Rhinoplasty
Rhinoplasty for Patients from Fresno
3D result modelling, a tailored approach and advanced methods for natural beauty and self-confidence
Natural result
No scars or marks
3D result modelling
Fast recovery
Get a personal plan and a 3D result forecast
The consultation is non-binding
Harmonious
proportions
Natural
shape
Perfect balance
with your face
5.0 ★★★★★
Clinic rating
14 000+
successful surgeries
10+ years
Experienced doctors | ISHRS members
Lifetime guarantee
on the result
5.0 ★★★★★
Clinic rating
14 000+
successful surgeries
Lifetime guarantee
on the result
Get a personal plan
and a 3D result forecast
The consultation is non-binding
Rhinoplasty: before and after
Before and after photos, unretouched and unedited.
Irina, 24 — rhinoplasty
Anna, 22 — rhinoplasty
Angelina, 31 — rhinoplasty
Ivan, 25 — rhinoplasty
Valentina, 23 — rhinoplasty
Evgenia, 19 — rhinoplasty
Anna, 27 — rhinoplasty
Veronika, 26 — rhinoplasty
Kristina, 23 — rhinoplasty
Anna, 24 — rhinoplasty
Veronika, 34 — rhinoplasty
Yulia, 22 — rhinoplasty
Ivan, 41 — rhinoplasty
Evgenia, 27 — rhinoplasty
What the rhinoplasty price includes — $4,200
The price of rhinoplasty at City Medical Centre is $4,200 instead of $6,000. Everything below is covered — the surgeon's work, follow-up visits and dressings included.
Whatever the type of surgery — open or closed rhinoplasty, tip correction or septorhinoplasty — the price covers it. The first consultation is free; the surgeon confirms the final figure after examining you.
How rhinoplasty works
At the consultation you will see a realistic forecast
We look at your facial proportions, show you a 3D model of the nose to come and draft a personal plan for surgery
Assessment of nasal anatomy and facial proportions
We analyse your nose and its harmony with your face
3D result forecast before surgery
We show how your nose will look after surgery
Personal surgery and recovery plan
We choose the best technique and explain recovery in detail
Answers on timing, recovery and contraindications
You get clear answers to every important question
Our operating room
The surgery is carried out by a surgical team in the clinic's in-house operating room, with an anaesthetist and nonstop patient monitoring.
A real recording from City Medical Centre's operating room.
Your path to the perfect nose: from dream to reality
A complete guide from first consultation to recovery
Consultation and nose modelling
The doctor reviews your nose, hears your expectations and does the essential checks to select the most effective correction method
Pre-surgery check-up
Pre-surgery, you need complete lab testing: complete blood count, biochemistry, coagulation panel, a chest X-ray and a sinus X-ray
The surgery
The surgeon performs rhinoplasty with the chosen method under general or local anaesthesia, reshaping the nose
Step-by-step surgical process
The first step is a personal consultation with 3D modelling of the nose and an assessment of the septum and breathing. Next is pre-op preparation — tests, a CT scan, specialist consultations — and then the surgery itself.
- Anaesthesia — classic general anaesthesia or TIVA (intravenous anaesthesia), chosen by complexity
- Access — depending on the surgeon's choice, open (external incision on the columella) or closed (all incisions internal)
- Bone and cartilage reshaping — done with an ultrasonic piezo device to limit injury to tissue and vessels
- New nose shaping — extra tissue is removed or a graft added; the bridge, tip, nostrils or septum are given a new form
- Sutures — made with atraumatic, self-absorbing or cosmetic material
- Fixation — we place packing and an external splint to stabilise the form
Inpatient stay
All procedures are performed in the clinic's inpatient unit. After surgery you stay there for one day
Recovery period
Recovery after surgery follows a set course — easing swelling, monitoring the nose and advising on care. It takes about 4 months on average to heal fully, and the first results are visible after two weeks
Post-op check-ups
A free post-op consultation with our plastic surgeon is available until the end of the year. During the check-up the doctor evaluates the rhinoplasty outcome, monitors recovery and answers all your questions
Consultation and nose modelling
The doctor reviews your nose, hears your expectations and does the essential checks to select the most effective correction method
Pre-surgery check-up
Pre-surgery, you need complete lab testing: complete blood count, biochemistry, coagulation panel, a chest X-ray and a sinus X-ray
The surgery
The surgeon performs rhinoplasty with the chosen method under general or local anaesthesia, reshaping the nose
Step-by-step surgical process
The first step is a personal consultation with 3D or 4D modelling of the nose and an assessment of the septum and breathing. Next is pre-op preparation — tests, a CT scan, specialist consultations — and then the surgery itself.
