Dr. Kenneth Hughes, MD
Harvard Trained, Board Certified Plastic Surgeon in Los Angeles and Beverly Hills
9700 Venice Boulevard, Los Angeles, CA (310)-204-5822
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Rhinoplasty Before And After Photo Galleries at Hughes Plastic Surgery
Photo Gallery 1
 
 
Dr. Kenneth Hughes, MD has performed hundreds of nose reshaping procedures (rhinoplasties) and he has refined his techniques after his training and experience as an instructor at Harvard Medical School. He performs both open rhinoplasty (with an external scar on the underside of the nose) and closed rhinoplasty (no external scars).
 
Dr. Hughes performs most of his rhinoplasties with the closed approach.   This has two benefits for the patient : 1) the patient has no visible scars and 2) the patient heals more quickly with less swelling than with an open rhinoplasty.  This scarless approach to nose reshaping produces results that are always natural.  In addition, Dr. Hughes's rhinoplasty patients are looking good far sooner than in open approaches, often in two or three weeks.  However, please be aware that conventional wisdom in rhinoplasty is that results take one year to be fully recognized.
 
Dr. Hughes does not produce pinched tips or collapsed noses or noses with visible tip grafts.  In addition, Dr. Hughes has special fellowship training that allows him to not only produce the cosmetic result you desire, but also prevent postoperative breathing problems.  Being adept at correcting both cosmetic and functional components of rhinoplasty, Dr. Hughes has the expertise that few possess.
 
Dr. Hughes has expertise in both primary (first time) rhinoplasty or revision rhinoplasty (secondary, tertiary) and can improve your nose after previous surgery or trauma.  Even if you were not satisfied with your first surgery by another surgeon, do not despair.  Dr. Hughes has a solution for you.
 
A Comment about Ethnic Rhinoplasty:  There are so many ethnicities that are represented in Dr. Hughes's photo galleries (caucasian, african american, hispanic, asian, and more) and not all noses are alike in one ethnicity.  Further each patient may represent more than one ethnicity.   It takes great command of rhinoplasty skills to be able to provide improvement to the entire gamut of prospective patients.
 
Rhinoplasty Procedures and Techniques Offered(List is Representative and Not All Inclusive)
 
 
Tip Refinement / Reduction
Tip Elevation
Tip Lowering
Increasing Tip Projection (cartilage grafting or implants)
Tip Deprojection
Tip Symmetrizing Procedures
 
Nose Lengthening
Nose Shortening
Nose Straightening
 
Dorsal Hump Reduction
Bridge Narrowing
Bridge Widening
Dorsum / Radix Reduction
Dorsum / Radix Augmentation (cartilage grafting or implants)
 
Alar Base Reduction
Nostril Symmetrizing Procedures
 
Hanging Columella Correction
Increasing Columella Show
Columella / Caudal Septum / Anterior Nasal Spine Reduction
 
Implant or Cartilage Graft Removal
 
Septal Deviation Correction
Turbinate Reduction
 
 
Dr. Hughes can tailor the rhinoplasty to your individual needs and tastes.  With minimal downtime with this scarless approach, your time for rhinoplasty in Los Angeles or Beverly Hills at Hughes Plastic Surgery is now. 
 
       Please note that Dr. Hughes has included many early results to show how little patients swell and bruise after his nose surgeries.  You will not see these early results on other websites. 
 
Natural, scarless results with little down time - that is what you can expect with Dr. Hughes.
 
 
 
 
Rhinoplasty Los Angeles 135Rhinoplasty Los Angeles 136
          Rhinoplasty Los Angeles 135              Rhinoplasty Los Angeles 136
 
Closed Rhinoplasty: This patient had tip refinement or narrowing and bridge narrowing.  The overall nose was straightened as with this closed septorhinoplasty approach.
 
Rhinoplasty Los Angeles 137Rhinoplasty Los Angeles 138
           Rhinoplasty Los Angeles 137           Rhinoplasty Los Angeles 138 
 
Closed Rhinoplasty: The dorsal hump was removed and the tip was elevated.
 
