Dr. Geoffrey Keyes, our Los Angeles, CA double board-certified plastic surgeon, will carefully examine your nasal and facial structure and provide an in depth consultation to discuss your goals and determine the best treatment to achieve an excellent result. His usual surgical approach is through closed rhinoplasty, which means he does not make an incision on the outside skin of the nose. Everything is done from within the nostril. He is able to perform rhinoplasty using this technique because of his dual board certification in otolaryngology or ear, nose and throat surgery and plastic and reconstructive surgery. Rarely, an open rhinoplasty technique is performed when necessary because of severe problems related to a previously performed nasal operation by another surgeon.
Cosmetic nose surgery (rhinoplasty) is a delicate, aesthetic procedure for the enhancement of the look and shape of your nose. Furthermore, it is performed to correct and improve the function of the nose. Dr. Keyes is an experienced surgeon whose surgical approach to rhinoplasty is based on producing the most beautiful and natural-looking results with excellent function of the nose. While rhinoplasty can consist of subtle changes, results usually are beautiful and dramatic. The objective is to produce a more aesthetically appealing nose that meets your cosmetic desires and functions as it should. Contact Geoffrey R. Keyes, M.D., F.A.C.S. to schedule an appointment for a consultation.
"I really love the results of my rhinoplasty with Dr. Keyes. He's a great specialist as well as awesome person. He's very understanding, kind, and does his job well. Thank you Dr. Keyes for all your help!"- O.V. / Yelp / Jan 14, 2015
"I had the best experience with Dr. Keyes for my rhinoplasty surgery. He took such good care of me and the results of my surgery were so much better than I could have ever hoped for. I couldn't recommend him more highly!"- D.B. / Yelp / Jun 17, 2016
"When I decided to redo my breast augmentation (due to a capsular contracture) I interviewed 7 different surgeons! I needed this to go smooth & look great. I had a few friends who had done procedures with dr. Keyes & they all LOVE him. Once you meet him, you see why. He's a genuinely concerned doctor who truly wants to give you the best result possible. That is exactly what he did for me! The 1st time I saw my new breasts post op, I literally cried happy tears. I never thought they would look that great. (I'd already had 2 horrible breast augs from other dr's years earlier). Dr. Keyes also made a revision in my rhinoplasty. It looks awesome. I will see Dr. Keyes for any procedure I do in the future. You are SAFE in this mans hands. Another thing I love is that he will tell you "no"! Lol I wanted a lip implant & he said no! He explained why it would throw off my facial symmetry. This is not a man who will just do a procedure for the money. He wants his clients to look great, not "plasticy". You don't find that type of ethical responsibility very much in plastic surgery anymore. I value his opinion immensely. His staff, especially Kimberly, are super friendly & very accommodating!"- C.J. / Yelp / Mar 19, 2015
"I had my rhinoplasty done about a year and a half ago with Dr Keyes. My nose wasn't a dominant feature on my face; however, I just wanted to improve it by doing some minor changes such as lifting the tip a bit and get rid of a minor bump. I really liked the tip the minute the bandages came off however the rest of my nose was really swollen so I wanted to wait a year before writing a review that way my nose would have enough time to settle into its new shape. I can honestly say I absolutely LOVE the way it looks now. I just recently saw a picture of myself at a specific angle and wow was I in love with my profile. I did have to go in 11 months after surgery to have a small re touch as I was still was concern over the minor bump. Dr Keyes was able to quickly do the touch up in less then 5 minutes. Its been about 4 months since my touch up and its looking great so far. Thank you Dr Keyes! I would refer you in a heartbeat."- N.P. / Yelp / Jun 07, 2015
"Intelligent wonderful surgeon. Saw first hand the work done on my partner. Small lump removal located inside of nose tip. Very reasonable cost, no bruising, extremely pleased. Thank you!"- D.W. / Yelp / Apr 07, 2018
Both women and men seek consultation for cosmetic nasal surgery. If you're displeased with the overall look of your nose and have specific concerns you wish to enhance or repair, this surgery may be the recommended answer. It is very important for the expectations of the patient are clearly understood to achieve the best surgical result.
Once you are determined to be a candidate, we will discuss how to accomplish your surgery. There are various techniques and approaches that Dr. Keyes implements during rhinoplasty. Prior to undergoing a procedure, Dr. Keyes will talk with you about which surgical method he intends to use and explain what he would be doing to your nose. He will be educating you on the surgical technique and answer questions that you may have about rhinoplasty. This will also simply take the mystery out of your surgery. Our goal is to make you feel prepared and confident with the long-lasting alterations that we will be making to your nose
Rhinoplasty surgeries are performed in a local facility on an outpatient basis. Dr. Keyes prefers to utilize the closed rhinoplasty technique (also known as endonasal rhinoplasty) when performing nasal surgery. The reason many surgeons do not use the closed rhinoplasty technique is that the technique requires a more advanced, complex approach to reveal the composition of the nose and internal structures. Closed rhinoplasty is performed from within the nostrils using a variety of surgical tools and state-of-the-art instruments. Incisions are made from within the nose so scarring isn’t visible. This lack of a visible scar is important to many patients.
