Nose Surgery/Rhinoplasty Los Angeles

Rhinoplasty or nose surgery is a very common Facial Plastic Surgery Procedure. Young men and women of Los Angeles often seek a “nose job” to change the shape and form of their nose, so to match their face. Nose surgery is especially very popular among the ethnic Hispanic, Middle Easterners, Asians, and African Americans who want to soften their nasal features and improve their facial balance. Rhinoplasty in Los Angeles can reduce or increase the size of a nose, change the shape of the tip or the bridge, reduce the size of the nostrils and narrow the span between them. In addition cosmetic nasal surgery can be combined with other nasal airway surgery to correct breathing problems or injuries such as nasal fractures.

Rhinoplasty is more than cosmetic facial surgery – it’s an art form. The plastic surgeon should create a nose that is yours uniquely and is harmonious with your face. Facial Plastic surgeons generally recommend that patients wait until they are at least 14 or 15 to undergo Rhinoplasty.

The size and shape of your nose is largely inherited, and you may be unhappy with it for a number of reasons. Perhaps you don’t like its shape. Perhaps it’s out of proportion with your other facial features. Some people dislike the shape or position of their nostrils. Maybe the tip is too wide, pinched, large or bulbous. In the hands of a skilled Los Angeles plastic surgeon, these and other concerns can be addressed by “Cosmetic Rhinoplasty.”

The true function of your nose is to allow air to enter and exit the body. When nasal passageways are obstructed, breathing becomes difficult. A common cause of breathing problem is a deviated septum, a defect in the dividing wall in the nose. Some of the ailments associated with nasal obstruction are snoring, dry mouth, postnasal drip and nosebleeds. These can be relieved by “Corrective” Rhinoplasty, which includes Septoplasty to correct defects of the septum and widen nasal passages, and Turbinectomy to cauterize and trim the turbinates – the shelf-like lining of the nose, to create a balanced airflow. Also, Nasal Injury Repair Surgery corrects injuries to nasal bones and the nasal septum when they are fractured or disrupted. The timing of this surgery is crucial, as nasal bone fractures tend to heal quickly.

At one time, a “one nose fits all” approach to Beverly Hills Rhinoplasty was the norm – with many patients having their noses “Westernized” to fit an outdated ideal of attractiveness. Today, Ethnic Rhinoplasty in Los Angeles addresses the particular concerns of patients of varying racial and ethnic backgrounds, who wish to enhance their appearance while maintaining their ethnic identity. According to the American Society of Plastic Surgeons, more than 1.3 million cosmetic surgeries were performed on ethnic patients in 2004, an increase of 44 percent since 2000. Among African American, Hispanic and Asian Americans, Rhinoplasty was one of the most commonly requested procedures. “Ethnic” traits addressed by Rhinoplasty include the dorsal hump and drooping tip often found on patients of Mediterranean descent (Jewish, Persian, Greek, Italian), the lack of cartilage in African American patients, the low or flat bridge in Asian patients and the weak broad drooping tip of many Hispanic patients.

A decision that you and you plastic surgeon will discuss is whether Open or Closed Rhinoplasty is best for you. During “open” or “external” Rhinoplasty, a small incision is made in the columella — the central column that separates the nostrils – and the nasal skin is lifted off the tip of the nose through this incision. During the more traditional “closed” Rhinoplasty, several cuts are made in the nostrils, and extending over the columella. One advantage of the “open” technique is that it allows the surgeon better exposure to the nasal anatomy. One advantage of “closed” Rhinoplasty is that it causes less disruption of the nasal tip blood supply, which lessens post surgical nasal tip swelling, as well as reducing the risk of nasal tip complications.

Revision Rhinoplasty is a “do over” of a nose upon which the original Rhinoplasty was unskillfully performed. In most cases, Revision Rhinoplasty is necessary because the original surgery was performed too aggressively, resulting in an “over operated” look.

You should be highly selective in choosing a plastic surgeon for Rhinoplasty, as it is one of the most surgically and aesthetically challenging procedures performed today. While physicians such as Ear-Nose-Throat specialists (otolaryngologist) might be qualified to perform nasal surgery, they may lack the rich and broad-based knowledge and experience of a board-certified plastic surgeon, who is trained in all aspects of facial esthetic surgery.

Dr. Younai is a Board Certified Plastic & Reconstructive Surgeon with experience in all aspects of Facial Cosmetic Surgery including that of the Nose, Sinuses, Eyes, Ears, Chin, Cheek, etc. He is skilled and experienced in all techniques of Rhinoplasty and Sinus Surgery, and strives to create the nose that is natural looking and harmonious with the rest of your face. During your consultation he will discuss all details including: if you are a good candidate, surgical options and techniques, potential risks and complications of surgery, pre- and post-operative instructions, recovery course, as well as what to expect after surgery. At that time Dr. Younai will also show you before-and-after pictures of other patients with Rhinoplasty and Facial Cosmetic Surgery, who might be similar to you.




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Our center also includes the Regency Surgery Center which is a state-of-the-art outpatient surgery facility certified by Medicare and accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and the American Association for Accreditation of Ambulatory Surgery Facilities, Inc., (AAAASF).

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