Rhinoplasty / Nose Job

Rhinoplasty (nose job) surgery encompasses the following procedures:

Primary
Revision
Non-surgical

The nose is the centerpiece of the face and as such has an important aesthetic value. The idea that there is one nose that fits everyone is myopic. A surgical or non-surgical rhinoplasty should be performed in harmony with the patient’s existing facial contours and ethnicity to create a natural and timeless result.

In addition to the aesthetic value of rhinoplasty, patients commonly seek nose surgery to alleviate long-standing breathing problems, mostly related to prior trauma. This often results in poor sleep for the patient as well as their partner (snoring). I will analyze your nasal airway during the consultation and discuss with you the improvement to be expected following surgery.

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Learn About The Surgery

The Rhinoplasty Procedure

NATURAL & TIMELESS

Surgical and non-surgical rhinoplasties are performed in harmony with your existing facial features to achieve a natural, timeless result. The most important part of a rhinoplasty is the consultation. During this time, your visualized result comes to life as we devise and align on a plan, surgical or non-surgical. Personalizing an experience that celebrates your unique vision is central to obtaining a result you love. Your nose, according to you.

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What to Expect

All procedures are done in a balanced and natural esthetic.

WHAT TO EXPECT

Consultation

The consultation focuses on creating a personalized treatment plan that addresses your goals and fulfills your expectations. I always ask my patients to list three things that they dislike about their nose. The purpose is to provide a framework and context for the procedure in an effort to fully address your expectations. We will devise a comprehensive plan that balances these objectives with your natural facial features in order to achieve a beautiful, long-lasting result. My goal is for you to have full confidence in your decision to make the change you have always imagined.

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Surgery

Surgery is performed at an accredited surgery center in Newport Beach, California. Under the care of a Board Certified Anesthesiologist, general anesthesia (fully asleep) is used to ensure maximal comfort and safety.

Non-surgical contouring is performed in the office with topical anesthetic to ensure your complete comfort.

The incision for a surgical rhinoplasty is placed in the columella, or the bridge of skin beneath the nose. This area heals quite well and with time the incision becomes nearly imperceptible. Additional incisions are hidden inside the nose and generally heal without issue.

PRE-OPERATIVE GUIDANCE

General Instructions

1. Stop all Aspirin, Motrin, Aleve, Fish Oil, Supplements with Omega 3, Ginger, Garlic, Ginkgo Biloba and Turmeric – as these will thin the blood and complicate the surgery. You may take Tylenol as needed.
2. Medications – please notify us of any medications or supplements that you take regularly so that we may advise you appropriately.
3. Please fill all prescriptions prior to surgery so that they may be started immediately upon returning home.
4. Please no recreational drug use or smoking 4 weeks prior to and after the surgery.
5. Please have lab work completed 1-2 weeks prior to surgery.
6. Contact us immediately if you have any change in your health between your pre-operative visit and the surgery date.
7. Arrange for a driver to pick you up from the surgery center. Uber or Lyft are not acceptable. The driver does not have to remain onsite during surgery. they will be called when you are ready to be discharged from the recovery unit.
8. Make sure you have a responsible adult stay with you for the first 24-48 hours following surgery – this is for your safety.
9. DO NOT EAT OR DRINK AFTER MIDNIGHT THE NIGHT BEFORE SURGERY.

Create a “Wish Picture”

Visualizing the volumetric breast change on your own body can be invaluable to the surgical planning process! The Mentor™ 3D Breast Simulator app will facilitate the creation of a “wish picture” prior to your pre-operative visit and works best for augmentation and/or lift procedures. Simply take three pictures as instructed and begin simulating the desired look of your new breasts. When finished, you can securely send your photos to us at info@donaldmowldsmd.com.

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Morning of Surgery

1. Take a shower using anti-bacterial soap – No lotions, hair products, powders, perfumes or makeup.
2. Wear loose comfortable clothing to the surgery center. We recommend wearing zip-up or button-up shirts and loose, comfortable pants.
3. Female patients will be given a urine pregnancy test at the surgery center.

We are here to help you through your recovery. Please do not hesitate to call our office.

Recovery

The procedure is well-tolerated and patients are discharged home the same day. Internal and external nasal splints are often worn for approximately 1 week to provide support during the initial healing phase. Patients can expect swelling that predictably dissipates with time. Bruising, if present, will resolve within one week. Patients typically stay out of work for about a week, however are permitted non-strenuous activity as soon as they feel ready.

