Rhinoplasty Procedure Steps

Various techniques can be used to perform a nose job or nose reshaping cosmetic surgery, which is clinically known as rhinoplasty.

The technique chosen will differ according to the unique needs of the patient to improve the nasal shape or size, or rectify functional issues, or both. Regardless, the steps involved in a nose reshaping surgery will remain the same.

During the pre-operative consultation, the surgeon will inform the patient about the steps involved in the surgery. The surgeon may also show the patient images or a video of an actual nose job being performed.

The patient might feel less anxious once they understand what the surgery procedure entails. Judicious and board certified plastic surgeon Roger Tsai, MD provides rhinoplasty to patients in West Hollywood, Beverly Hills, Los Angeles, CA , and surrounding locations across the landscape.

Pre-Operative Consultation

In any surgical procedure, including rhinoplasty, the consultation process forms an important base. During this process, the surgeon will seek to answer any questions or address any concerns that the patient may have about the rhinoplasty and the surgeon’s practice.

Furthermore, in the consultation process, the surgeon will evaluate the patient’s nasal and facial structure, skin type and thickness in the nasal area, and overall medical condition.

The surgeon will review the patient’s previous health records, and order diagnostic tests, if necessary. They may also show the patient before and after pictures and testimonials of previous nose plastic surgery patients. This will offer the patient insight into the procedure from another patient’s point of view and help in developing realistic expectations.

Individualized Surgical Plan

On the basis of the information from the consultation process, the surgeon will develop a customized surgical plan to meet the specific needs of the patient.

The plastic surgeon will ensure that there is a balance between the nasal and facial anatomy of the patient and their cosmetic goals and wishes. An individualized plan will enable the procedure to be minimally invasive and more efficient.

The surgeon will engage in a detailed discussion with the patient to understand the improvements that they are seeking and decide on either an open or closed rhinoplasty technique for the surgery. Other decisions such as incisions locations, anesthesia type, and surgical venue will also be made.

Surgical Procedure


The surgeon will use local anesthesia with IV sedation or light general anesthesia for the procedure. The patient’s past medical records will help determine their candidacy for anesthesia. An anesthesiologist or a registered nurse anesthetist will oversee the surgery to monitor the patient’s reaction to the anesthetic.


The choice of open or closed rhinoplasty will depend on the level of improvement in the nose shape or size that is required. The surgeon will remove, add or modify tissue from the nose area during the rhinoplasty. They may also use silicone implants or grafting in certain cases.

Open rhinoplasty is more invasive in comparison to closed rhinoplasty which is less invasive and does not create visible scars.

For more information on cosmetic plastic surgery procedures and treatments by Beverly Hills board certified plastic surgeon, Roger Tsai, MD please click here or call us at 310.276.1190. Taking patients from Beverly Hills, Los Angeles, West Hollywood, Orange County, Southern California and other surrounding cities.

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