- Dr. Macias has performed over 500 Rhinoplasties
- Dr. Macias is a member of the Rhinoplasty Society
- Dr. Macias is a double board-certified plastic surgeon
Introduction
Achieve Facial Harmony With Rhinoplasty
Located in Los Angeles, rhinoplasty is one of Dr. Luis Macias’s top facial plastic surgery procedures. Facial plastic surgery is a highly specialized area of plastic surgery dedicated to enhancing both the appearance and function of the face. In Los Angeles, where aesthetics and self-confidence are paramount, nasal plastic surgery is in high demand among individuals seeking to refine their features and address concerns such as a deviated septum or facial asymmetry. This field encompasses a wide range of procedures, from rhinoplasty (nose job surgery) to facial rejuvenation and reconstructive surgery, all designed to improve facial harmony and restore natural beauty.
At Aesthetic MdR, skilled rhinoplasty surgeon Dr. Luis Macias can perform a nose job to not only refine the nasal shape but also correct functional issues that may affect breathing. Whether the goal is to address a congenital nasal deformity, repair damage from injury, or simply enhance the nose’s shape for better facial balance, facial plastic surgery offers tailored solutions.
Reconstructive surgery can also play a crucial role in restoring both form and function after trauma or previous surgeries. With advancements in facial plastic techniques, patients can achieve results that look natural and complement their unique facial structure, ultimately boosting self-esteem and quality of life.
Photo Gallery
Before + After
Before & After
Before & After
Before & After
Before & After
Before & After
Before & After
What Is a Rhinoplasty?
Rhinoplasty is a cosmetic surgery procedure designed to reshape the structure of your nose and create a more balanced and aesthetically pleasing facial appearance. Also known as a “nose job,” the procedure can be life-changing for patients of all ages. Dr. Macias is recognized for providing some of the best rhinoplasties in Los Angeles, thanks to his expertise and high patient satisfaction rates.
When planning a rhinoplasty procedure, it’s crucial to look beyond the nose itself and consider the entire facial structure. Facial plastic surgery is not just about changing one feature; it’s about achieving harmony among all facial features, including the nose, eyes, lips, and jawline.
During your rhinoplasty consultation, board-certified plastic surgeon Dr. Luis Macias will assess your unique facial anatomy and discuss your goals for surgery. Computer imaging may be used to help you visualize your desired nose shape, making it easier to communicate your aesthetic preferences and ensure your cosmetic goals are understood. Whether you’re seeking to address a deviated septum for improved breathing or want to refine the shape of your nose for cosmetic reasons, the surgeon’s expertise in facial plastic surgery ensures that your rhinoplasty is tailored to your individual needs. This holistic approach helps create results that enhance your overall appearance, rather than drawing attention to a single change.
Los Angeles is home to many highly qualified rhinoplasty surgeons who specialize in facial plastic and reconstructive surgery. By choosing a board-certified plastic surgeon with advanced training and experience in head and neck surgery, you can be confident your rhinoplasty will be performed with meticulous attention to detail, prioritizing both function and aesthetics. This commitment to excellence is what sets the best rhinoplasty surgeons apart, enabling patients to achieve their desired outcomes.
Introduction
Rhinoplasty Variations
Revision rhinoplasty, sometimes called a secondary rhinoplasty, is a procedure used to correct or improve the results of a previous rhinoplasty when patients are unsatisfied. Some patients also experience breathing difficulties after rhinoplasty. In these cases, Dr. Macias can perform revision rhinoplasty to correct the aesthetic and/or functional issues.
Non-surgical rhinoplasty, Non-surgical rhinoplasty, also known as liquid rhinoplasty, is performed with the use of injectable dermal fillers. Typically, hyaluronic acid fillers are injected in and around the nose to add volume and improve symmetry. Non-surgical rhinoplasty is a popular choice for patients who don’t feel ready or are physically unable to undergo invasive surgery to achieve enhanced facial harmony. However, the results of the procedure are temporary and typically last about six months.
Septoplasty is a rhinoplasty technique used to correct a deviated septum. In Los Angeles, functional rhinoplasty is commonly performed to address both structural and breathing issues. The septum is the bone and cartilage that divides the space between the nostrils. When the septum is crooked, it’s called a deviated septum, and it can cause breathing issues, nasal airway obstruction, and increase the risk of sinus infections.