Rhinoplasty Los Angeles 139Rhinoplasty Los Angeles 140
     Rhinoplasty Los Angeles 139                   Rhinoplasty Los Angeles 140
 
Closed Rhinoplasty: Dr. Hughes reduced the dorsal hump, refined and elevated the tip, and straightened the nose.  
Postoperative Photos taken at 3 WEEKS
This demonstrates both the power of the closed rhinoplasty to transform the nose while remain as natural as possible. 
In addition, the results are observed much sooner than with open rhinoplasty approaches.
 
 
 
 
 
Beverly Hills Rhinoplasty 3Beverly Hills Rhinoplasty 4 
        Beverly Hills Rhinoplasty 3                   Beverly Hills Rhinoplasty 4
 
Open Rhinoplasty: The hump was reduced and the tip was deprojected.
In addition, the columella was brought down to create show, and the tip was elevated to prevent hooking. 
Once again,  there is a nice natural improvement.
 
 
 
 
Beverly Hills Rhinoplasty 29Beverly Hills Rhinoplasty 30
           Beverly Hills Rhinoplasty 29                      Beverly Hills Rhinoplasty 30
 
Closed Rhinoplasty: This patient wanted her tip elevated and made less pointy. 
The tip was deprojected and her dorsal hump was reduced.
 
 
 
 
 
Rhinoplasty Beverly Hills 39Rhinoplasty Beverly Hills 40
               Rhinoplasty Beverly Hills 39                    Rhinoplasty Beverly Hills 40
 
Closed Rhinoplasty:  This patient wanted tip refinement and narrowing of the bridge.  The postoperative image is taken at 2 weeks.
 
Note that there is very little swelling and no bruising even at this early time period.
 
 
 
 
 
 
Rhinoplasty Los Angeles 117Rhinoplasty Los Angeles 118
           Rhinoplasty Los Angeles 117                                         Rhinoplasty Los Angeles 118
 
Closed Rhinoplasty:  The patient mainly desired reduction of the bulbous tip. The nostril asymmetry was improved.  Alar base reduction was performed as well.  The alar base reduction scars are hardly visible even 2 weeks late.  There are many ways to reduce the alar base, but this method allows a great deal of flexibility in shaping, reducing, and improving symmetry.
 
 
 
 
 
Rhinoplasty Los Angeles 121Rhinoplasty Los Angeles 122
Rhinoplasty Los Angeles 121                                   Rhinoplasty Los Angeles 122
 
Closed Rhinoplasty:  The tip was deprojected and tip elevated, and the supratip fullness was removed.
Notice that the rhinoplasty result is natural and has not feminized his nose.  This picture was taken at one week after splint removal.  The slightest bit of resolving bruising is present in the left lower eyelid.
 
 
 
 
 
 
Rhinoplasty Beverly Hills  17Rhinoplasty Beverly Hills  18
              Rhinoplasty Beverly Hills  17                             Rhinoplasty Beverly Hills  18
 
Closed Rhinoplasty:  The tip was refined and elevated and the alar base was reduced.  The tip asymmetry was greatly improved as was the nostril asymmetry.
 
 
Rhinoplasty Beverly Hills  19Rhinoplasty Beverly Hills  20
       Rhinoplasty Beverly Hills  19                                  Rhinoplasty Beverly Hills  20
 
Closed Rhinoplasty: The tip was also deprojected.  The dorsum aesthetic line (bridge) was also refined to give a much smoother appearance.
 
 
Rhinoplasty Beverly Hills  21Rhinoplasty Beverly Hills  22
    Rhinoplasty Beverly Hills  21                   Rhinoplasty Beverly Hills  22
 
Closed Rhinoplasty: The tip was deprojected and elevated.  The dorsum was also refined.  The natural appearance is essential to a great rhinoplasty result.
 
 
 
 
 
 
Rhinoplasty Los Angeles 421Rhinoplasty Los Angeles 422
    Rhinoplasty Los Angeles 421                                 Rhinoplasty Los Angeles 422
 
Closed Rhinoplasty:  This patient wanted tip elevation and a supratip break (with a more aesthetically pleasing bridge).  Some patients want more, and some patients want less.  
 
