Nose Reshaping (Rhinoplasty)

Dr. Vladimir Grigoryants has extensive experience in rhinoplasty and has been performing rhinoplasty in Los Angeles every day for years. Dr. Grigoryants specializes in closed  rhinoplasty (also known as scarless rhinoplasty or endonasal rhinoplasty). In closed rhinoplasty, incisions are placed inside the nose and, therefore, no scar will be present across the bottom of the nose. This avoids possible notching or  a visible scar after surgery. For complex revisions, Dr. Grigoryants performs open rhinoplasty. The goal of nose surgery is to create a natural and more attractive nose. In many patients, nasal airway obstruction is treated at the same time.

The photographs below are untouched and show real results of Dr. Grigoryants’ patients. Patients’ eyes were covered for privacy (and left uncovered when requested by patients). The photo gallery is frequently updated with new before and after rhinoplasty photographs.

PATIENT 1: In this patient nose reshaping (rhinoplasty) was performed to remove the nasal bump and raise the tip of the nose. Incisions were placed inside the nose- known as a closed rhinoplasty or endonasal rhinoplasty.

PATIENT 2 :  This  patient flew to Los Angeles for rhinoplasty with Dr. Grigoryants. Closed rhinoplasty was performed to narrow the tip, lift the handing columella (bottom part of the nose), and remove the dorsal hump. The deviated septum was straightened and nasal airways opened at the same time.

The upper lip in this patient had the appearance of being pulled forward (called tension lip). The nose and the upper lip were set back improving the overall balance of the face.

PATIENT 3 : Closed rhinoplasty was performed to narrow and lift the tip and reduce the hump. Two years after surgery.

PATIENT 4: Wide nasal tip and nostrils were narrowed and dorsal hump reduced. Closed rhinoplasty.

PATIENT 6:  This patient underwent closed rhinoplasty with Dr. Grigoryants 2 years ago. Wide nostrils were narrowed, dorsal hump reduced, and tip was refined.

PATIENT 7: Almost 3 years after closed rhinoplasty. Wide bones and tip were narrowed, dorsal hump reduced, and tip was refined. Airways were opened at the same time.

PATIENT 8: This patient underwent closed rhinoplasty to remove the hump, raise the columella, repair the tension lip (upper lip pulled forward). Chin augmentation was performed using a Radiesse injection.

PATIENT 8-B : This patient underwent closed rhinoplasty over a year ago to straight the crooked nose,  remove the hump, narrow the tip, and narrow nostrils. Deviated septum was straightened at the same time.

PATIENT 9: This patients presented with a wide tip, crooked nose , drooping tip, and a dorsal hump. Closed rhinoplasty was performed to improve the shape of the nose, straighten the deviated septum, and open nasal airways.

Ear pinning (otoplasty) was done at the same time.

PATIENT 10: Closed rhinoplasty was performed to narrow the nose, refine the tip, and reduce the dorsal hump. Deviated septum was straightened and nasal airways were opened at the same time.

PATIENT 11: Closed (endonasal) rhinoplasty was performed to refine the tip, reduce the bump, and lift the hanging columella (bottom portion of the nose).

PATIENT 12: Closed rhinoplasty was performed to refine and lift the tip, improve nostril shape, and reduce the bump.

PATIENT 13: Closed rhinoplasty was performed to straighten the nose, refine and lift the tip, and reduce the bump

PATIENT 14: Closed rhinoplasty was performed to refine and lift the wide tip, reduce the bump, and lift the hanging columella. Nasal airways were opened at the same time.

PATIENT 15: Closed rhinoplasty was performed to straighted deviated septum, refine the tip, and reduce the bump. Nasal airways were opened at the same time.

PATIENT 16: Closed rhinoplasty. The tip was refined the tip and dorsal hump was reduced. Nasal airways were opened at the same time.

PATIENT 17:This patient underwent closed rhinoplasty to raise the tip, improve tip definition, and reduce the dorsal hump. Some swelling around the tip is present 1 month after surgery. The shape of the tip will continue to improve as the swelling subsides.

