Author: Dr. Vladimir Grigoryants

Closed rhinoplasty can be performed to straighten the deviated septum and perform cosmetic changes.  The advantage of closed rhinoplasty is that it avoids a scar across the columella which in some patients can be noticeable. The patient below underwent closed rhinoplasty over 3 years ago....

This patient underwent closed rhinoplasty  to lower the dorsum (bridge), decrease tip projection, raise and refine the tip, and shorten the nostrils.  Nasal deviation was improved.  Deviated septum was treated with septoplasty and nasal walls were supported using the patient's own cartilage to prevent collapse.  ...

Is one year enough to see the final result after rhinoplasty?  Although most swelling after rhinoplasty resolves by 12 months, there is almost  always some swelling present in the tip and midnasal area.  Any experienced rhinoplasty surgeon, would see his/her rhinoplasty results evolve over   3-5...

Julia underwent closed rhinoplasty by Dr. Vladimir Grigoryants. This video shows her initial consultation, preoperative discussion on the day of surgery, the procedure, and immediate before and after photographs. The procedure included a cosmetic portion (dorsal hump reduction,  tip refinement, raising of the columella, nostrils reduction) and...

Dr. Grigoryants instructs patients to tape the nose after the split comes off.  The tape needs to be applied overnight to minimize swelling.  Two to three strips  of paper tape are applied on the dorsum  of the nose with a gentle pressure against the bridge...

J underwent closed rhinoplasty by Dr. Grigoryants to reduce the dorsal hump refine and lift the tip, and narrow the nostrils.   The procedure is performed under general anesthesia.  Bleeding during surgery is usually minimal. No packing is used.  The splint is removed 5-7 days after...

Dr. Grigoryants  performs custom rhinoplasty in Los Angeles. One of the best ways for patients to communicate their wishes is by modifying their own nose using photoshop or a free software ( e.g. Plastic Surgery Simulator Lite).  Having patients do the actual computer modifications allows...

The advantages of closed (scarless) rhinoplasty is that there is no scar going across the columella. By now, I have seen a number patients with visible/notched columella scars after their open rhinoplasty from elsewhere. Unfortunately, open rhinoplasty results in visible scarring more commonly than thought...