Vaginal Cosmetic Surgery
The ideal nose today is a natural looking nose that fits the face
 
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Nasal Breathing
Nasal Surgery for Men
Nasal Reconstruction Surgery
Nasal fracture reduction
Turbinate reduction
Septoplasty
Sinus surgery
Rhynophyma
 
 
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Tel. 800-557-5007
Office Hours:
M-F 9:00am - 5:00pm Pacific Time
 
 
 
 


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O u r   L o c a t i o n :

Los Angeles


Rhinoplasty, popularly known as "the nose job," remains the most common form of plastic surgery. The introduction of advanced rhinoplasty techniques has made it possible to achieve more aesthetically-pleasing outcomes than ever
 

Our Location

Los Angeles

By Appointment Only

We do not see patients
without scheduled appointment.

Tel:

Office Hours:
M-F 9:00am - 5:00pm Pacific Time

 
 
m o d e l
Nasal And Septal Surgery
  Why this form of surgery is performed:

Nasal and Septal surgery is performed to correct severe breathing difficulties and alleviate severe congestion by opening up the airways on either side of the nasal passageways.
 
 

 

 
Procedure
Nasal Cosmetic Surgery
- Special

Nasal Surgery
Special (this Month)
Special (this Month)
 
  In the Silverlake Virgil Surgical Center we accept the following payment:
   
  • Cash
  • Credit Cards
 
  ( For more info click here )
   
 

Are patients outside of the Los Angeles area able to have a consultation and surgery on the next day? We can help you with Travel Arrangement . (For more info click here)

Many of out of town patients have their initial physical exam and consultation immediately prior to scheduled surgery. During this consultation, the doctors will discuss the surgery in full detail.

 
 
  WHEN SUCH A PROCEDURE IS DEEMED NECESSARY:  
  Sometimes this may be the only option remaining when all other treatments like allergy shots etc. have failed to alleviate the symptoms. Even a slight physical deformity in the nasal area can result in problems that can severely impede a person's quality of life. The "septum" which is the two openings to the nostrils that are separated by just a thin wall of cartilage is especially prone and susceptible to injury. In some cases, a patient may just have a septum that does not develop properly. In these cases, the septum may become 'bent' or 'deviated', which can in turn cause difficulties in the sinuses or turbinates, which are other susceptible nasal areas. If the bone and cartilage in the nose becomes misaligned, this can cause increased air flow on one side and partial reduction in air flow on the other side, causing a definite imbalance. This imbalance in the flow or air will irritate the mucous membranes that line the insides of the nose and the 'turbinates', which are curved bones in the nasal passage that help to keep the nose lubricated and clean. This irritation can cause swelling and blockage on both sides of the nose. This swelling in turn can block access to the sinus cavities and prevent proper drainage.

Some of the problems that can arise due to improper drainage of the sinuses and require Nose Surgery may include:
Difficulty breathing
Discharge from the nose, which may include bleeding
Post nasal drip
Dryness of mouth
Shortness of breath
Snoring
Headaches

 

1. The doctor may recommend one of the following procedures, or a combination of them, to help correct the problem, but this recommendation will vary based upon the individual symptoms being experienced by each patient: Septoplasty - This involves the surgical realignment of the septum in order to straighten it.

2. Osteotomy - This involves the fracturing and resetting of the nasal bones.

3. Partial Turbinectomy - This involves the reduction of the swollen turbinates.

4. Rhinoplasty - This involves the reshaping and restructuring of the nose for cosmetic and/or functional reasons.

These procedures are typically performed as outpatient procedures but may require a brief stay in the hospital. Anesthesia will range from just heavy sedation to general anesthetic. In either case, the patient will need someone to collect them from the hospital and take them home safely. Very little swelling and bruising should be evident if only the septum was straightened. However, in the case of refracturing, the swelling and bruising may take several weeks to subside.
The healing process may take several weeks and during this time, the utmost caution must be taken to avoid any blow or trauma from occurring to the nose. Some of the symptoms that were present before surgery may continue for variable amounts of time after the procedure, so it is wise not to expect instant results. Some relief can be obtained by using a saline spray several times a day, or through administering other medications. The symptoms may in fact remain, until the healing is complete, which may be a period of several months.
Nasal surgery cannot be expected to cure all symptoms, especially if the patient is also susceptible to allergies, but it can definitely help correct some major breathing and sinus problems.

The most common symptoms that sinus-sufferers describe are headaches,
facial pain, the loss of the sense of smell, post nasal drip, nasal congestion and the
inability to breathe through the nose.

The causes for these symptoms are quite simply explained. The sinuses are chambers containing air and are located on the face, directly under, between and above the eyes. These chambers are lined with mucous membrane whose function it is to produce up to two pints of mucous a day. Each sinus has it's own opening into the nose and there are a sum total of four pairs of sinuses starting from the pair above the eyes, and proceeding downwards: Frontal, Ethmoid, Maxillary and Sphenoid Sinuses.
The mucous is then swept into the ostium or the opening and enters the nose and cleared through the throat. Allergens, viruses, bacteria and other air contaminants cause an inflammation, followed by the swelling of the linings of the sinuses. The swelling causes the opening to become blocked and prevents the drainage of the mucous, causing infection and thickening. This infection causes more swelling and more obstruction. So when these openings become obstructed, the patient may experience difficulty breathing, facial pain around the sinuses, behind and below the eyes and other chronic sinus infections. Although allergies, colds and septal deviations are all potential causes of sinus obstruction, the results are the same, with retained secretions of mucous becoming infected and thus resulting in 'sinusitis'.
 