- Anaesthesia — classic general anaesthesia or TIVA (intravenous anaesthesia), chosen by complexity
- Access — depending on the surgeon's choice, open (external incision on the columella) or closed (all incisions internal)
- Bone and cartilage reshaping — done with an ultrasonic piezo device to limit injury to tissue and vessels
- New nose shaping — extra tissue is removed or a graft added; the bridge, tip, nostrils or septum are given a new form
- Sutures — made with atraumatic, self-absorbing or cosmetic material
- Fixation — we place packing and an external splint to stabilise the form
Inpatient stay
All procedures are performed in the clinic's inpatient unit. After surgery you stay there for one day
Recovery period
Recovery after surgery follows a set course — easing swelling, monitoring the nose and advising on care. It takes about 4 months on average to heal fully, and the first results are visible after two weeks
Post-op check-ups
A free post-op consultation with our plastic surgeon is available until the end of the year. During the check-up the doctor evaluates the rhinoplasty outcome, monitors recovery and answers all your questions
A surgeon you can trust
A skilled plastic surgeon who cares about the beauty and health of patients
Dmitry S. Kuznetsov
Plastic surgeon
- Residency training in plastic surgery: Petrovsky National Research Centre of Surgery, 2024
- Residency in surgery — University of Medicine, 2021
- Participant of the 13th International ICTPS Congress, 2024
- Rated 5.0 by patients, 18 reviews
Patient video reviews after rhinoplasty
Patients describe their rhinoplasty at City Medical Centre in their own words: surgery and recovery.
Patient review 6 months after surgery
A patient on how her recovery went
Medical indications for rhinoplasty
With chronic conditions, please get advice from a clinic doctor!
Indications
Nasal polyps
A bulbous nasal tip
Asymmetric nasal cartilage or nostrils
Deviated septum
Significant breathing problems
A wide nasal bridge
A prominent dorsal hump
Saddle nose
Nasal injury
Contraindications to rhinoplasty
Infectious diseases
Mental health disorders
Cancer
Age under 18
Decompensated chronic diseases
Blood clotting disorders
Skin damage in the treatment area
Inflammation of the ears, throat, nose or eyes
Types of rhinoplasty: open, closed, septorhinoplasty
We will select the best-suited solution for you and achieve an excellent outcome.
Closed rhinoplasty
Carried out via internal nasal incisions, with no visible scarring.
Open rhinoplasty
A small incision on the columella lets the surgeon control the shape more precisely.
Septorhinoplasty
A combined surgery to straighten the septum and alter the look of the nose
Revision rhinoplasty
Correcting again after a surgery with poor or partial success.
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Preparing for nose surgery
A successful surgery starts with preparation 21 days before rhinoplasty. Our plastic surgeon will provide a list of tests at your first appointment.
CBC (complete blood count) with ESR, differential, platelets
Urinalysis
Tests for HIV, HBsAg, anti-HCV and Treponema pallidum antibodies
Blood type and Rh factor
Biochemistry of the blood (total protein, urea, uric acid, creatinine, glucose, total, direct and indirect bilirubin, ALT, AST, K, Na, Cl, cholesterol)
Coagulation screen with Quick prothrombin, INR, aPTT, D-dimer, antithrombin III
Electrocardiogram (ECG) with report
Doppler ultrasound / duplex scan of the leg veins
Chest X-ray or fluorography with report
CT scan of the paranasal sinuses
After the full lab work-up — a physician's report confirming no contraindications to surgery
3–5 days before surgery you need to
- Stop smoking and drinking alcohol
- Cut out salty, fatty, fried and spicy foods, as they cause swelling; stop medications affecting blood clotting (only with your doctor's consent)
- Limit physical activity
- Don't use skin-damaging cosmetic treatments: scrubs, peels, etc.