PATIENT 18: Endonasal rhinoplasty was performed to straighten the nose, refine and raise the tip, reduce the size of nostrils, and remove the bump. Nasal airway were opened at the same time.

PATIENT 19: Closed rhinoplasty was performed to improve nasal deviation, refine and raise the tip. Nasal airway were opened at the same time.

PATIENT 20: Closed rhinoplasty.

Tension lip was improved at the same time.

PATIENT 21: Closed rhinoplasty was performed to remove the hump and refine and raise the tip.

PATIENT 22: Closed rhinoplasty was performed to improve nasal and septal deviation, remove the dorsal hump, and raise the tip.

PATIENT 23: Closed rhinoplasty was performed to refine the tip, remove the dorsal hump, and raise the tip.

PATIENT 24: Closed rhinoplasty. The tip was refined, hump reduced, deviated septum straightened, and tension lip improved.

PATIENT 25: Closed rhinoplasty. The tip was refined slightly, hump reduced, deviated septum straightened, tip deprojected, and tension lip improved.

PATIENT 26: Closed rhinoplasty was performed to reduce the width of the tip, raise the tip, and remove the bump.

PATIENT 27: Closed rhinoplasty was performed to raise the tip, reduce the bump, and smooth out arched nostrils.

PATIENT 28: Closed rhinoplasty. The tip was refined, hump reduced, and arched nostrils made smaller.

PATIENT 29: Closed rhinoplasty performed to lift the tip, remove the bump, and decrease nostril show. The tip with was reduced.

PATIENT 30: Closed rhinoplasty was performed to decrease nostril width, reduce the bump, and improve tip definition.

PATIENT 31: Closed rhinoplasty was performed to straighted deviated septum (crooked nose),raise the drooping tip, narrow/shorten the nostrils, and remove the dorsal hump.

PATIENT 32: Endonasal rhinoplasty was performed to reduce the dorsal hump and refine the tip. Septal deviation (crooked nose) was straightened. All incisions are placed inside the nose (no external scars present).

PATIENT 33: This patient has a low nasal bridge dorsal (radix), hump, and weak tip. Nose reshaping was performed using a closed (endonasal) approach The dorsal hump was reduced, cartilage grafts were placed in the bridge (radix) and tip of the nose.

PATIENT 34: Nostrils size was reduced, nasal length shortened, and tip raised.

PATIENT 35: Rhinoplasty was performed to narrow the nostrils, the tip, and remove the hump.

PATIENT 36: Closed rhinoplasty was performed to decrease nostril width, reduce the bump, and improve tip definition.

PATIENT 37: Closed rhinoplasty was performed to straighten the nose, refine the tip, reduce the dorsal hump.

PATIENT 38: Endonasal nose surgery in this patient produced a natural appearing nose. A tip graft improved tip definition.

PATIENT 39: Endonasal (closed) rhinoplasty was performed to remove the bump, refine and raise the tip.

PATIENT 40: Closed rhinoplasty was performed to straighted deviated septum (crooked nose),raise the tip, and remove the dorsal hump.

PATIENT 41: This patient underwent endonasal rhinoplasty to remove the dorsal hump and improve tip definition using a cartilage graft.

PATIENT 41: Closed rhinoplasty (endonasal) was performed to straighten the deviated septum and narrow the tip.

Side View – In the same patient, the hump was reduced and the tip was raised producing an attractive and natural contour of the nose.

PATIENT 42: Closed rhinoplasty was performed to straighten the deviated septum, remove the dorsal hump, and refine the tip

PATIENT 43: Closed rhinoplasty. Crooked appearance of the nose was improved, deviated septum straightened, tip refined, and dorsal hump removed. Nasal airway patency was improved at the same time.

PATIENT 44: Closed rhinopasty was performed to narrow the tip, shorten the nose, and remove the dorsal hump. Nostrils were made narrower and shorter. Nasal airways opened at the same time.

PATIENT 45: Closed rhinopasty was performed to narrow the nose, shorten the nose, raise the tip and remove the dorsal hump. A natural appearance of the nose was preserved

PATIENT 46: Star of Real Housewives of Beverly Hills, Kim Richards. Four years after closed rhinoplasty.

