San Diego Nose Job Specialist | La Jolla Rhinoplasty Surgeon

Your nose is a prominent facial feature and plays a major role in determining how you look. Rhinoplasty (nose job) surgery is performed to improve the shape and  proportion of your nose. A well-defined, contoured nose will enhance and harmonize with your other facial features.  Dr. Kolstad’s most important goal with every rhinoplasty is achieving a perfectly natural result.  Period.  Your nose should be in balance with your eyes, cheeks, lips and chin.  

The changes you achieve with surgery should be for you to enjoy without other people knowing that you had something done.  When performed correctly rhinoplasty should lead to natural appearing results that even the best rhinoplasty surgeons are unable to tell if it was the nose you were born with or not.

In short, rhinoplasty surgery is complicated. Without question, rhinoplasty requires a surgeon who specializes in plastic surgery of the face. Dr. Kolstad will not take any shortcuts during your surgery, spending an average 3-3.5 hours making sure that your nose will look and function at its best.

Dr. Kolstad’s analytic approach distinguishes him from his colleagues. He believes in a customized approach that is specific to the way that your nose will harmonize with your face.

Dr. Kolstad learned his technique from one of the best rhinoplasty surgeons in the world. He spent an entire year in New York working exclusively with one of the world’s premier Facial Plastic Surgeons.

“You do not learn plastic surgery from a book or by watching a video. You learn to become the best by working with the best.”

He will illustrate his surgical goals and direction using state-of-the-art computer imaging software. During the image enhancement session, you will have the opportunity to express your likes and dislikes about the shape of your nose. Your aesthetic goals will be incorporated into the image enhancement. You will have the final say in determining if this is the right nose for you.

Remember, if it doesn’t look natural, it doesn’t look good. Dr. Kolstad’s goal is for you to enjoy the new shape and contours of your nose in the mirror and in photographs. Your friends and colleagues should compliment you on the shape of your nose without ever recognizing that it was done.

Look around, there are no pinched nasal tips on this site!

At Kolstad Facial Plastic Surgery our patient safety is paramount. Dr. Kolstad believes the safest place to perform a rhinoplasty is in a state-licensed surgery center staffed with board-certified anesthesiologists and nurses. Many doctors try to increase their revenue by performing surgeries in their offices without the assistance of anesthesiologists or nurses.

During his rhinoplasty procedures Dr. Kolstad prefers an “open approach” to the nasal framework. With this technique, incisions are primarily located inside of your nostrils, with only a small incision placed across the columellar skin. When sutured together properly the columellar incision heals so well that it is very inconspicuous.

The open approach allows for a direct view of the nasal structures leading to a more predictable result. During a rhinoplasty procedure Dr. Kolstad will use cartilage from your septum, (possibly ear or rib in revision cases) to enhance the definition of your nose and to provide support.
During your consultation Dr. Kolstad will evaluate the structure of your nose in relation to the shape of your face, the thickness of your skin, your height and your age. He will work with you to try to make your nose complement your other facial features.

The incision used for open rhinoplasty is depicted in the image.

IS SAN DIEGO RHINOPLASTY RIGHT FOR ME?

The following are some concerns that can be addressed during rhinoplasty surgery:

  • A nasal tip that droops, is over projected, is asymmetric or is too broad.
  • Nostrils that flare when you smile or collapse when you breathe in.
  • A crooked bridge or dorsal deviations.
  • A hump on the bridge of the nose.
  • Deviated septum, inferior turbinate hypertrophy or difficulty breathing.

Frequently Asked Questions About San Diego Rhinoplasty Surgery

rhinoplasty-incision

The W-shaped incision used for open rhinoplasty is depicted in the image.

A) The external incision is placed on the narrowest part of the columella and shaped like a “W”. When repaired using plastic techniques this incision can be difficult to find and tends not to bother most patients.

B) There are two internal incisions hidden on the under surface of the nostrils and one internal incision on the septum.

incisions-for-nostril-and-alar-base-reductionA) If the nostril is too large a “pie” shaped wedge is removed where the nostril inserts onto the face. Even when repaired using plastic techniques this incision will appear like a faint red line that can be visible to a viewer.

B) If the nostrils are too wide a “pie” shaped wedge is removed from the base of the nose. When closed using plastic surgery techniques this incision is sometimes visible as a faint red line.