Important!
- Each test must be on a separate form
- The facility's stamp and doctor's signature are required
- Ahead of your hospital stay, buy class 2 compression stockings
- Your last meal and drink on the day of surgery must be taken at least 6 hours before the set time
- If you have chronic conditions or are under regular specialist care, you need a specialist's clearance for elective surgery under general anaesthesia
Recovery after rhinoplasty: stages and advice
Recovery following nose surgery is equally as important as the surgery. How aesthetic and harmonious the end result becomes depends on proper recovery. City Medical Centre follows recovery closely, dividing it into three phases: early, middle and late
Early phase
- During the first 24 hours after rhinoplasty, the patient is observed in the inpatient unit
- Days 1–3: you breathe by mouth while splints sit in the nostrils
- There is swelling; nasal stuffiness and bruises may appear
- Day 7: splint removal. The aluminium splint stays on up to 14 days; on day 14 the stitches and splint are removed together
- No bending over, touching your nose or wearing glasses
Middle phase
- Swelling gradually subsides, but the tip and bridge may stay swollen
- For a month, skip exercise, the bathhouse, sauna, pool, hot baths and sun
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- Some mild congestion may be felt for 1–1.5 months after nose surgery
- The nose takes its final shape in 1–1.5 years
- Keep seeing your surgeon during this time
Early phase
- During the first 24 hours after rhinoplasty, the patient is observed in the inpatient unit
- Days 1–3: you breathe by mouth while splints sit in the nostrils
- There is swelling; nasal stuffiness and bruises may appear
- Day 7: splint removal. The aluminium splint stays on up to 14 days; on day 14 the stitches and splint are removed together
- No bending over, touching your nose or wearing glasses
Middle phase
- Swelling gradually subsides, but the tip and bridge may stay swollen
- For a month, skip exercise, the bathhouse, sauna, pool, hot baths and sun
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- Some mild congestion may be felt for 1–1.5 months after nose surgery
- Final nose shape is reached in 1–1.5 yearsRemain under your surgeon's supervision in this period
What not to do after rhinoplasty
Remove dressings or splints yourself
Take hot baths or use a tanning bed
Exercise or do heavy physical work
Smoke or drink alcohol for at least a month
Press on your nose, wear glasses or sleep face down
To make recovery faster and reach an ideal result after rhinoplasty, we suggest
- Keep a regular rest and sleep routine
- Humidify the air indoors
- Take a course of microcurrent or ultrasound therapy.
- Follow the prescribed diet, avoid salty and spicy food
Complications and risk management
Nose surgery is a popular and well-established aesthetic procedure, but it carries certain risks like any other surgery. To minimise possible complications after rhinoplasty, our clinic arranges thorough preparation before and monitoring after the operation.
Possible complications after surgery
Swelling and bruising
A normal body reaction, but excessive cases need monitoring
Bleeding
May be seen in the first days, particularly when restrictions are ignored
Infection
An extremely rare complication caused by poor hygiene
Nose shape irregularities
Asymmetry, septum shift, uneven cartilage fixation
Impaired breathing
Possible if too much tissue is removed or due to individual anatomy
Thick scarring
More common with open rhinoplasty and a tendency to keloids
Psychological disappointment
More common in patients with unrealistic expectations
How to avoid complications after rhinoplasty?
- Choose an experienced surgeon. Safe rhinoplasty depends on the doctor's skill and experience.
- Full diagnostics before surgery. Consists of tests, CT, ECG, and surgeon and anaesthetist exams.
- Follow the recovery regime. Keep your hands off the nose and the dressing; avoid sport, the sun, alcohol and cigarettes.
- Antibiotic prophylaxis. Prescribed when indicated to prevent infection.
- Follow-up visits. Regular surgeon check-ups identify minor deviations early and correct them.
- Psychological readiness. Understand that the final result will be visible in 1–1.5 years.
Important: if you have difficulty breathing, severe pain, high fever or shape changes after rhinoplasty, contact your doctor immediately.
