Rhinoplasty

As a Beverly Hills and Los Angeles rhinoplasty specialist, Randal D. Haworth, M.D., F.A.C.S. is a renowned facial and body plastic surgeon attracting local (throughout the greater Los Angeles area) as well as national and international patients to his Beverly Hills practice located at 436 North Bedford Drive.

Well-known for his appearances on The Swan, E! Entertainment, Extra and his features in popular print media, Dr. Haworth is a world respected plastic surgeon. The Haworth Institute is a premier plastic surgical facility that provides patients with a private, safe and comfortably modern setting.

Nose Procedures

Your countenance is greatly influenced by your nasal appearance. The slightest alterations to your nose, which is the most prominent facial feature in addition to your chin, can greatly improve your overall look. As a Beverly Hills rhinoplasty specialist, Dr. Randal Haworth states:

"A beautiful nose is timeless, the ultimate fashion statement if you will which will never go out of style. It is no wonder that rhinoplasty is one of the most sought-after plastic surgical procedures today."

Therefore, if you are contemplating nasal surgery (rhinoplasty) in Los Angeles, Dr. Haworth possesses the acme of surgical skills with unique aesthetic vision to help you attain the transformation you envision for yourself. An experienced facial and reconstructive surgeon, Dr. Haworth is board certified by the American Board of Plastic Surgery, the reference standard in quality assurance for plastic surgery worldwide.

Dr. Randal Haworth, M.D., F.A.C.S.

Beverly Hills plastic surgeon, Dr. Randal Haworth, M.D., F.A.C.S. has garnered a global reputation as a rhinoplasty and revision rhinoplasty expert based on his superbly natural and beautiful noses he creates. Dr. Haworth infuses his artistic sensibility to sculpt a nose that perfectly harmonizes with other facial features.

Chosen from hundreds of plastic surgeons to be the chief plastic surgeon of Fox's The Swan and as a regular expert on Extra, Dr. Randal Haworth has performed the most televised rhinoplasty and revision rhinoplasty surgeries in the history of television, which means his work has been witnessed by people around the world. As a result, he is sought out by patients who will only accept the highest quality work available.

Rhinoplasty (commonly known as a 'nose job') is among the most widespread types of plastic surgery practiced today. Yet few rhinoplasty specialists are as adept at the procedure as Dr. Haworth is because it is also one of the most complicated to perform because of the complex anatomy of the region as well as the nose's prominent placement on the face.

Being board-certified by the American Board of Plastic Surgery and having currently performed over 1250 rhinoplasties, his rhinoplasty expertise has been featured on numerous television news segments, documentaries and the controversial hit Fox show, The Swan. Being a rhinoplasty specialist in Beverly Hills in Los Angeles, Dr. Haworth attracts nasal surgery patients from all over the world to his Beverly Hills practice, including a large number of celebrities.

Rhinoplasty Techniques

As a rhinoplasty specialist in Beverly Hills, Dr. Randal Haworth employs both the closed and open rhinoplasty techniques and will utilize whichever method is most appropriate for you.

Dr. Haworth's 'Open vs. Closed Rhinoplasty'

Dr. Haworth can create noses ranging from the classically attractive and elegant to the "California Cute" nose, both of which require different techniques. Sometimes one or the other aesthetically accompanies a face more appropriately, similar to an integral instrument in a world class orchestra!

Rhinoplasty can be used for a wide range of adjustments in the shape of your nose. It can increase or decrease the size, alter the tip or bridge or nostrils, or even modify the angle between your nose and upper lip. Rhinoplasty is not only useful for aesthetic purposes, but can be used for more practical and essential corrections. In the hands of a Beverly Hills rhinoplasty expert such as Dr. Haworth, nasal birth defects, injuries and even breathing complications can be resolved.

Rhinoplasty in Men

Dr. Haworth also performs rhinoplasty in men who seek refinement of their nose. He employs techniques he has formulated over his 18 years in private practice to create the perfect masculine nose.

"I want my male patients to look natural and masculine so that everyone will notice, but no one will know!"

Breathing Problems - Nasal Obstruction

As an expert Beverly Hills rhinoplasty specialist, Dr. Randal Haworth also fixes breathing abnormalities for every rhinoplasty patient. He is an expert in repairing all aspects of nasal obstruction knowing that the ability to breathe through your nose augments your quality of life. Dr. Haworth has performed rhinoplasty on people with every racial characteristic and anatomical variation, including Caucasians, Middle Easterners, Hispanics, Asians, and African Americans.

