Los Angeles, CA Rhinoplasty

• As one of the top rhinoplasty surgeons in Los Angeles, Dr. Macias has succesfully performed over 500 rhinoplasties.
•  His extensive experience in both primary and complex revision cases allows him to address even the most challenging nasal concerns with confidence and precision.
• Dr. Macias is a proud member of the Rhinoplasty Society.
• Recognized internationally for his artistry and technical skill, Dr. Macias is an active member of elite professional organizations, including The Rhinoplasty Society and the International Society of Aesthetic Plastic Surgery. His work reflects a commitment to excellence, innovation, and patient-centered care.
• Dr. Macias completed rigorous medical training, followed by advanced specialization in facial plastic and reconstructive surgery, with a focus on facial aesthetics. He is double board-certified in facial plastic surgery and otolaryngology–head and neck surgery, demonstrating comprehensive expertise in both the aesthetic and functional aspects of facial and neck surgery. Top surgeons in Los Angeles are typically double board-certified in facial plastic surgery and otolaryngology, ensuring the highest level of training and qualifications. His background in both cosmetic and reconstructive techniques provides a comprehensive understanding of nasal anatomy and function.
• As a double-board-certified surgeon and Fellow of the American College of Surgeons (FACS), Dr. Macias maintains the highest standards of safety, ethics, and surgical precision. It is essential to ensure that a rhinoplasty surgeon is properly licensed and board-certified. Patients should verify board certification and be cautious of surgeons who are not board-certified, as they may lack the necessary training and experience. His meticulous approach, combined with cutting-edge tools such as Vectra 3D imaging, helps patients feel informed and confident before surgery.
• What truly distinguishes Dr. Macias is his philosophy: rhinoplasty is never “one-size-fits-all.” He carefully analyzes facial proportions, skin thickness, structural support, and breathing function to create results that look natural, refined, and uniquely suited to each patient.

• Surgery Time: Approximately 2–3 hours, depending on the complexity of the case
• Price: Starts around $18,000. (For an accurate cost, please ask during your consultation.)
• Recovery: Initial recovery is about 10–14 days before returning to work. Swelling continues to improve over several months, with final results visible up to one year after surgery.
• Results: Long-lasting and often permanent. Final outcomes become fully apparent once residual swelling resolves, typically within 12 months.

For those who are unsatisfied with the appearance or function of their nose, rhinoplasty can provide benefits for both cosmetic and functional reasons, including:

• Enhances nasal shape and overall appearance
• Improves facial harmony
• Improves nasal function and can help rhinoplasty improve breathing by correcting structural issues such as a deviated septum or enlarged turbinates
• Alleviates breathing problems
• Improves nasal breathing and respiratory function
• It can be performed for cosmetic purposes, to correct congenital disabilities, or to repair injuries like a broken nose.
• Can help address congenital breathing problems, such as a deviated septum, or alleviate conditions like sleep apnea
• Improves facial symmetry
• Improves the appearance of your nasal tip
• Corrects nasal bumps and humps
• Straightens out a crooked nasal bridge
• Increases self-confidence
• Reduces snoring

Adults seeking to enhance the appearance of their noses may be good candidates for rhinoplasty. Ideal candidates for nose surgery in Los Angeles/Marina del Rey should:

• Be in generally good physical health
• Have a fully developed nose
• Have the desire to adjust the size and/or shape of their nose
• Have realistic expectations for the procedure
• Be a non-smoker or willing to quit temporarily
• Not currently pregnant or breastfeeding

Male rhinoplasty is also available for men seeking to enhance their nasal appearance while preserving masculine facial features.

Preparation begins well before surgery. Dr. Macias will provide detailed pre-operative instructions tailored to your medical history and surgical plan. You may be asked to stop certain medications or supplements that increase bleeding risk and to avoid smoking, as it can impair healing.

Patients should arrange for transportation home after surgery and plan for at least one week of downtime. Preparing a comfortable recovery area with extra pillows (keeps your head elevated), cold compresses, and prescribed medications in advance can help ensure a smooth, stress-free recovery.

Dr. Macias performs rhinoplasty procedures at a specialized surgery center in the operating room under general anesthesia. The surgery center is fully equipped for both cosmetic and functional nasal surgery. Rhinoplasty is typically an outpatient procedure, allowing patients to return home the same day. The procedure time is generally two to three hours, but it may vary depending on the extent of the surgery. To begin, Dr. Macias will create an incision either inside the nose or along the columella, which is the strip of tissue that separates the nostrils.

Through those openings, he will raise the cartilage and bones and gently reshape the nasal structure. This may involve adjusting the nasal bones to achieve the desired contour, as well as removing bone or cartilage or grafting cartilage to the area. If you have a deviated septum, he will straighten it to improve breathing. Dr. Macias will then close the incisions and place splints and gauze in the nose to promote healing.

1. Keep your head elevated, even while sleeping, for the first week.
2. Apply cold compresses gently to minimize swelling and bruising.
3. Avoid blowing your nose until cleared by Dr. Macias.
4. Refrain from strenuous activity for at least 4–6 weeks.
5. Wear splints or dressings exactly as instructed.
6. Protect your nose from sun exposure to reduce prolonged swelling.
7. Attend all scheduled follow-up appointments to monitor healing progress.

Patience is key. While early improvements are noticeable within weeks, your nose will continue to refine gradually as swelling resolves.

The nose job cost in Marina del Rey and Los Angeles typically ranges from $7,000 to $20,000, with primary rhinoplasty procedures often falling between $11,000 and $22,000. Cost can vary based on several factors, including the procedure’s complexity, the surgeon’s qualifications, and the surgical technique used. The cost of rhinoplasty in Beverly Hills is generally higher than the national average due to the area’s reputation for high-quality cosmetic procedures.

Understanding the cost of a nose job is an important factor for many patients considering rhinoplasty. Financing options for rhinoplasty are available through companies such as PatientFi and Alphaeon, which offer various payment plans to make the procedure more accessible. Rhinoplasty is performed locally at our accredited surgical facility, ensuring convenience and personalized care. Please set up a consultation with our team at Aesthetic MdR to receive your personalized quote.

If your rhinoplasty is being performed solely for cosmetic reasons, your health insurance is unlikely to cover the cost. However, insurance coverage for rhinoplasty may apply if the procedure is performed to correct functional problems, such as breathing issues or to repair damage from an injury. It is important to verify your coverage and seek assistance with the process if you believe your insurance may cover rhinoplasty.