Rhinoplasty in Los Angeles, CA

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About Rhinoplasty

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.

Ideal Candidates

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

Surgical Technique

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.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.