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Nose Reshaping Surgery (Rhinoplasty)

Nose Reshaping Surgery (Rhinoplasty) in Beverly Hills

The aim of modern Rhinoplasty ( Nasal Surgery) is to refine the nasal shape in a subtle and artistic manner. Beverly Hills Facial Plastic and Cosmetic Surgeon, Francis R. Palmer III, M.D. Recently Voted “One of the World’s Best” Plastic Surgeons has the aesthetic judgment necessary to perform this challenging procedure. Why don’t have the look you’ve always wanted? See what Rhinoplasty can do for you.

Photo Before Rhinoplasty

Photo Before
Rhinoplasty

Photo After Rhinoplasty

Photo After
Rhinoplasty

Actual Patient Photos. Results may vary.

Overview
Obvious “nose jobs” are a thing of the past. Rhinoplasty has become so sophisticated that it literally leaves no telltale signs. The more natural the nose looks-the better. Subtle refinement-not drastic alteration is key in most cases. This requires that the surgeon posses artistic vision and sound aesthetic judgement- Dr. Palmer-recently voted “one of the World’s Best Facelift Surgeons”-has these talents!

According to Dr. Palmer’s revolutionary trademarked principles of beauty and aging, the nose carries little inherent facial aesthetic importance. It is to remain unobserved allowing the aesthetically more important beauty features like the cheeks, eyes and lips to be fully appreciated. Your nose should “blend” into your face, becoming sleek and balanced without flaws that might attract the observer’s gaze. Keeping that in mind, it is paramount that you evaluate “real” before and after photos of the surgeon’s work and by no means settle for a computer simulation-”the computer will not be performing the surgery-the surgeon will.”

Rhinoplasty can be performed to alter nasal size or shape whether it is traumatic or genetically acquired. Unattractive nasal features such as a wide bulbous tip, wide nasal bridge, large dorsal hump, malformed/asymmetric tip, crooked nose, or a deviated septum causing breathing problems are readily correctable. Even in the case of prior surgery, the nose can most often be substantially softened and the overall shape vastly improved.

Procedure
The surgery entails reshaping the nasal skeleton that is comprised of cartilage and bone. Once the nasal skeletal structure is visualized, appropriate modifications can be performed to achieve the desired results. It is frequently necessary to modify all three areas of the nose in order to assure aesthetic harmony and balance. Cartilage of the nasal tip is deftly and precisely sculpted while the nasal bones are shaped and thinned. Once this is achieved-a natural and refined appearance will follow.

The incisions are well camouflaged within the nose and there is little, pain, swelling or discomfort following the procedure. Rhinoplasty is performed here at The Beverly Hills International Center for Aesthetic Surgery’s fully accredited surgery center. Following the procedure, you will have follow up appointments with Dr. Palmer, in order to monitor your healing and progress. Most patients return to their normal routine in 1 week but avoid strenuous activity for 2 weeks and physical (rough) contact with the nose for 1 month. The nasal shape will continue to improve over the subsequent months.

Before and After Pictures

Rhinoplasty Open and Closed Procedures performed by Dr. Francis Palmer for over 15 years. People from around the world come to Beverly Hills for our Rhinoplasty and Revision Rhinoplasty Procedures. Dr. Palmer is a world-renowned Rhinoplasty Expert and has performed Rhinoplasty on people from around the world. If you live in California, Los Angeles, Beverly Hills, San Francisco, San Diego, Orange County or anywhere else and you are interested in Rhinoplasty or Revision Rhinoplasty come see Dr. Francis Palmer.

Pictures showing Rhinoplasty or Nasal Surgery Procedures that entail an alteration of the overall shape of the nose. These pictures show how a Rhinoplasty should leave the nose looking sleek and unobserved. Rhinoplasty Procedures, Open and Closed, are used by Dr. Francis Palmer, Co-Director of Facial Plastic Surgery at a major Medical School, to accomplish this goal. Dr. Francis Palmer has a great deal of experience in Revision Rhinoplasty.

“The nose is the most difficult facial feature to aesthetically manipulate! Rhinoplasty or Nasal Surgery is one of the most technically challenging Plastic & Cosmetic Surgery Procedures performed and Revision Rhinoplasty is clearly a quantum level more difficult, technically speaking, than a primary (first time) Rhinoplasty.” My Palmer Beauty Principles TM have shown, that the nose does not need to be aesthetically perfect! Nasal Surgery or Rhinoplasty Procedures should be considered to remove or adjust a nasal feature(s) that attract attention to the nose and therefore take attention away from more important aesthetic facial features.” Dr. Francis Palmer.