 
 
 
 
 
Rhinoplasty Los Angeles 423Rhinoplasty Los Angeles 424
                   Rhinoplasty Los Angeles 423                    Rhinoplasty Los Angeles 424
 
Closed Rhinoplasty:  This patient wanted hump reduction and tip deprojection. The hooking of the tip was also eliminated.
 
 
 
 
 
 
 
Rhinoplasty Los Angeles 345Rhinoplasty Los Angeles 346
      Rhinoplasty Los Angeles   345                                        Rhinoplasty Los Angeles  346
 
Closed Rhinoplasty: This patient wanted dorsal hump reduction and tip elevation.  The key with male rhinoplasties is to generate a natural, masculine result that does not create a feminine appearance.
 
 
 
 
 
Rhinoplasty Beverly Hills 41Rhinoplasty Beverly Hills 42
         Rhinoplasty Beverly Hills  41                  Rhinoplasty Beverly Hills  42
 
Closed Rhinoplasty:  This patient had tip refinement and columelloplasty.  These maneuvers improved the appearance of a droopy tip and improved facial balance.
 
 
 
 
 
Rhinoplasty Los Angeles 169Rhinoplasty Los Angeles 170
       Rhinoplasty Los Angeles 169                      Rhinoplasty Los Angeles 170
 
Closed Rhinoplasty: This patient had tip deprojection and dorsal hump reduction. The pictures demonstrate an early postoperative result right after the splint was removed.  Even this early the improvement is obvious.
 
 
 
 
 
 
Rhinoplasty Los Angeles 171Rhinoplasty Los Angeles 172
    Rhinoplasty Los Angeles 171                              Rhinoplasty Los Angeles 172
 
Closed Rhinoplasty: Tip deprojection and elevation.
 
Rhinoplasty Los Angeles 173Rhinoplasty Los Angeles 174
        Rhinoplasty Los Angeles 173                 Rhinoplasty Los Angeles 174
 
Closed Rhinoplasty: Tip refinement and elevation.  This is another early result as you can see some of the adhesive left on the bridge of the nose from the splint.
 
 
 
 
 
 
Rhinoplasty Los Angeles 221Rhinoplasty Los Angeles 222
     Rhinoplasty Los Angeles 221                  Rhinoplasty Los Angeles 222
 
 Closed Rhinoplasty: Tip refinement and alar base reduction.  The result is more subtle than others, but this was exactly what the patient wanted.  Dr. Hughes will listen to each patient and try to do exactly what he or she wants.  He does not perform the same procedure on everyone.  Each maneuver and surgery is tailored to each patient.
 
 
 
 
 
Rhinoplasty Los Angeles 227Rhinoplasty Los Angeles 228
       Rhinoplasty Los Angeles 227                          Rhinoplasty Los Angeles 228
 
Closed Rhinoplasty: Tip elevation.  The hook tip was eliminated as well and the bridge was refined to give a more feminine appearance.
 
Rhinoplasty Los Angeles 229Rhinoplasty Los Angeles 230
    Rhinoplasty Los Angeles 229                              Rhinoplasty Los Angeles 230
 
Closed Rhinoplasty: Tip elevation without any real manipulation of other aspects from the frontal view.
 
 
 
 
 
 
Rhinoplasty Los Angeles 233Rhinoplasty Los Angeles 234
                Rhinoplasty Los Angeles 233                        Rhinoplasty Los Angeles 234
 
Closed Rhinoplasty: Tip refinement, bridge narrowing, and elevation.
 
Rhinoplasty Los Angeles 235Rhinoplasty Los Angeles 236
            Rhinoplasty Los Angeles 235                         Rhinoplasty Los Angeles 236
 
Closed Rhinoplasty: Tip elevation and dorsal refinement. This result is after one week as you can see the slight yellowing of the cheek and lower eyelid.
 
 
 
 
 
 
Rhinoplasty Los Angeles 79Rhinoplasty Los Angeles 80
         Rhinoplasty Los Angeles 79                   Rhinoplasty Los Angeles 80
 
Closed Rhinoplasty: Tip elevation.
 