It takes two to three weeks for the majority of swelling to be reabsorbed from your nose. As the swelling is removed, your nose will become more contoured and the definition will enhance
It takes a full 12 months for 100% of the swelling to be completely gone. The nasal skin must shrink-wrap to the new framework and definition. This takes time. Throughout the postoperative period, Dr. Kolstad will use medicines to contour the nasal skin and enhance your result.
It is common for some bruising under your eyes after San Diego rhinoplasty surgery. With frequent use of ice packs the bruising is typically minimal and does not bother the majority of people. Dr. Kolstad recommends that his patients obtain cover-up make-up prior to surgery to help camouflage any postoperative bruising.

A frequent concern of our patients is looking “plastic” after a La Jolla rhinoplasty procedure. There are limitless examples of unnatural, operated results. When surgeons remove too much structure, the nasal tip can look overly narrow.

It is very important to choose a San Diego plastic surgeon that specializes in operating on the face. Dr. Kolstad is an expert in nasal cosmetic surgery and is known as the face specialist, because put simply, that is all he does.

The rhinoplasty cast will stay on for one week. After removal of the splint, your nose will be a little swollen and “puffy”. However, even when swollen, your nose will look better than it did before surgery.

A healed incision 12 months after open rhinoplasty is depicted in the image.

A healed incision 12 months after open rhinoplasty is depicted in the image.

The internal incisions are on the undersurface of the nostrils and the septum and are rarely visible. The incision on the columella heals very well and is frequently only barely perceptible.

What Is The Best Rhinoplasty For Me?

Every face is unique. Dr. Kolstad’s expertise in rhinoplasty allows him to design a procedure that fits your features, ethnicity and background.

Dr. Kolstad’s Rhinoplasty Blogs & Additional Information

Recovery from rhinoplasty is easier then you might think. It is uncommon for patients to complain of pain with many only using prescription pain medicine for the first two days.

Your procedure will be performed under anesthesia, and you will require a ride home after your surgery. Dr. Kolstad will call you or a family member on the night of surgery to make sure that you are feeling ok and to answer any questions.

Bruising and swelling after surgery should be expected. “Raccoon eyes” are almost always part of rhinoplasty surgery and improve over the course of a week or two. Dr. Kolstad recommends purchasing thick cover up make-up prior to the procedure if you are concerned about bruising. During the first few days after surgery ice packs placed around the nose will minimize any bruising.

You should refrain from strenuous activities for two to three weeks. Pushing the limits early in the recovery process can lead to delayed healing and difficulties. Dr. Kolstad will inform you when it is safe to resume exercising.

If you have questions about rhinoplasty surgery, please contact Kolstad Facial Plastic Surgery to schedule a consultation with Dr. Kolstad. You may call our office at 858.859.2563 to schedule your appointment today. We are conveniently located in in La Jolla between I5 and I 805. We serve men and women in La Jolla, Del Mar, San Diego, Rancho Santa Fe, Solano Beach, Encinitas and Southern California.

Recovering From Rhinoplasty

Nonsurgical Rhinoplasty

Can I have a nose job without going to surgery? What is injectable rhinoplasty? I have a small nasal bridge do I need surgery to fix it?

These are common questions asked in Dr. Kolstad’s San Diego plastic surgery office. The good news is that not everybody looking to enhance the appearance of their nose needs surgery. If you are happy with the shape of the tip of your nose and pleased with the size of the nostrils, you may be a candidate for nonsurgical rhinoplasty.

Nonsurgical rhinoplasty is a procedure performed in the office to increase the size of a nasal bridge or soften a nasal hump. This procedure is most often sought by Asian and African American patients looking to add volume and definition to the part of the nose that rests between the eyes.

Adding volume to a diminutive nasal bridge can have a dramatic impact on the entire face. Injectable rhinoplasty is most noticeable on profile view. Nonsurgical rhinoplasty can soften a nasal hump or add volume to a small nasal bridge.

WHAT CAN BE CORRECTED WITH NONSURGICAL RHINOPLASTY:

A nasal bridge with a hump can be straightened

A nasal bridge that is scooped...

If you have questions about injectable rhinoplasty surgery, please contact Kolstad Facial Plastic Surgery to schedule a consultation with Dr. Kolstad. You may call our office at 858.859.2563 to schedule your appointment today. We are conveniently located in in La Jolla between I5 and I 805. We serve men and women in La Jolla, Del Mar, San Diego, Rancho Santa Fe, Solano Beach, Encinitas and Southern California.

Bruising under your eyes should be expected with every rhinoplasty. When the nasal bones are narrowed there is almost always a little bleeding underneath the skin. Dark circles under the eyes usually don’t appear for at least 24 hours and typically peak within the first 2 days after surgery.