PATIENT 47: This patient underwent closed rhinoplasty. The wide tip was narrowed, nose was shortenedm and the hump was removed.

PATIENT 48: Endonasal rhinoplasty was performed to refine the tip, raise the tip, and shave the hump of the dorsum.

PATIENT 48: This patient underwent closed rhinoplasty to narrow and lift the tip, reduce the dorsal hump, and narrow the nostrils.  The result shown is almost  4 years after surgery and  considered to be  the final result. By 4 years after rhinoplasty all swelling is gone.

PATIENT 49: Closed rhinoplasty. The tip and nostrils were narrowed. The dorsal hump was reduced.

PATIENT 50: Nose reshaping surgery was performed to decrease the dorsal hump and refine the tip.

PATIENT 51: This patient had a significant nasal airway obstruction. Closed septorhinoplasty was performed to open nasal aiways, straighten the nose, lift the tip, and remove the dorsal hump.

PATIENT 52: Closed rhinoplasty was performed to reduce the dorsal hump, narrow the tip, raise hanging columella (bottom of the nose). A tip graft was used to improve tip definition.

PATIENT 53: This patient underwent closed rhinoplasty. The tip was raised and the bump was removed. Natural appearance of the nose was preserved.

PATIENT 54: Male rhinoplasty. Deviated nasal bones were staightened. The dorsal hump, drooping tip, and wide/arched nostrils were reshaped maintaining a natural appearance.

PATIENT 55: This patient broke his nose in the past. Closed rhinoplasty was performed to straighten the nose, decrease nostril size, reduce the dorsal hump, and improve breathing.

PATIENT 56: Endonasal rhinoplasty was performed to refine nasal tip, remove the dorsal hump, and raise the columella. Nasal airways were opened at the same time.

PATIENT 57: In this young patient, closed rhinoplasty was performed  to reduce the height of the bridge, shorten the nostrils, and improve tip definition. The after photos were taken two years after rhinoplasty.

PATIENT 58: This patient has a wide nose, with a pronounced dorsal hump, wide nostrils, and no tip definition. Closed rhinoplasty was peformed. The width of the tip and nostrils was reduced. The hump was reduced and the tip was reconstructed using a cartilage graft obtained from the nasal septum.

PATIENT 59: This patient underwent closed rhinoplasty to narrow the tip straighten the nose, reduce the bump on the bridge of the nose, and decrease nostril show.

PATIENT 60: Nose surgery in this patient was performed to improve the deviated septum, reduce the dorsal hump, and refine the tip.

PATIENT 61: Closed rhinoplasty. The width of the tip, nasal bones, and nostrils was reduced. The dorsal hump was reduced and tip refined.

PATIENT 62: This patient was displeased with a wide and overprojected nose as well as a bump on the bridge of the nose. Closed rhinoplasty was performed to produce a more attractive and natural shape of the nose.

PATIENT 63: This patient has a crooked nose with a dorsal hump. Nose surgery was performed to straighten the nose, reduce the hump, and raise the tip. A deviated septum (crooked nose) was straightened.

PATIENT 64: This patient underwent nose reshaping (endonasal rhinoplasty) and a chin augmentation.

PATIENT 65: Closed rhinoplasty – hanging columella was raised and the tip was refined. The small dorsal hump was reduced.

PATIENT 66: Closed rhinoplasty. The nose was straightened, narrowed, and the tip was refined.

PATIENT 67: About two months after closed rhinoplasty. The hump was removed, tip refined, and hanging columella was raised. Some tip swelling is present and will continue to resolve.

PATIENT 68: Endonasal rhinoplasty was performed. The dorsal hump was removed. The tip was refined and supported using grafts.

PATIENT 69: Endonasal rhinoplasty was performed to reduce nostrile size, decrease dorsal hump, and rotate the tip up.

PATIENT 70: In this patient nose surgery was performed to reduce size of the nostrils, rotate the tip up and produce a gently curved dorsum. Composite septal cartilage and mucosa grafting to the nostrils was performed to decrease arching of the nostrils.

