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Scar Tissue Matters for Los Angeles Rhinoplasty Patients

Scar Tissue Matters for Los Angeles Rhinoplasty Patients

cosmetic face6 - Scar Tissue Matters for Los Angeles Rhinoplasty Patients | Beverly Hills | Los AngelesWhen you think about the dynamics of your facial features, you'd be surprised just how much difference a minor adjustment can make. That's why rhinoplasty has proven to be such a dramatic procedure to perform. Simply by making subtle changes to the bridge of the nose, you can alter the complete appearance of your face.

Many patients have questions about scarring after they undergo rhinoplasty. We'd like to take just a few moments right now to go over the basics of rhinoplasty scarring and what you need to know.

About Rhinoplasty

It's probably best to cover some of the basics of rhinoplasty first before we discuss surgical scarring. Also known as a nose job, rhinoplasty is a procedure in which the shape and size of the nose is surgically altered in order to add prominence to other facial features and improve overall facial aesthetics.

Is there scarring after rhinoplasty?

As any facial plastic surgeon will tell you, scarring is a natural part of surgery. It is your body's natural response to trauma, so it will occur after you undergo an elective procedure or a medically necessary one.

Now with that in mind, we do want to point out that the scars that result from rhinoplasty are generally small and/or well-hidden, and that they are hard to notice so long as patients heal properly and without complications.

Incisions Made During Rhinoplasty Surgery

The scars that you will experience after you undergo the nose job will depend on the rhinoplasty surgical method that is used. There are two options:

  • Closed Rhinoplasty – The incisions during closed rhinoplasty are made entirely within the nostrils.
  • Open Rhinoplasty – During an open rhinoplasty, an external incision is made on the skin between the nostrils (the columella) through which the surgeon will make his or her adjustments.

The incision method that a surgeon uses will ultimately depend on your aesthetic goals. Open rhinoplasty allows for greater adjustment of the overall structure of the nose, whereas closed rhinoplasty tends to be limited by comparison in the amount of structural adjustment that can be made.

Avoiding Major Scarring After Rhinoplasty

Regardless what kind of rhinoplasty is performed, there are a number of things that a patient can do to ensure proper healing and as little scarring as possible. It's imperative that patients follow their surgeon's instructions for post-operative care to the letter. These instructions help ensure the most efficient healing and quickest recovery time.

If patients notice any undue pain or discomfort, they should contact their surgeon immediately to ensure that they get the care that they need as soon as possible.

Other Concerns Regarding Rhinoplasty

In addition to scarring, many patients have questions about ethnic rhinoplasty for adjusting the prominence of the nose and revision rhinoplasty to correct complications from a previous surgery. We will be more than happy to discuss all of these matters in full detail when you stop by the practice for a consultation.

Learn More About Rhinoplasty

For more information about nose job surgery and your many options for facial rejuvenation and aesthetic enhancement, be sure to contact our Los Angeles rhinoplasty / facial plastic surgery center today. The entire team here looks forward to meeting you in person and helping you achieve the best possible cosmetic results.

Rhinoplasties and Patient Safety

Start with a Checklist

In Atul Gawande’s New York Times Best Selling book, The Checklist Manifesto, the physician describes the importance of checklists. From building skyscrapers to running hospitals, checklists ensure projects and procedures are safe and effective. In my industry, there are multiple ways to measure the patient-safety record of a plastic surgeon. For example, the Institute for Safety in Office-Based Surgery has an ISOBS patient’s checklist. In the checklist, ISOBS stands for Inquire, Stable, Office, Best, Suited, Plan, and Communication. Each word has a question associated with it:


Inquire: What are my doctor’s credentials?

Stable: Are my medical conditions stable?

Office: Is the office accredited and licensed?

Best: Is the office the best place for my procedure?

Suited: Can this office handle an emergency?

Plan: After the procedure, what is the plan for my recovery?

Communication: After the procedure, who should I call if I have questions?


I recommend using the ISBOS patient’s checklist. As much as the medical industry is highly regulated, there remains room for procedural variation, and the ISOBS checklist is a consistent method of comparing doctors. I’ll provide two examples to illustrate my point.

Safety Checklist - Rhinoplasties and Patient Safety | Beverly Hills | Los Angeles




Part of “Inquire” involves asking the “yes” or “no” question, “Does the doctor have privileges to perform the same procedure at the hospital?”

This question addresses the surgeon’s expertise, credentialing, and reputation. Hospitals have the medical industry’s highest standards. Thus the length of time a surgeon has had hospital privileges points to his or her long term performance in the operating room. Years of hospital privileges indicate a surgeon has upheld high safety standards and maintained a long track record of safely completing procedures.

When you’re searching for the best doctor to perform your nasal reconstruction, you want to make sure he or she has considerable experience performing this procedure. In particular, this checklist item separates newcomers from experts who have completed countless procedures and know how to address multiple what-if scenarios.

Next, “Office” asks the question “Is the office accredited and licensed?” “Accredited” refers to AAAASF (American Association for 

Accreditation of Ambulatory Surgical Facilities) often referred to as the “gold standard” for quality patient care. I currently serve as president of AAAASF.  

Some, plastic surgery practices, such as mine, have in-house, accredited surgery centers where doctors can perform rhinoplasties. If your surgeon has an in-house surgical facility, make sure it has earned the AAAASF seal of approval, or accreditation from one of the other accrediting associations . If not, my simple suggestion is to move on to another doctor.


Due to the delicate nature of rhinoplasties, you should only trust skilled surgeons who have accrued a long list of satisfied patients and track record of performing procedures safely. While the subject matter of plastic surgery safety will most likely never make the cover of a popular magazine, assessing a doctor’s safety record is one of the most important steps to experiencing a satisfying surgery that will provide the long term benefits you’re looking for. By using the ISOBS patient’s checklist as a guide, you’re off to a solid start.