Non-surgical rhinoplasty has obvious advantages in that patients experience no downtime. There is minimal initial swelling that resolves over a period of 2-3 days.

POST-OPERATIVE GUIDANCE

General Instructions

1. Prescriptions provided at your pre-operative appointment should be filled prior to surgery and started when you arrive home.
2. Please take a daily stool softener (e.g. Colace) or laxative (e.g. Senokot) while taking the pain medication. Stop if stools become loose.
3. Do not take Aspirin, Motrin, Aleve or herbal medications as these interfere with your blood’s ability to clot.
4. Bruising is a normal part of surgery. Over-the-counter Arnica can help expedite its resolution.
5. Continue to remain hydrated following the surgery.
6. Resume your regular diet, there are no restrictions. If you become nauseous, carbonated beverages and crackers may help settle the stomach. Zofran (Ondansetron) will be prescribed and can be taken as well.
7. Make sure you have a responsible adult stay with you for the first 24-48 hours following surgery – this is for your safety
8. Ambulate throughout the day to prevent blood clots in your legs.
9. No smoking – this inhibits wound healing, causing undesirable complications.
10. Driving – Do not drive or perform any tasks that require coordination or judgement for at least 72 hours after general anesthesia or while taking narcotic pain medication.
11. Do not lift anything heavier than a purse and no pushing, pulling, exercise or any activity that may raise your blood pressure until cleared.
12. Do NOT wear glasses of any kind for 4 weeks following surgery as this will impact the healing of the nose and final result.
13. Please advise our office with any travel plans or when you will be returning home if you are in town from out of the area.

Nasal Care

1. Change the drip pad under your nose as often as needed. Expect to have bloody discharge for 2-5 days. DO NOT rub or blot your nose with a tissue.
2. Sleep on your back with your head slightly elevated at a 45o angle.
3. Cold compresses/ice packs help reduce the swelling, bruising, and pain when used in the first 48 hours after surgery. Twenty minutes on followed by twenty minutes off. Apply ice to the eyes, but do not get the cast wet or put pressure on it.
4. Carefully clean the edges of your nostrils with a Q-tip dipped in hydrogen peroxide to remove any dry blood. Clean the visible blue stitches with a Q-tip dipped in hydrogen peroxide 2-3 times daily. Once the area is clean, you may apply Mupirocin ointment to your stitches and around the rims of your nostrils.
5. Do not sniff or blow your nose. If you sneeze, open your mouth and sneeze through your mouth for the first two weeks.
6. While your cast is on, please do not take a shower, you may take a bath and wash your hair beauty salon style in the sink. The hair dryer must be kept at the lowest possible heat setting as your scalp may be partially numb. DO NOT GET THE CAST WET.
7. After the cast is removed, the nose can be washed gently with a bland soap and make up can be applied. Moisturizing cream can be applied if the nose is dry and scaly. Redness and bruising can be camouflaged by makeup once the dressings have been removed.
8. Refrain from eating hot soups or spicy foods. They will cause more drainage from your nose. Humidifiers, Chapstick and throat lozenges may help to ease dryness and sore throats caused by breathing through your mouth.
9. Please call the office if you experience fever, chills, increased pain, wound drainage or if you have any concerns. Our office hours are Monday-Thursday 9am-4pm and Friday 9am-12pm. To reach me after hours, please call the office and follow the prompts.

Before Your First Post-Operative Appointment

The cast will be removed 5 days after surgery. At this time, the nose will appear swollen and look turned up. The swelling will rapidly subside over the next few days as the nose begins to approximate its eventual shape; however, it usually takes about 1 year for the remaining 10 -15% of the swelling to disappear. This will not be noticed and will not detract from the appearance of the nose.

The cast removal does not hurt; however, some patients find there to be less discomfort if they take a pain pill before their first post-operative appointment. Someone must drive you to your post-operative appointment.

1. Please take a pain pill approximately 1 hour before your appointment time.
2. On the morning of your appointment, please take a shower making sure to get your cast soaking wet. If the cast falls off, do not worry. Don’t remove any of the tape underneath the cast. If you have an ear dressing, do not to get it wet when showering.
3. Before arriving to our office, please clean the outside of your nose thoroughly with a Q-tip and hydrogen peroxide but avoid applying any antibiotic ointment. (Mupirocin, Neosporin) to that area.