When the rhinoplasty cast is removed seven days after surgery the bruising has typically evolved into yellow-brown circles. At this point any residual dark circles under the eyes can be camouflaged with thick, cover-up make-up. Most people do not have any bruising 10 days after surgery.

Sometimes bruising does not ever completely go away and there can be dark circles under the eyes months after rhinoplasty. There is a genetic predisposition for permanent bruising typically found in Mediterranean ethnicities: Italians, Greeks, Spanish, Moroccans, ect. Instead of the bruise being resorbed back into the body, iron deposits are left behind in the skin. These hemosiderin deposits stain the skin brown and are permanent.

The good news is that like many pigmented lesions or sun spots, hemosiderin deposits have treatments. Six weeks of topical hydroquinone 4% followed by a Glycolic or TCA peel will typically remove even dark hemosiderin skin stains and have the skin looking refreshed and as good as new.

If you have questions about rhinoplasty surgery, please contact Kolstad Facial Plastic Surgery to schedule a consultation with Dr. Kolstad. You may call our office at 858.859.2563 to schedule your appointment today. We are conveniently located in in La Jolla between I5 and I 805. We serve men and women in La Jolla, Del Mar, San Diego, Rancho Santa Fe, Solano Beach, Encinitas and Southern California.

Why Do I Have Dark Circles Under My Eyes a Month After Rhinoplasty?

Surgical and Nonsurgical Asian Rhinoplasty San Diego

A common request at Kolstad Facial Plastic Surgery is to increase the size of the bridge of the nose. Many of our Asian patients have trouble getting glasses to fit because the bridge of the nose is relatively flat across the face. If you are happy with the size and proportions of your nasal tip and nostrils but would like to increase the size of the bridge of your nose, there are 2 options.

1) Nonsurgical rhinoplasty: In the office injectable fillers like Juvederm or Voluma can be placed along the bridge of your nose to add height. There is minimal downtime, it is economical, and the fillers last about a year.

2) Bridge Augmentation rhinoplasty: If you are only concerned with the bridge of your nose a limited rhinoplasty can be performed to place a graft to increase the height of the nasal bridge.

If you have questions about Asian rhinoplasty surgery, please contact Kolstad Facial Plastic Surgery to schedule a consultation with Dr. Kolstad. You may call our office at 858.859.2563 to schedule your appointment today. We are conveniently located in in La Jolla between I5 and I 805. We serve men and women in La Jolla, Del Mar, San Diego, Rancho Santa Fe, Solano Beach, Encinitas and Southern California.

Asian Rhinoplasty

How Much Does A Nosejob Cost?

There are a number of specific considerations which determine the cost of rhinoplasty, the cost of facelift surgery, or any other cosmetic procedure.

Generally speaking, prices will vary based on geographical region similar to housing prices. The operational costs of an office in Beverly Hills are greater than a similar office in South Dakota, and that difference will be reflected in the costs of cosmetic nose surgery.

The cost of rhinoplasty is also dependent on the unique characteristics of a patients nose as well as the complexity of the procedure. A revision surgery is significantly more challenging and will consequently cost more.

In addition, every surgeon will charge a little bit differently based on expertise, availability and reputation. It is important to remember that the cheapest option is frequently not the best deal. You only get one nose, you should only trust it to a specialist.

If you have questions about rhinoplasty surgery, please contact Kolstad Facial Plastic Surgery to schedule a consultation with Dr. Kolstad. You may call our office at 858.859.2563 to schedule your appointment today. We are conveniently located in in La Jolla between I5 and I 805. We serve men and women in La Jolla, Del Mar, San Diego, Rancho Santa Fe, Solano Beach, Encinitas and Southern California.

Revision Rhinoplasty

Revision rates with inexperienced physicians have been reported to be as high as 20%. Rhinoplasty surgery is complicated and without question requires an experienced surgeon who specializes in plastic surgery of the face. While a dissatisfying outcome in nasal cosmetic surgery is possible in the most skilled hands, more commonly it comes from the hands of the occasional nasal surgeon.

If you are unhappy with the outcome of your nose job, you may be a candidate for what’s called a revision rhinoplasty. Revision rhinoplasty tends to be far more challenging then a primary surgery for a variety of reasons. Revision rhinoplasty requires an ability to understand both the original structure of your nose and the alterations made during your initial surgery. Patients who have undergone nasal surgery in the past will have scar tissue which will increase the complexity of the procedure. In addition to scar tissue the cartilage that was removed to reshape a nose during the first surgery will no longer be available.

