Rhinoplasty Beverly Hills

Rhinoplasty Beverly Hills- Nose Reshaping Surgery Beverly Hills- Nose Reshaping Surgery

Dr. Grigoryants is a famous in Beverly Hills and Los Angeles rhinoplasty surgeon. Rhinoplasty must be performed by an experienced specialist to produce a natural result and at the same time preserve or improve breathing. Rhinoplasty is the most difficult procedure in plastic surgery. Dr. Grigoryants has extensive experience with rhinoplasty and has improved the existing rhinoplasty techniques as well as introduced new techniques. Some of his techniques were published in the Aesthetic Plastic Surgery Journal (June, 2013). Dr. Grigoryants performs rhinoplasty procedures every day. Only a few Beverly Hills or Los Angeles plastic surgeons have a similar operative volume. Dr. Grigoryants personally perform all procedures and follows his patients for years after rhinoplasty to ensure proper healing and a good result. Dr. Grigoryants performs rhinoplasty using an endonasal techniques (also known as closed rhinoplasty). In this procedure incisions are placed inside the nose. Therefore, no scars will be present across the bottom portion of the nose. He applies the endonasal technique for most primary rhinoplasty patients as well as for many revision patients.

Many rhinoplasty patients request to improve breathing in addition to nose reshaping surgery. Dr. Grigoryants peforms functional rhinoplasty including septoplasty do straighten a deviated septum, reduction of enlarged turbinates, and repair of a collapsed nasal valve to open nasal airways. Nose surgery is frequently combined with other procedures such as breast augmentation or lift, tummy tuck, liposuction, chin augmentation, eyelid surgery and others. As a Beverly Hills rhinoplasty specialist, Dr. Grigoryants believes that for each patient the rhinoplasty procedure needs to be individualized as every person has a different nose. During your consultation, Dr. Grigoryants will evaluate your nose and facial features and together with you will decide what nose reshaping changes to produce.

Rhinoplasty takes about 2-2.5 hours to perform. Dr.Grigoryants does not use nasal packing. The splint will be removed from the nose 5-7 days after surgery. It will look presentable in 8-14 days after surgery. About 70% of the swelling will resolve by 2 months after surgery and it takes about 2-3 years to see the final result.

Anyone considering rhinoplasty should review as many as possible before and after rhinoplasty of the surgeon to make sure that they like his/her work.

For patients coming out of town, initial consultation can be done via email. Email Dr. Grigoryants at vladgrigor@gmail.com . Please include your face photos (front, side, and bottom views) and indicate what changes you are seeking to achieve. Dr. Grigoryants will review your email and will reply with his recommendations.

To schedule your rhinoplasty consultation with Dr. Grigoryants, call us at 1-800-540-0508.

Will computer imaging be used?

Dr. Grigoryants used computer imaging in the past. He finds that this method of predicting the surgical outcome is not reliable as photoshop does not take into account the patients nasal skin and cartilage thickness. We regularly see patients from elsewhere who complain that their surgical outcome did not come out as the photoshop result shown to them before surgery. Dr. Grigoryants will show you in the mirror what to anticipate by covering and changing your nose with manually. The surgeon’s rhinoplasty operative volume and ability to produce consistent results is more important in deciding what the surgeon may be able to do for you.

What is done to open nasal aiways?

Nasal airway obstruction can be caused by a deviated septum, enlarged turbinates, and narrow internal nasal valve. It is important to address these causes of obstruction during rhinoplasty via:

1. Septoplasty to straighten the deviated septum.

2. Turbinate Reduction. Enlarged turbinates are shrunked to reduce their size while maintaining their mucosa and function. The turbinates cannot be completely removed in order to avoid an empty nose syndrom.

3. Spreader grafts – are used for nasal valve repair to prevent or treat midnasal collapse. Dr. Grigoryants prefers to used patient’s own cartilage for spreader grafts obtained from the septum or ear (when septal cartilage is not available). Failure to use spreader grafts in rhinoplasty when the dorsal hump is removed will commonly result in nasal airway obstruction and an inverted V deformity.

Why closed rhinoplasty?

Dr. Grigoryants prefers closed rhinoplasty for nearly all cases of primary rhinoplasty and most cases of revision rhinoplasty. Dr. Grigoryants uses open rhinoplasty techniques for some complicated revisions. The advantage closed rhinoplasty is that it avoids an incision across the columella which is used in open rhinoplasty. Frequently, the columella incision results in a visible or notched scar, which is permanent. Dr. Grigoryants regularly sees patients from elsewhere complaning of a visible open rhinoplasty scar. Unfortunately, there not much that can be done to remove it. The scar can especially be pronounced in ethnic patients with thick nasal skin. Closed rhinoplaty avoids this complication.

Swelling after rhinoplasty.

Most swelling subsides within 2 months after rhinoplasty.  There will be around 10-20% of swelling left in the midnasal and tip area by 12 months,  about 5-10%  after 2 years, and almost all gone by 3 years after surgery.  Patient with thick skin tend to have more pronounced swelling.

Patient Video Cases:

1. Julia’s Rhinoplasty Consultation,  Procedure Review on the day of surgery, and immediate before/after photos.