Commonly called a nose job, primary rhinoplasty refers to a first-time nasal surgery performed for either cosmetic or functional purposes. Reconstructive Rhinoplasty or revisionary rhinoplasty refers to a nose job on a patient who has undergone one or more previous procedures.

Due to the intricacy and specialized techniques inherent in the procedure, rhinoplasty is widely regarded the most difficult surgery in the realm of cosmetic, plastic, and reconstructive surgeries. To achieve perfect results, the surgeon must master intricate nasal anatomy and a complex range of techniques due to the wide variations in each patient’s nose. The surgery requires removing excess bone or cartilage, as well as grafting cartilage to existing nasal structures.
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Procedure Walk-Through

  1. Preparation: In the two weeks prior to the nose job surgery, cease taking all blood-thinning medications and supplements. These include aspirin, NSAIDs, vitamin E, and Gingko biloba. To aid healing, smokers should quit smoking for at least the two weeks before and the two weeks after their surgery. Those over 45 years of age require medical clearance from their primary physician. Patients who wear glasses should consider getting contact lenses, as they cannot wear glasses for at least two weeks after the procedure. This is also the time to arrange transportation to and from the facility, as well as put in for time off work if necessary.
  2. Anesthesia: The procedure typically occurs under general anesthesia. Patients discuss this with Dr. Vallecillos during their consultation.
  3. Preoperative Consultation: During your consultation, explain your desired results to Dr. Vallecillos. The doctor will discuss options and realistic expectations. This is the time to express any fears or concerns and ask any questions you may have. The doctor will share your pre-and post-operative instructions. Follow these exactly to obtain the best outcome from your procedure.

Primary Rhinoplasty Procedure

Typically, an aesthetic refinement of the nose procedure requires, on average, two hours to complete. Once your anesthetic takes effect, Dr. Vallecillos makes incisions inside the nose, where they are invisible. Next, the doctor makes the required changes to the bone and cartilage, reducing or supplementing as the needs of the patient require. The doctor then re-drapes the tissues over the new structure and closes the incisions. Finally, to maintain shape during healing, he dresses the area with a splint and possibly absorbent materials inside the nose.

Benefits of Rhinoplasty With Dr. Glenn Vallecillos

Unbeknownst to many, rhinoplasty offers both cosmetic and functional benefits to a wide variety of patients. When you’re under the care of a surgeon with deep experience and expertise in both the functional and aesthetic approaches, you get the very most out of your rhinoplasty procedure.

Aesthetic Improvement

Whether your aesthetic concerns have to do with an overdeveloped nasal hump, a bulbous or drooping tip, severe asymmetry or disproportionate size that throws off your facial features, rhinoplasty can address these issues with remarkable precision.

Dr. Vallecillos makes subtle and carefully calculated adjustments to your nasal structure in order to dramatically improve facial harmony. Every procedure is tailored around your unique facial proportions in order to produce seamless, natural results.

Functional Improvements

The rhinoplasty is unique among other cosmetic procedures in that it can address cosmetic and functional issues at the same time. For example, patients with a deviated septum, narrow nasal passages or collapsed nasal valves may experience difficulty breathing alongside aesthetic issues.

A rhinoplasty can fix these problems by making the structural changes necessary to improve airflow through the nose. This, in turn, can improve snoring, mouth breathing, fatigue due to poor breathing, and other potentially life-altering problems. “Functional rhinoplasty” refers to a version of the procedure that focuses primarily on improving breathing, though there is often some degree of overlap between functional and cosmetic benefits with each approach.

Injury Correction

Whether from a sports injury, an accident, or another incident, trauma to the nose can leave lasting damage that affects your appearance as well as your ability to breathe properly. Many patients with a traumatic injury to the nose area often present to treatment with both bone and soft tissue damage.

Rhinoplasty with Dr. Glenn Vallecillos can restore your nose to a more natural position, improving both the aesthetic and function of your nose in many cases.

Long-Lasting Confidence

Rhinoplasty delivers permanent results. Once the healing process has run its course and your nose has settled into its final contours, you can enjoy your results for a lifetime. You will no longer have to feel self-conscious about your nose, and can move forward with the confidence that your results will last.

Who Is Rhinoplasty For?

When determining whether you are an ideal candidate for rhinoplasty surgery, Dr. Vallecillos will consider your aesthetic concerns, any functional issues you may have, and your expectations for the procedure. Rhinoplasty can address a range of concerns affecting the nose, but not everyone will be a suitable candidate for this procedure.

Aesthetic Candidates

You might be a well-suited candidate for rhinoplasty if you are looking to address:

  • A prominent dorsal hump
  • A nasal tip that is too wide, bulbous, drooping or upturned
  • A wide nasal bridge or base
  • Significant asymmetry

These issues can make your nose appear larger or more angular than you would like, which can have detrimental effects on your overall facial aesthetic when clashing with your other facial features.

Functional Candidates

If you struggle with any of the following, you may be a well-suited candidate for rhinoplasty surgery:

  • Chronic nasal congestion not related to allergies or illness
  • Frequent sinus infections
  • Sleep disruption due to nasal obstruction
  • Weak or collapsed nasal valves
  • A deviated septum
  • Enlarged turbinates

All of these issues can compromise your ability to breathe fully and clearly, which, if left unchecked, can cause a number of more serious health concerns over time.

