Balance and harmonize the overall profile of the face through surgical sculpture of the nose.
Your nose is the central feature of your face —it defines your profile and shapes your midface, bringing harmony and balance to the upper and lower face. However, if your nose is too small, too large, or has an unnatural curve to it, it can dramatically affect your appearance, drawing attention away from other beautiful and flattering features. If you wish to improve the shape or function of your nose, you may be a good candidate for a nose surgery, or rhinoplasty, with facial plastic and reconstructive surgeon Dr. Giriraj Sharma and Dr. Kevin Sadati in Newport Beach, CA.
Rhinoplasty, also known as a “nose job”, is one of the most complex surgeries of the face. The purpose of this procedure is to reshape and restructure the nose to balance its proportions and create symmetry and visual harmony with other facial features. For many patients, the primary purpose of a rhinoplasty is to enhance the cosmetic appearance of the nose. Rhinoplasty can also be performed for functional purposes, such as nasal obstruction, or to correct deficiencies from a prior nose surgery. One of the most common causes of nasal obstruction is a deviated septum which can block the airway in one or both nostrils. By improving the structure of the nose, a functional rhinoplasty can improve breathing and thereby improve your sleep, energy levels and overall quality of life.
Rhinoplasty is one of the most technically complex surgeries of the face. For this reason, it is important to select a surgeon who specializes in cosmetic surgery of the face and uses the most advanced surgical techniques. As a Facial Plastic Surgeon with a background in Head and Neck Surgery, Dr. Sharma is one of very few surgeons who specializes in cosmetic and complex reconstructive surgery of the nose.
Nasal surgery cannot be performed with a one-size-fits-all approach. Every patient is unique with regards to their facial proportions, ethnic features, and what would bring aesthetic balance to their face. Dr. Sharma performs rhinoplasty with the objective to create a beautiful, natural appearing nose which harmonizes with your unique facial features.
Dr. Sharma uses the “open” rhinoplasty technique which involves placing a small incision under the nose to lift the skin and soft tissues so that the underlying structural anatomy is fully exposed. This allows Dr. Sharma to meticulously craft the cartilage and bone to the desired shape. Cartilage grafts, typically taken from the septum, can be used to optimize the projection and angle of the nasal tip, stabilize the nose and improve the airway. The incision at the base of the nose is designed and positioned in a manner that it is almost imperceptible after the healing process is complete.
A cosmetic rhinoplasty can be performed for a variety of purposes. This includes reducing a hump or overall size of the nose, narrowing the width of the nose, refining and/or lifting the nasal tip, fixing a crooked nose, or creating a more symmetrical shape.
A functional rhinoplasty is performed to address breathing problems. One of the most common causes of nasal obstruction is a deviated septum which can block the airway on one or both sides of the nose. By improving the structure of the nose, a functional rhinoplasty can improve breathing and thereby improve your sleep, energy levels and overall quality of life.
An ethnic rhinoplasty is performed to enhance the beauty of the nose while maintaining an aesthetic that is consistent with an individual’s ethnic and genetic background. This must be performed by a rhinoplasty expert who understands cultural aesthetic ideals and is proficient in advanced nasal reconstruction techniques to achieve the desired shape. Examples of ethnic rhinoplasty include Asian rhinoplasty, which commonly involves adding structure and definition to a flat nasal bridge, or Middle Eastern rhinoplasty which maintains classic features to highlight the Middle Eastern face while avoiding an overly small or unnaturally scooped nasal profile.
We recognize the fact that because rhinoplasty is such a popular procedure, there are likely to be people of all ages interested in this surgery. Teenagers are no exception. Teenage rhinoplasty can often help a young patient increase their self-confidence and highlight their inner beauty during formative years of their life. Whether you are a teen considering rhinoplasty, or you are a parent interested in more information, schedule a consultation with Dr. Sharma today to discuss your options and determine if you are a good candidate for surgery.
If you have previously had nasal surgery and are unhappy with the results or are left with new cosmetic or functional issues, this can be highly distressing. Revision rhinoplasty is a highly complex surgery which requires a surgeon to utilize a broad range of surgical techniques to counter challenging problems with the nose, including a collapsed nose, asymmetric nose or nostrils, or breathing issues. Dr. Sharma specializes in revision rhinoplasty, which often times requires cartilage grafts from the ear or ribs to execute complex nasal reconstruction.
