilize structure during the first post-operative week.  These are removed in the office, at which time you get your first inkling of the result.  Like many aesthetic procedures, swelling persists for some time.  Healing and contraction progress for many months.  You can expect to look very presentable in 2-3 weeks, but your appearance continues to improve gradually.  Dr. Laverson has a revision rate of about ten percent, but these are most often minor adjustments accomplished in the office under local anesthesia at no extra cost to you.

Rhinoplasty procedure VIDEO

Before & After Rhinoplasty photos

 Additional Rhinoplasty Information: Indications, and the Procedure

Before and After Rhinoplasty Care

Nose Job ExpertNo special preparation for the procedure required. Be prepared to breathe through your mouth for one week , because the nose may have internal splints.  External and internal splints are removed six to nine days after surgery. Your appearance and nasal breathing improve rapidly after this. For the first one to three days after your nose surgery, Dr. Laverson supplies a gauze moustache dressing to absorb nasal drainage. Avoid bending down, nose blowing, or sneezing. Take medication for pain as needed. Sleep on several pillows; Head elevation controls swelling. Do NOT remove your splints, and do NOT use nose drops. Neosporin, Bacitracin, or Polysporin ointment can be applied once or twice daily to sutures near your nostrils. Swelling diminishes rapidly during the first two weeks, then more slowly for many months.


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Nose Re-Shaping San Diego