San Diego Rhinoplasty Specialist, Roy David, M.D., F.A.C.S, La Jolla Center for Facial Plastic Surgery, APMC, 3252 Holiday Court, Suite 206 • La Jolla, CA 92037 • Phone: (858) 658-0592
3252 Holiday Court, Suite 206 La Jolla, CA 92037 Phone: (858) 658-0595

Rhinoplasty in Depth

Rhinoplasty San Diego Nose Surgery Information

Many persons at one point or another contemplate having a nose job. Those who are serious about this procedure quickly learn that the medical term for a nose job is rhinoplasty. Primary rhinoplasty means you have not had a previous surgery on your nose. Revision rhinoplasty means you have had prior work, and are looking to improve upon or correct something. Ethnic Rhinoplasty refers to an operation on someone whose nose carries distinct ethnic traits, such as a shallow bridge, thick skin, or prominent nostrils.

As you may have guessed by the variety of terms used to describe it, rhinoplasty is widely considered the most complex and challenging cosmetic surgery procedure. The plastic surgeon must correct the cosmetic deformity while also keeping in mind that the nose is an organ of respiration that must be respected: "A beautiful nose is useless if you cannot breathe well through it."

Some of the most common complaints heard here in San Diego include bridge humps, wide noses, droopy nasal tip, wide nostrils, and the crooked nose. Dr. David commonly performs both primary and revision rhinoplasty, and is highly experienced with all ethnic nose types.

Examples of Nasal Surgery

Examples of Nasal Surgery, Front and Side Views

Surgical Philosophy

While some patients desire and benefit from dramatic changes in their nose, many seek only minor change. They often worry that friends will know what they had done, or that they won't look like themselves. We strive to achieve natural, beautiful result for our patients. Commonly, friends or relatives will take a double look and ask if you changed your hairstyle, rarely focusing in on the nose.

A beautiful nose will blend into the face, drawing attention toward the eyes, cheeks, or lips, and away from itself...

The Rhinoplasty Consultation

At your rhinoplasty consultation in our San Diego office, you will have an opportunity to point out your concerns and describe the type of nose you desire. The doctor will then examine your nose inside and out, and discuss options for addressing your concerns. Any potential breathing problems will usually be diagnosed at this point, and will be considered in planning your procedure.

Computer imaging is performed so that doctor and patient will be on the same page as far as your desired improvements. We strive to set realistic, attainable goals for you. If Dr. David feels the changes you desire are not attainable, this will also be discussed. Occasionally, patients may be offered ancillary procedures to enhance their result. These include chin implant or neck liposuction, both of which may dramatically affect the profile (side) view.

Dr. David may discuss a septoplasty or turbinate reduction if the breathing passages appear compromised or blocked. Neither of these procedures affects healing or recovery time. Nasal valve collapse is another common issue that may require correction using cartilage from your septum.

The Surgery

Most procedures are performed in our AAAHC certified in-office surgical suite in La Jolla. A board certified anesthesiologist will meet with you that morning to discuss anesthesia, which is usually general anesthesia, meaning you are completely asleep. Surgery usually takes one to three hours.

Dr. David may perform an open rhinoplasty, meaning a small incision will be used to visualize your tip and bridge. Open rhinoplasty is useful for crooked noses, severely deformed tips, and for revisionary surgery. Often, a closed or "endonasal" approach is used to achieve meticulous bridge and tip refinement in a finesse rhinoplasty. As a board certified, fellowship trained Facial Plastic Surgeon with over ten years of experience, Dr. David is equally comfortable performing both open and closed approaches, and will choose whichever will give you the best result.


A protective splint is generally worn on the nose for one week. During this time bruising or swelling may be noticeable around the eyes. After one week the splint is removed, along with any sutures that have not all ready dissolved. Your nose will often look quite good at this point , but swelling will be evident. Most swelling will resolve over the first month, but patients with thicker skin may require more time.

Our San Diego patients often go home directly after surgery, but out of town patients are required to spend one night next door to our office at the La Jolla Sheraton. Complications following rhinoplasty are very rare but may include minor bleeding, delayed healing, or need for a touch up. Our patients are followed closely for one year after their surgery to ensure that they have healed well and are satisfied with their results.

Please enjoy our gallery of before and after photos and call us with any questions you may have. We look forward to meeting you.

Dr David is a featured facial plastic surgeon with