Revision Rhinoplasty Candidates

If you’ve already undergone rhinoplasty elsewhere, yet are unsatisfied with your results, you may be a candidate for revision rhinoplasty with Dr. Glenn Vallecillos. This advanced procedure requires a high degree of skill and experience, as the surgeon must work with altered and potentially compromised tissue.

Whether your previous surgery left you with persistent breathing problems, visible irregularities, or results that simply don’t match what you envisioned, revision rhinoplasty may offer the solution you need.

Physical and Health Considerations

The ideal rhinoplasty patient is in good overall health with no poorly controlled conditions that can affect the post-surgical healing process. Dr. Vallecillos will personally discuss your medical eligibility for rhinoplasty in a one-on-one consultation. Patients with certain immune or bleeding disorders, among other conditions, may not be eligible for a rhinoplasty.

Smoking is also a point of concern for the rhinoplasty patient, as nicotine can impair the healing process. Patients who smoke may be advised to quit for at least two weeks before and after surgery.

Can Rhinoplasty Be Combined With Other Procedures?

Yes, rhinoplasty is often paired with other facial procedures to great effect for patients looking to address multiple concerns and areas at once. While combining procedures offers patients several advantages, including minimizing total recovery time and cost, it often requires more comprehensive planning and recovery steps.

Chin Augmentation and Rhinoplasty

Even a successful rhinoplasty may still not create the balance you’re looking for if it contrasts against a weak or recessed chin. By pairing rhinoplasty with chin augmentation surgery, which involves the use of an implant or fat transfer to add projection to the chin, Dr. Vallecillos can restore your entire facial harmony in one combined effort.

Eyelid Surgery and Rhinoplasty

Also known as blepharoplasty, eyelid surgery addresses concerns such as drooping upper eyelids, under-eye bags, and excess skin that can give you a tired or uninterested appearance. Combining eyelid surgery with rhinoplasty is an excellent way for patients experiencing these age-related changes to rejuvenate the upper and mid-face areas for a refreshed look.

Facelift and Rhinoplasty

Combining rhinoplasty with facelift surgery offers the most well-rounded facial rejuvenation. While the facelift addresses sagging skin, deep creases, jowls, and neck laxity, rhinoplasty refines your nose to seamlessly complement these revitalized areas.

Fat Grafting and Rhinoplasty

Facial fat transfer involves harvesting fat from one area of your body and carefully injecting it into your face to restore lost volume or improve contours. When combined with rhinoplasty, fat grafting can address volume loss in the cheeks, temples, or under-eye areas that might otherwise create an unbalanced appearance after nose surgery.

Consider This When Combining Procedures

Even patients who may qualify for rhinoplasty do not necessarily qualify for any of the above combined approaches. Those who do are likely to require more anesthesia time and a more complex recovery process.

Whether or not you’re a candidate for paired procedures, when you should have each procedure, and how each surgery should be approached will all be determined as you work with Dr. Vallecillos to plan out your care.

Rhinoplasty Downtime and Recovery

Knowing what to expect during the recovery process well ahead of time is crucial to having a smooth and successful recovery experience. While each patient experiences rhinoplasty recovery slightly differently, in most cases, the process can be divided into several phases.

Immediately After Surgery

You’ll wake from anesthesia with a splint on your nose and possibly packing inside your nostrils. You may feel pressure and stuffiness. Over the next two to three days, expect to see some swelling and bruising around your nose and eyes. Applying cold compresses and using prescribed pain medication as directed will help you manage discomfort. You will be instructed on proper sleeping positions, activity restrictions and more.

The First Week

For many patients, this is the most challenging part of the recovery process. Nasal congestion from swelling makes breathing through the nose difficult. The splint and internal packing (if applicable) can typically be removed by the end of the first week. Bruising and swelling will begin to improve, and towards the end of week one or slightly after, many patients feel comfortable returning to work (makeup helps).

Weeks Two Through Four

Swelling continues to subside during this period, gradually revealing your results, though a degree of swelling will persist throughout the first month of recovery and beyond. You may be cleared to return to light exercises depending on your healing progress. Most patients are advised to start with walking and gentle activities.

Months Two Through Twelve

While you’ll look great by the two-month mark, your nose continues refining for up to a year. Residual swelling, particularly in the nasal tip, takes months to resolve fully. You might notice subtle changes in your nose’s appearance throughout this period, which is normal and expected.

Managing Expectations During Recovery

Remember that the healing process takes time. Trust the process and maintain regular follow-up appointments with Dr. Vallecillos, who can address any concerns and reassure you about your progress.

Why Choose Dr. Vallecillos for Rhinoplasty in Beverly Hills?

Dr. Glenn Vallecillos brings a unique combination of artistic vision, technical mastery, and deep commitment to each patient’s case.

