Ali Sepehr, MD, Facial Plastic Surgeon


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Rhinoplasty is the name of the operation that improves the form (shape) and function (breathing) of the nose. It is one of the most common plastic surgery procedures, and it is popular among both men and women. Rhinoplasty can reduce or increase the size of the nose, reshape the tip of the nose, move it up or down, and narrow or straighten the bridge. Some patients want their nose smaller, some want it straightened, some want the hump reduced, and others yet want it narrower. To achieve a satisfying outcome, the patient’s desired result should be the goal of the surgical plan. Therefore, it is essential for your plastic surgeon to take the time to listen to you and get a clear understanding of what you would like.

Who is a good rhinoplasty candidate?

Rhinoplasty requires not only exceptional skill but also the highest sense of artistry to create a natural-looking nose, which is in harmony with the rest of the facial features. Just as every patient’s nose is different, their faces are also different, and the new shape has to fit the face.  This ideal new shape will be determined by many factors, including one’s height, age, skin thickness, and ethnic background. Rhinoplasty will also help with the configuration of other features, such as the forehead, eyes and chin, to make a more natural look. You may be a candidate for rhinoplasty if:

  • You desire to improve the appearance of your nose
  • You desire to improve nasal breathing*
  • You have had previous nasal surgery and are dissatisfied with the outcome

* The reconstructive or functional portion of a septorhinoplasty is covered under most insurance policies

The amount of change that can be expected depends on many factors, including skin type, ethnicity, and age. At your initial consultation, an overall evaluation of the underlying structure and overlying skin will help determine what outcome is a realistic expectation.

Rhinoplasty Procedure

Technically, rhinoplasty is performed by placing well-hidden incisions in and around the nostrils.  These incisions allow the surgeon to lift the skin to obtain excellent exposure of the underlying bone and cartilage. The underlying bone and cartilage is then contoured to make the nose more harmonious and balanced to the rest of the face. The procedure lasts approximately two to three hours; however, it depends on the complexity of the case.

Many patients are referred to us for revision rhinoplasty. These cases are of higher complexity because of the corrections that need to be made as a result of the initial surgery. We take all the time that is needed to get the best possible result. You can expect to be at the surgical center for approximately half a day.

Dr. Sepehr has authored numerous scientific articles on rhinoplasty and continues to actively teach fellows, residents, and medical students from University of California, Irvine Medical Center on the subject.


Following your rhinoplasty procedure, you will need someone to drive you home. Your nose will be congested but will gradually improve. We do not ordinarily “pack” the nose after surgery. A special dissolvable suture is used to stabilize the changes and eliminates the need for nasal packing. Patients, therefore, are more comfortable and generally less swollen. With the elimination of nasal packing, pain, swelling, bleeding, and discoloration are dramatically reduced making the recovery period much more pleasant for the patient.

There is usually very little pain after the operation. Most patients experience pressure from the swelling inside the nose. The discomfort is easily controlled with pain medication. The majority of patients take something strong the first night, about half take it the second night, and a few take it the third night. After that the majority only need Tylenol® if anything.

You will experience variable degrees of swelling and bruising for the first 7-14 days. Sleep with your head above the level of your heart to minimize the swelling and bruising.  Most swelling should be gone after about six weeks; however, there may be a small, virtually unnoticeable degree of swelling present for several months after treatment.

Most patients can return to work and social events after 7-14 days with makeup as needed.

Cost of Rhinoplasty

Rhinoplasty can enhance the appearance and function of the nose, as well as harmonize facial features. Our board certified facial plastic surgeon utilizes some of the most advanced techniques available to achieve beautiful, natural-looking results. When you arrive for your initial consultation, Dr. Sepehr will review the particulars of your customized treatment plan, including the fees, so you can make a well-informed decision. As with all cosmetic surgery procedures, the cost will depend on several factors, including:

  • Technique used and complexity of treatment
  • Surgeon’s fee
  • Anesthesiologist’s fee
  • Hospital fee
  • Post-operative medications

Broadly speaking, rhinoplasty can cost anywhere from a few thousand to several thousand dollars. We understand that you may wish to compare treatment plans with other surgeons as part of your research. When making a comparison, it’s important to ask what is included in the quote you receive. Prices can vary significantly, in part because some practices mention only the surgeon’s fee while others refer to the full cost of treatment. We believe having a comprehensive understanding of rhinoplasty, fees, and recovery can enhance the patient experience and improve long-term satisfaction. We strive to provide thorough and straightforward information to allow you to make the best decision for your needs and goals.

Nose surgery for cosmetic reasons will not be covered by medical insurance; however, if you have functional concerns, such as a deviated septum or fracture, your policy may offer partial coverage. Additionally, our practice offers a number of payment and financing options to help bring the cost of treatment into your budget.

Rhinoplasty should be performed by a qualified surgeon. If you would like more information on the rhinoplasty procedure, or you believe you are a good candidate for the cosmetic surgery, please contact Dr. Sepehr to schedule a consultation for rhinoplasty at our practice. He will be happy to address any concerns you may have about the surgery as well as answer any questions regarding other facial procedures during a one-on-one session.

*Individual Results May Vary

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Driving Directions

Dr. Sepehr also offers his services to patients traveling from nearby communities. For your convenience, we have provided directions from the neighborhoods below.