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Rhinoplasty (Nose Job)

Rhinoplasty - Your Nose. Transformed.

Rhinoplasty may be the most challenging procedure in plastic surgery of the face. It is the focal point of the face and one of the defining features of your profile. It has the ability to unite the features of the face and improve confidence. A nose job or rhinoplasty can not only address any concerns you have with the appearance of your nose, but can also improve your breathing. Whether you’re looking to get rid of a “dorsal hump” or you’ve had trauma to your nose, we can create the right nose for you. 

My passion for rhinoplasty began during my training while focused on cleft lip nasal deformities. My apprenticeship included assisting in over 80 rhinoplasties, performing my own surgeries and always having the humility to review my results and always strive for improvement. I continued to seek out pioneers in the field of rhinoplasty and have been blessed to learn from some of the best rhinoplasty surgeons in the world.  

As opposed to older approaches to rhinoplasty, when patients were left with tiny little “ski jumps”, I understand that there is no one perfect nose for everyone. Unless you have a twin, the nose that is right for you will likely not fit anyone else’s face. 

Rhinoplasty Before 1
Rhinoplasty After 1
Rhinoplasty Before 2
Rhinoplasty After 2

Incision

Rhinoplasty can be performed “open” or “closed”. The difference is a small incision placed across the columella (skin in between the nostrils) of the nose in an open procedure. I perform both methods depending on your goals and the surgical maneuvers required to achieve your golas.  Even in an “open” rhinoplasty, the scar all but disappears. The procedure varies in length depending on the goals of the surgery with times varying between 2-4 hours. A primary rhinoplasty (the first nasal surgery) is typically shorter than a revision rhinoplasty, but again, every procedure is unique. We recommend that all rhinoplasty surgery be performed in an accredited surgical facility under general anesthesia. The surgery is an outpatient procedure so that you can go home the same day, but you will need a friend or family member to drive you home and stay with you overnight.

Downtime

Downtime is typically 1-2 weeks depending on the extent of the procedure. There can be some swelling and bruising that migrates into the lower eyelids. You will have a small splint on your nose and inside your nose for the first week. A few small sutures will also be removed after the first week. You will be able to enjoy the new shape of your nose when the splint is removed and you will notice continuous improvement in the shape and detail of the nose for up to a year after the procedure.

Closed Rhinoplasty
Closed Rhinoplasty

Rhinoplasty Price

The cost of a typical rhinoplasty is around $10,000. This will vary depending on where the procedure is performed and whether we will address problems with your septum or breathing. Functional Rhinoplasty (nose job for breathing) and otherwise reconstructive nose surgery can be covered by your health insurance. 

Male Rhinoplasty

The goal of rhinoplasty in men is different than women. While a smaller nose and lower profile is typically desired in women, a straight strong dorsum is more appropriate for men. Men also benefit from a less up-turned nose and may have more breathing difficulties before surgery and are more likely to have a history of nasal trauma. Preservation rhinoplasty has also given us the ability to maintain a more natural Romanesque dorsum than was possible with older methods of rhinoplasty. 

Asian Rhinoplasty Revision
Asian Rhinoplasty

Preservation Rhinoplasty

Preservation rhinoplasty is a technique that is used to minimize trauma to the nasal skin, while preserving most of the structures and ligaments of the nose in order to create natural, durable results. The downtime and swelling can be minimized, particularly in patients that have thicker skin. Tiny, residual swelling can persist for up to 1 year after rhinoplasty surgery, and therefore anything to decrease trauma to the nasal structures at the time of surgery can help the recovery process. 

Rhinoplasty before and after Kentfield, CA
Rhinoplasty after Tiburon, cA

Ethnic Rhinoplasty

An ethnic rhinoplasty is simply an appreciation of the fact that a “beautiful” nose is different around the globe. The goals and techniques used to refine the features of your nose do not have to sacrifice the characteristics of your heritage. 

Asian revision rhinoplasty
Nose Job Before and after Marin county

Revision Rhinoplasty

If you have had nose surgery previously and are interested in correcting a new or remaining deformity, revision surgery is typically more complex than the original procedure. Many times these secondary or even tertiary procedures require rebuilding a solid yet refined nasal structure that can tolerate the deforming forces of scarring during the healing process. Furthermore, it may be necessary to use cartilage from another body part (ear or rib cartilage) if the cartilage in the nose was harvested at the original surgery.

