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Rhinoplasty (Nasal Reshaping)

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The nose is one of the most prominent and distinctive facial features. A nose that is too large or too small, or one that has a hump, bump, deviation, or obvious asymmetry can distract from one's overall facial appearance and beauty. Dr. Timothy R. Miller performs rhinoplasty at his practice in Aliso Viejo using only the latest and most effective techniques. He always tailors his rhinoplasty methods to each Orange County patient's specific nose and facial features, with a focus on results that look natural, balanced, and attractive.

Women and men visit double board-certified facial plastic surgeon Dr. Timothy R. Miller from Laguna Beach, San Clemente, Mission Viejo, and beyond for rhinoplasty, sometimes called a nose job. To schedule your personal consultation in Aliso Viejo, CA with Dr. Miller, please call us at (949) 215-5402 or request your consultation online.

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Doctor Miller's Approach to Rhinoplasty

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Individuals interested in rhinoplasty may be concerned with one or more issues, such as a hump or bump, nasal tip asymmetry, or a deviated or crooked appearance. Sometimes, the overall size of the nose may be too large or the patient may just want a better-looking nose. Rest assured, rhinoplasty techniques have improved steadily over the years to a point where excellent, consistent outcomes are common in the hands of an experienced surgeon. The surgery is customized for each patient, and at Refreshed Aesthetic Surgery, VECTRA® 3-D computer imaging can be used to educate and demonstrate possible results. During this process, we can also assess whether chin augmentation would be a valuable addition at the time of surgery. Adding to the projection or size of the chin is sometimes needed to bring balance to the face. Although this is recommended for some patients, it is not a requirement.

After rhinoplasty surgery, most patients will have a nasal splint on for 7 days. I do not "pack" the nose (even after septoplasty), so the postoperative experience is much more comfortable. By the time the splint is removed the nose will look remarkably and significantly better, and it will continue to improve over the next several months.

Alternatively, many patients are satisfied with their nasal appearance but want to breathe better. Sometimes the cause of breathing difficulty is a deviated nasal septum. The septum is a cartilage structure that divides the nose into a left and right nostril. The septum can be deviated or crooked (or just very wide), which results in obstruction of air flow into and out of the nostrils. The deviation can affect one or both nostrils and can arise at birth or after trauma to the nose. Depending on the extent and location of the septum deviation, a surgical procedure called a septoplasty is performed to correct the problem. This surgery is performed on the inside of the nose to correct nasal breathing problems, whereas rhinoplasty is performed to improve the appearance of the outside of the nose.

Common Questions or Concerns

Will I have obvious scars? Most rhinoplasty surgeries are performed using a closed approach, which means the incisions are made on the inside of the nose. When an open approach is required, Dr. Miller takes great care to hide the incisions carefully, and he further takes the time to close the thin incisions in layers to make sure the scars are imperceptible to the naked eye.

What is the recovery like? The social downtime for rhinoplasty is typically 7 days, with most bruising (if any) resolved by this time. If surgery is performed on only the nasal tip, the downtime is even shorter, and bruising is rarely seen. Most patients use pain medication for 1 to 2 days, with those undergoing only nasal tip surgery using medication for a day, or not at all. Patients should limit activity for 2 to 4 weeks and can return to all activities by 6 weeks. Patients with a hump, nasal deviation, or large nose will see dramatic results after the nasal splint is removed in 7 days.

Are there non-surgical alternatives to rhinoplasty? Dr. Miller does offer a non-surgical rhinoplasty for the appropriate patient. This is a quick, safe, and effective procedure for those with a nasal hump, dorsal asymmetry, or minor irregularity somewhere on the nose. Dr. Miller typically uses dermal fillers such as RADIESSE® or JUVÉDERM® for this procedure.

What other treatments will improve my facial profile? Facial implants can be a great complement to rhinoplasty procedures. Many rhinoplasty patients have a small or recessed chin, and the use of chin implants can create a more balanced facial appearance. This balance and improvement can be visualized using our VECTRA 3-D imaging system during your consultation or preoperative appointment.

Step-by-Step Procedure Facts

  • Your procedure will be performed in our AAAASF-accredited operating facility.
  • Both twilight anesthesia (sedation) and general anesthesia are available.
  • You will be able to return home the day of surgery.
  • No nasal packing is used, which greatly diminishes post-procedure discomfort.
  • Most bruising and swelling will subside in about 7 days, and the majority of people are able to return to work at this time.
  • Although most patients are back to work in 1 week, the nose continues to improve over the course of several months.
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How to Find Us

Refreshed Aesthetic Surgery is conveniently located for those visiting us from throughout Orange County, and Timothy R. Miller, M.D. enjoys serving his diverse group of patients. To make your visit even easier, select your location below to find easy-to-follow driving directions to our office in Aliso Viejo.

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Welcome to Refreshed Aesthetic Surgery

"I opened this state-of-the-art cosmetic surgery office in Aliso Viejo, California, to provide patients seeking aesthetic services with something unique. Our mission is to educate and honestly assess each patient, offering the finest aesthetic treatments available so you will look and feel Refreshed." Read More »

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Dr. Timothy R. Miller