General Information About Primary Rhinoplasty

All rhinoplasties are generally performed on an outpatient basis using sedative or general anesthesia. To gain access to the nasal bone and cartilage, Dr. Haworth creates hidden incisions inside of the nose where they cannot be seen. He then reshapes and resizes the nose after a detailed consultation with the patient to determine their individual goals and what may look best to suit their overall facial appearance.
Beverly Hills rhinoplasty

To perform your rhinoplasty, Dr. Haworth begins by making the necessary incisions in and around the nose. Dr. Randal Haworth, a specialist in rhinoplasty in Beverly Hills has the skills and eye for detail that can effectively enhance the appearance and/or the functionality of the nose. Usually, Dr. Haworth employs the patients' own nasal cartilage for support to the nose that has previously been weakened by surgery and/or to enhance the aesthetic appearance and/or improve breathing.

Most often cartilage is obtained from the patient's septum because of its strength, availability and generally ample supply. When that is not available ear cartilage is a second choice but it is often not ideal for many uses in the nose because of its inherent curvature. Rib cartilage may also be used, but this too is not ideal because of the need to operate on the chest.

Dr. Randal Haworth, a specialist in rhinoplasty in Beverly Hills and Los Angeles, goes on to say,

"Since every patient is unique, rhinoplasty has to be strategically and precisely tailored to each individual. In certain circumstances, when septal or ear cartilage are unavailable and the patient does not want to have an operation on their chest to harvest rib, I have no hesitation to use a synthetic implant with a long history of use and safety in medicine. My preferred synthetic implant is Gore-Tex® and I've been using it for over 15 years in rhinoplasty. When used in the appropriate circumstances, contrary to some reports, it has an excellent safety profile with a very low complication rate, including infections."

$Beverly Hills rhinoplasty$

Gore-Tex® is a synthetic material that has been used in plastic, general and cardiac surgery for many years. It now allows the rhinoplasty surgeon to reconstruct a nose without the need to harvest cartilage from the ear or rib, thereby decreasing surgical time and lessening the morbidity of the procedure. Gore-Tex® integrates with the surrounding tissue and has no potential for human rejection (not including infection).

Even though harvesting ear or rib cartilage is well tolerated by patients, any opportunity to avoid creating extra incisions and performing extra dissections on the body, the patient benefits. Therefore, Gore-Tex® provides an excellent synthetic material for primary and revision rhinoplasty when septal cartilage is unavailable. Fortunately, it is becoming more widely accepted as a grafting material as its safety profile is being discovered.

Most Appropriate Candidates for Primary Rhinoplasty

At least 14 years old for young women, 16 for young men
Older patients with a nose that has started to hang or with an increasingly drooping tip
Those who have a congenitally crooked nose or one that has been deviated because of trauma
Those who suffer from nasal obstruction from a anatomical problem of the nose
Those who need to correct a cleft lip-nasal deformity
Those with nasal skin which is neither too thick or too thin

General Information About Revision Rhinoplasty

Occasionally plastic surgery does not achieve the exact results you had hoped for. You must remember, however, that surgery isn't a means of achieving perfection. However, if you are unhappy with the appearance of your nose after having undergone previous rhinoplasty surgery, Dr. Randal Haworth offers revision (or secondary) rhinoplasty. As a top rhinoplasty surgeon in Beverly Hills known for his technical and aesthetic precision, Dr. Haworth has extensive experience with revision patients who can expect notable improvement but still must have realistic expectations as to the end result.

When evaluating any potential revision rhinoplasty patient at his Beverly Hills office, Dr. Haworth will review certain salient details of your previous procedure to determine what may have been done and what went wrong so that he can correct the underlying mistakes. Often times, the cornerstone of this revision rhinoplasty procedure usually requires strengthening weakened underlying cartilage and consequently the support it provides - being one of the top revision rhinoplasty specialists in Beverly Hills and Los Angeles, Dr. Haworth uses a variety of different techniques to achieve this goal.

The majority of revision rhinoplasty procedures are performed using the open rhinoplasty technique because of the increased visualization and control it affords the rhinoplasty surgeon. However, there are certain few specific instances in which Dr. Haworth will use the closed technique, depending on the specific problem and whether it is minor or not. Dr. Haworth is an expert at strengthening the weakened underlying structure of the nose to not only to make the nose look great but to make it function as well (to maximize breathing ability).

Dr. Randal Haworth says, "The secret behind the best-looking noses are often strong triangularly sculpted cartilages that exert enough counter pressure on the overlying nasal skin in a delicate balance to impart elegant beauty. However, the integrity and strength of the nasal cartilages are often lost when a rhinoplasty was not performed correctly. A majority of the time those noses that look the best also function correctly for breathing purposes."

Dr. Haworth is exceptionally gifted and experienced in creating and applying every form of cartilage grafts including columella struts, lateral crural strut, caudal septal extension, spreader, tip shield, alar battan, dorsal, and alar rim grafts. Indeed, some of the most complicated revision procedures require utilization of most if not all of those aforementioned grafts, including crushed cartilage to maximize smoothness of the final result.

