Best Rhinoplasty surgeon in san diego

Rhinoplasty & Nose Surgery Specialist

Natural Results: Yes
Duration of results: Lifetime 
Recovery: 1-2 weeks
Price range:
$5,500 – $12,000
(depends on complexity)
Financing available?
Yes, on approved credit
Satisfaction rate:
EXTREMELY HIGH

Rhinoplasty Considerations

Your nose is central to your face, and dominates your visual. Size and shape are important. Millimeter adjustments make big differences.  Precise refinements that beautify your face are Dr. Laverson’s specialty!  Every person and each nose is unique.  Your procedure is planned and individualized to your specifications.

Nose Job Considerations

Ethnic differences are important in planning

Although rhinoplasty is highly individualized, several requests are most common.  To create a “cute” nose for Caucasian women, frequent changes are 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.  Lips also seem larger.  

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.

Your wishes represent guidelines for planning your procedure. Dr. Laverson will explain the technique to accomplish your desired changes, and what to expect. He may also suggest additional or alternative changes to maintain proportion with other features of your nose and face.

Details of the Rhinoplasty Procedure

No two rhinoplasties are exactly alike because no two noses are exactly alike. 

Even if they were, the patients behind identical noses may want two different outcomes. Everyone’s face and skin are different as well, and these variables affect the rhinoplasty plan and the results. Dr. Laverson wants to deliver the best possible result for your personal situation. He plans and executes the procedure accordingly.

Simplifying greatly, nasal anatomy is analogous to a camping tent. 

The tent poles inside support the tent, giving it shape and structure.  Tent poles are analogous to the nasal skeleton, consisting of bones in the upper nose and cartilage in the lower nose.  Bone is rigid and cartilage is stiff, but flexible.  Fabric covering of the tent is analogous to skin over the nasal skeleton.  Dr. Laverson changes shape of the nose by changing the underlying bony and cartilage skeleton, and overlying skin redrapes, adapting to the new shape.  Bony and cartilage structure of the nose is reduced by precision filing, chiseling, or removing excess parts.  Deficient areas are augmented by grafting cartilage from inside the nose, your ear or rib, or by adding implant(s).  Shape of the structures are changed by moving elements as needed  and suturing them  securely in their new position.  Nasal skin conforms to the reshaped structure underneath.

Rhinoplasty FAQs

Many individuals consider rhinoplasty for one or more of the following:
  • Your nose seems too large for your face
  • There is a bump on the nasal bridge in profile view
    your nose seems too long or too wide from the front view
  • The tip of your nose droops or plunges
  • The tip of your nose is disproportionately large, poorly defined, and/or indistinct
  • Your nostrils seem large and/or flared out to the sides
  • Your nose appears irregular, off to one side, bent, or crooked
  • Injury to the nose has produced visible irregularities

Rhinoplasty (cosmetic surgery of the nose) can reliably improve the above features. Schedule your own consultation. Describe to Dr. Laverson how you want your nose to look. If your expectations are reasonable, you will most likely be pleased with your result.

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 rhinoplasty under high quality optical 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.  These are most often minor adjustments desired by patients and accomplished in the office under local anesthesia at minimal cost to you.

Brief questions about your medical history will be asked.  Past and present illnesses, medications, surgery, treatments, and injuries to the nose should be disclosed.  The inside of your nose will be examined to check your airway and other features.   Characteristics of your nasal skin, bone, and cartilage will be observed in the context of changes you request and other aspects of your face.  Dr. Laverson will consider whether or not he agrees that your requested changes will improve the appearance of your nose and your face.  If he does agree, he’ll explain the best technique to you, and associated risks.  If he doesn’t agree, he’ll explain why, and make alternative recommendations.  Dr. Laverson may advise placement of a chin implant during your procedure to improve proportion with the nose.

Cost of the procedure depends on the duration and complexity of your rhinoplasty, whether or not implants are used, and whether other procedures are accomplished under the same anesthetic.    If only the tip is corrected, cost is less.  If the nose is crooked and there are breathing problems, cost may be more.  Price range including anesthesiologist, surgery center, and post-operative care six to twelve thousand dollars.

Visible scars from rhinoplasty are rare.  Dr. Laverson performs rhinoplasty with bright surgical lighting and high quality optical magnification through an “open” technique for maximum precision.  A tiny scar across the bottom skin bridge between your nostrils usually disappears over time.  Stitches are removed after one week.  Changes that Dr. Laverson can directly visualize through the open technique include lowering or raising the nasal bridge, diminishing size and refining definition of the tip, narrowing your nostrils, and changing angles to raise the tip of the nose or at the top of your nose where it joins the forehead.

If necessary, the base of your nose may be narrowed by removing small skin wedges at your nostril margins.  This produces scars that are hidden, and become obscure or undetectable over time.  Occasionally, if desired, an office procedure to improve the appearance of scars is indicated.

Tens of thousands of rhinoplasties are performed around the world each year without complications.  Still, problems may occur.  If you are considering rhinoplasty, learn about possible complications in advance.  Our informed consent document explaining common risks is HERE.  Should a problem occur, Dr. Laverson will be beside you to continue your care until the problem is resolved with the best possible outcome.

