La Jolla & San Diego
As the central feature of the face, the nose has the ability to shape the entire facial appearance. When it is oversized, crooked or off-centered, the nose can throw off the harmony of the facial features, in turn leading to low self-esteem or confidence. Rhinoplasty is a surgical procedure that modifies the shape, size and proportions of the nose to enhance facial harmony. When expertly performed, rhinoplasty has the potential to have a tremendously positive effect on one’s appearance, confidence and quality of life.
“Dr. Reagan and his staff are very committed to putting each patient first. They are very attentive to an individual’s needs and to ensuring the patient is comfortable. I have had 2 procedures completed by Dr. Reagan so far and am extremely happy with my results. He has taken the time to explain everything about each procedure beforehand and is always readily available to answer and questions or concerns after. I would highly recommend Dr. Reagan and his staff to anyone.”
Surgeons are not all equally trained, nor are they equally proficient at all surgeries. Rhinoplasty, also known as nose reshaping surgery, is one of the most demanding and delicate plastic surgery procedures today. As such, it should only be trusted in the hands of a qualified plastic surgeon that possesses the training, skill and experience necessary to achieve beautiful and natural-looking results.
Why Choose Dr. Brian Reagan for Nose Surgery?
At True Beauty San Diego Aesthetic Surgery & Medicine, Dr. Reagan is truly an expert in performing rhinoplasty. Dr. Reagan trained at The University of Texas at Southwestern in Dallas, which in recent years was voted the top plastic surgery program by U.S. News & World Report and one of the premier centers for rhinoplasty training in the world. UT Southwestern is also home to the annual Dallas Rhinoplasty Symposium, where top rhinoplasty surgeons from all over the world gather to learn about the latest advances in the field. It was here, under the guidance of the nation’s top experts, that Dr. Reagan developed his superior skills for rhinoplasty. A published author, Dr. Reagan is regularly asked to lecture on rhinoplasty at national and international conferences. He combines his extensive training with a keen eye for aesthetics. Dr. Reagan is knowledgeable of the intricacies of the nasal structure, and plans and performs each procedure with symmetry, balance and proportion in mind.
Are You a Candidate for Rhinoplasty?
You may be an ideal candidate for rhinoplasty if you are bothered by the appearance of:
- Oversized, asymmetrical or crooked nose
- Nasal tip that is bulbous, wide, upturned or droopy
- Dorsal hump or bump on the nasal bridge
- Flared, uneven or oversized nostrils
- Wide dorsum (wide nasal bridge)
- Breathing problems stemming from structural irregularities
Ideal candidates for rhinoplasty should also be in good overall health and free of medical conditions that can impair healing. Patients should also have reasonable expectations about the procedure and results. Lastly, they should be aware of the risks and possible complications associated with rhinoplasty.
Brian Reagan, MD, FACS
Dr. Brian Reagan is a board-certified plastic surgeon and founder of True Beauty San Diego Aesthetic Surgery & Medicine. Dr. Reagan is renowned for his surgical skills and commitment to patient satisfaction. Dr. Reagan has been featured on local media outlets, including ABC 10, and recognized as one of the “Best Plastic Surgeons in San Diego” by San Diego Magazine, and “Best Plastic Surgeons in La Jolla” by La Jolla Light Newspaper.
Your Rhinoplasty Consultation with Dr. Reagan
Your rhinoplasty consultation with Dr. Reagan plays an integral role in achieving the results you desire. The surgeon will perform a physical examination of your nose, noting factors such as the shape, size and existing breathing function. He will also pay close attention to the appearance of the nose in relation to the surrounding facial features and overall facial appearance. It is important for you to be transparent about what you don’t like about your nose and what you hope to achieve with rhinoplasty, as it will enable Dr. Reagan to design the best treatment plan for you. Details about the procedure, risks, potential complications and recovery will also be discussed during your consultation.
Open vs. Closed Rhinoplasty
There are two main approaches to performing rhinoplasty: open and closed. The open technique involves creating incisions inside the nostrils, as well as an incision on the thin strip of skin between the nostrils, known as the columella. While the columellar incision does result in a small, visible scar, it also provides the surgeon better visualization and access to the underlying nasal structures, which is helpful when performing complex modifications. Dr. Reagan prefers to use the open technique in rhinoplasty whenever possible.
The closed rhinoplasty technique only requires incisions to be made inside of the nostrils. This results in no visible scarring but the surgeon typically has less visibility and control during the surgery.
Dr. Reagan can discuss with you the advantages and disadvantages of each technique prior to surgery. He will select the technique that best produces your desired outcome.