PATIENT 71: Endonasal nose surgery (rhinoplasty) was performed to reduce the dorsal hump.

PATIENT 72: Closed rhinoplasty- Septoplasty was performed to improve the crooked appearance of the nose. Dorsal hump reduced and tip refined.

PATIENT 73: This patient underwent an endonasal rhinoplasty and chin enlargement using a chin implant. Tip refinement was performed, the hump was reduced and the nose was straightened.

PATIENT 74: Subtle changes were made to improve the shape of the nose. Closed rhinoplasty was performed to remove the dorsal hump, narrow and lift the tip.

PATIENT 75: Closed rhinoplasty was performed to remove the dorsal hump, narrow and lift the tip.

PATIENT 76: Endonasal rhinoplasty with tip grafting.

PATIENT 77: In this patient endonasal rhinoplasty was performed. A small cartilage graft was placed in the columella (bottom portion) to smooth its contour.

PATIENT 78: Endonasal rhinoplasty was performed to remove the dorsal hump and decrease nostril show.

PATIENT 79: Endonasal rhinoplasty with tip cartilage grafting.

PATIENT 80: Male rhinoplasty. Closed rhinoplasty was performed to raise the tip and reduced the dorsal hump.

PATIENT 81: Three weeks after undergoing nose reshaping (rhinoplasty). The nasal bump was removed. The width of the nose was narrowed. The tip was refined and raised. The deviated septum was straightened. All incisions were placed inside the nose (endonasal approach). A deviated septum was straightened.

PATIENT 82:  One year after closed rhinoplasty by Dr. Grigoryants.  Subtle changes were performed to improve the shape of the nose.

PATIENT 83: Rhinoplasty was performed to straighten the nose, reduce the dorsal hump and raise the tip maintaining the natural appearance of the nose.

PATIENT 84:   One year after closed rhinoplasty. Subtle changes were produced by Dr. Grigoryants to improve the shape of the nose.

PATIENT 85: This patient underwent endonasal rhinoplasty to raise the tip and reduce the dorsal hump.

PATIENT 85: This patient underwent closed (also referred to as scarless rhinoplasty) to deproject the tip, remove the dorsal hump, and shorten and narrow the nostrils,  16 months after surgery.  The pulled forward look of the upper lip (tension lip) was also improved.

PATIENT 86: Endonasal rhinoplasty was performed in this patient to raise the tip of the nose and remove the dorsal hump.

PATIENT 87: Endonasal rhinoplasty was performed This patient requested to have a straight nose and raise the hanging columela to decrease nostril show.

PATIENT 88: In this patient the dorsal hump was reduced, the tip was raised, and a cartilage graft was placed in the tip to improve its projection.

PATIENT 89:  Long term/ final  result  after closed rhinoplasty. This patient underwent surgery 4 years ago and all swelling has resolved by now.

PATIENT 90: This patient underwent endonasal rhinoplasty to decrease the width of the tip, width of nostrils, and reduce the dorsal hump.

PATIENT 91: Endonasal rhinoplasty

PATIENT 92: Endonasal rhinoplasty and neck liposuction. Upper and lower blepharoplasty was performed at the same time.

PATIENT 93: In this patient rhinoplasty was performed to reduce the dorsal hump and narrow the tip of the nose.

PATIENT 94: Endonasal (closed) rhinoplasty

PATIENT 95: Endonasal rhinoplasty was perfomed.

PATIENT 96: This patient underwent nose surgery (endonasal rhinoplasty) and neck liposuction. The dorsal hump of the nose was reduced, tip was narrowed and rotated up.

PATIENT 96-A : This patient underwent closed rhinoplasty  3 years ago. Nearly all swelling is gone by now. The dorsal hump of the nose was reduced, tip was narrowed and rotated up.

PATIENT 97: Endonasal rhinoplasty was performed to reduce dorsal hump of the nose.

PATIENT 98: In this patient the dorsal hump was reduced and a tip graft was placed using a closed approach.

PATIENT 99: This patient underwent endonasal rhinoplasty. The projection of the nose as well as the length was reduced.