 
 
 
 
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       Rhinoplasty Los Angeles 251                        Rhinoplasty Los Angeles 252
 
Closed Rhinoplasty: Tip elevation and dorsal refinement.
 
 
 
 
 
Rhinoplasty Los Angeles 277Rhinoplasty Los Angeles 278
           Rhinoplasty Los Angeles 277                     Rhinoplasty Los Angeles 278
 
Closed Rhinoplasty: Tip deprojection and elevation and dorsal refinement.
 
Rhinoplasty Los Angeles 279Rhinoplasty Los Angeles 280
Rhinoplasty Los Angeles 279                           Rhinoplasty Los Angeles 280
 
Closed Rhinoplasty: Tip deprojection and elevation and dorsal refinement.
 
 
 
 
 
 
 
Rhinoplasty Los Angeles  323Rhinoplasty Los Angeles  324
  Rhinoplasty Los Angeles 323                        Rhinoplasty Los Angeles 324
 
Closed Rhinoplasty: Tip elevation and dorsal refinement.  Pictures were taken at 1 week after splint was removed.
 
Rhinoplasty Los Angeles  325Rhinoplasty Los Angeles  326
             Rhinoplasty Los Angeles 325                      Rhinoplasty Los Angeles 326
 
Closed Rhinoplasty: Tip refinement and elevation and dorsal refinement.  These pictures were taken at 3 weeks.
 
 
 
 
Rhinoplasty Los Angeles  335Rhinoplasty Los Angeles  336
            Rhinoplasty Los Angeles 335                            Rhinoplasty Los Angeles 336
 
This nose was lengthened and the tip was refined through a closed approach. 
 
 
Rhinoplasty Los Angeles  337Rhinoplasty Los Angeles  338
            Rhinoplasty Los Angeles 337                                Rhinoplasty Los Angeles 338
 
The tip was also deprojected.  Doing all of these maneuvers at one time represents a difficult case, but the result is smooth and natural.
 
 
 
 
 
 
Rhinoplasty Los Angeles 355Rhinoplasty Los Angeles 356
          Rhinoplasty Los Angeles 355                        Rhinoplasty Los Angeles 356
 
 This closed rhinoplasty elevated the tip and the radix.
 
 
 
 
 
 
Rhinoplasty Beverly Hills 57Rhinoplasty Beverly Hills 58
       Rhinoplasty Beverly Hills 57               Rhinoplasty Beverly Hills 58
 
This patient had an asymmetric, bulbous tip with wider, asymmetric nostrils.  The tip was refined and the symmetry was improved with a closed rhinoplasty.  Overall facial balance was greatly improved.
 
 
 
 
 
Rhinoplasty Los Angeles  421 Rhinoplasty Los Angeles  422
          Rhinoplasty Los Angeles  421                   Rhinoplasty Los Angeles 422         
 
 
Revision Rhinoplasty Before And After Photo Galleries at Hughes Plastic Surgery
 
   A significant proportion of Dr. Hughes's rhinoplasty practice involves rhinoplasty revisions.   Even complicated tip revisions or nasal collapse can be treated.   Take a look at the following examples:
 
 
Revision Rhinoplasty Los Angeles 35 Revision Rhinoplasty Los Angeles 36
                Revision Rhinoplasty Los Angeles 35                                 Revision Rhinoplasty Los Angeles 36
 
Closed Rhinoplasty: This patient had rhinoplasty before, but it did not address his wide tip and alar base.  The photo is one week after rhinoplasty with tip refinement, columellaplasty, and alar base reduction.  Even this early, the improvement is dramatic and natural.
 
Revision Rhinoplasty Los Angeles 37Revision Rhinoplasty Los Angeles 38
                 Revision Rhinoplasty Los Angeles 37                           Revision Rhinoplasty Los Angeles 38
 
Closed Rhinoplasty: The rhinoplasty also addressed his dorsum and elevated his tip.
 
