Re-sculpting the shape of the nose for an improved appearance.

Rhinoplasty is a nose procedure that requires one hour or two to complete. During the surgery, Dr. Lesavoy will separate the skin of the nose from the bone and cartilage. The framework will be sculpted to achieve the desired shape.

The sculpting procedure varies depending on the extent of the problem and the technique chosen by Dr. Lesavoy. Following the reshaping process, the nasal skin will be re-draped over the bone and cartilage.

If the nostrils are wide, small amounts of skin can be removed from the base, allowing them to be closer together. Most surgeries are performed inside the nose, which means the incision will be inside the nostrils.

When the incisions are made, the surgeon will have access to the cartilage and bone. The internal framework of the nose will be sculpted for a more desirable shape. After the surgery, a splint can be applied to help maintain the new shape of your nose. The septum may need to be stabilized, which can be achieved by having nasal packs of soft plastic splints placed inside the nostrils.

Dr. Lesavoy is a Board Certified Beverly Hills rhinoplasty surgeon who will approach the treatment by removing the hump with a chisel or rasp. The nasal bones will then be brought together to create a narrower bridge. The cartilage will be trimmed to re-sculpt the tip of the nose. The final result must look natural and not look “done.”


The best candidates for rhinoplasty are patients seeking an improvement in their appearance, are physically healthy, in a good mental state, and have realistic expectations. To discuss whether you meet the requirements to have a rhinoplasty, please call our office today and schedule a consultation.

A nose job can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, nor will it cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Lesavoy.

Dr. Lesavoy considers the best candidates for rhinoplasty to be people who are looking for improvement, but not perfection, in the way they look. People who are physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate.


Before surgery, the rhinoplasty patient in the diagram has a large, slightly hanging nose, with a hump and an enlarged tip.

Rhinoplasty can be performed not only to meet aesthetic goals but also for reconstructive purposes, including correcting birth defects or breathing problems.

Age may also be a consideration for Dr. Lesavoy. Many surgeons prefer not to operate on teenagers until after they’ve completed their growth spurt, which is usually around 14 or 15 for girls and a bit later for boys. Dr. Lesavoy feels that it’s important to consider teenagers’ social and emotional adjustment, too, and to make sure it’s what they (and not just their parents) really want.

Dr. Lesavoy will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications, and washing your face. Carefully following these instructions will help your surgery go more smoothly.

While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.

After rhinoplasty, and particularly during the first twenty-four hours, your face will feel puffy, your nose may ache, and you may have a dull headache. You can control any discomfort with the pain medication prescribed by Dr. Lesavoy. Plan on staying in bed with your head elevated (except for going to the bathroom) for the first day.

The swelling and bruising around your eyes will increase at first but will reach a peak after two or three days. Applying cold compresses will help reduce this swelling and will help you feel better. Within about two weeks, most of the swelling and bruising should disappear. (Some subtle swelling – unnoticeable to anyone but you and Dr. Lesavoy – will remain for several months.)

A little bleeding is common during the first few days following surgery, and you may continue to feel some stuffiness for several weeks. Dr. Lesavoy will probably ask you not to blow your nose for a week or so, while the tissues heal.

Nasal packing will be removed after a few days and will allow you to feel much more comfortable. After one or two weeks, all dressings, splints, and stitches should be removed.

A splint made of tape and an overlay of plastic, metal, or plaster will then be applied to help the bone and cartilage of the nose maintain their new shape.

Dr. Lesavoy will give you more specific guidelines for gradually resuming your normal activities. He’s likely to include these suggestions: avoid strenuous activity (jogging, swimming, bending, sexual relations-any activity that increases your blood pressure) for two to three weeks; avoid hitting or rubbing your nose, or getting it sunburned, for eight weeks; be gentle when washing your face and hair or using cosmetics.

You can wear contact lenses as soon as you feel like it, but glasses are more complicated. Once the splint is off, your glasses will have to be taped to your forehead or propped on your cheeks for another six to seven weeks, until your nose is completely healed.

Dr. Lesavoy will schedule frequent follow-up visits in the months after surgery, to check on the progress of your healing. If you have any unusual symptoms between visits, or any questions about what you can and can’t do, don’t hesitate to call Dr. Lesavoy.

Following nasal plastic surgery, in the first few days when your face is bruised and swollen, it’s easy to forget that you will be looking better. In fact, some patients feel depressed for a while after plastic surgery – it’s quite normal and understandable.

This stage will soon pass. As the days go by, your nose will begin to look better and your spirits will improve. Within a week or two, you won’t look as if you’ve just had surgery.

However, it’s important to remember that healing is a slow and gradual process. You may have subtle swelling for months, especially in the tip. The final results of rhinoplasty may not be apparent for a year or more.

After surgery, this patient has a smaller nose, a straighter bridge, a well defined nasal tip, and an improved angle between the nose and upper lip.

You might experience some unexpected reactions from family and friends while you are healing. They may say they don’t see a major difference in your nose. Or they may act resentful, particularly if you’ve changed something they view as a family or ethnic trait. Keep in mind why you decided to have this surgery – if you’ve met your goals, then your nasal cosmetic surgery is a success.

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