Enhance and refine your profile with precision rhinoplasty

“With rhinoplasty, the goal is to improve the appearance of your nose using a subtle and highly individualized approach. I prefer a natural-looking rhinoplasty to give you the nose that you want without appearing fake and without making you look like a different person.”

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Rhinoplasty (popularly known as a “nose job”) reshapes your nose and can dramatically improve your appearance. Changes can be made to the bridge of your nose, reducing a full nose or shaving down a hump. If you have a very low bridge, it can be augmented to create a more refined nose. The tip of your nose can be made narrower, smaller, or more defined. Dr. Cassileth offers exceptional rhinoplasty techniques, including the use of a "closed" incision, which eliminates any external scars.

Rhinoplasty can:

- Fill in a “scooped” bridge of the nose
- Smooth down a hump to achieve a straighter nose
- Reshape the tip of the nose
- Reduce or add to the overall size of the nose
- Improve the angle between the nose and upper lip
- Repair defects following an injury
- Correct a birth defect
- Improve breathing difficulties, including those caused by a deviated septum (this procedure is called “septoplasty”)

Revision Rhinoplasty

Dr. Cassileth uses a number of procedures to correct deformities caused by previous rhinoplasty or trauma. Common types of revision rhinoplasty and their solutions include:

- Breathing problems due to nasal collapse – A lack of cartilage support may make breathing through your nose difficult. Dr. Cassileth can use small cartilage grafts called “spreader grafts” to help strengthen and open your inner nasal passages (the “roof” of your nose) for easy breathing.
- Overresected dorsum – A cute, “ski-slope” nose used to be a popular rhinoplasty choice, but many now consider this type of nose to be “over done.” Dr. Cassileth can add cartilage or filler to the nose to create a more proportioned and natural look.
- Hanging columella – Many noses have a hanging columella – the cartilage between the nostrils. Dr. Cassileth can determine the source of the issue (septal cartilage that pushes down or excess skin in the area), and take appropriate steps to correct it.
- Altar retraction – If the cartilage on the sides of the nose has been overly trimmed, it may make the inside of the nose more visible. Dr. Cassileth can correct this with tiny grafts and give you a more natural-looking nose.

Preparing for rhinoplasty

During your consultation, Dr. Cassileth will examine the inside and outside of your nose, and discuss your desires and concerns. She will also evaluate your overall facial appearance, proportion and structure, while taking your medical history and personal goals into account. It is helpful to bring photos of noses that you like to help clarify what you want from your rhinoplasty. Dr. Cassileth can also use our state-of-the-art Vectra 3-D Imaging System to give you a preview of how your nose will look with specific changes.

Dr. Cassileth usually performs rhinoplasty in our on-site surgical suite. On average, the rhinoplasty procedure will take between 1.5 hours and 3 hours, and you’ll be able to return home the same day.

Septoplasty may be covered in part by your insurance company. Before your surgery, our billing team will verify your benefits to see if your insurance plan provides coverage.

What to expect after rhinoplasty

Once you arrive home, it’s important to get lots of rest. Have a bag of ice nearby to place over your nose, especially during the first forty-eight hours, which will help avoid bruising. You should have someone with you for at least the first night after your surgery.
You will have your first post-operative visit about one week after surgery. During the visit, your splint will be removed, and you’ll get to see your new nose! Your nose’s appearance will continue to improve over the next few weeks as the swelling diminishes.

Most people feel well enough to return to work a week to ten days after surgery.

Request your consultation with Dr. Cassileth today. Click here or call 310.278.8200.