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Rhinoplasty (Nose Job): Alexander Cosmetic Surgery San Diego, California (CA)
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Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. We will recommend the best choice for you based on your personality, your desires, and the complexity of your procedure.

For more information about our nose surgery procedure, please contact us online or call us at We look forward to helping you look your best.


Nose surgery to improve an obstructed airway requires careful evaluation of the nasal structure as it relates to airflow and breathing. Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment.

Correction of nasal deformities can involve:

  • Changing the tip of the nose
  • Narrowing the base of the nose
  • Making the nostrils smaller
  • Removing a hump, or filling in a depression
  • Narrowing the bridge of the nose
  • Straightening the nose
  • Setting the nose back closer to the face

We normally perform the procedure with the closed technique. This avoids an incision across the middle base of the nose, or columella. Sometimes this incision heals well, but sometimes it can indent and leave a notch. Also, the open technique, in our opinion, creates more long term swelling in the tip, hurting definition.

The closed technique is more technically challenging, especially for new surgeons or surgeon unfamiliar with the technique. However, surgeons who are comfortable with the closed technique believe that excellent results can be seen sooner, since there is less trauma to the nose.

The procedure typically takes about 60-120 minutes depending on the individual face and certain surgical variables.

There are five basic steps to nose reshaping surgery.

Step 1 – The incision

Incisions are made inside the nose, where they are well hidden. Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose.

Step 2 – Refining the tip

The tip cartilages are exposed and carefully reduced, creating a more refined nasal tip.

Step 3 – Reshaping the bridge

The hump is removed from the bridge of the nose. Fine instruments are used to smooth the bridge. On the other hand, if there is a depression in the bridge, cartilage may be added to build it up.

Step 4 – Narrowing the bridge

The bones are divided, allowing the bridge to be narrowed, and if necessary, straightened.

Step 5 – Closing the incision

Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed.

Optional Step – Alar resection

If the base of the nose is too wide, a wedge can be removed from the base, narrowing the nose.

Optional Step – Correcting a deviated septum

If the septum is deviated, it is now straightened and the projections inside the nose are reduced to improve breathing.

Rhinoplasty (Nose Job)


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