 
 
 
 
 
Revision Rhinoplasty Los Angeles 55Revision Rhinoplasty Los Angeles 56
                Revision Rhinoplasty Los Angeles 55                 Revision Rhinoplasty Los Angeles 56
 
Closed Rhinoplasty: This patient wanted dorsal hump reduction and tip elevation.   This was his third rhinoplasty.
 
 
 
 
 
 
Revision Rhinoplasty Los Angeles 87Revision Rhinoplasty Los Angeles 88
            Revision Rhinoplasty Los Angeles 87                      Revision Rhinoplasty Los Angeles 88
 
Closed Rhinoplasty: This patient had some alar and tip asymmetry which was improved.  Also the tip and bridge were refined. Finally, the caudal septal deviation was improved as well as nostril asymmetry.
 
Revision Rhinoplasty Los Angeles 89Revision Rhinoplasty Los Angeles 90
         Revision Rhinoplasty Los Angeles 89                 Revision Rhinoplasty Los Angeles 90
 
Closed Rhinoplasty: His tip was also deprojected and the dorsum was refined.
 
 
 
 
 
 
Revision Rhinoplasty Los Angeles 17Revision Rhinoplasty Los Angeles 18
Revision Rhinoplasty Los Angeles 17   Revision Rhinoplasty Los Angeles 18
 
Closed Rhinoplasty: This patient had radix graft, tip deprojection and hump reduction.
 
 
 
 
 
 
 
Revision Rhinoplasty Los Angeles 19Revision Rhinoplasty Los Angeles 20
 Revision Rhinoplasty Los Angeles 19   Revision Rhinoplasty Los Angeles 20
 
Closed Rhinoplasty: This patient had residual hump removed and the tip deprojected.
 
 
 
 
 
 
 
Los Angeles Revision Rhinoplasty 209Los Angeles Revision Rhinoplasty 210
    Los Angeles Revision Rhinoplasty 209       Los Angeles Revision Rhinoplasty 210
 
Closed Rhinoplasty: This patient wanted more tip refinement and elevation along with residual hump correction.
 
Los Angeles Revision Rhinoplasty 211Los Angeles Revision Rhinoplasty 212 
     Los Angeles Revision Rhinoplasty 211       Los Angeles Revision Rhinoplasty 212
 
 
 
 
 
 
Revision Rhinoplasty Beverly Hills 9Revision Rhinoplasty Beverly Hills 10
 Revision Rhinoplasty Beverly Hills 9       Revision Rhinoplasty Beverly Hills 10  
 
      This patient underwent a dramatic transformation as Dr. Hughes reduced both her nasal hump and nasal tip and straightened her nose. 
 
 
 
Los Angeles and Beverly Hills Rhinoplasty Before and After Photo Galleries  
 
                                                               2 3 4 5 6 7
 
 
 
 
 
 
 
 
 
 
answer

Q: I'm 17 I really need a nose job. Will a non surgical filler work for me? (Photo)

A: I'm 17 I really need a nose job. Will a non surgical filler work for me?

   Tip refinement will not be possible without a rhinoplasty.  Fillers will not help create that slim appearance.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 7:15pm
Update your answer

Q: Will my cheeks look bigger with a nose job? (Photo)

A: Will my cheeks look bigger with a nose job?

  I think that tip elevation and refinement along with dorsal hump reduction will produce a very nice result.  I would not worry about the cheeks. 

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 7:13pm
Update your answer

Q: Have I broken my nose or something?

A: Have I broken my nose or something?

If you are having pain with your nose, it would not hurt to get an exam.

Kenneth Hughes, MD

Los Angeles, California
Apr 16 '14, 7:05pm
Update your answer

Q: What can I expect from Rhinoplasty regarding breathing, type of approach, and based on my ethnicity? (photos)

A: What can I expect from Rhinoplasty regarding breathing, type of approach, and based on my ethnicity?

   I would refine your tip through a closed approach without any visible scars.  An alar base reduction can be considered as well with a well hidden scar.  Your breathing should remain unencumbered.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:59pm
Update your answer

Q: Is my septum deviated? If so, would you recommend corrective surgery? (photos)

A: Is my septum deviated? If so, would you recommend corrective surgery?