During a septoplasty procedure, Dr. Macias straightens out the septum by trimming, repositioning, or replacing bone and/or cartilage. Functional rhinoplasty can also correct structural issues such as enlarged turbinates, thereby improving airflow, reducing nasal congestion, and enhancing overall nasal function. Enlarged turbinates can be treated during the procedure to improve nasal airflow further. In some cases, nasal valve repair may be recommended to address structural weaknesses near the nostrils and further improve airflow.
This procedure can alleviate breathing problems, improve nasal function, and enhance the appearance of the nose. Rhinoplasty can also help address congenital breathing problems, such as a deviated septum, or alleviate conditions like sleep apnea.
Los Angeles is known for its culture and for having patients from diverse backgrounds and ethnicities. Dr. Macias prides himself on working with rhinoplasty patients of all different backgrounds. Ethnic rhinoplasty is a cosmetic nose surgery performed on non-white patients. Each culture and patient has unique goals and facial anatomy, which need to be taken into account before performing the surgery.
What Sets Dr. Macias Apart as the Premier Rhinoplasty Practice in Los Angeles?
- As one of the top rhinoplasty surgeons in Los Angeles, Dr. Macias has successfully 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.
Rhinoplasty Quick Facts
- 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.
Introduction
Rhinoplasty Videos
Dr. Macias talks about what a rhinoplasty in Los Angeles can do.
Los Angeles plastic surgeon, Dr. Luis Macias, rhinoplasty patient.
What Are the Benefits of a Rhinoplasty?
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
Who Are the Best Candidates for a Rhinoplasty?
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.
What is the First Step?
To begin your rhinoplasty journey in the Los Angeles area, the process starts with a rhinoplasty consultation with Dr. Macias, where you will discuss your goals and available options. During this initial meeting, it is advisable to review before-and-after photos of previous surgeries and review the surgeon’s portfolio to ensure consistent, high-quality, natural results. This first session is dedicated to addressing your questions, reviewing your cosmetic goals, and conducting a comprehensive physical and medical evaluation. Be sure to ask questions during the consultation to ensure the surgeon values transparency and trust. The doctor will review the risks, benefits, recovery, outcomes, and costs associated with nose surgery in Marina del Rey.
At Aesthetic MdR, we utilize cutting-edge simulation technology, Vectra 3D, to digitally visualize the final results of your rhinoplasty procedure during your consultation. This system creates a three-dimensional image of your face, enabling Dr. Macias to adjust your nose. By refining the virtual image, you can discuss your desired results in greater detail. You don’t have to imagine the results anymore! At Aesthetic MdR, you know exactly how you’ll look at the end.
For out-of-town or international patients, we also offer online consultations. You can submit your contact information, images, and medical details to receive personalized recommendations before visiting in person.
How Do I Prepare for My Rhinoplasty?
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.
What to Expect on the Day of Rhinoplasty Surgery
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.
Rhinoplasty Surgical Techniques
When you undergo traditional rhinoplasty surgery, Dr. Macias will perform either an open or closed rhinoplasty. Endonasal rhinoplasty, also known as closed rhinoplasty, is a minimally invasive nasal surgery technique performed through the nostrils, which avoids external incisions and visible scarring. Scarless rhinoplasty is another term for closed or endonasal rhinoplasty, highlighting the benefit of no external incisions.
Although these two techniques can both be very effective for enhancing the nasal appearance, they are a bit different:
Open Rhinoplasty
Open rhinoplasty involves making a small incision on the columella to access the nasal structures, providing greater visibility and precision during the surgical procedure. Dr. Macias makes two incisions inside the nose and an additional trans-columellar incision, allowing the surgeon to open the nasal skin and view the entire nasal structure. This improves precision and enables the use of specific techniques, such as cartilage grafting. Open rhinoplasty is typically the preferred choice for patients seeking major changes to their nasal structure.
Closed Rhinoplasty
Like open rhinoplasty, closed rhinoplasty involves two small incisions inside the nose. However, with closed rhinoplasty, there is no trans-columellar incision. Although this limits the amount of work that can be done during the procedure, it also reduces the likelihood of visible scarring and minimizes swelling after the surgery. Closed rhinoplasty is often a suitable choice for patients who require only minor adjustments to the nasal structure and appearance.
Closed rhinoplasty typically involves reshaping the underlying cartilage and soft tissues to refine the nasal appearance. The healing of soft tissue plays a significant role in the final outcome and the longevity of the results.
