FAQ: Nose Surgery


Beverly Hills Facial Plastic Surgeon Dr. Babak Azizzadeh frequently answers questions from patients on realself.com. They are separated into categories below. If you do not find an answer to your question here, please contact us or call us at 310-657-2203.


Q: What surgery is best for large nostrils?

I have heard of the weir technique, but wanted to know if that’s the only surgery that I would need.

A: Weir excursions are the primary way of addressing this problem.

“Alar base modification,” also known as weir excisions, are the primary way of addressing glaring nostrils. However, the tip also needs to be addressed to create balance and harmony. The technique for weir incisions are extremely important to avoid stigmata of surgery.

Q: Rhinoplasty After Silicone 1000

Can I have rhinoplasty after a non surgical nose job preformed with sillikon 1000? If i can would the doctor have to work around the sillkon 1000 or can it be extracted? Thanks.

A: OK to have rhinoplasty after Silicone 1000

It is probable that you can have a successful rhinoplasty after using Silicone 1000 for a non-surgical nose job. I would recommend that you see an expert rhinoplasty surgeon with experience performing on those who have had non-surgical nose jobs. Good luck!

Q: Is Nine Days Too Late to Remove Sutures After Open Rhinoplasty?

When is it optimal to remove them in order to achieve the aesthetically best result? Thank you for taking your time!

A: Nine days after surgery should be fine

In many cases it is fine to remove the sutures 9 days after rhinoplasty surgery. There are many reasons to wait that long – significant tension, history of diabetes, etc. Typically 5-8 days is the amount of time sutures are left in, so nine days is fine.

Q: Slanted Nasal Implant After Rhinoplasty, What’s Causing It? What Can I Do?

Hi, I had rhinoplasty done a month ago and now that the swelling has gradually subsided, I see that the silicon implant is gradually slanting to the right. When I touch the implant with my thumb and fingers lightly, I can feel it jutting to the right. What should I do? Should I wait until further swelling has subsided and maybe the implant will straighten out? The surgeon did open method, used an ‘I’ shape implant, reduced my nostrils and did work on my tip using septal cartilage. I need advice.

A: Wait 6 months and see your surgeon

Unfortunately this can happen. It is recommended that you wait at least 6 months and then follow up with your surgeon. It is possible that it may need to be replaced and repositioned. Good luck!

Q: Will a nose implant mess up my singing?

Or does this procedure to make my nose bigger have no effect on my voice? And why?

A: Rhinoplasty risks to the voice

External nasal implants will likely not have an impact on voice or singing. Internal nasal work could potentially impact your voice, as it can potentially alter the resonance of the nasal cavity. However, if done by an expert rhinoplasty surgeon, the risks are minimal.

Q: Can I Have a Rhinoplasty and Septoplasty at the Same Time?

What are their complications and side effects? Will I need the same period to recover?

A: Septoplasty and rhinoplasty can be done together

Yes, most often septoplasty and rhinoplasty are performed at the same time as many surgeons utilize the septal cartilage for their structural support of the nose.

Q: Is there anything that can give me greater alar cartilage?

I have a pretty narrow/large nose where the nasion isn’t defined with small concave curvature for the dorsum. The alars aren’t really shaped/defined nor are they wide enough to fit the current nose; period. I heard of grafts making the dorsal wider but what can a surgeon do in the cartilage area? Is cutting and then restitching the only option? Anything for greater alar cartilage, etc?

A: Options for creating larger alar cartilage

Revision surgery using ear or rib cartilage to recreate the alar cartilages could be a good option for you. To find out more about this procedure you should go to an experienced facial plastic surgeon.

Q: What is the Average Price Range for Cosmetic Nose Surgery?

What does that price range depend on?

A: Depends on city/state and level of expertise

The price really depends on the location. For example a rhinoplasty in New York City will cost more than a rhinoplasty in Alabama. The price also depends on the level of expertise of the surgeon. I would not recommend getting a ‘budget’ surgery as you have a higher chance of needing a revision surgery.