       If the septum is causing breathing problems, you can have corrective surgery.  The rhinoplasty can straighten the nose as well.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:56pm
Update your answer

Q: What's up with my off center nose and is it fixable? (Photo)

A: What's up with my off center nose and is it fixable?

The tip and the caudal septum can be altered to improve overall symmetry.


Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:53pm
Update your answer

Q: Can I make my nose more refined? I would also like to know if I could look like ronaldo? (Photo)

A: Can I make my nose more refined? I would also like to know if I could look like ronaldo?

I think that bridge narrowing along with tip refinement through a closed rhinoplasty approach without any visible scars will provide you with a very nice improvement.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:51pm
Update your answer

Q: I need a Rhinoplasty for this bulbous nose of mine. Help please? (Photo)

A: I need a Rhinoplasty for this bulbous nose of mine. Help please?

   I think that the tip and alar base can be refined and the bridge narrowed.  I perform this type of reductive rhinoplasty every week.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:46pm
Update your answer

Q: Does my nose look proportional to the rest of my face? (Photo)

A: Does my nose look proportional to the rest of my face?

Conservative closed rhinoplasty to address all of this issues would be reasonable, but all of these maneuvers need to be subtle to generate a great cosmetic outcome.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:19pm
Update your answer

Q: What should I do about my nose? What is wrong with it?

A: What should I do about my nose? What is wrong with it?

   An exam after trauma is imperative to determine if operative intervention is warranted.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:16pm
answer

Q: What would be the oldest age to safely undergo cosmetic Rhinoplasty?

A: What would be the oldest age to safely undergo cosmetic Rhinoplasty?

Healthy patients into their 70s and 80s may be able to undergo rhinoplasty. 

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:14pm
Update your answer

Q: Whats the cause of my excessive nostril show? (photos)

A: Whats the cause of my excessive nostril show?

The nose can be lengthened with cartilage grafts.  I perform the rhinoplasties in closed fashion to avoid the external scars. 

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:13pm
Update your answer

Q: What changes does my nose need to be nice from profile without giving me a dramatic change from the front? (photos)

A: What changes does my nose need to be nice from profile without giving me a dramatic change from the front?

I think that dorsal hump reduction along with tip refinement and elevation through a closed rhinoplasty approach without any visible scars will provide you with a very nice improvement.  Alar base reduction can be considered as well.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 6:11pm
Update your answer

Q: When a doctor goes in to shave a small bump through closed rhinoplasty, where does the excess shaved cartilage go?

A: When a doctor goes in to shave a small bump through closed rhinoplasty, where does the excess shaved cartilage go?

    If this is the only maneuver to be performed, the cartilage can be discarded.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 3:41pm
Update your answer

Q: Will Rhinoplasty make me look worse from the front?

A: Will Rhinoplasty make me look worse from the front?

The narrowness of the bridge can usually be controlled by careful osteotomies after hump removal.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 3:35pm
Update your answer

Q: Is a defined bridge possible without breaking the nasal bone? (photos)

A: Is a defined bridge possible without breaking the nasal bone?

   Osteotomies are usually beneficial to narrow the bridge, especially when the tip and alar base are narrowed as well.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 3:28pm
Update your answer

Q: Can I get a Rhinoplasty if I have blocked nose?

A: Can I get a Rhinoplasty if I have blocked nose?

Both issues can be addressed at the same time in one surgery.

Kenneth Hughes, MD

Los Angeles, California
Apr 16 '14, 3:22pm
Update your answer

Q: What can I do to make my face look more soft and feminine? (Photo)

A: What can I do to make my face look more soft and feminine?

    The nose can be refined.  The lower eyelids may help improve the appearance as well as fat grafting to the cheeks.  However, an exam is always best to address your issues.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 3:20pm
Update your answer

Q: Fixing my deviated septum and make my nose look prettier- can one doctor do both?

A: Fixing my deviated septum and make my nose look prettier- can one doctor do both?