A non-surgical rhinoplasty is performed using injectable dermal fillers to correct minor deformities, defects, or asymmetries of the nose. The advantages of non-surgical rhinoplasty include a short recovery process, lack of any external incision and reversibility (i.e. use of dissolvable filler). Non-surgical rhinoplasty should always be performed by a specialist with a detailed understanding of nasal anatomy and injection planes to minimize risks of injecting the nose.
During your initial consultation with Dr. Sharma or Dr Sadati, you will discuss your concerns regarding your nose and your overall goals for the procedure. This is one of the most important steps of your consultation process, as it establishes an understanding and trust between patient and surgeon. Dr. Sharma or Dr. Sadati will carefully examine the skin, external structure, and the inside of your nose to evaluate its aesthetic form and to identify any structural problems that may be affecting your breathing. This will help Dr. Sharma or Dr. Sadati determine the best surgical techniques for your nose that will yield a beautiful, harmonious result that is both flattering and functional.
Once your consultation is complete, our experienced nursing team and patient coordinators at the Gallery of Cosmetic Surgery will guide you through every step of the scheduling and pre-operative process.
The recovery process after rhinoplasty can vary from patient to patient. Factors that affect the timing of recovery include, primary versus revision rhinoplasty, complexity of surgery, skin thickness and type (e.g., small vs. large pores) and adherence to post-operative instructions.
Day of Surgery
Because you will be undergoing general anesthesia, a family member or friend will need to drive you home and help take care of you for the first day and overnight. For out-of-town patients, we can assist in arranging your overnight stay at a luxury post-operative recovery facility in Orange County, or arrange for overnight nursing care at a local hotel.
You will wear an external nasal splint for 1 week. During the first week, symptoms such as fatigue (1-3 days), congestion and variable amounts of bruising and swelling can be expected. Swelling peaks on the second or third day after surgery and then starts reducing. The majority of visible swelling subsides in the first 7-10 days. Bruising, if present, typically clears within 7-10 days after surgery. For the first week after surgery, you should sleep on your back only and with your head slightly elevated (e.g., stack 2 pillows).
Your splint and sutures will be removed in the clinic at your 1 week appointment. After this point, you can gently wash your nose. For the first 2 weeks after surgery, you should avoid exercise and strenuous physical activity to minimize the risk of bleeding. Most patients feel comfortable returning to work after 1 week.
After 2 to 3 weeks, a significant amount of swelling will have subsided. At this point, most patients feel comfortable being in public or around their family and friends, without feeling self-conscious about swelling or bruising. By this point, your nasal congestion should also resolve.
By 2-3 months, the majority of swelling has cleared and your nose will appear more defined, refined and natural. In select patients with greater than average swelling, a steroid injection to the nose is performed in clinic to help reduce swelling. At this point you may resume more strenuous physical activity including contact sports, underwater swimming and diving.
For the majority of patients, the healing process after a primary rhinoplasty is complete around the 1 year mark. This includes resolution of swelling and fading of your surgical incision. For some patients, this process can take up to 1.5 to 2 years depending on their skin type, healing rate and complexity of surgery (e.g. revision rhinoplasty).
Rhinoplasty surgery is a major investment and life-changing surgery. When it comes to cosmetic surgery of the nose, there should be no settling for anything less than exceptional results. While the average cost for rhinoplasty may run significantly higher than other facial or body cosmetic surgeries, it is important to consider the complexity of rhinoplasty, the experience and skill of your surgeon, and the overall quality of care you receive. Dr. Sharma’s practice is specifically focused on plastic surgery of the nose and face. As such, his education and surgical training sets him apart from surgeons who are not AAFPRS fellowship trained in facial plastic surgery. He gives each of his patients as much time as necessary during their consultation process and during their surgery. He understands the significant investment you are making and takes the time to explain the various factors which influence the total cost of surgery.
