The Different Types of Rhinoplasty Explained

We often tell our patients plastic surgery is not a one-size-fits-all solution. Every patient has unique anatomy and different cosmetic goals. But when you’re considering nose surgery, this truism takes on a higher level of relevance. But, when you choose triple board-certified plastic surgeon Dr. Ali Sajjadian, you will have access to multiple rhinoplasty techniques to enhance your facial appearance and nasal function.

From traditional rhinoplasty to ethnic rhinoplasty to revision rhinoplasty, few surgeons in Southern California or the entire country can deliver such outstanding results. In this post, we’ll explain different types of rhinoplasty in detail.


Also known as a nose job, rhinoplasty helps men and women self-conscious about their nose’s appearance. Whether it’s oversized, undersized, humped, has a bulbous tip, or is extraordinarily wide, a rhinoplasty will fix all these issues. It will also bring your other facial features into balance.

A successful nose job requires a reshaping of the nose. Because it is your central facial feature, flaws due to size, shape, or other malformities dramatically affect your appearance. But here’s the good news – so can a correction.

Dr. Sajjadian offers various forms of rhinoplasty, including open rhinoplasty, closed rhinoplasty, and Tiplasty.

Closed Rhinoplasty

Incisions performed during an open rhinoplasty weaken the nasal structure and undermine the stability and shape. There are fewer surgeons in Orange County and America skilled in the closed technique than open.

Closed rhinoplasty utilizes a less invasive technique, leaving no scars. Recovery is easier with less bruising and swelling after the operation. Recovery and downtime are shorter as well.

Preservation Rhinoplasty

Preservation rhinoplasty is a nose-adjustment surgery aiming to preserve much of the patient’s nose structural tissue. The procedure requires sophisticated surgical skills. Dr. Sajjadian alters the nose’s shape by strategically eliminating small amounts of cartilage and bone from beneath the nose bridge. By doing so, he can reduce the height of the nose bridge (nasal dorsum) without shifting the patient’s dorsal lines.

Traditional destructive rhinoplasty techniques usually include removing the nasal hump by multiple floating nasal bone fractures and excision. These methods can create complications later during the natural healing process.

Dr. Sajjadian alters the nasal bridge’s height with preservation rhinoplasty by taking cartilage and bone from underneath the nose. This technique maintains the natural appearance of the nose while adjusting the size of the bridge. The benefits gained from preservation rhinoplasty are much more satisfactory for patients, and the need for revision rhinoplasty is less likely.

Revision Rhinoplasty

Rhinoplasty is one of the most complex surgeries in medicine. When a previous surgery has compromised your nose’s structural integrity, revision rhinoplasty may be necessary. A thorough evaluation with sophisticated imaging technology is essential to form an in-depth understanding of nasal structure and issues.

Dr. Sajjadian performs several revision rhinoplasty procedures to correct or improve outcomes resulting from another surgery. It takes a dedicated plastic surgeon’s skill and experience to deliver outstanding results when nasal support, shape, or size needs improving.

With the added risk of revision rhinoplasty, it’s necessary to choose a skilled rhinoplasty surgeon with training and certifications to give them a unique insight into nasal surgery.


Grafting is often necessary for all forms of rhinoplasty. There are different types that Dr. Sajjadian incorporates when needed. They include:

Spreader Flaps

Dr. Sajjadian employs spreader flaps when addressing bumps on the nasal bridge or a droopy nose tip. This technique is more precise than a conventional humpectomy involving the resection of the bone and septum as one unit.

Spreader Graft

When the nasal bridge’s center appears crooked, pinched, or narrow because of a functional concern that causes a nasal collapse or breathing difficulties, Dr. Sajjadian uses a spreader graft. This technique serves two functions, correct cosmetic imperfection and improves nasal function. Spreader grafts are made from cartilage, usually from the septum. Still, the ear is possible if nose cartilage is too scarce.

Columellar Strut

A columellar strut may be required if making necessary incisions to perform rhinoplasty destabilizes the nose’s natural tip support.

To maintain adequate tip support after surgery, Dr. Sajjadian often places a cartilage graft between the medial crura that make up the columella to add support. The graft is fashioned using cartilage from the septum, rib, or ear. Once sculpted, the graft is placed with dissolvable sutures. With time the graft scars into place and helps maintain proper tip projection.

Ethnic Rhinoplasty

Ethnic rhinoplasty is an advanced approach to nose surgery that helps patients of Hispanic, Middle Eastern, African, or East Asian descent achieve beautiful nasal contours. Ethnic people often have distinct nasal structures different from Caucasians. These patients need a highly-skilled rhinoplasty surgeon who has vast experience with various nasal forms and structures to achieve their desired outcomes.

