Rhinoplasty brings the nose into harmony with the rest of the face. By achieving a more harmonious look, it often produces dramatic improvements in the facial appearance. Dr. Balikian believes in correcting parts of the nose that bother the patient while maintaining their individual look. The same nose does not look good on everybody. You should look like yourself, just better.

The nose is the most defining feature of the face, and many people seek the advice of facial plastic surgeons to change its shape and size. Rhinoplasty, commonly known as a “nose job,” can correct deformities of the nose to help you breathe better as well as look better. It can decrease the size and change the shape of the nose, change the span of the nostrils or change the angle between the upper lip and nose.

Your Rhinoplasty Consultation

As a facial plastic surgeon, Dr. Balikian is adept at performing the rhinoplasty completely from the inside of the nose (endonasal rhinoplasty) or with a small imperceptible incision at the base of the nose (external rhinoplasty). He will discuss these options with you after examining your nose during your consultation.

Whether you believe you have a bulbous tip, a wide nose, a deviated septum, large nostrils or a big nose overall, Dr. Balikian will discuss what he sees and given honest advice on what can be done. He is experienced with cosmetic rhinoplasty.

He also performs a large number of ethnic rhinoplasty surgeries and has a keen eye towards maintaining ethnicity if desired.

In many cases, patients are interested in pairing their nose surgery with another facial procedure in order to create a greater degree of facial enhancement. Rhinoplasty is often paired with surgeries like blepharoplasty and the brow lift.

There are many important factors that Dr. Balikian takes into consideration for this surgery, including: contour and shape of the face; texture and thickness of the skin; shape of the chin, lip and forehead; depth of the angle between the forehead and nose; height of the individual; and healing time of the patient’s tissue.

Dr. Balikian uses computerized imaging during your consultation to help establish your goals and meet your expectations. This helps him create the natural look and end result that you want.

Dr. Balikian always gives an honest assessment of what you need and what you don’t need during your consultation. With an artistic eye, and a wealth of tools to treat any nose, Dr. Balikian can create the nose both you and he want.

Types of Rhinoplasty

Revision Rhinoplasty – Also called “secondary rhinoplasty,” this procedure is performed by Dr. Balikian to counteract a primary rhinoplasty performed by a previous surgeon with unsatisfactory results. Dr. Balikian is specifically trained in secondary rhinoplasty. It takes great skill, knowledge and attention to detail to perform Revision Rhinoplasty, which is often considered the most difficult of all plastic surgeries. Given Dr. Balikian’s expertise and focus on the face, you can be confident you are in excellent hands. Click the link to learn more about Revision Rhinoplasty.

Functional Rhinoplasty – If breathing difficulties are a major reason for seeking Rhinoplasty, you will want a surgeon with expertise in functional rhinoplasty. In this surgery, all of the anatomic factors that affect our breathing are diagnosed and addressed during surgery. This often includes repairing a deviated septum, internal and external valve collapse, and turbinate hypertrophy. Procedures that Dr. Balikian will consider include septoplasty, spreader grafts, strut grafts and turbinectomy. He will discuss all options during a thorough consultation.

Ethnic Rhinoplasty – Dr. Balikian has the benefit of having an ethnic nose! He understands the balance of finding a nose that is smaller and more elegant, while maintaining ethnic appearances and a sense of keeping your nose and heritage. He will listen to your desires, whether just a smaller hump, or a more westernized nose. He will perform digital imaging to ensure your goals match his goals and will deliver expertise during the procedure.

Open vs Closed Rhinoplasty

Rhinoplasty is a highly complex procedure that requires skilled hands, attention to detail, and precision. The two most common rhinoplasty techniques are open rhinoplasty and closed rhinoplasty. The closed technique involves incisions inside of the nostrils while the open technique involves an incision on the skin between your nostrils. The technique chosen for your specific case depends on your unique aesthetic goals.

Recovering From The Rhinoplasty Surgery

After the surgery, Dr. Balikian will immediately place a splint over your nose to help it retain the new shape as it heals. The surgery is performed as an outpatient procedure, meaning you can go home the same day. Dr. Balikian is unique in that he does not require patients to have their nose packed during surgery, which makes the recovery much more comfortable.

You can expect some swelling and bruising after the surgery is completed, but these symptoms are normal and subside over time as you heal. While you are recovering, it is important that you take time from your normal schedule to rest and relax. This means taking time off work and avoiding strenuous activities that can affect your final result. Dr. Balikian will cover the details of recovery to help guide you through the recovery process.

Good Candidates For Rhinoplasty

Dr. Balikian will carefully review your candidacy for rhinoplasty during your consultation. In this time, he will discuss the details of the surgical process and ask you questions about your medical history to make sure that you are a good fit. It is important that you are open and honest about your medical background so Dr. Balikian can help guide you on the proper course of action. Ideal patients should be in good physical health and have realistic expectations. Rhinoplasty is a popular procedure for both men and women alike.

Richard V. Balikian, MD, FACS

Double Board-Certified Facial Plastic Surgeon
Artistry. Excellence. Compassion

Trust Your Face to a Facial Plastic Surgeon

Dr. Balikian is an experienced, double board-certified, facial plastic surgeon. He is double board-certified both in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Balikian belongs to a very select group of elite cosmetic surgeons with at least six years of specialized surgical training exclusively in aesthetic and reconstructive surgery of the face and neck.

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We understand how important it is for you to look and feel your best in your own body. That is why we offer innovative plastic surgery services to help you achieve your ideal look. If you are interested in learning more about Rhinoplasty, contact our office to schedule your consultation with board-certified plastic surgeon, Dr. Richard Balikian.

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Dr. Balikian and his team exceeded my expectations!


Dr. Balikian and his team exceeded my expectations! I was so nervous to get this procedure done, but his staff took the time to comfort me when I was scared and explained everything step by step. I am so thankful for Dr. Balikian! I still look like me, but I like my nose now! Subtle change that made a world of difference in my confidence. Thank you Dr. Balikian and staff!