Photo Before Rhinoplasty

Photo Before
Rhinoplasty

Photo After Rhinoplasty

Photo After
Rhinoplasty

Actual Patient Photos. Results may vary.

More Pictures and Photos of Rhinoplasty or Nasal Surgery Procedures used to make the female nose soft and sleek in appearance. Rhinoplasty can soften profiles and leave the nose looking natural. Gone are the days when Nasal Surgery (Rhinoplasty) leaves tell tale signs that an operation has been performed. Rhinoplasty Procedures, Open and Closed, are used by Dr. Francis Palmer, Co-Director of Facial Plastic Surgery at a major Medical School, to accomplish this goal. Dr. Francis Palmer has a great deal of experience in Primary and Revision Rhinoplasty.

In the above Photo the profile reveals a hump in the bony portion of the nose. This may give a false impression that the chin is weak and throw the profile out of balance. The Pictures show how a Rhinoplasty Procedure was used to decrease the hump on the nose allowing it to be smaller and more balanced. Whether this is performed using an Open Rhinoplasty or a Closed procedure, it’s very important that not too much is removed or the Rhinoplasty will leave a ski- slope profile that is a tell tale sign that Nasal Surgery has been performed.

If you see Pictures or Photos of Rhinoplasty Procedures, from the 60′s and 70′s, you’ll see that many of the noses look alike after the Rhinoplasty Procedure. Hence, everyone knew when a Rhinoplasty had been done. In contrast, Modern Rhinoplasty makes the nose appear more natural and aesthetically pleasing. Dr. Francis Palmer uses his Palmer Beauty Principles TM to guide people in the proper Rhinoplasty Aesthetics.

Before Rhinoplasty

Before
Rhinoplasty

After Rhinoplasty

After
Rhinoplasty

Actual Patient Photos. Results may vary.

These Pictures show how Dr. Francis Palmer used a Rhinoplasty or Nasal Surgery Procedure to straighten out a crooked nasal tip. When the nasal tip appears crooked or asymmetric, as in this Photo, Dr. Palmer may suggest an Open Rhinoplasty versus a Closed Rhinoplasty. Dr. Palmer has performed many Open and Closed Rhinoplasties and will discuss, with you, your options for obtaining the best results from your Nasal Surgery. Whether this is your first Nasal Surgery or you need a Revision Rhinoplasty, contact us today.

rhino7This photo shows the shape of a well balanced symmetric nasal tip. Figure A represents the only visible signs of an Open Rhinoplasty. The rest of the incisions are inside the nostrils similar to a Closed Rhinoplasty Procedure. Dr. Palmer believes that Open Rhinoplasty is suggested when there is marked nasal tip asymmetry, a support cartilage graft is required or there it is a Revision Rhinoplasty where the nasal tip requires adjustments and it is unclear what was done during previous Rhinoplasty Surgeries.

Photo Before Rhinoplasty

Photo Before
Rhinoplasty

Photo After Rhinoplasty

Photo After
Rhinoplasty

Actual Patient Photos. Results may vary.

These photos show a female with a bulbous nasal tip. Before the Rhinoplasty, the tip also is a bit droopy. An Open Rhinoplasty was done to re-shape the tip cartilages. The nasal tip is smaller, yet more symmetric and strong. Strong, as in having more support. Dr. Francis Palmer has written articles on Rhinoplasty Procedures and he feels that nasal tip techniques must be used that not only re-shape the tip cartilages but leave them with more support than they had before the Rhinoplasty. In this way the tip is more aesthetically pleasing, the results of the Rhinoplasty look very natural, and the tip may be elevated to a more pleasing level. No matter where you are in the world, including California, San Diego, San Francisco, Orange County, Los Angeles and Beverly Hills, your nose can be evaluated by Dr. Francis Palmer. We get photos and e-mails from around the world for Dr. Palmer’s Rhinoplasty expertise. Contact us today.