Newport Beach triple board-certified plastic surgeon Dr. Ali Sajjadian has extensive experience in rhinoplasty techniques. His artistic approach sculpts the nose to beautiful facial balance to enhance natural beauty relative to race and ethnicity. He strives to produce subtle changes to achieve natural and appealing results. Under his exceptional care, patients achieve superbly balanced facial features and a boost in self-confidence.

Ethnic rhinoplasty is different from traditional rhinoplasty because it involves focused attention on unique nasal structures and features. For this reason, many patients of ethnic backgrounds travel long distances to seek Dr. Sajjadian’s care. Using his excellent surgical skills, Dr. Sajjadian reshapes the nose to create results, improving overall facial harmony. He feels proud that many of his rhinoplasty patients report no one realizes they have had aesthetic nose surgery.

Teenage Rhinoplasty

Whether for functional or aesthetic purposes, rhinoplasty can significantly improve a teen’s confidence and positively impact the way they view themselves. Some will argue that a teenager is not ready to make this decision independently, which is why parents and teenagers who are under 18 both have to agree on the surgery. Furthermore, Dr. Sajjadian only performs surgery on patients who are older and have completed facial growth. Besides the many cosmetic benefits of teen rhinoplasty, the surgery also offers breathing improvements that can enhance exercise, sleep, and overall quality of life.

Rhinoplasty for Men

Male rhinoplasty is a type of nose surgery that is mindful of the facial characteristics that are unique to men. Male rhinoplasty masculinizes the nose to improve one’s overall facial appearance. There are several distinctions between the male and female nose. The male nose commonly has:

  • a higher bridge and is wider than a woman’s nose
  • a greater tip projection than a woman’s nose
  • a prominent, straight bridge
  • a nasal tip that projects at a 90-degree angle between the nose and upper lip

As with other rhinoplasty surgeries, the procedure can improve both appearance and function. Dr. Sajjadian has expertly performed countless successful rhinoplasties on male patients and is highly skilled in the procedure.

Minimally Invasive Nasal Correction

Dr. Sajjadian begins a non-surgical rhinoplasty by applying a topical numbing cream to ensure your comfort. Once the treatment site is numb, Dr. Sajjadian injects dermal fillers in targeted areas throughout the nose. The entire treatment is only 15 minutes!

Some patients opt to have fat harvested from donor sites and grafted to the nose. Dr. Sajjadian will discuss your options in-depth to decide whether you might be a good candidate for this non-surgical approach or if a traditional rhinoplasty would be better for your desired results.

Patients can return to work immediately after undergoing this non-invasive procedure. While a non-surgical rhinoplasty is not a permanent solution like a traditional nose job, many of our patients choose this procedure for the shorter recovery time and outstanding results.

Nasal Obstruction Correction

Nasal obstruction correction treats breathing difficulties involving nasal air passages. Some patients experience impeded nasal airflow because of genetics or injury, such as a nasal bone fracture. Frequently, irregular nasal passages or structural flaws lead to blockage. Patients may need partial removal of enlarged tissues, or turbinates, to clear the airway. These nasal obstacles can lead to several adverse health conditions, including headaches, nosebleeds, sinus infections, and breathing problems.

During the procedure, Dr. Sajjadian produces small incisions within the nostrils or across the skin between the columella’s nostrils. Next, he straightens a deviated septum and surgically extracts enlarged nasal tissues to increase nasal airflow. If necessary, he corrects nasal fractures healed in a shifted position. Having cleared the nasal passages, he closes the incisions and dresses the nose in gauze.

Nasal obstruction surgery typically takes one hour to complete, with most patients returning home after the operation. Patients may experience some bruising on the nose, eye area, and upper lip that recedes within a few days following the surgery. Dr. Sajjadian recommends applying ice packs to the nose to minimize bruising and swelling. He also suggests nasal irrigation sprays several times a day once the nasal dressings are removed for a healthy recovery.

Why Choose Dr. Sajjadian?

s a leading nose surgeon in the Newport Beach and Orange County areas, triple board-certified plastic surgeon Dr. Sajjadian lends his extensive experience and exceptional surgical skills to all forms of rhinoplasty procedures.

He has extensive experience spanning three fields and disciplines. He has been performing rhinoplasty since his career began, his first involvement during his training in 1994. The philosophy he brings to his surgical team every day is natural-looking results. This does not happen by accident but by dedication, expertise, and commitment.

He is one of the few surgeons who hold certifications from the American Board of Plastic Surgery, the American Board of Facial Plastic Surgery, and the American Board of Otolaryngology. Reach out to Dr. Sajjadian, and be sure to take a look at his rhinoplasty before and after photo gallery to see pictures of his actual patients!

Schedule a consultation today!