Rhinoplasty - Nose Shaping - Nose Job
Thousand Oaks, Los Angeles, Santa Barbara and Ventura County
Plastic Surgeon Dr Costanzo specializes in Rhinoplasty, Nose Job, Nasal Contouring
Surgery for Breathing Problems - Septoplasty and Turbinates

Rhinoplasty How I do it !

Factors Which Influence Your Result:

Age - the younger person will have better skin texture with very little sun damage.

Thickness of the Skin - female noses are easier to shape because the skin is less thick and oily.

Largeness of the Nose - if your nose is very large it is impossible to make it small.

My Basic Rhinoplasty

I like to keep in mind the overall balance of your face. If your a female, I will soften those features of your nose to make your nose more feminine.

Desirable Feminine Features

• Straight bridge of the nose or a very slight curve

• Slight upward tilt to the tip of the nose

• A nose which is not overly long or high off the face

• Narrow tip, that does not have a round ball appearance

• Nostrils that aren't too wide

Undesirable Feminine Features

• Short stubby nose called the piggy nose

• Too much upward tilt of your nostrils which lets others see inside your nose

• Overly wide or flaring nostrils

• Collapse bridge of the nose, giving a pug or boxer look

• Large hump which gives a masculine look to the nose

• Droopy tip, that looks like it is falling off the end of your nose

• A wide boxy tip

 

Things I Can Do to Give You a Better Looking Nose

Reducing the hump on your nose: The hump is more of acceptable on a male nose and isn't a desirable feature if you are a female. The hump of the nose is made up of cartilage and bone.

If your hump is large, then removing it will flatten the top of the nose, requiring me to fracture your nose to eliminate this.

Narrowing the width of your nose: If your nose is wide in the middle it may be necessary to fracture your nasal bones. This will bring into balance the long part of your nose with your tip

Shaping the tip of your nose: If you have a boxy, round or wide tip, I usually remove some of the cartilage in the tip of nose and use internal sutures to hold the shape during healing.

If your tip needs lifting or reducing the height , I may need to use supportive or filler grafts made from your own cartilage.

Grafts sources: The two best source for a supportive graft is the septal cartilage. I will use this to help lift and hold your tip upward. The ear cartilage is a great source for me to use for filler grafts. These grafts are used to fill in collapsed areas and to help reshape and support the tip of your nose.

Types of Incisions

External or Rethe Incision is a small incision place on the middle column of the nose. The advantage is so great with this incision that I use it in almost all my Rhinoplasties. This incision allows me direct access to the cartilage and bone structure of your nose for better shaping.

Internal Incision placed inside the nose is rarely used because all shaping is done blindly with no ability for me to visualize all your cartilage and bone structures. I will only use this incision if you do not require shaping of the tip of your nose.

My Rhinoplasty

Anesthesia: General or IV sedation

Operating time: 1-3 hours

Internal nasal packing for few days

Splint to the nose about 7 days

Bruising for 1-2 weeks

4 weeks before a return to full activities

Rapid reduction in tip swelling in a few weeks followed by a slow resolution of the residual swelling over a few months

Rhinoplasty - Nose Shaping Beverly Hills Style Thousand Oaks, Beverly Hills, Los Angeles, Calabasas, Camarillo, Ventura. Performed by Thousand Oaks 91360 Cosmetic Chris Costanzo MD a Board Certified Plastic Surgeon, trained at the Mayo Clinic. This Rhinoplasty - Nose Shaping or Nose Job performed for Beverly Hills, Los Angeles, Thousand Oaks, Encino, Sherman Oaks, Tarzana, Woodland Hills, West Hills, Malibu, Agoura, Moorpark, Simi Valley, Oxnard, Moorpark