Dr. David Stoker
4640 Admiralty Way #1000
Marina del Rey, CA 90292
(310) 300-1779

Nose Reshaping

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Nose Reshaping

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Case 267

This 30-year-old woman was unhappy with the look of her nose so she began exploring Los Angeles rhinoplasty wanting to lift her drooping tip and reduce the hump on her bridge. She decided to contact Dr. Stoker's Practice after researching plastic surgeons.

When she came for her consultation, she explained her various concerns to her surgeon. After examining her nose, he told her that she could have either a closed or open rhinoplasty. Using an "open" incision method provides for more freedom when reshaping the nose, but produces a slight scar underneath the nose, while a "closed" incision produces no visible scar, but limits the surgeon's movements. Depending on the amount of reshaping he would need to do, one method may be more desirable than others.

Her surgeon was able to improve the look of her nose by adjusting the tip and creating a more gradual slope, as can be seen in postoperative photos. Taken after she recovered from her Los Angeles plastic surgery, the photos show the dramatic improvement in her nose; her nose is more symmetrical and matches her features nicely.

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Case 266

Feeling that her nose was too prominent for her otherwise petite features, this 31-year-old woman was interested in nose reshaping surgery. After researching about rhinoplasty, she began looking for a Los Angeles plastic surgeon who had years of experience performing rhinoplasty and was known for quality work. Eventually, she decided to contact Dr. Stoker's Practice for a consultation.

When she met with her surgeon, she explained that she wanted to refine her nasal tip, reduce her dorsum and rotate the tip to a perkier position. With his refined experience in aesthetic surgery, her surgeon would use either a "closed" or "open" incision to reshape her nose. The open incision produces a small scar underneath the nose while the closed incision produces no visible scarring. By using careful techniques, her surgeon would customize the procedure to meet her goals.

After her rhinoplasty in Los Angeles, she was given time to recover before her postoperative photos were taken. Her results are remarkable; her nose seems to match the rest of her features better after surgery. She was happy with the results and glad that she decided to undergo surgery.

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Case 98

This 30-year-old woman felt that her nose didn’t quite fit her face. While her other eyes and facial structure were petite, her nose was not proportional to these defining features. Her facial profile appeared too angular for her liking. She started researching her choices to try to find the best Los Angeles rhinoplasty surgeon to enhance her facial appearance and create a more balanced look.
 
At Plastic Surgery, in her personal surgical consultation she discussed her goals, questions, and concerns about the procedure. Her doctor explained specific changes she could make to enhance her look without compromising the natural shape of her nose, and suggested a fitting technique to accomplish her goals. After settling on a technique approach, her surgeon helped her understand how she should prepare for her procedure and recovery.
 
Nose reduction surgeries like this patient’s typically involve reducing the excess cartilage and bone that give the nasal bridge a "large" or even a "hooked" appearance. Larger-scale corrections often require an open-approach rhinoplasty, where the surgeon lifts the soft tissue at the tip of the nose in order to access the internal structure of the nose directly.
 
Three months after her rhinoplasty surgery in Los Angeles, this woman's nose appears much more proportional and better -suited to her facial features. Her profile photo shows how much her procedure improved her nasal bridge, and although she is still healing, her results already look very good.

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Case 81

This 30-year-old female patient wanted to improve the appearance of her nose.  She was most bothered by the bump on the dorsum of her nose, but she was also concerned about the fullness and position of her nasal tip.  Her surgeon thoroughly discussed all risks and alternatives to Los Angeles rhinoplasty surgery.  A detailed plan for the changes to be made was created and surgery was scheduled.

Her surgeon used an open rhinoplasty procedure because he wanted to make significant changes to her nasal tip and to maintain precise control.  He trimmed the upper portion of the cartilages on the tip of her nose and moved the remaining cartilage pieces together to narrow the tip slightly.  He then reduced the bump on her dorsum by removing a portion of the cartilage and bone in that area. Because the nasal bones would have been too broad, he gently moved the bones together.  He then trimmed the septum on the lower portion of the nose in a way that moved her nasal tip upward and made it perkier.

These photographs were taken before and eleven weeks after her Los Angeles nose surgery procedure.  Looking at the underside of her nose, you can see that her incision healed beautifully, even at this early stage.  The nose has more ideal triangular proportions and nostrils that are less slit-like. On the oblique and lateral views there is an obvious feminization of her appearance with a reduction in the dorsal hump and a perkier tip. On frontal view her narrower nasal bones also create a more feminine appearance.  Overall, she has a natural appearing result that greatly enhances her appearance.

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Case 38

This 35-year-old woman wanted to give her nose a straighter shape that would look more proportional in relation to her other facial features. She decided to meet with one of the well-known Los Angeles rhinoplasty surgeons at Dr. Stoker's Practice.

Rhinoplasty (nose surgery) can enhance the function as well as the appearance of the nose, and can be performed alone or in conjunction with another facial plastic surgery procedure. To help restore her facial balance and enhance her confidence in her appearance, her surgeon recommended reducing the bridge of her nose and slightly rotating the angle of her nose tip.

Rhinoplasty is performed under general anesthesia to allow the surgeon greater control and precision during the procedure. The surgeon will usually begin with an incision between the nostrils, then gently raise the soft tissue at the tip before reshaping the inner structure of the nose to create a result that will match the patient's goals. Afterward, the tissues are repositioned, the incision is closed, and the patient is given specific instructions on how to make the healing process go as smoothly as possible.