Results

Surgical results are long lasting provided trauma to the nose is avoided. Non-surgical rhinoplasty results are not permanent and require fine-tuning approximately every 12 months.

FAQs

How long will my nose be swollen after a surgical rhinoplasty?

After your cast is removed during the first post-operative visit, you will tape your nose at night for 3 weeks in an effort to control the swelling. Nevertheless, the last 10-15% will resolve with time beginning at the top of the nose and proceeding to the tip. The final definition in the tip will ultimately be evident at one year following surgery. It is important to know that this small amount of swelling will not detract from the appearance of your post-operative result.

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RHINOPLASTY SURGERY

Receive an in-depth consultation where we will thoroughly review your goals to personalize a plan focused on a natural and aesthetic result. Dr. Donald S. Mowlds, MD is located in beautiful Newport Beach, CA but is also available via a virtual consultation for out-of-town patients.

Or Call 949.759.5539

Before & After

Stunning, natural results from patients.

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Facial Procedures

All procedures are done in a balanced and natural esthetic.

Face & Neck Lift

A lower face and neck lift restores youthfulness through careful repositioning of your natural facial volume. Excess skin is removed in a balanced fashion to create a natural esthetic that avoids an overdone appearance.

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Neck Liposculpture

Liposculpture uses various liposuction techniques to address the excess fat tissue of the neck, jowls and chin to provide an enhanced contour. The targeted approach that liposuction affords is unparalleled and results in customized contouring of the neck and jaw. Mild skin laxity is also improved during the healing process following liposuction.

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Rhinoplasty (Nose Job)

A surgical as well as non-surgical rhinoplasty “nose job” should be performed in harmony with the patient’s existing facial contours and ethnicity, creating the most natural result. We will devise a comprehensive plan that balances the objectives with your natural facial features in order to achieve a beautiful, long-lasting result.

LEARN MORE

Chin Augmentation

The chin is the centerpiece of the lower face and as such conveys excess or deficiency in this area. A chin augmentation utilizes a small silicone implant placed through a discrete incision to create a more balanced profile and structure to the jaw and lower face.

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Eyelid Surgery (Blepharoplasty)

Excess skin and fat naturally accumulate in the eyelid as we age. Commonly referred to as bagginess, patients are uniformly displeased with the aged and fatigued look that this extra tissue conveys.

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Brow Lift

Eyebrow lifts reposition the eyebrows to the ideal location, refreshing the upper eye region. Brow lift surgery is often combined with upper eyelid surgery, or blepharoplasty, to achieve a maximal rejuvenation in this area.

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Ear Surgery (Otoplasty)

Ear rejuvenation aims to restore a natural, symmetric and aesthetic appearance to the ears. Abnormally shaped ears can be inherited at birth and cause distress throughout the adolescent years and beyond.

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Patient Reviews

Daisy M.

Dr. Mowlds is by far the BEST to say the least

I’m glad I came across him. His staff is AMAZING, always a phone call or text away pre and post op. I had gone to several consults in which they didn’t make me comfortable or confident to choose them. Dr. Mowlds and I met. I explained to him my complicated case, my concerns and showed him what he had to fix. He shared his thoughts, knowledge and was up for the challenge. He was very detailed in his explanations and sure did deliver. I have no regrets picking him as my surgeon. HE IS THE BEST!

Daisy M.

Melanie M.

It is quite evident Dr. Mowlds takes a lot of pride in the work that he performs!

Dr. Mowlds and his staff provided me with outstanding and professional healthcare. He always treated me with kindness and respect during our patient visits. I underwent an extensive back surgery and was not only concerned with the physical results, but additionally, the functional results of an extensive surgical closure. I am so grateful my neurosurgeon recommended and works in collaboration with Dr Mowlds. I am extremely pleased with the aesthetic results of my surgery and would not hesitate to recommend this professional practice.

Melanie M.

Nicole K.

Dr. Mowlds is a phenomenal surgeon and I feel so blessed to have had him do my surgery!!

I had symmastia breast reconstructive surgery done by Dr. Mowlds. I had lived the last 15 years with my breasts looking like a “uni-boob.” I felt so self conscious for many years. I also breast fed 2 kids so I had a lot of rippling and loss of saline in my old implants. Dr. Mowlds was extremely honest, caring and helpful with making the decision to fix my breasts. He listened to exactly what I wanted and his staff was absolutely amazing!! In order to reconstruct my breasts he used galaflex absorbable mesh to separate my breasts and make them normal again. I went with silicone implants this time and could not be happier with my results. Everyday I feel so thankful I can look in the mirror and feel normal. Dr. Mowlds is the ABSOLUTE BEST SURGEON!!