  Some of the Symptoms and Condition require Nasal operation  
  This may include some or all of the following symptoms listed:  
 
Difficulty breathing
Discharge from the nose
Dryness of the mouth
Shortness of breath
Headaches
Snoring
 
     
  Indications:

 
 
Large, wide, and/or drooping nose.
Damaged or crooked nose due to injury.
Breathing problems as a result of trauma, accident, or birth defects.
   
 
 
 
TYPES OF ANESTHESIA
In our Surgical Center compare to number of other surgical center we prefer General Anesthesia, in which case you'll sleep through the entire operation
 

 

* The Information Presented On This Website Is Intended To Be Used For Informational Use Only; It Is Not Intended To Be A Substitute For Professional Advice. If You Are Planning On Having A Procedure Performed Or If There Is Anything You Don't Understand Or Have Questions About Your Procedure, Time, Price Variation Due Patient Comorbidity, Blood Work, Additional Cost for General Anesthesia, Post Surgery Recovery, Combination Of The Different Procedures. Please Consult Our Physician Who Will Be Happy During Your Free Consultation To Go Over In Details With All Your Questions.
 
 
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REVISION RHINOPLASTY
Following are some common questions asked by those considering REVISION RHINOPLASTY
 
Question: I think my first surgeon took too much from my nose. Can you fix this?
Answer: This is a common reason for revision rhinoplasty. No matter where in your nose too much has been removed, Doctor's experience is that improvement is often possible.
 
Question: I want my nose to look natural again. Can you do this?
Answer: This is the most common request our patients have, and is perhaps the most important objective in revision rhinoplasty. Doctor is experienced at repairing the "over-operated" nose. While each case is different, in Doctor's experience it is usually possible to make significant improvement.
 
Question: My nose is too small. Can you make it bigger?
Answer: Yes, if a patient's nose has been over-operated and now looks too small, Doctor can generally improve it. He also can generally fix noses that are too short, too long, too narrow, too wide, twisted, and so forth.
 
Question: Is there a lot of pain or nausea?
Answer: Not typically. Time after time, Doctor's patients are surprised at how little pain and how little nausea there is. After-surgery pain is usually well-controlled with a mild narcotic. We are especially proud of our anesthesia team, who provide expert anesthesia that keeps after-surgery nausea to a minimum.
 
Question: What is the recovery period?
Answer:
  Patients may experience some degree of bruising and swelling to progressively resolve over two to four weeks
  A splint will be placed on the outside of the nose and possibly on the inside as well. Both types of splints are used to protect the, now delicate, nasal structures.
  Bed rest the day of surgery is recommended.
  Limit activity for the next two days following surgery.
  Avoid strenuous activities for about four to six weeks.
  Return to work in about one to two weeks.
 
 
Question: I live far away, how do I arrange to see you and to have surgery?
Answer: You can contact Doctor's office and arrange an appointment. Many patients come for an initial visit and schedule surgery at the end of this initial visit. They then return for their surgery. Occasionally a patient may wish to come into town for consultation followed by surgery the next day. This is possible but obviously must be arranged in advance.
 
Question: The tip of my nose looks pointy, twisted and abnormal. Can you fix my nasal tip?
Answer: Yes, it has been Doctor's experience that significant improvements are possible in this relatively common problem.
 
Question: Do you do Computer Imaging?
Answer: Yes. Computer imaging is a very helpful way to communicate surgical goals. It is important for the surgeon to know what the patient wants to accomplish, and the patient must know what the surgeon envisions as a goal for the surgical result. Computer imaging is extremely useful to communicate this information, and we therefore perform computer imaging on virtually all patients prior to surgery.
 
Question: I'm not sure what I need to have done, I just know I don't like it!
Answer: We understand! Some patients know how they want their nose to look, but other revision rhinoplasty patients are frustrated, angry, and even a little scared. They know they don't like their nose, but they are upset and confused and just want someone to help them! We understand this and will take the time to work with you to help you have a happy outcome.
 
Question: I am scared!
Answer: We understand! You have had a bad experience, so it is okay to feel that way. It is important for you to be confident in the surgeon you choose to perform your revision rhinoplasty. Doctor is proud of his surgical results, but he also wants his patients to feel at ease. Doctor's staff plays an important role in helping his revision rhinoplasty patients feel more at ease before and after surgery.
 
Question: How do I know if I am a candidate for revision rhinoplasty?
Answer: If you have had a rhinoplasty and do not like the way your nose looks, and if you are in good health, then you are eligible for a revision rhinoplasty consultation. The next step is to meet with a skilled surgeon to see if surgery can meet your expectations. In Doctor's practice, Doctor talks to you in detail and examines you. Then, he explains his realistic expectations for your surgery and will let you know if he thinks you are a good candidate.
 
Question: Is this outpatient surgery?
Answer: YES
 
Question: Ever since my rhinoplasty, I can't breathe well through my nose. Can you fix this?
Answer: Yes. Unfortunately, this is a common complaint. Fortunately we are usually able to substantially improve nasal breathing. A number of the patients in the Photo Album had this problem. Many times, patients request improvement in breathing and appearance