Rhinoplasty (Nose Reshaping Surgery)

Rhinoplasty at Pacific Plastic Surgery Group in San Francisco is a fully customizable nose reshaping procedure addressing bumps, asymmetry, tip shape, bridge width, and breathing concerns. Dr. Edward P. Miranda uses 3D imaging to plan the surgery and achieves corrections to bone, cartilage, and soft tissue. Open and closed technique options are available. Recovery involves weeks for initial improvement, with final results over six to twelve months.

Rhinoplasty at Pacific Plastic Surgery Group is led by Dr. Edward P. Miranda, whose training at UCSF and Memorial Sloan-Kettering provides the technical foundation for complex nasal surgery as well as aesthetic refinement. The procedure addresses a wide range of structural and cosmetic nasal concerns: a prominent dorsal hump, a broad or bulbous tip, asymmetric nostrils, a deviated bridge, a drooping or over-projected nasal tip, and functional airway compromise from septal deviation or valve collapse. Dr. Miranda uses three-dimensional imaging as a planning and communication tool, allowing the patient to visualize potential outcomes before surgery begins and enabling precise surgical goal-setting. Two primary approaches are employed: the open rhinoplasty technique, which uses a small transcolumellar incision connecting to incisions inside the nostrils and provides the surgeon full structural exposure of the nasal framework; and the closed technique, with all incisions placed entirely within the nostrils, suited to more limited refinements with minimal swelling and a faster initial recovery. Structural reshaping may involve cartilage grafting (from the septum, ear, or rib), osteotomies (controlled bone cuts to narrow the bridge or correct deviation), and tip-defining sutures to refine the nasal tip without implants. Results from rhinoplasty emerge progressively: most patients look socially presentable within two to three weeks, but the nose continues to refine as edema fully resolves over a six-to-twelve-month period, after which results are considered permanent. The practice is located at 77 Van Ness Avenue in San Francisco's Civic Center. Financing is available via CareCredit and Prosper Healthcare Lending.