Nicole K.

Kinda H.

I have seen a number of surgeons around the world and Dr. Mowlds is by far THE BEST

I am absolutely thrilled with my results! Not only is he knowledgeable and meticulous, he’s a great listener. As a result, he put a thoughtful and innovative plan together for my case that no other surgeon had considered before and I couldn’t be happier with the outcome. Very little pain post surgery and he put me at ease from start to finish. Mallory, his office manager, is also wonderful and was always available to answer my questions. I highly recommended him and his team.

Kinda H.

Scarlett A.

Dr. Mowlds made me feel so much more confident and the results were more than I could have ever hoped for

He did liposuction under my neck to get rid of my double chin and define my jawline. It was the best decision I have ever made. The surgery was easy and recovery was smooth. Dr. Mowlds checks up on his patients every 2-3 weeks to make sure the results are perfect. Highly recommend this surgery and Dr. Mowlds!!

Scarlett A.

Andrea R.

I loved that Dr. Mowlds treated me like a friend who he wanted to have the best experience and results possible

Dr. Mowlds is the absolute BEST at what he does. I had a botched breast augmentation, which was causing me serious health concerns, chronic chest and back pain. I was extremely nervous as I didn’t think my issue could be resolved, let’s just say my breasts needed a lot of work. He is a true artist in his field, and my breasts are proof of that. Dr. Mowlds was professional, warm, knowledgeable, talented, and great at listening to my concerns and helping me understand everything along the way. I have already recommended a few of my girlfriends to go see him.

Andrea R.

Jessica T.

I am SO HAPPY with my new body!!

Dr. Mowlds replaced my breast implants and gave me a full tummy tuck. My scars are so minimal! The man has good hands! He took so much time to listen to me, care about my concerns and really understand the results I was hoping for. Can I just say, THIS MAN DELIVERED!! He actually gave me better results than I was hoping for. Finally a man who keeps his word! Hahahaha! His assistant, Mallory, also took so much time with me, checked in, listened, always responded to my messages right away and was just so sweet!! Two of my friends have also gone to him for breast augmentation because of how pleased I am with my experience and results. Thank you, Dr. Mowlds, for my reconstructed body-ody!! It’s amazing now bc of your skill and artistic craftsmanship!

Jessica T.

Ulyana F.

Dr. Mowlds’ work and meticulous attention to detail is exceptional!

5 stars is not enough for Dr. Mowlds and his team! Dr. Mowlds is a highly qualified and skilled cosmetic surgeon. Mallory the patient coordinator is always so helpful and pleasant. Brittany the PA is professional and very sweet. From the consult to the post-op appointments, I always feel like I am Dr. Mowlds’ only patient. His professionalism, knowledge, expertise, bedside manner, kindness, attentiveness along with my results are all beyond my highest expectations.

Ulyana F.

Abigail S.

After a virtual consultation, I knew Dr. Mowlds was the right choice
After consulting with numerous plastic surgeons I decided on Dr. Mowlds for my c-section scar revision and Renuvion skin tightening. I had 3 emergency c-sections that had left me with a terrible looking scar. The added bonus was that he has the Renuvion skin tightening machine which is the gold standard in skin tightening and I am amazed at my results just 3 weeks out. I am so happy with my decision and would highly recommend Dr. Mowlds for any cosmetic or reconstructive surgery.

Abigail S.

Samira H.

Dr. Mowlds was very personable, informative, and a great listener

I met Dr. Mowlds for the first time back in April of 2023 and knew right away that I could trust him with my procedures. He made me feel at ease and catered to exactly what I was looking for. His staff was very friendly, always available and would respond to my questions very quickly before and after my surgery. My surgery was a complete success. I am very happy with the results and I would highly recommend Dr. Mowlds to all my family and friends. Truly an exceptional experience! Thank you from the bottom of my heart. 🥰❤️🙏🏻

Samira H.

Merdith V.

Dr. Mowlds is very meticulous, gentle, honest and has good, conservative taste

Dr. Mowlds was extremely professional and made me feel very comfortable in what would typically be a very nervous, uncertain situation around needles. He took his time and was very patient answering all my questions. I’ve been seeing him for Botox, lip + laser treatments and will not go to anyone else. So grateful to have found him!

Merdith V.