Nose Reshaping & Reduction (Rhinoplasty)


Rhinoplasty is a surgical procedure done to correct a prominent, unusual asymmetric or irregular nose. It is one of the most commonly performed cosmetic procedures. Rhinoplasty can also be used to correct an undesirable nasal tip or to reshape the span of the nostrils. This surgery can help with your self-image if you are self-conscious about your nose.


Candidates must be in good health, have no active diseases or serious pre-existing medical conditions, and must have  realistic expectations of the outcome of the surgery. In general, Rhinoplasty should not take place until after the nose approaches adult size. Usually this is after age 14 for girls and 15 for boys, since boys tend to have their growth spurt later than girls do. Not every teenager who dislikes his or her appearance is a good candidate for rhinoplasty. many teens will outgrow their dissatisfaction with their nose. Roughly 10% of all rhinoplasties are preformed on people younger than 19. In cults, the aging process causes skin to lose it’s elasticity, resulting in a nose becoming longer and drooping. Surgery to elevate the nasal tip may give the patient a younger look.

NOTE: You may not be a candidate for surgery if you smoke, have recently quit smoking, or if you are exposed to second-hand smoke. Primary and secondary smoking decreases blood flow to the body’s tissues. This can result in prolonged wound healing, skin loss, infection, increased scarring, and a number of other complications depending on the kind of procedure performed.


The technique chosen by Dr. Aguilar for your surgery will be determined by your anatomy Dr. Aguilar’s preferences and your desired results which will be discussed during your consultation.

Two major techniques are called rhinoplasty and open rhinoplasty. In the open technique, an incision is made in the skin between the two nostrils ( the columella). This technique allow Dr. Aguilar to completely visualize the internal structures of the nose and place sutures precisely where the are required. The disadvantage of open rhinoplasty is the the post operative swelling may take significantly longer to subside. The scar from the procedure is most often quite small and will fade rapidly. Closed rhinoplasty does not require and external incision. This does not disturb the tissues as mush as the open technique and the patient will heal more quickly.


Some patients seeking to undergo rhinoplasty may also want to alter the shape of their chin or cheekbones. In these cases, Dr. Aguilar may recommend implants as part of the operative plan during your initial consultation. Additionally, if you are having breathing problems, they may be improved by a procedure called septoplasty, which corrects defects or deformities of the nasal septum.


First, schedule a personal consultation with Dr. Aguilar. Communication is vital in reaching your goals. You will have the opportunity to discuss your goals and the results you would like to achieve. Dr. Aguilar will work with you to reach an understanding about what you can expect from this procedure and what long-term benefits you will experience. Every patient is different, and Dr. Aguilar will choose the surgical technique and treatment plan that is right for you, during your initial consultation.

•Provide a complete medical history. Include information about any previous surgical procedures; past and present medical conditions; and all medications or herbal supplements you are taking.

•Expect Dr. Aguilar to examine your abdomen, including the quality of your abdominal skin, the location of any existing scars; the amount of any excess fat and the status of underlying muscles.

•Photographs will be taken for your medical record.

•Be prepared to discuss possible risk and complications of the procedure with Dr. Aguilar.


You will be given specific instructions on how to prepare for your surgery. A pre-operative information packet will be provided that explains everything you should do and know before your surgery date. Dr. Aguilar will instruct you on how to prepare for surgery, including guidelines on eating and drinking, smoking and which medications, vitamin and herbal supplements should be taken or avoided prior and post operatively. you should arrange for someone to drive you home after your surgery, whether your surgery is done on an outpatient or inpatient basis. you may also want to make arrangements for someone to help you at home for a day or two after your surgery.


There are several different facilities which Dr. Aguilar operates from and he will discuss your options with you at the time of your consultation.


General anesthesia is used so that you will sleep and remain comfortable throughout the procedure. Dr. Aguilar will discuss this with you at the time of your consultation.


You will be provided information about how to care for yourself after your surgery at the time you schedule your  surgery. Dr. Aguilar will also discuss this with you during your consultation.