Skin Cancer/ Moh's Reconstruction

Not all nose surgery requires addressing the underlying structure of the nose. If you have been diagnosed with skin cancer, we can work with your dermatologist or Moh’s surgeon in order to replace the soft tissue that has been lost during cancer resection.

Request a Consultation Today

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Dr. Rankin is one of the most intelligent and caring doctors I have ever had. He is a renowned surgeon and I’m so thankful for his work. Dr. Rankin goes above and beyond to care for his patients, answer questions, and ensure the best outcome. He is incredible! I would recommend him to absolutely everyone!

Breast Reconstruction

Dr Rankin was a referral from a good friend. From the start his knowledge and bedside manner was impeccable. He took all the time needed to explain the procedures I was going to have and assured me that he could get the results I was looking for. What was so encouraging to me is his understanding and patience of how long I had been wanting to do this. After the procedure he was there 24/7 for any questions. He called in additional scripts when needed and even went above and beyond to get some in home therapy services to provide hydration and vitamin therapy! All I can say is Wow! The results are coming, but he has made my journey so much easier and healthier. His knowledge is so expansive not only in surgery but also very resourceful in every aspect of your recovery. Thank you Dr. Rankin!

360 Liposuction

Desiree
Dr. Rankin is a brilliant surgeon coupled with the most professional comforting bedside manner -a rare combination! Dr. Rankin did the most amazing job closing A three month open wound in my stomach that would not heal. I feel human again - four weeks postop my scar looks amazing! I will definitely refer Dr. Rankin to anyone looking for an excellent plastic surgeon!

Breast Surgery

Kerri
I had a cancer on my face and he removed it completely and there is hardly any visual or other signs of it whatsoever; he was super in consultation and post operative; needless to say, I'm one happy, very happy patient; I would use him again and recommend him highly.

Mohs Reconstruction

Mark
The procedure went great and I’m very happy, excellent work. I had a Asian Rhinoplasty done as well as a Forehead Reduction.

Asian Rhinoplasty and Forehead Reduction

Joel
Very knowledgeable and interested in my needs and letting me know how what he suggest and what I need can work together. He was very easy to understand and made me very comfortable

Rhinoplasty

SF
The office staff and Dr. Rankin were all very attentive, took their time, and were very personable. Both the patient care coordinator and Dr. Rankin sat in the office and answered all the questions I had, plus offered other information about the procedures and recovery I had not thought about. They were very transparent about what would and would not give me the best outcome for the areas I was concerned about. They were organized, efficient, and very welcoming

Mommy Makeover

LH
I love Dr.Rankin, he made my experience so comfortable, he knows just what you want, and his Patient Care Coordinator Inger Fredricks is amazing too! I have already recommended him to my friends as they see my., results unfold, and they seem pretty excited to meet him as well! I had a breast augmentation, with a lift. I also had liposuction with Renuvion. I also had a abdominoplasty.

Mommy Makeover

Joanne
Absolutely excellent. I couldn’t be happier with the results I’m getting and with Dr. Rankin and his staff. The physical result is wonderful - as good or better than I envisioned.

Fantastic Experience and Results

Laurie
Dr Rankin (and Dr Aycock) have provided a level of expertise and sensitivity to my queries that is unparalleled. They spend as much time and care with their patients and go above and beyond educating and making sure the procedures are perfectly matched to their patients needs and desires. The clinical staff in Ingrid is 24/7 always there and available to support in the kindest way possible! I feel so well taken care of, thank you!

Facelift

D.J.
e
”Dr. Rankin is a highly professional plastic surgeon. My after surgery results are the best ones I have ever seen! Great before and after care and during healing. He is there every step of the way to answer and help with all the questions and concerns.”

Best Breast lift

K.T. Patient
”Dr. Rankin is one of the best young surgeons! He is very caring - listens - just a fantastic personality! Highly Recommended. Dr. Timothy Rankin!!”

Dr. Rankin is Caring

B.L. Patient
”Dr. Rankin transformed my neck from a severe triple chin to one that is well sculpted with appropriate muscles clearly visible. I highly recommend him.”

I had a Triple Chin...

Alan B. Physician/ Patient

Want to Read More?

The American Society of Plastic Surgeons has compiled an incredible resource for patient education.