PATIENT 100: Closed rhinoplasty.

PATIENT 101:  Almost 3 years after closed rhinoplasty by Dr. Grigoryants. The dorsal hump was removed, tip deprojected, nostrils made smaller, and bony base was narrowed. Nearly all swelling has resolved.

PATIENT 102: Endonasal rhinoplasty- dorsal hump was reduced, nostril show was reduced, and a tip graft was placed to refine the tip.

PATIENT 103:  Closed rhinoplasty. The patient requested a more feminine nose. The dorsal hump was reduced, the tip was refined and lifted.  The result is shown 1.5 years after surgery.

PATIENT 104: Closed rhinoplasty. Septal deviation was corrected. Hanging columela was raised, the dorsal hump was reduced, and the tip was refined.

PATIENT 105: Closed rhinoplasty.

PATIENT 106: Closed rhinoplasty was performed to reduced the dorsal hump and improve tip definition.

PATIENT 107: Endonasal rhinoplasty to decrease the dorsal hump.

PATIENT 108: This patient is two months after undergoing a closed rhinoplasty. The tip swelling will gradually subside. The large hump was removed achieving a better balance between the nose and the face.

PATIENT 109: Closed rhinoplasty was performed to refine the tip, reduce the bump, and decrease projection of the nose.

PATIENT 110: This patient presented with nasal deviation and wide nasal bones following previous nasal fractures. The nose was straightened, nasal bones narrowed, and bump on the bridge reduced. Drastic changes were avoided.

PATIENT 111: Nose reshaping (rhinoplasty) was performed to straighten the nose remove the hump, and improve tip definition.

PATIENT 112: Closed rhinoplasty to reduce the dorsal hump.

PATIENT 113: This patient underwent closed rhinoplasty to refine and raise the tip as well as reduce the dorsal hump.

PATIENT 114: Rhinoplasty was performed using an endonasal approach to slighty narrow the tip, remove the dorsal hump, and raise hanging columella.

PATIENT 115: Endonasal rhinoplasty- the tip width was reduced and the dorsal hump was removed.

PATIENT 116: This patient underwent closed rhinoplasty to straighten the crooked nose, fix septal deviation, remove the hump, and refine the tip.

PATIENT 117: Closed rhinoplasty was performed to straighten the nose, remove, the dorsal hump, and raise the hanging columella.

PATIENT 118: Closed rhinoplasty was performed to remove the large dorsal hump, refine and raise the tip.

PATIENT 119: This patient underwent closed rhinoplasty to refine the tip, narrow nostril width, and remove the dorsal bump.

PATIENT 120: Closed rhinoplasty- nostrils narrowed, dorsal hump removed, and tip raised. The nostril were also lowered to diminish their arche appearance before surgery.

PATIENT 121: Closed rhinoplasty- the tip was narrowed, refined, and lifted. The dorsal hump was reduced.

PATIENT 122: Closed rhinoplasty tip refined and dorsal hump reduced.

PATIENT 123: Wide nostrils and tip were narrowed and the dorsal bump was reduced using closed rhinoplasty.

PATIENT 124: Closed rhinoplasty was performed to reduced the width of the nasal bones. The tip was lifted and reduced in width.

PATIENT 125: Closed (endonasal) rhinoplasty- the tip was refined and lifted. The dorsal hump was reduced.

PATIENT 126: Closed rhinoplasty- Deviated nose was straightened. The nose was reshaped to produce a more feminine shape. Deviated septum was straightened (see bottom views).

PATIENT 127: Closed rhinoplasty.

PATIENT 128: Closed rhinoplasty was performed to achieve a more feminine nasal shape.

PATIENT 129: Closed rhinoplasty- the tip was refined and dorsal hump reduced. Nasal projection was decreased (distance from the face to the tip). Natural appearance of the nose was maintained.

PATIENT 130: Endonasal/closed rhinoplasty.

PATIENT 131: Closed rhinoplasty in a young male patient.

PATIENT 132: Closed rhinoplaty was performed to reduce the tip width, reduce nostril width, and reduce the dorsal hump.