Unparalleled Expertise and Training

Dr. Vallecillos completed his rigorous fellowship training in Plastic and Reconstructive Surgery at Providence & St. John’s Medical Center in Southfield, Michigan, where he mastered the intricate techniques required for complex facial procedures like rhinoplasty. His training encompasses a comprehensive understanding of nasal anatomy, advanced surgical techniques, and the aesthetic principles that create natural-looking, harmonious results.

As a board-certified plastic surgeon and Fellow of the American College of Surgeons (FACS), Dr. Vallecillos has demonstrated his commitment to the highest standards of patient care and surgical excellence.

A Philosophy Centered on You

At its fundamental level, every surgery is deeply rooted to a person’s sense of well-being and sense of self-confidence. This is one reason why we partner closely with our patients and strive to establish strong relationships with them.

From your initial consultation through your final follow-up appointment, Dr. Vallecillos takes time to understand your goals, answer your questions thoroughly, and adapt the surgical plan whenever necessary to provide the best possible outcome.

Customization and Artistry

No two noses are alike, which means cookie-cutter approaches to rhinoplasty inevitably fall short. Dr. Vallecillos evaluates your nasal structure comprehensively, considering factors like skin thickness, cartilage strength, bone structure, and how your nose relates to your other facial features. He also considers your ethnicity and cultural background, respecting the features that make you uniquely you while refining aspects that bother you.

This individualized approach extends to surgical technique selection. Dr. Vallecillos masters both open and closed rhinoplasty approaches, choosing the method that best serves your specific needs. He can address functional concerns like a deviated septum alongside aesthetic refinements, delivering comprehensive improvement in a single procedure.

Innovation and Continuing Education

Dr. Vallecillos maintains his position at the forefront of aesthetic surgery through active involvement in continuing medical education. As a Senior Faculty Member of Palette/Scientiae, he trains nurses, physician assistants, physicians, and surgeons throughout the United States and beyond. This teaching role keeps him engaged with emerging techniques and technologies while contributing to the advancement of aesthetic medicine.

His work as an active national speaker and regular contributor to esteemed publications like the European Journal of Plastic Surgery demonstrates his commitment to sharing knowledge and advancing the field. When you choose Dr. Vallecillos, you benefit from a surgeon who doesn’t rest on past achievements but continuously refines his skills and stays current with the latest developments in rhinoplasty.

The Beverly Hills Advantage

Location matters when you’re undergoing rhinoplasty. Beverly Hills has earned its reputation as a center of excellence for aesthetic surgery, attracting the world’s most skilled surgeons and discerning patients. Dr. Vallecillos’ practice in this prestigious location reflects his commitment to providing the highest level of care in a setting that prioritizes your comfort and privacy.

The practice offers state-of-the-art facilities with the latest technology and a team dedicated to making your experience as smooth and comfortable as possible. From the moment you walk through the door, you’ll feel the difference that comes from a practice built on excellence, integrity, and genuine care for each patient.

Frequently Asked Questions

Who is a candidate for a primary rhinoplasty?

The ideal candidate for a primary rhinoplasty enjoys general good health with a normally functioning immune system. He or she also approaches the procedure with realistic expectations. Because of the many reasons patients choose rhinoplasty, having realistic expectations regarding achievable results is vital.

What is the recovery time for a primary rhinoplasty?

With so many variables to the surgery, there is no single recovery time answer. Most patients may resume work within 24 hours, but those who take pain medication should avoid working while taking this medication. If you experience severe pain, or your implants appear to shift, contact Dr. Vallecillos immediately.

The majority of swelling subsides within one to two weeks, though appearance continues improving for another two to three months, and up to a year passes before your nose refines and heals completely.

Refrain from strenuous work and exercise for two to three weeks following your surgery, and do not engage in contact sports until Dr. Vallecillos approves. As even minimal pressure interferes with healing, those who wear glasses should wear contact lenses during healing. Also, avoid blowing your nose and swimming. These restrictions last from a few weeks to six months; check with Dr. Vallecillos to discover when you are able to resume normal activities.

Are there risks or side effects associated with a primary rhinoplasty?

All surgery comes with certain risks, especially when patients undergo general anesthesia. Common risks include bleeding, infection, blood clots, and scarring. Risks and side effects unique to rhinoplasty include tightness in the treatment area along with restricted facial movements and expressions. Swelling and bruising subside in the first week or two.

Approximately 10 percent of patients develop minor imperfections while their nose heals, typically in the form of small bumps. Within the first year, these imperfections typically resolve, but a small percentage of patients may require a revision surgery. Discuss this possibility with Dr. Vallecillos during your preoperative consultation.

How long do the results last?

For the best results, follow Dr. Vallecillos’ instructions exactly. Patients who follow postoperative care advice obtain lifetime results.

Breathe Easier and Look Your Best With Rhinoplasty by Dr. Glenn Vallecillos

Ready to address what’s been holding you back from complete confidence head-on? Then consider rhinoplasty by one of the foremost leaders in the field. Dr. Vallecillos has spent years perfecting the art and science of rhinoplasty, and now it’s your turn to experience the difference that true expertise makes. Schedule your consultation today by calling (310) 273-3007 or contact us online and discover what life looks like when your nose finally reflects the real you.