Rhinoplasty Recovery
After your rhinoplasty surgery, you’ll likely be kept for a couple of hours of monitoring. After that, you’ll be able to return home, but you’ll need someone else to drive you and, ideally, stay with you for the first night or two. Dr. Macias will provide you with thorough instructions to ensure a smooth healing process. Some patients may choose to recover in a specialized aftercare facility, where they can benefit from added comfort, privacy, and personalized support during the initial recovery period.
For the first week of recovery, you’ll need to rest frequently. However, you can start taking light walks around the house as soon as you feel up to it. To minimize swelling and bruising, consider applying a cold compress to your face periodically and sleeping in an elevated position. After about one week, you can gradually resume light activities around your home.
Most patients can resume their normal routines and return to work approximately 10 to 14 days after rhinoplasty surgery. As swelling subsides, patients experience improved comfort and can better appreciate the results of their surgery. After three weeks, you can resume light to moderate exercise, but it’s best to wait at least four to six weeks before engaging in strenuous physical activity.
7 Tips for Recovery From Rhinoplasty
- Keep your head elevated, even while sleeping, for the first week.
- Apply cold compresses gently to minimize swelling and bruising.
- Avoid blowing your nose until cleared by Dr. Macias.
- Refrain from strenuous activity for at least 4–6 weeks.
- Wear splints or dressings exactly as instructed.
- Protect your nose from sun exposure to reduce prolonged swelling.
- 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.
How Much Does a Rhinoplasty Cost in Los Angeles, CA?
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.
Rhinoplasty Patient Spotlight
This patient wanted to see if they were a candidate for rhinoplasty so they scheduled a consultation with Dr. Macias at his office in Marina del Rey. The patient chose Dr. Macias because of his high rating on Google reviews and expertise in facial plastic surgery. During the consultation, Dr. Macias used computer imaging with the patient to visualize their ideal nose and hone in on their aesthetic preferences. Dr. Macias performed a structural rhinoplasty at his surgical center and the patient was able to return home the same day. After the recommended recovery period the patient met again with Dr. Macias, and was ecstatic with the results stating that now they had the nose they always wanted.
Our Ethos
Why Choose Dr. Macias?
Dr. Luis Macias is a double-board-certified facial plastic surgeon recognized internationally for his expertise in rhinoplasty and septoplasty. He specializes in both primary and complex revision rhinoplasty procedures, employing advanced techniques such as rib cartilage grafting. He understands that not all nose surgery procedures are alike and, therefore, he will tailor your surgery specifically for you. From a simple bump on the bridge of the nose to a complex, fourth-time revision rhinoplasty, Dr. Macias is experienced with the latest techniques, including rib cartilage grafting and rectus abdominis or deep temporal fascia diced cartilage grafts.
In addition to rhinoplasty, Dr. Macias has extensive experience in facial surgery, performing a wide range of cosmetic and reconstructive procedures to enhance facial appearance and function.
Dr. Macias is a member of prominent associations like the International Society of Aesthetic Plastic Surgery (ISAPS), the American Society for Aesthetic Plastic Surgery (ASAPS), the American Society of Plastic Surgeons (ASPS), the California Society of Plastic Surgeons (CSPS), the Los Angeles Society of Plastic Surgeons (LASPS), the Rhinoplasty Society, and a Fellow of the American College of Surgeons (FACS).
Why Los Angeles Rhinoplasty Patients Choose Dr. Macias
Dr. Luis Macias is a double board-certified plastic surgeon and a member of the Rhinoplasty Society. Los Angeles patients seeking rhinoplasty often choose Dr. Macias for his experience and qualifications. As one of the most popular rhinoplasty surgeons in Los Angeles, Dr. Macias has performed over 500 rhinoplasty surgeries. The entire team at Aesthetic MdR understands that cosmetic nose surgery is a customized procedure. During your consultation with Dr. Macias, you will meet with him to ensure he fully understands your expectations and cosmetic goals.
Rhinoplasty FAQ’S
More Rhinoplasty Resources
As one of the top rhinoplasty surgeons in Los Angeles and a member of the Rhinoplasty Society, Dr. Macias offers patients a range of resources on cosmetic nose surgery.
Start your journey with trusted, personalized care.
Schedule Your Consultation
If you are a candidate for rhinoplasty with Dr. Macias in the greater Los Angeles area, please contact our Marina del Rey office, Aesthetic MdR, to set up an appointment. We are excited to work with you and help you achieve the balanced, attractive appearance you desire.
We invite you to visit Dr. Macias for a comprehensive evaluation and personalized treatment plan.