Facial Plastic Surgeons typically complete a rigorous 5-year residency in Head and Neck Surgery, followed by a highly selective fellowship in advanced Facial Plastic and Reconstructive Surgery. They have devoted their entire surgical training and career to surgery of the head, face and neck. It pays dividends to select a surgeon who specializes in cosmetic surgery of the face, as this certifies an excellent aesthetic sense and the highest level of rhinoplasty training. An excellent rhinoplasty surgeon is able to execute a wide range of complex maneuvers and reconstructive techniques to deliver a natural, individualized result. This skill set is exclusive to a surgeon who specializes in cosmetic surgery of the face.
While it may cost more to have a rhinoplasty with Dr. Sharm/Dr. Sadati, factors to consider are achieving a natural outcome, having a lasting result, and minimizing the chance of requiring a revision surgery which is costly and stressful.
One of the most important components of surgery is Anesthesia. Most rhinoplasty is performed under general anesthesia, which requires the utmost care and an experienced Anesthesiologist to monitor your comfort and pain, as well as keep you safe under sedation. While anesthesia is not without risk, it can be performed safely and comfortably with an Anesthesiologist who is experienced in taking care of rhinoplasty patients. All Anesthesiologists at the Gallery of Cosmetic Surgery are board-certified and have worked with our surgical team for thousands of rhinoplasty cases.
There are different types of surgical facilities where a patient can undergo rhinoplasty. The most expensive facility is a traditional hospital operating room, which can cost thousands of dollars in addition to the surgeon’s and anesthesia fees. The least expensive option is to undergo surgery inside a physician’s clinic, which is not always a safe option. A private surgery center is moderately priced and is the preferred option for most rhinoplasty patients. Dr. Sharma/Dr. Sadati operates in a state-of-the-art, accredited plastic surgery facility which is on-site at the Gallery of Cosmetic Surgery in Newport Beach, CA. This ensures his patients receive the highest quality care from an experienced health care team, as well as the cleanliness, individual attention and privacy which is essential for cosmetic surgery.
What is revision rhinoplasty?
At the Gallery of Cosmetic Surgery, a large portion of our practice revolves around correcting and refining patient’s noses that have had Rhinoplasty surgery with another surgeon and were not happy with their nose job results. Revisional corrections in nasal surgery are the most difficult cases, but they often will result in the happiest patients.nnThere is no revision Rhinoplasty, or second nose job, problem that Dr. Kevin Sadati considers too challenging to repair. A basic nose surgery may be to simply reduce a hump on the bridge of a patient’s nose, and this type of surgery may only take an hour. A nose that requires more correction, such as the septum, narrowing the base, or changing the tip of the nose might take up to three hours and will be performed comfortably under general anesthesia.
Who is a revision rhinoplasty candidate?
Our goal at the Gallery of Cosmetic Surgery, located in Orange County, is to provide an improvement in our patient’s self-esteem. An ideal revision nose job candidate is both psychologically and medically healthy and ready to take the necessary steps to get the perfect nose that they have always wanted. Furthermore, successful candidates are motivated to get through nasal surgery to fix their nose because of the random insensitive comments from friends, relatives, or associates.nnIt should be noted that candidates for Revision Rhinoplasty have realistic expectations and have a clear understanding of the risks and possible letdown of a less than perfect outcome. As with any surgery, there are no guarantees written or implied that they will get a perfect celebrity nose. Each patient is different and may experience dissimilar results.
What to expect in revision rhinoplasty recovery?
The average initial recovery phase for revision nose surgery is eight days. However, each patient will experience differing levels of recovery. About half of Dr. Kevin Sadati’s patients experience minor bruising around the eyes as a result of surgery, which can last up to a week. A nasal splint is required for recovery and must be worn for seven days after nose surgery. Despite horror stories that you may have heard about, Dr. Kevin Sadati does not use nose packing after his Revision Rhinoplasty surgery.nnNasal packing is an antiquated technique and not part of the Gallery of Cosmetic Surgery’s protocol. In fact, Dr. Kevin Sadati has not packed a nasal surgery in over 15 years. The nose will swell inside and out, which will reduce your nasal breathing flow for several weeks. After that, the airway will start to clear and your breathing will return to normal. Your rate of recovery is largely dependent on factors such as genetic background, overall state of health and lifestyle. Doctors are not solely responsible for the healing process. Dr. Kevin Sadati can facilitate, not accelerate, recovery. Post Revision Rhinoplasty healing is largely up to how well you take care of yourself.
