Primary Rhinoplasty Explained for a Los Angeles Nose Job

A first nose surgery has one big advantage over every later one. The tissues have never been operated on, the cartilage is intact, and the surgeon is working with the anatomy nature provided rather than the aftermath of earlier decisions. That is what primary rhinoplasty means, and it is the procedure most people have in mind when they start researching a Los Angeles nose job. The planning that goes into it matters a great deal, because the aim is to get both shape and function right the first time. Dr. Jacob Sedgh is a double board-certified facial plastic surgeon whose practice is limited to the nose, face, ears and neck, with rhinoplasty as its main focus. He is board certified in otolaryngology, the head and neck specialty, and completed fellowship training in facial plastic and reconstructive surgery at Penn State Milton S. Hershey Medical Center. That ENT background shapes how he approaches a primary case. A nose has to breathe as well as it looks, so the internal structures, including the septum and the nasal valves, are assessed alongside the visible shape of the bridge, tip and nostrils.

Jacob Sedgh, MD | 9201 Sunset Blvd Suite 414, West Hollywood, CA 90069 | (310) 888-2884

Many people who book a consultation at the Sunset Strip office travel in from the Westside, from Beverly Hills south of Wilshire, Century City, Westwood and Brentwood, often coming along Santa Monica Boulevard or up Sunset past Doheny Drive. The first visit is a conversation as much as an examination. Patients describe what bothers them, whether that is a bump on the bridge, a wide or drooping tip, asymmetry, or a nose that simply feels out of proportion with the rest of the face. The surgeon examines skin thickness, cartilage support and the airway, then explains what is realistic for that particular nose. Every nose is different, and a medical evaluation determines whether someone is a suitable candidate. Los Angeles Nose Job Jacob Sedgh, MD Recovery is part of the plan too. Dr. Sedgh uses the Piezo ultrasonic system to reshape nasal bone with micro-vibrations rather than manual rasps and osteotomes. Published studies have reported less bruising and swelling in the first week with ultrasonic techniques, although individual recovery varies and swelling in the nose can take many months to settle fully. Cost is never a single number either. It depends on the complexity of the procedure, anesthesia and facility fees, and it is quoted at consultation after the examination. The risks of surgery, from bleeding and infection to the possibility of a future revision, are discussed openly so that patients can decide with clear expectations. Anyone weighing rhinoplasty in Los Angeles for the first time can call (310) 888-2884 to arrange a consultation at 9201 Sunset Blvd, Suite 414, in West Hollywood. The office is open Monday to Friday from 9am to 5pm, and appointments are booked in advance.

Jacob Sedgh, MD Address: 9201 Sunset Blvd Suite 414, West Hollywood, CA 90069 Phone: (310) 888-2884 FAQ About Los Angeles Nose Job What is the average cost of a nose job in Los Angeles? There is no single figure, because the fee depends on whether the surgery is primary or revision, how much structural work is needed, and the anesthesia and surgical facility costs. Revision and combined functional and cosmetic cases usually take longer than a straightforward primary rhinoplasty. At Jacob Sedgh, MD in West Hollywood, a written quote follows the consultation once Dr. Sedgh has examined the nose and agreed a plan with the patient. How long does a nose job last? The structural changes from rhinoplasty are designed to be permanent, although the nose continues to age naturally with the rest of the face. Swelling settles gradually, and the tip can take a year or more to show its final definition. Dr. Jacob Sedgh follows patients through that first year from his office on Sunset Blvd. Is rhinoplasty 100% safe? No surgery is free of risk. Rhinoplasty carries risks such as bleeding, infection, breathing changes, asymmetry and the possibility of needing revision. Dr. Sedgh, a double board-certified facial plastic surgeon, reviews medical history, candidacy and specific risks at consultation so patients can make an informed decision before anything is scheduled. How do I choose a rhinoplasty surgeon in Los Angeles? Look at board certification, the surgeon's training, how much of their practice is devoted to the nose, and before and after photos of noses similar to yours. Dr. Jacob Sedgh trained in head and neck surgery at the University of Pittsburgh and completed a facial plastic surgery fellowship at Penn State Hershey, and his practice is limited to the nose, face, ears and neck. A consultation is also a chance to judge how clearly a surgeon explains the plan. Do ENT surgeons do rhinoplasty? Many facial plastic surgeons, including Dr. Sedgh, began in otolaryngology, the ENT specialty, before completing fellowship training in facial plastic and reconstructive surgery. That background means the septum, airway and nasal valves are part of every rhinoplasty plan, not only the outside shape. Patients with breathing complaints can have functional and cosmetic goals assessed together in West Hollywood. Can insurance cover any part of a nose job? Purely cosmetic rhinoplasty is not covered by insurance. Functional work, such as correcting a deviated septum that blocks breathing, may be partly covered when the problem is documented and the plan's criteria are met. Jacob Sedgh, MD can explain which parts of a combined procedure are functional and which are cosmetic; call (310) 888-2884 to ask. What is recovery like after rhinoplasty? Most patients wear a splint for about the first week and see the worst bruising and swelling fade over the following weeks, although every recovery is different. Strenuous exercise, glasses resting on the nose and strong sun are usually limited for a period. Dr. Sedgh uses the Piezo ultrasonic system for bone work, which published studies associate with less early bruising, and he gives each patient written aftercare instructions. Is it better to have a nose job abroad or in Los Angeles? Surgery abroad can look cheaper at first, but follow-up visits, managing complications and any future revision are much harder from another country. Having rhinoplasty in Los Angeles keeps the surgeon within reach for the whole first year of healing. Patients from across the city, including Beverly Hills, Century City, Westwood and Culver City, see Dr. Sedgh at one office on the Sunset Strip. What is male rhinoplasty? Male rhinoplasty adapts the operation to masculine facial features, usually keeping a straighter, stronger bridge and avoiding an over-rotated or overly narrow tip. Many men also want better breathing at the same time. Dr. Jacob Sedgh plans male rhinoplasty around the brow, cheekbones and jawline so the nose stays in proportion with the face. What is revision rhinoplasty and when is it needed? Revision rhinoplasty corrects concerns that remain after an earlier nose surgery, whether cosmetic or functional. It is more intricate than a first operation because of scar tissue, reduced cartilage and changed skin. Dr. Sedgh evaluates the previous surgery and generally advises waiting until the nose has fully settled before planning a revision at his West Hollywood practice. What is the difference between open and closed rhinoplasty? Open rhinoplasty adds a small incision across the columella, the strip of skin between the nostrils, which gives the surgeon a direct view of the tip structures. Closed rhinoplasty keeps all incisions inside the nose. The right approach depends on the anatomy and the changes needed, and Dr. Sedgh explains his recommendation at consultation. Is a non-surgical nose job permanent? A non-surgical nose job uses injectable filler to smooth a bump or lift the tip, and the effect is temporary. Filler cannot make a nose smaller or improve breathing, and it carries its own risks. Jacob Sedgh, MD offers both injectable and surgical options and can explain which suits a patient's goals; call (310) 888-2884 to book a consultation.