This patient came in for her follow-up appointment just one month after her procedure. In the "after" photo, the left and right sides of her nose appear more symmetrical, and her nasal hump has been reduced significantly. Some swelling sometimes remains through the first month, but this patient's nose is already healing very well, and her final results will be visible at about six months after her surgery. She is very pleased with the results of her Los Angeles nose surgery.

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Case 37

This 50-year-old woman wanted to enhance the look of her nose and smooth out her "puffy" eyelids. She decided to meet with a rhinoplasty specialist in Los Angeles at Plastic Surgery to discuss her options for rhinoplasty (nose surgery) as well as blepharoplasty (eyelid surgery) to accomplish her goals. Her board-certified plastic surgeon explained her procedure options thoroughly and, once they had settled on a surgical plan, helped her understand clearly what to expect before, during, and after her procedure.

Rhinoplasty is performed through an incision located either across the columella (the thin strip of tissues separating the nostrils), or else hidden within the nostrils. In this patient's procedure her surgeon reduced the size of her nasal bridge, creating a straighter and more flattering shape according to her goals, then raised and reshaped the soft tissues at the tip of her nose.

Blepharoplasty can be performed on the upper or lower eyelids, or both. In upper blepharoplasty, the surgeon creates an incision in the upper-lid crease, then removes or repositions excess tissues in that area. Lower-lid surgery may remove or reposition excess skin, fat, or both in order to tighten loose lower lids and smooth out puffy "bags" underneath the eyes.

Taken six weeks after her surgery, this patient's "after" photos show she has achieved the changes she desired from her Los Angeles nose surgery. Her nose tip has been lifted slightly to create a better angle with her upper lip, and her eyes now have a more alert look. It sometimes takes a few months for patients' results to develop completely, but this patient is already healing very nicely.

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Case 36

This 32-year-old woman liked the general shape of her nose, but felt that it looked a bit too large and that her nasal bridge appeared slightly crooked. She wanted to find out how to improve these characteristics in ways that would look natural for her face, but still produce a noticeable improvement in her appearance.

The patient decided to meet with a plastic surgeon to see if nose surgery in Los Angeles would create the look she wanted. During her consultation her surgeon examined her nose and discussed her goals and health history, and found that she would be a good candidate for surgery. After talking over her options and helping her create realistic expectations for her procedure, the surgeon and patient set a date for her procedure.

Rhinoplasty techniques vary from surgeon to surgeon, so it's important to find a board-certified plastic surgeon who offers a variety of techniques to make sure your results match your goals well. Different techniques can increase or decrease the nasal bridge, alter the tip of the nose, or decrease the size of the nostrils, and these adjustments can be made either through an incision either between the nostrils or inside them.

As seen in her pictures taken one month after surgery, this woman's Los Angeles rhinoplasty surgeon enhanced the shape of her nose in ways that look very natural. The bridge of her nose appears straighter, giving her profile a smoother, more even, and more defined shape. These moderate adjustments help highlight her other features such as her eyes, and enhance the balance of her face significantly.

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Case 10

This 32-year-old woman from Los Angeles desired nose reshaping surgery (rhinoplasty) to improve her appearance. She decided to consult with plastic surgeon Dr. David Stoker because of his expertise in nose surgery. She also had a sister who had a rhinoplasty by Dr. Stoker, and the result was so beautiful and natural that it gave her the confidence to consider nose surgery herself. In her personal life, she knew that she was going to be getting married in a few months. She had always been bothered by profile pictures of her nose, and the thought of all those wedding photographs capturing her profile made her somewhat anxious. I advised her to consider doing the nose surgery sooner rather than later so that she would be totally healed when it came time for the wedding.

She wanted a nose that did not dominate her face and did not detract from her other beautiful facial features.

On examination at our Los Angeles rhinoplasty practice, I found that she had what I describe as a tension nose. The prominent cartilage and bone on her nasal dorsum caused her to have a large dorsal bump that appeared out of harmony with her otherwise feminine characteristics.

Dr. Stoker performed a closed rhinoplasty procedure to achieve the look she desired.

She healed beautifully and we were both extremely pleased with the result. She felt that the result actually exceeded her expectations. Now both she and her sister had fantastic experiences with nasal reshaping surgery by Dr. Stoker. She is shown here before and four months after her rhinoplasty operation.

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Case 8

This 34-year-old woman was interested in Los Angeles nose reshaping surgery. She researched surgeons and chose to consult with Dr. David Stoker, a board-certified plastic surgeon who specializes in rhinoplasty surgery.

She hoped that a natural appearing rhinoplasty result would better match the rest of her facial features.

Dr. Stoker used a closed rhinoplasty technique to create the desired changes in her appearance. She required a substantial reduction in the dorsal bone and cartilage to eliminate the dorsal hump. Her nasal tip was moved back slightly to obtain optimal proportions after the significant dorsal reduction.

In these photographs she is shown before and one year after her nose reshaping operation. The rhinoplasty had beautiful effect on enhancing her appearance. By making her nose smaller and more feminine in a natural appearing way, her other facial features such as her eyes are greatly enhanced.

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Dr. David Stoker

Educated at some of the most elite institutions in the country, Dr. David Stoker uses his highly advanced knowledge to ensure that each patient achieves beautiful, harmonious results — whether it's through a simple non-surgical procedure or a more advanced surgical transformation. Learn more about his unique credentials and his approach to plastic surgery.

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