Among the traits possessed by the world's top rhinoplasty specialists are an advanced understanding of the nasal anatomy and functionality as well as an exceptional surgical skill to perform both primary and revision rhinoplasty properly. Dr. Randal Haworth says, "Even though a high level of technical skill is needed to translate intention into form with rhinoplasty surgery, an artistic vision with keen aesthetic sensibility is necessary to allow a result to transcend from good to great. This is why I am so passionate about performing rhinoplasty - I consider it a constant challenge, prompting me to always critically evaluate myself and become better at what I do."

Most Appropriate Candidates for Revision Rhinoplasty

Those with unsatisfactory, unnatural-looking results from a previous rhinoplasty that can may include (but are not necessarily restricted to) a pinched tip, irregular profile, collapsed sidewalls ("Inverted V Deformity"), "Saddle Nose deformity", crooked appearance, asymmetrical retracted nostril shape, etc.
Those with unsatisfactory functional results in breathing or nasal airflow due to tissue damage or undesirable healing

New Thinking vs. Old Techniques

Plastic surgery is a field that is constantly evolving as new understanding and every-more-sophisticated techniques come to the fore. As a respected rhinoplasty specialist, Dr. Randal Haworth is continually analyzing and critiquing his results and attendant techniques to evolve and provide the best results possible to his patients.

These Rhinoplasty Breakthroughs Include:

One Size Does Not Fit All
Top rhinoplasty surgeons employ modern suturing and grafting techniques in accordance with patients' goals and particular anatomy. Not only is the placement of each suture critical but also is the force with which it is tied. Dr. Haworth says, "Great surgery is measured in millimeters, not centimeters, but in the case of rhinoplasty surgery it is more accurately measured in fractions of a millimeter!"

A true rhinoplasty expert worth his or her salt knows that individuality is as a part of a successful result as is technical precision. Consequently, a male's nose will be different from a female's, an ethnic patient may want thinning but still retain believable integrity to the face, or a pug nosed or ski-slope button nose patient may actually look better with their nose slightly larger or with a stronger Roman profile. And no matter what, because we live in a three-dimensional world, the nose has to look naturally 'right' from every angle.

Greater Appreciation of Potential Problems
As a rhinoplasty specialist, Dr. Haworth is well aware of situations (such as nasal obstruction) which may arise after certain surgical methods. Consequently, as an experienced rhinoplasty surgeon takes into account such possibilities and knows how to avoid them with specific surgical moves.

The Open Technique
Years ago, as a rhinoplasty specialist in Beverly Hills and Los Angeles, Dr. Haworth used to perform 80% of his rhinoplasties closed – as do most rhinoplasty surgeons – to avoid the imperceptible scar across the columella (the narrow strip of tissue that separates the nostrils) as well as prolonged swelling. However, he found that these supposed advantages of the closed method did not turn out to be true. The closed method tended to result in less accurate suture placement, shifted cartilage grafts and less consistent results.

As a top rhinoplasty specialist, Dr. Haworth has the skills to perform the open method virtually scar-free (and should there be a light scar, offers the skin revision protocols including topicals and resurfacing light technologies to subsequently help it disappear.) Therefore, he has shifted his perfected rhinoplasty approach to the open method for over 85% of his nose surgeries based on practicality, reliability, safety and ultimately, patient satisfaction.

Revision rhinoplasties test the true mettle of the rhinoplasty specialist because they do not have the advantage of operating on "virgin" cartilage, skin and bone and must deal with the myriad challenges posed by damaged tissue and encasing scar. By necessity, the majority of revision rhinoplasties must be performed open because of the increased access to the delicately small nasal structures it affords. As an expert rhinoplasty surgeon, Dr. Haworth performs the open method virtually scar-free and has the in-office technologies to erase any traces of scarring.

State-of-the-Art Technology
Uncomfortable "packing the nose" after surgery used to be standard post-operating procedure. This isn't necessarily true anymore. Dr. Haworth's patients' postoperative experiences are better than ever than with other rhinoplasty specialists in terms of comfort and healing.

Compatible Procedures

As expert rhinoplasty surgeon, Dr. Haworth's primary goal – as it is with any procedure he performs – is to balance the features to look perfectly natural...and naturally perfect. Consequently, it is not uncommon to combine surgical procedures for optimum results.

Chin implant – As a rhinoplasty specialist, by far and away the most common procedure done in conjunction with nasal surgery is a chin implant. This is because the nose and chin are the most prominent features of the face in profile and when the two are balanced in size and shape, facial harmony is greatly enhanced. This is a classic example of the final result being greater than the sum of its individual parts.