What is it like to heal after nose surgery?
Your cooperation is essential. It is imperative that all written and verbal instructions are followed. We set guidelines for our patients in order for them to have a quick nose job recovery, and to prevent the occurrence of any complications during the healing process. The after-surgery instruction we provide are specific to each patient and will give you the best opportunity for healing, so you can go out and enjoy your new nose, sooner rather than later!
What is the first few days like after a nose job?
Sometimes patients experience a brief “let down” or period of depression after cosmetic surgery. This is mostly due to a set of unrealistic after surgery expectations. Some patients expect instant nose job results and it can be emotionally draining, but know that this too shall pass. Patients commonly question their decision to have RevisionRhinoplasty surgery during the first few days of recovery.nnSecond-guessing your initial decision is normal and as the healing occurs, these thoughts usually disappear quickly. If you feel depressed, just try to remember that this is a healing process, and there are stages for each phase. Be assured that you have entrusted your looks and your esteem to a highly skilled doctor with many years nose and sinus surgery experience. After your incisions heal and the swelling subsides, you will look and feel nothing less than wonderful!
What is the bilobed flap procedure?
The bilobed flap for reconstructive rhinoplasty is useful to repair nasal defects, especially after Mohs surgery. The Bilobed flap procedure has a variety of benefits over other nasal transposition procedures. It uses 2 lobes which allows it to cover more area by distributing more closure tension. This results in less doner skin needed than other procedures.
How much does liposuction cost?
Rhinoplasty (“nose job”) costs vary depending on location and the surgeon’s expertise and experience. As a Board Certified Plastic Surgeon, Dr. Sadati charges approximately $5,350 for rhinoplasty, but fees vary based on a patient’s individual needs as well as the scope of the procedure.
How dangerous is a nose job?
When performed by a highly skilled cosmetic surgeon, rhinoplasty is a safe and effective procedure. Dr. Sadati has more than 600 5-star reviews and councils patients on what to expect, so you will be fully informed about your nose job.
How long is recovery from rhinoplasty?
Many of Dr. Sadati’s rhinoplasty patients return to work 7–10 days after their procedure. You may still have some bruising and swelling, but you can return to most normal, non-strenuous activities within two weeks.
Does a rhinoplasty hurt?
Dr. Sadati uses general anesthesia, so your procedure will be pain-free. Every patient has a different pain tolerance, but most patients only need ibuprofen to reduce discomfort after surgery. While recovering, you may have a headache or feel like you’re stuffed up, but this goes away as the swelling goes down.
Will the tip of my nose get smaller after rhinoplasty?
Dr. Sadati has more than a decade’s experience in performing tip rhinoplasty to fix round, drooping, or bulbous tips. He can refine your nose’s lower lateral cartilage to correct the shape of the tip as desired.
Dr. Kevin Sadati is a top facial plastic surgeon in the Newport Beach and Orange County area with over 15 years of facial and reconstructive surgery experience. He is particularly known for creating natural, subtle results for his patients who don't appear that they've had work done. This can be credited to his extensive experience, as well as his surgical finesse and natural artistic talent. Along with years of studying and training, Dr. Sadati has experience as a painter and sculptor, which embodies his artistic eye for, and appreciation of, aesthetic harmony. He believes that this is key to creating beautiful, natural-looking results in cosmetic surgery. Dr. Sadati has been voted by his patients: “The Best Cosmetic Surgeon” in OC register 5 years in a row, “Top Plastic Surgeon in Orange County” in Locale magazine and received “Best Overall Facial Rejuvenation” award at the National Aesthetic Show by his peers. He also appeared in “The Doctors” show on NBC.
Call (949) 706-7776 or fill out our online form to schedule your complimentary consultation with us. Conveniently located near Fashion Island, the airport and the beach. Please visit us while you are out in the beautiful area of Newport Beach.