Rhinoplasty (Nose Job)

Rhinoplasty performed by Dr. David Santos and Dr. Craig Jonov at Seattle Plastic Surgery Center, using open (columella incision) and closed methods under general or local-plus-sedation anesthesia. Procedures typically run 2.5 hours. The open approach allows direct visualization of the nasal cartilage framework for precise reshaping of the tip, bridge, and nostrils. Priced at $8,995 with either surgeon — transparent all-in pricing.

Rhinoplasty at Seattle Plastic Surgery Center is performed by both Dr. David Santos (board-certified facial plastic and reconstructive surgeon) and Dr. Craig Jonov (board-certified cosmetic surgeon), each bringing their surgical approach to nasal reshaping. Both surgeons offer open rhinoplasty — accessing the cartilage and bone framework through a small incision along the columella (the tissue strip between the nostrils) — and closed rhinoplasty, in which all incisions are made inside the nostrils with no external scar. The open approach provides the surgeon with full visualization of the lower lateral cartilages, the septal cartilage, and the nasal tip structure, enabling precise suture reshaping, cartilage grafting, and controlled tip refinement. For patients with a dorsal hump, the surgeon performs controlled osteotomies (bone cuts) to narrow the nasal bones after hump reduction, ensuring a smooth and straight dorsal profile. Tip refinement involves scoring, suture techniques, or cartilage grafting to achieve the desired projection and rotation without overcorrection. The closed approach eliminates the external columella scar and may offer a slightly faster recovery in suitable patients with limited tip work required. Both procedures are performed under general anesthesia or local anesthesia with intravenous sedation, running approximately 2.5 hours. Recovery involves a nasal splint for one week and bruising/swelling resolving over 2–3 weeks, with final results visible at 6–12 months as residual swelling in the nasal tip subsides. The clinic publishes transparent pricing at $8,995 for either surgeon.