Face and/or Neck Lift – With age, in addition to sagging in the lower half of the face, the nose can grow larger, more bulbous or begin to droop at the tip. Therefore, a combination rhinoplasty plus facelift is superb in restoring more pleasing, proportional features.

Lip Lift – Dr. Haworth is unique among rhinoplasty specialists because he is also a pioneer in the lip lift surgeries, having developed his own signature lip lift techniques. Often, a lip lift in conjunction with a rhinoplasty offers a more pleasing result because in frontal view, facial harmony and youthful appearance are greatly heightened.

Consultation and Appointments

Your successful rhinoplasty surgery will require a number of appointments to ensure maximum health and safety.

1. Pre-Op Consultation
The pre-operative consultation is where you meet with Dr. Haworth and our staff to review your health, finalize the details of your procedures, order appropriate tests, prescribe medications, discuss your aftercare and answer any questions you may have.

2. Medical Records

Any appropriate health records related to the list of conditions noted above
Any radiological test results including regular Xrays and CAT scans that may have
For patients over 45, we may also require that you provide the following:

- Full medical clearance
- EKG

If you haven't got these records or haven't been tested lately, the rhinoplasty consultants in our office can coordinate these appointments for you.

3. Prescriptions
You will want to fill any and all prescriptions well in advance of your rhinoplasty surgery, particularly since some of them need to be taken for several days before the procedure.

Critical Pre-Op Cautionary Note
It is absolutely essential that that you avoid all aspirin, aspirin-related, ibuprofen or blood-thinning medications for 2 full weeks prior to your surgery. In your pre-op consultation, we will give you a complete list of these drugs. For our patients, we also provide a password-protected link allowing you to download the list onto your computer. If in doubt about a specific medication, do NOT take it, call the office first and ask if it is on the forbidden list.

4. Day of Surgery
Your rhinoplasty surgery will be performed at our surgical center in Beverly Hills. You will come in at the appointed time. Be sure to wear loose clothing that buttons or zips and does not need to be pulled over your head. Your ride will be instructed when to pick you up or can call in to find out when you'll be ready. We cannot release you without a responsible adult to drive you home and spend the first post-op night with you.

If you are going to an aftercare facility, we can coordinate the transportation for you.

5. First Night Post-Op
Dr. Haworth is a rhinoplasty specialist that wants to make sure you feel safe and secure every step of the way. That evening after your surgery, he will call you to check in. You'll want to make sure that you sleep with your head slightly elevated and only on your back, NOT on your side or face.

6. 1st Day Post-Op
Dr. Haworth will remove the small nasal pack at which time you will feel immediately better in terms of the slight pressure experienced immediately after surgery.

7. 7th Day Post-Op
Dr. Haworth and his assistants will remove the cast and stitches. 80% of his patients are impressed with their rhinoplasty results by the seventh to eighth day. However, the results will only improve time!

8. 10-14 Days Post-Op
Dr. Haworth may inject a dilute kenalog solution into the nasal tip to "turbocharge" the resolution of swelling. 95% of his patients already love their results by the end of the third week.

Typical Recovery Time for a Primary Rhinoplasty

By the end of the second post-op week, you'll look and feel much better. Most patients are back at work about one to two weeks after surgery. If you need it, the post-rhinoplasty experts in our office can show you how to use special camouflage makeup to mask any bruising that remains.

Typical Recovery Time for a Revision Rhinoplasty

Revision rhinoplasties make take a bit longer to heal, depending on the extent of the repairs. But by the end of the second post-op week, you'll look and feel much better. Most patients are back to work about 7-10 days after surgery. If you need it, the post-rhinoplasty experts in our office can show you how to use special camouflage makeup to mask any bruising that remains.

If you think nasal surgery is right for you, please schedule a consultation with our rhinoplasty specialist of Beverly Hills and Los Angeles.

Insurance Information

Dr. Randal Haworth is not a participating provider on insurance plans, but his office accepts PPO insurance with out-of-network benefits for patients who require functional repair to their nose in order to improve your breathing in four distinct areas, such as straightening a nose and septum, repairing collapsed nostrils, strengthening the middle vault and decreasing the size of the inferior turbinates. Our staff will be happy to check if you are a candidate for billing your insurance.

Make An Appointment Today

To learn about your many options with facial plastic surgery and whether it can be right for you, please schedule a consultation with Dr. Haworth at 310-273-3000. To peruse the many examples of his surgical results including rhinoplasty and revision rhinoplasty, click here to be directed to the gallery section of Dr. HAWORTH's website:

In addition to nose surgery, Dr. Haworth, is an expert in performing facelift surgery ("rhytidoplasty"), eyelid surgery ("blepharoplasty"), endoscopic browlifts, neck lifts and lip lift surgeries.

Visit here for the full-list of services provided by Dr. HAWORTH.

Beverly Hills Rhinoplasty