When the nasal tip is wide or bulbous, it’s important to determine what is causing the problem before the Rhinoplasty is to be performed. During the Rhinoplasty, there is little time for hesitation or changing the operative plan. During Rhinoplasty Surgery, there is about a 2 hour period that bleeding may be controlled. This is done by injecting a Novacaine like liquid within the tissues of the nose. The liquid constricts the blood vessels in the tissue, so the surgeon can operate and adjust the tissues during the Rhinoplasty Procedure. This is basically, the same for a Closed or an Open Rhinoplasty, although an Open Rhinoplasty does allow better visualization of the tissues and does allow more access for cauterization of bleeding vessels during the Rhinoplasty Surgery. Dr. Francis Palmer, Co-Director of Facial Plastic Surgery at a major medical school, teaches Rhinoplasty Surgery Procedures to Surgeons in training. Dr. Palmer believes in a complete and thorough operative plan before the Rhinoplasty begins that has been discussed with the patient. Doing Rhinoplasty in a timely manner will most likely result in less swelling and bruising.

Photo Before Rhinoplasty Bulbous Tip: Wide Nose

Photo Before Rhinoplasty
Bulbous Tip: Wide Nose

Photo After Rhinoplasty More Aesthetic Tip: Sleek & Natural Nose

Photo After Rhinoplasty
More Aesthetic Tip: Sleek & Natural Nose

Actual Patient Photos. Results may vary.

Before Open Rhinoplasty Surgery, this male has a bulbous nasal tip with wide nasal bones and supratip cartilages. The skin is thick and contributes to the thickened tip appearance. Dr. Palmer performed an Open Rhinoplasty Procedure where the nasal tip cartilages were re-shaped for a more natural appearance. Dr. Francis Palmer will use cartilage from behind the ear that has been shaped into a perfect tip as a further means of refining the nasal tip during Rhinoplasty. Dr. Palmer prefers to do an Open Rhinoplasty over a Closed Rhinoplasty when tip grafts are required as the Open Rhinoplasty, Dr. Palmer believes, allows for precise suturing of the graft in place. Dr. Palmer prefers ear cartilage over all other tissues and man-made grafts for the tip area during Rhinoplasty Surgery.

rhino12This is a before Rhinoplasty Surgery Procedure photo of a young woman that has a bit of a droopy nasal tip. You can see that the tip appears too long and is at approximately 105 degrees of rotation. The ideal tip angle for this woman is between 110 and 115 degrees. The nasal bridge has a bump that is evident on profile. Dr. Francis Palmer planned a Closed Rhinoplasty Procedure to remove the bump and rotate and refine the nasal tip into a more aesthetic shape and position using a Retrograde Tip-Plasty Technique. This allows for maximum tip refinement with minimum swelling and recovery.

rhino13Post operative ( after) Photo, of the same Rhinoplasty Surgery patient about 1 month after the Closed Rhinoplasty Procedure. The nasal tip has nice refinement looking more natural and aesthetically pleasing. The nasal tip is rotated up into a more aesthetic position and the hump has been removed from the nose. The nose looks natural, sleek and feminine. Dr. Francis Palmer believes that the key to success with Rhinoplasty Procedures is to make the nose look natural and not operated in appearance.

Actual Patient Photos. Results may vary.

rhino14 rhino15

Actual Patient Photos. Results may vary.

In these Before and After Rhinoplasty Pictures, the nasal tip is rotated downward obscuring the nostril from being seen and making the nose appear too long. After the Closed Rhinoplasty Procedure the nasal tip has been rotated into a more normal aesthetic position revealing the proper amount of nostril. The nose no longer appears to be too long but looks balanced with the other facial features.

Actual Patient Photos. Results may vary.

rhino16Pre Operative picture before the Open Rhinoplasty Surgery. There is evidence of a prominent nasal bump on the nasal bridge consisting of both bone and cartilage. The patient wanted to make the bump much smaller so that his profile would be more balanced. In this before Rhinoplasty photo, the nose appears too large, on profile.

rhino17Here’s the same patient showing the Postoperative Closed Rhinoplasty Surgery (after) picture on profile. The profile of the nose looks natural with much less of a bump. The nose looks masculine yet balanced. The bones were broken in this case as is typically done when a large dorsal hump is present. A wafered plastic cast is worn for 1 week following the Closed Rhinoplasty Procedure. Dr. Francis Palmer does not use nasal packing for his Rhinoplasties unless a Septoplasty is to be performed during the Rhinoplasty Procedure. In that case, small pieces of telfa pads are placed in each nostril over night. After 1 month the nasal bones are set and regular activity may be resumed.
Actual Patient Photos. Results may vary.

Before Rhinoplasty

Before Rhinoplasty

After Rhinoplasty

After Rhinoplasty

Actual Patient Photos. Results may vary.