  • If you smoke, stop at least three weeks before rhinoplasty. 
  • Do NOT take aspirin, Bayer, Excedrin, Ibuprofen, or any other anti-inflammatory medication for at least ten days before rhinoplasty.  These increase bleeding and bruising, prolonging your recovery. 
  • Clear your calendar for the week following rhinoplasty. 
  • Arrange a ride home the day of surgery, and someone to stay with you overnight. 

Your rhinoplasty will be performed at a fully accredited ambulatory surgery center.  Upon arrival at the center, front desk staff asks you to complete documentation.

General Instructions to Follow Before & After Your Rhinoplasty Procedure >>

You change clothing and meet nursing staff in the pre-operative room.  Your Anesthesiologist will meet and interview you briefly, and examine you,  and Dr. Laverson will ask if you have last minute questions, concerns, requests, or reminders.  You are then walked to the operating room with the nurse who stays in the operating room during your entire procedure.  Dr. Laverson and the anesthesiologist will be there.  

The anesthesiologist starts an intravenous line, wishes you pleasant dreams, and before you know it (there is no sense of time under anesthesia) you awake from surgery in the recovery room!  After 60-90 minutes in recovery, you are usually awake enough to go home.   The week following rhinoplasty is the most unpleasant time.  There is a splint on top of your nose, so you won’t get to see the result right away.  Splints inside your nose force you to breathe through your mouth, even while eating.  For several days afterward, you may have post-nasal drip of blood and/or secretions.  A “moustache” dressing beneath your nostrils may also help absorb drainage.  

There will be swelling and bruising around the nose, visible beneath your eyes and on your cheeks.  Bruising usually resolves in several days.  Sleep with your head elevated on several pillows to minimize swelling of the nose and face.  Take prescribed pain medicine as needed.  At your one week follow up appointment with Dr. Laverson, splints and sutures are removed.  This is not painful or uncomfortable.  You will then get the first indication of your result, although still quite swollen.  By two weeks after your procedure, swelling and bruising are further diminished, and most normal activities can be resumed.

Rhinoplasty should produce a nose that looks natural and blends well with your other features.  Because healing progresses slowly, plan to wait about one year for your final result.  Still you’ll begin enjoying your new look two to four weeks  after the procedure.  If an area is imperfect, “touch up” revision can usually be accomplished in the office, and is much less extensive than the original procedure.

Avoid straining, bending, and lifting during the week following surgery. Return to work is usually eight to ten days after rhinoplasty.  Most normal activities including exercise are safely resumed three to six weeks after surgery. If the bones of your nose were moved, Dr. Laverson recommends supporting glasses with tape for two  weeks to avoid pressure on healing nasal bones.

Rhinoplasty results are permanent, except for age associated changes and/or future trauma.

Long term follow-up visits in our office is an important part of your procedure, and will help you achieve your best result.  Issues may only become apparent as swelling resolves by 6-12 months.  At these times, your final result will be evaluated.  Residual imperfections, if any, will be addressed.  Even if your result seems perfect, Dr. Laverson needs to see you to understand the impact of each technical maneuver and of healing.

Rhinoplasty Testimonials From Our San Diego Patients

I had rhinoplasty 2 months ago and I LOVE MY NEW NOSE! Dr. Steve Laverson is such an amazing and artistic plastic surgeon. He makes you feel completely comfortable and provides step by step details on what he’s going to do. During my consultation, he did little measurements and even drew out my nose. He is super patient and answered all of my questions (believe me, I had a lot!) I visited about 5 other plastic surgeons and he had the best before and after photographs of everyone I saw. I had a very specific look I had in mind for my nose (kate beckinsale) and he gave me exactly what I wanted.
You are a skilled artist. Thank you for making me handsome Dr. Laverson! I am so happy. I want to thank you Dr. Laverson. This is the guy from Canada who came down to see you . I can’t tell you how much confidence I have now and I want to thank you for your talented skill and mostly your artistic eye. I gave you control in the process and you made me more handsome. Thank you thank you. Thank your lovely staff too.
Dr. Laverson is the best! I consulted with him to get a rhinoplasty. I was extremely nervous at first because I had never had anything done before. Dr. Laverson and the staff made me feel very comfortable and at home. I had all my questions answered very thoroughly and felt cared for. I was listened to when I spoke as well, which was very important for me. I decided to get the rhinoplasty done in November 2011...and let me tell you, I LOVE my nose! I’m amazed at how fast the healing took place. I did not have any complications at all...and I breathe great! It was a great decision that I made to have Dr. Laverson perform the surgery. He was very attentive and answered any and all questions that I had before the surgery, as well as after. I like that he took the time before the surgery and actually drew out what he planned on doing with a photo he had taken of me. He called me himself after surgery a couple times and even gave me his cell number just in case I had any more questions and/or needed anything. I also got fillers for my lips and mouth area and it was virtually painless and looks awesome as well! I will definitely come back in the future to see Dr. Laverson for anything else I might need help with! If you want personalized care, Feel Beautiful Plastic Surgery is definitely the place to go! Your will be taken care of, listened to, and will have all your questions answered very thoroughly.
Kimberly
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