Open rhinoplasty means that an incision is made along the soft tissue between the nostrils, making the misshaped cartilage more visible. Many doctors believe that using the open technique allows them to alter and manipulate the contour of the nose with heightened precision and control. It is important to remember that either technique can be used, but it is the skill of the surgeon that determines the result. Exposure of the tip cartilages allows them to be sculpted. The goal, in most cases, is to make the nasal tip look more refined and have an adequate degree of projection. Slight rotation of the nasal tip helps to soften the appearance of both the frontal, or forward-looking view, and the profile. Advantages of this technique include a single, camouflaged incision is created and the preservation of facets is maintained. Successful tip plasty surgery is crucial to the improvement of the appearance of the nose. For boxy-tipped noses, Dr. Keyes offers nasal structure reshaping, dome division, and cartilage grafting. For crooked, misshaped noses may perform septoplasty, a nasal hump reduction, an alar base reduction, turbinate reduction, tip plasty, or a cartilaginous spreader with plumping, and tip grafts.
What to Expect
After your nose surgery, you will be monitored closely in a private recovery room to be monitored by one of our registered nurses. Once the effects of the anesthesia have worn off, Dr. Keyes will release you to recover at home. Dr. Keyes will call the night of surgery to check on you and to make arrangements for your first follow up visit. The area around the nose will be very swollen and bruised for a week or so. In almost all patients, there is bruising beneath the eyes in addition to the nose. Cold compresses and prescription medication can assist with these effects. Your post-operative appointment with Dr. Keyes will be scheduled within 48 – 72 hours after surgery to assess your healing progress. On average, it takes around 2 – 4 weeks to heal from nose surgery. Within this process, strenuous activity or exercise should be avoided.
Dr. Keyes will call the night of surgery to check on you and to make arrangements for your first follow up visit. You will typically come in for a check-up the day after your rhinoplasty. You will have additional follow-ups at one week, two weeks, and at one, two, and three months. Dr. Keyes proudly provides complete post-operative care for life. You can schedule as many check-ups as you want at no additional charge. Typically, you will be able to see improvement in the shape of your nose immediately after your dressing is removed at your one-week postoperative visit. You should expect the initial post-surgical swelling to last at least six weeks with final swelling subsiding over the course of a year.
Frequently Asked Questions
How much does rhinoplasty cost?
The cost of rhinoplasty varies based on what technique is used and how complex your procedure is. Before estimating costs, Dr. Keyes will listen to your concerns and goals to help develop your custom treatment plan. When this is done, he can discuss costs for the facility, anesthesia, and more. For your best results, it's important to focus on selecting an experienced surgeon, like Dr. Keyes, instead of the lowest cost. To help make your surgery easy to afford, Geoffrey R. Keyes, M.D., F.A.C.S. accepts several payment methods and our office can help you find low-interest financing.
Will my insurance cover functional nose surgery?
Although rhinoplasty for cosmetic reasons is not paid by insurance, functional rhinoplasty that is medically necessary to improve your breathing may be covered. If you may be applying for reimbursement from your insurance, please tell Dr. Keyes in your consultation. We can help you submit any needed information and paperwork to your insurance to process your claim.
Are there nonsurgical options to change my nose?
If you want to smooth lumps and bumps on your nose, a wrinkle filler (like Restylane or Juvéderm) might be an option. A filler can temporarily improve minor imperfections, which might help you decide to get a rhinoplasty. Nose surgery is better for larger changes, long-lasting results, and to adjust the internal structure for better function. At your consultation, Dr. Keyes can tell you more about nonsurgical nose reshaping.
What about ethnic rhinoplasty?
Ethnic rhinoplasty is about improving the nose while still keeping your cultural identity. This is often a concern if you are African-American, Asian, or Middle Eastern. In your consultation with Dr. Keyes, you can talk about what you want to keep and what you want to change. This will allow him to personalize your treatment plan to give you your best results.
Can I combine nose surgery with other facial surgeries?
Some patients think about combining rhinoplasty with another procedure, like cheek or chin augmentation. Having multiple surgeries for a dramatic result can be reviewed during your consultation with Dr. Keyes. Once he understands your goals, he can help you choose which procedures will be in your custom plan. Rhinoplasty can help your whole face appear more balanced, so you should wait to see your results before getting another procedure.
Are You ready to learn more?
If you are interested in looking and feeling your best but find the undesirable qualities of your nose are holding you back from truly feeling confident, contact Dr. Keyes. His surgical skills are unparalleled and our team’s faithful commitment to making patients’ cosmetic desires a reality cannot be beaten. By scheduling your consultation with Dr. Keyes, who is one of the best-recognized rhinoplasty surgeons in Los Angeles, CA, you are taking the first step toward enhancing your beautiful qualities, which make you unique! We encourage you to contact Geoffrey R. Keyes, M.D., F.A.C.S. for your appointment today.
Rhinoplasty to Improve Nasal Symmetry
Rhinoplasty has the ability to improve Nasal Symmetry.Read
Rhinoplasty to Narrow the Bridge of the Nose
All sorts of revisions can be made to the nose, and we'd like to focus right now on surgery to make the bridge thinner and narrower.Read
Hump Reduction Rhinoplasty: Enhancing the Bridge of the Nose
Rhinoplasty can be performed to address various kinds of aesthetic flaws.Read
Improve the Shape of the Nose with Rhinoplasty and Cartilage Grafts
As a facial plastic surgeon, Dr. Geoffrey R. Keyes commonly sees patients who are dissatisfied with the size or shape of their nose.Read