Dr. Francis Palmer has written articles on Rhinoplasty Procedures and he feels that Rhinoplasty Procedures should not only re-shape the tip cartilages but leave them with more support than they had before the Rhinoplasty. In this way the tip is more aesthetically pleasing, the results of the Rhinoplasty look very natural and pleasing. No matter where you are in the world, including California, San Diego, San Francisco, Orange County, Los Angeles and Beverly Hills, your nose can be evaluated by Dr. Francis Palmer. We get photos and hundreds e-mails from around the world for Dr. Palmer’s Rhinoplasty expertise.

Rhinoplasty is a wonderful plastic surgery procedure when done in the proper setting with an experienced Rhinoplasty Surgeon who has a thorough understanding of Nasal Aesthetics. Rhinoplasty is the most complicated Plastic & Cosmetic Surgery Procedure to perform and master and as such requires the utmost training, knowledge and experience from your surgeon. No two noses are alike and every Rhinoplasty will need a different surgical plan during the Rhinoplasty procedure. “I want everyone to understand that they do not need a 10 perfect nose, all the nose needs to do is be sleek and unobserved so the top three facial aesthetic features are seen by the observer! Excerpt from Dr. Palmer’s upcoming book on beauty, Plastic Surgery and his “Palmer Beauty Principles”. Whether you’re in California, Los Angeles, Beverly Hills, Orange County, San Francisco, San Diego, or anywhere in the world, you owe it to yourself to seek the very best Rhinoplasty Surgeon for this delicate and complicated Procedure. Dr. Francis Palmer has the training, skill and experience for your Rhinoplasty Procedure…contact us today.

Before Rhinoplasty

Before Rhinoplasty

After Rhinoplasty

After Rhinoplasty

Actual Patient Photos. Results may vary.

Rhinoplasty Procedure Facts:

Rhinoplasty is a procedure used to alter the shape of the nose. This may include the nasal tip alone or include the entire shape of the nose.

Rhinoplasty Procedures must take into account numerous angles and proportion, like the angle between the nose and the forehead is 145 degrees while the ideal angle between the tip and the lip is between 105 and 115 degrees (called tip rotation).

Rhinoplasty Procedures that change one aspect of the nose may affect 2 or even 3 other areas of the nose. For example, if the nasal tip is made smaller by removing excess cartilage the tip will be smaller. If support has also been reduced during the Rhinoplasty, the tip may rotate downward or droop. This drooping may cause the cartilages and bone of the nasal bridge to appear to large compared to the nasal tip.

Rhinoplasty Procedures are typically performed as outpatient day surgery.

Rhinoplasty Procedures take about 1-2 hours for a Closed Rhinoplasty and 2-3 hours for an Open Rhinoplasty. The length of time is determined by how many areas, of the nose, need to be re-shaped and whether it is a first (Primary Rhinoplasty) or a Revision Rhinoplasty. This will also determine your surgical fee. Higher fees are charged for more challenging Rhinoplasty Procedures.

The tissues of the nose may become quite hard and almost brittle from repeated Rhinoplasty Procedures, so keep realistic expectations and choose a highly skilled surgeon from the beginning.

Rhinoplasty Procedures typically have minimal discomfort and swelling but this will vary with patient and surgeon. Dr. Palmer has recommendations for medications and over the counter remedies to avoid in order to get you ready for your Rhinoplasty Surgery.

Patients are allowed to travel back home, all over the world, after 7 days. The cast, if applied, is a small plastic cast that is removed at 1 week post Rhinoplasty. Dr. Palmer does not use nasal packing for Rhinoplasties. If you are having a septoplasty for breathing correction, Dr. Palmer will use a small piece of telfa that is removed the following day.

If the nasal bones have been surgically broken during the Rhinoplasty, Dr. Palmer advises that you avoid physical contact to your nose until the nasal bones are set. This typically occurs at 1 month post Rhinoplasty. Physical activity may typically be resumed after that first month post-op.

It is advised that you do not blow your nose for three months and do not wear glasses, after your Rhinoplasty, for 4-6 months.

Rhinoplasty Procedures are vastly different from patient to patient as is swelling and post-surgical healing. Dr. Palmer advises his Rhinoplasty patients to use ice therapy and shows them how to massage the swelling out of their nose after surgery. Dr. Palmer believes that this improves the end Rhinoplasty result.

For more questions about having rhinoplasty in Beverly Hills with Dr Francis Palmer call today.