In most revision procedures cartilage will need to be borrowed from the patient’s ear or rib in order to improve nasal form and function. Occasionally implants made of Gortex or Porex can be placed to restore height to the nasal bridge. If a patient wishes to avoid additional surgical scars or procedures, cadaveric rib can be sculpted and used to recreate the nasal framework. In short, revision rhinoplasty is an advanced procedure that requires highly sophisticated training, expert techniques and the hands of a specialist.

If you have questions about revision rhinoplasty surgery, please contact Kolstad Facial Plastic Surgery to schedule a consultation with Dr. Kolstad. You may call our office at 858.859.2563 to schedule your appointment today. We are conveniently located in in La Jolla between I5 and I 805. We serve men and women in La Jolla, Del Mar, San Diego, Rancho Santa Fe, Solano Beach, Encinitas and Southern California.

Nose surgery (rhinoplasty) can be performed for many reasons. Many times patients are not concerned with the size and shape of their nose, but have a difficulty breathing through one or both sides of their nose. When the goal of surgery is to improve the way the nose works it is termed a “functional rhinoplasty”. The following complaints can be addressed with San Diego functional rhinoplasty:

FUNCTIONAL RHINOPLASTY

A deviated septum
A crooked nose resulting from trauma (broken nose)
Difficulty breathing from either side of the nose
Nostrils that collapse when taking a deep breath
A bumpy or humped nose

Rhinoplasty can also be performed to change the nasal appearance. By recontouring the nasal bones and cartilage the nose can be brought into balance with the rest of the face. A nose that is not ideally suited to a particular face can leave someone feeling self-conscious. The following are some concerns that can be addressed during La Jolla cosmetic rhinoplasty:

COSMETIC RHINOPLASTY
A nasal tip that droops, protrudes, or is too wide...

If you have questions about rhinoplasty surgery, please contact Kolstad Facial Plastic Surgery to schedule a consultation with Dr. Kolstad. You may call our office at 858.859.2563 to schedule your appointment today. We are conveniently located in in La Jolla between I5 and I 805. We serve men and women in La Jolla, Del Mar, San Diego, Rancho Santa Fe, Solano Beach, Encinitas and Southern California.

What is Rhinoplasty?

Asian Rhinoplasty in San Diego

Every nose is unique and requires specific alterations to bring it into balance with the rest of the face. This is even more true in ethnic rhinoplasty. In California ethnic rhinoplasty is a general term commonly referring to noses of Asian descent.

Asian noses tend to have fewer growth centers across the midface. This genetic predisposition reduces the height of the nose in relation to the cheeks, eyes and lips. A small nasal bridge can make wearing glasses difficult. A small nasal bridge can also make the midface appear relatively flat on the profile view. Asian noses tend to have thicker skin and nostrils that are a little wider. The nasal tips are less pointed and have less rotation These inherent differences make Asian rhinoplasty very different then nose jobs for Caucasians.

Many of our Asian patients are not looking to Westernize their nose. Instead they are seeking to augment a diminutive nasal bridge. Adding volume to a diminutive nasal bridge can have a dramatic impact on the entire face. The nasal bridge can be permanently enhanced during surgery or temporarily augmented using nonsurgical rhinoplasty. Injectable rhinoplasty is performed in the office and uses fillers such as Juvederm or Radiesse to add volume to a small nasal bridge.

The goal of Asian rhinoplasty is simple: to enhance one’s natural features and refine the others in a way that balances the nose in harmony with the rest of the face. Achieving this goal is best performed by the hands of a specialist.

Dr. Kolstad is a San Diego Facial Plastic Surgeon specializing in rhinoplasty that improves both the nasal shape and function . If you are considering Asian rhinoplasty in San Diego please contact Kolstad Facial Plastic Surgery to schedule a consultation with Dr. Kolstad. You may call our office at 858.859.2563 to schedule your appointment today. We are conveniently located in in La Jolla between I5 and I 805. We serve men and women in La Jolla, Del Mar, San Diego, Rancho Santa Fe, Solano Beach, Encinitas and Southern California.

Dr. Kolstad – Double Board Certified Facial Plastic Surgeon

PDFRhinoplasty Before and After Surgery Instructions

PREPARING FOR THE PROCEDURE: RHINOPLASTY

HOW TO CLEAN INCISIONS AFTER RHINOPLASTY

HOW TO REDUCE SWELLING AFTER RHINOPLASTY

HOW TO TAPE YOUR NOSE AFTER RHINOPLASTY

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To schedule an appointment call us at (858) 859-2563 or get in touch with the form below.

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