    All of these issues can be addressed at one surgery with a closed septorhinoplasty, so that you have no scars and a faster recovery.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 3:16pm
Update your answer

Q: Uncertain about Rhinoplasty and needing opinions. Is it worth it? (Photo)

A: Uncertain about Rhinoplasty and needing opinions. Is it worth it?

   If you decide that rhinoplasty is something that you want, those two items can be addressed with closed rhinoplasty so that there are no external scars.

Kenneth Hughes, MD

Los Angeles, CA
answer

Q: The end of my nose is twisted. Is it fixable? (Photo)

A: The end of my nose is twisted. Is it fixable?

  The tip and the caudal septum can be altered to improve overall symmetry.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 3:11pm
Update your answer

Q: Would cheek implants and a rhinoplasty benefit my appearance? (Photo)

A: Would cheek implants and a rhinoplasty benefit my appearance?

I would not do the cheek implants, but a nasal lengthening procedure and alar base symmetrizing procedure along with tip refinement and bridge narrowing may produce the best result.  This is really dependent upon your goals.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 3:08pm
Update your answer

Q: I'd like my nose shorter, with smaller nostrils. How would that be done? (Photo)

A: I'd like my nose shorter, with smaller nostrils. How would that be done?

  The tip deprojection will help your balance the most.  The nostrils are always considered at the same time and can be altered as well.  The overall facial balance may benefit from a chin implant as well, but this is up to you as well.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 3:04pm
Update your answer

Q: Will my insurance pay if I get surgery for my crooked nose?

A: Will my insurance pay if I get surgery for my crooked nose?

  The insurance may cover the breathing issues, but anything cosmetic will not be covered.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 2:34pm
Update your answer

Q: Why does my nose look crooked in photos? Any procedure I could do that won't make me look fake? And how much? (Photo)

A: Why does my nose look crooked in photos? Any procedure I could do that won't make me look fake? And how much?

I do not think that it would be worthwhile to perform surgery for that one reason.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 2:33pm
Update your answer

Q: I have wide nostrils and a bulbous tip, what sort of plasty should I be aiming to get? (Photo)

A: I have wide nostrils and a bulbous tip, what sort of plasty should I be aiming to get?

  I think that an alar base reduction and tip refinement would be beneficial.  I do this type of reduction nose surgery every week.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 2:31pm
Update your answer

Q: Are there any plastic surgeons whose practice focuses on rhinoplasty and revision rhinoplasty, besides Dr. Naderi?

A: Are there any plastic surgeons whose practice focuses on rhinoplasty and revision rhinoplasty, besides Dr. Naderi?

Some surgeons are much busier than others.  I would make sure that the surgeon you choose performs at least 100 rhinoplasties a year, has great reviews, and great before and after pictures.

Kenneth Hughes, MD

Los Angeles, CA
Apr 16 '14, 2:29pm
Update your answer

Q: Why is my nose changing shape?

A: Why is my nose changing shape?

An exam would be necessary to make a determination about this.

Find a plastic surgeon who performs hundreds of rhinoplasties, has great reviews, and has great before and after pictures.

Kenneth Hughes, MD

Los Angeles, CA
Apr 13 '14, 1:39pm
Update your answer

Q: Would rhinoplasty be the best move to make my face more attractive/feminine? (Photo)

A: Would rhinoplasty be the best move to make my face more attractive/feminine?

The tip and dorsum can be refined with a closed rhinoplasty so that there is no visible scar.

Find a plastic surgeon who performs hundreds of rhinoplasties, has great reviews, and has great before and after pictures.

Kenneth Hughes, MD

Los Angeles, CA
Apr 13 '14, 1:30pm
Update your answer

Q: Will insurance fix my nose that I broke at six years old? (photos)

A: Will insurance fix my nose that I broke at six years old?

Insurance will not cover anything cosmetic, even those issues associated with trauma.  Insurance may cover breathing issues.

Find a plastic surgeon who performs hundreds of rhinoplasties, has great reviews, and has great before and after pictures.

Kenneth Hughes, MD

Los Angeles, CA
Apr 12 '14, 10:18am
 

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