“Dr. Reagan is a wonderful combination of excellent technician, clear communicator, and artist. He clearly explained all procedures, options, and risks. I wanted a result that would look amazing, and at the same time be conservative and look totally natural. Dr. Reagan surpassed all expectations and I’m absolutely thrilled with the result. He is a remarkable physician. A bonus is the lovely office and staff.”
Rhinoplasty is an outpatient procedure performed under general anesthesia. Depending on the details of the procedure, Dr. Reagan may reshape the nose by removing cartilage and bone or using a cartilage graft to add volume to the nasal structure. He may also make other changes such as smoothing out a dorsal hump or reshaping and resizing the nostrils. Structural deformities that cause breathing problems can also be addressed.
When he is done making the agreed-upon modifications, Dr. Reagan will close the incisions using sutures and place a nasal splint to protect and support the nose as it heals.
Recovering from Rhinoplasty
The initial recovery period can take one to two weeks, depending on the extent of surgery and your personal healing progress. Swelling and bruising (including on the area below the eyes) are normal but temporary. You should anticipate taking one to two weeks off of work to rest as much as possible. Your head must be elevated at all times and the eye area should be iced every few hours for the first few days of recovery. Dr. Reagan can prescribe oral pain medication to minimize discomfort. Around the seventh day of recovery, you will return to our office so we can remove the nasal splint and monitor your healing progress.
Most patients are able to resume work and other daily tasks after two weeks. The final results will take between six and 12 months to stabilize.
How Much Does Rhinoplasty Cost?
The final cost of rhinoplasty is dependent on various factors, including the degree of correction being made. If you are undergoing rhinoplasty to improve breathing or address other functional problems, your medical insurance may cover all or a portion of the cost of your procedure. Dr. Reagan and our staff can provide you with an accurate pricing estimate and, if applicable, help you file the necessary paperwork to your insurance company during your in-office consultation.
“I would highly recommend Dr. Reagan!!!! I recently had a rhinoplasty from him. From my first consultation to my final results I have been completely thrilled and impressed. He listened to me and did exactly what I wanted and I couldn’t be happier. He has an excellent demeanor and is very reassuring and instilled lots of confidence in me. He has a wonderful bedside manner and went far beyond my expectations. Thank you!”
Is rhinoplasty the same for male and female patients?
In general, men seek a more prominent nose, and women a smaller and more refined version.
Some of this has to do with basic anatomy. Women’s features and bone structure provide the skeletal context for a petite nose. The prominent chins and more expansive facial dimensions of men make a longer, larger nose feel at home.
Male noses tend to feature higher bridges, larger nostrils and thicker skin. Female noses typically have a delicate slope from the bridge and a slightly greater upward angle at the end.
These are characteristics that patients usually want to enhance, rather than reverse. For example, men may want to highlight straight, sleek lines, while female patients routinely prefer to accentuate naturally graceful arcs and inclines, along with a subtle upturn of the tip.
When it comes to the actual surgical procedure, these gender differences are mostly irrelevant. The thicker skin of the male nose slightly affects healing, but surgical techniques are the same for men and women.
What other physical characteristics need to be considered for rhinoplasty?
Very thin skin is not well suited to hiding the underlying structure of the nose; grafts and changes to the bone may be visible.
Conversely, thick skin may not be sufficiently elastic to conform to the sleeker profile of a smaller nose.
Age is also a factor. Younger patients generally achieve better outcomes. By middle age, with less skin elasticity and a slower healing response, results can become less predictable.
If you have had a rhinoplasty before, the earlier reshaping of cartilage and bone, along with the accumulation of scar tissue, will make the surgery more challenging.
How long will swelling last after the surgery?
Depending on the complexity of your procedure, swelling can persist for a year, and sometimes longer. This is especially true of the tip of the nose.
Fortunately, most swelling will subside within two months, and you should be ready to present your new facial profile to the world in about two weeks.
If you’ve had an open rhinoplasty, there will be more swelling and it will take longer to subside. Rhinoplasty that involves breaking nasal bones will also put more stress on the nose, resulting in greater swelling and an extended recovery.
If swelling continues to bother you after several months, Dr. Reagan can administer a steroid injection at the site of maximum swelling.
The persistence of swelling means that waiting for the ultimate result takes time, and requires patience. If your nose appears slightly asymmetrical during the first week of healing, it will almost certainly be well-proportioned and balanced at the end of the recovery process.
As your nose heals, it can be helpful to refer to computer imaging models Dr. Reagan created for you during your initial consultations. These will be a more accurate predictor of your final result than the swollen nose you see in the mirror during the first weeks after surgery.
Learn More About Nose Surgery with Dr. Reagan
It’s time to discover your true beauty with Dr. Reagan. For more information about rhinoplasty, please schedule a consultation with True Beauty San Diego Aesthetic Surgery & Medicine. Contact our La Jolla practice by calling (858) 454-SKIN (7546) today.