Serving Los Alamitos, Newport Beach, Beverly Hills, Los Angeles, Seal Beach, Long Beach, Cypress, Cerritos, Lakewood, Huntington Beach, Irvine & Costa Mesa
Across Orange County and Greater Los Angeles, patients visit Ocean Plastic Surgery Center in Los Alamitos for tailored, high‑precision facial surgery that looks natural in motion and in photos.
1) What Rhinoplasty Can Improve
Dorsal hump, bulbous/boxy tip, wide nostrils, crookedness, over‑rotated or droopy tip, deviated septum, internal/external valve collapse, trauma, and prior poor outcomes.
2) Preservation & Piezo (Ultrasonic) Options
Preservation principles retain the native dorsum when appropriate for smoother bridges; piezo ultrasonic tools sculpt bone precisely for hump control, narrowing, and radix work with less soft‑tissue trauma.
3) Open vs. Closed
Open offers maximum visibility for complex tips/crooked noses; closed leaves no external scar for limited changes. We choose the least invasive route that achieves your goals.
4) Functional Breathing
We address septal deviation, spreader and batten grafts, and turbinate hypertrophy so form and function improve together.
5) Planning & Recovery
We use photography/morphing to align expectations. Splint ~1 week; social downtime 1–2 weeks; tip definition refines 6–12 months (longer with thick skin).
6) Risks
Bleeding, infection, prolonged swelling, asymmetry, irregularities, obstruction, and need for revision (small percentage even in expert hands).
FAQs
Preservation vs. traditional reduction—what’s the difference?
Preservation maintains more native dorsum and ligaments to reduce irregularities. Traditional reduction reshapes more aggressively; both approaches have roles based on anatomy.
How does piezo help?
Ultrasonic vibration sculpts bone precisely, avoiding micro‑fracture scatter and lowering soft‑tissue trauma for smoother lines.
Can you straighten a crooked nose?
We correct both bony vault and septum, often with spreader/batten support. Severe deviations may need staged finesse but typically improve markedly.
Will my breathing improve?
When obstruction exists, yes—septoplasty and valve repair are integrated into the plan.
Open or closed for me?
Complex tip or major straightening favors open; small refinements may be closed. We balance precision with recovery.
How long until I’m event‑ready?
Most are ready at 2–3 weeks with makeup; tip swelling settles gradually, especially with thick skin.
Can you fix wide nostrils?
Yes—alar base reductions placed in the alar‑facial groove are discreet.
Do you use rib cartilage?
When septal/conchal are insufficient, autologous rib offers reliable strength for reconstruction.
What if I’ve had nose filler?
We dissolve hyaluronic filler pre‑op for accurate assessment; permanent fillers complicate planning and are discussed case‑by‑case.
Can I wear glasses?
We avoid bridge pressure early; we use taping or cheek supports until bones are stable.
Revision Rhinoplasty — Los Alamitos, Newport Beach, Beverly Hills & Los Angeles, CA
Serving Los Alamitos, Newport Beach, Beverly Hills, Los Angeles, Seal Beach, Long Beach, Cypress, Cerritos, Lakewood, Huntington Beach, Irvine & Costa Mesa
Across Orange County and Greater Los Angeles, patients visit Ocean Plastic Surgery Center in Los Alamitos for tailored, high‑precision facial surgery that looks natural in motion and in photos.
1) Why Patients Seek Revision
Pinched/asymmetric tip, scooped bridge, inverted‑V, polly‑beak, crookedness, visible or wavy grafts, persistent obstruction, or implant‑related issues.
2) Our Approach
Comprehensive analysis; obtain prior op notes when available; structural rebuild using septal/conchal or rib cartilage; piezo for controlled osseous work; meticulous soft‑tissue handling to limit swelling.
3) Timing
Wait ≥12 months after your last surgery unless there’s functional urgency.
4) Recovery & Risks
Swelling lasts longer than primary cases; risks include graft warping/resorption, residual irregularities, persistent obstruction. Revision requires experience and restraint.
FAQs
Can you fix a pinched tip from over‑resection?
Often yes—lateral crural strut/batten grafts restore sidewall support and soften pinching.
Do I need rib cartilage?
When internal resources are limited, rib provides strength and quantity for stable dorsum/tip rebuilding.
Can you correct a scooped bridge?
Yes—dorsal onlay grafts restore profile while keeping lines smooth and gender‑appropriate.
What about crooked noses after prior surgery?
We address bony vault and septum with spreader/batten grafts to stabilize the middle vault and prevent collapse.
Will breathing improve?
Airway restoration is a core goal—valve repair and septal straightening are prioritized alongside aesthetics.
How do you handle thick scar tissue?
Careful scar release, internal defatting where indicated, and robust structural support; swelling timelines are set realistically.
Can you remove visible graft edges?
Yes—by camouflaging with fascia/fat or smoothing edges; piezo helps with bony steps.
What if I have an implant complication?
We can remove the implant and rebuild with autologous cartilage for a safer, natural result.
How many revisions are safe?
Each surgery increases complexity; we proceed only when benefits clearly outweigh risks and a sound plan exists.
Is an open approach required?
Most revisions benefit from open exposure; limited closed tweaks are possible in select cases.