Rhinoplasty at City Medical Centre is carried out with modern technology, safe materials and ongoing medical supervision to minimise the risk of complications.
How to avoid complications after rhinoplasty?
- Choose an experienced surgeon. Safe rhinoplasty depends on the doctor's skill and experience.
- Full diagnostics before surgery. Consists of tests, CT, ECG, and surgeon and anaesthetist exams.
- Follow the recovery regime. Keep your hands off the nose and the dressing; avoid sport, the sun, alcohol and cigarettes.
- Antibiotic prophylaxis. Prescribed when indicated to prevent infection.
- Follow-up visits. Regular surgeon check-ups identify minor deviations early and correct them.
- Psychological readiness. Understand that the final result will be visible in 1–1.5 years.
Important: if you have difficulty breathing, severe pain, high fever or shape changes after rhinoplasty, contact your doctor immediately.
Rhinoplasty at City Medical Centre is carried out with modern technology, safe materials and ongoing medical supervision to minimise the risk of complications.
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Rhinoplasty — prices
There is no charge for the first consultation, where the surgeon confirms the exact cost after an exam.
Service
Discounted price
Rhinoplasty:
frequently asked questions
When is the best time for rhinoplasty?
The optimal age range is 18 to 45. The nose is fully formed by then and tissues still heal well. At an older age, surgery is possible with medical indications if your general health allows it
How do I prepare for rhinoplasty?
Preparation consists of plastic surgeon consultations, lab tests (CBC, biochemistry, coagulation, infection tests), ECG, chest X-ray, and a nasal X-ray or CT. One week before surgery, stop anticoagulants, alcohol and smoking. On the day before, eat light meals; fast for 6 hours before surgery
Rhinoplasty vs septoplasty: what's the difference?
Rhinoplasty — surgery aimed at changing the look of the nose (an aesthetic goal) and improving its function where breathing is impaired.
Septoplasty — a septum-correcting surgery that restores normal breathing and does not change the outer contour of the nose.
Combining both surgeries is common, above all when a deviated septum comes with aesthetic concerns. It creates a harmonious look and restores full breathing. At City Medical Centre . we perform rhinoseptoplasty — one combined surgery addressing both tasks at once
What are the risks of rhinoplasty?
Any surgery may bring swelling, bruising, infection, bleeding, short-term breathing problems or minor asymmetry. At City Medical Centre, modern techniques, anaesthesia and equipment minimise risks, backed by post-op monitoring and recovery therapy
When will I see the result?
First changes show as swelling subsides (2–3 weeks); however, the final rhinoplasty outcome is assessed in 1–1.5 years, when the tissues stabilise completely
Can I breathe through my nose after surgery?
For the first few days after surgery, splints or swelling may partly close the nasal passages. Full breathing generally comes back within 1–2 weeks, depending on how extensive the surgery was and your body
Will there be visible scars?
The closed method keeps all incisions inside, leaving no scars outside. The open method leaves a barely visible scar on the columella (the bridge between the nostrils) which fades almost completely in time. Our doctors minimise scars through microsurgical techniques and quality sutures
How much will rhinoplasty change my appearance?
Rhinoplasty brings more harmony to facial features and improves aesthetics while keeping your individuality. 3D modelling lets you see the predicted result beforehand and agree on changes with your surgeon
Rhinoplasty cost at City Medical Centre?
The current discount brings rhinoplasty at City Medical Centre to $4,200 instead of $6,000. The first consultation is free.
What does the rhinoplasty price depend on?
What you pay depends on the extent of surgery and is agreed at the consultation — the doctor quotes the exact price once your nose and facial proportions are examined.
What does the rhinoplasty price include?
Surgery with general anaesthesia, one day in the inpatient unit, monitoring by the doctor and a free post-surgery check-up. The clinic provides a lifetime guarantee on the result.
How much is a consultation?
The first consultation at City Medical Centre is free. The doctor examines your nose, assesses facial proportions and names the exact cost of surgery.
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Rhinoplasty: the art of harmony and function
Rhinoplasty (nose job) —
one of the most delicate and popular plastic surgeries, aimed at reshaping the nose in line with the individual proportions of the nose and the whole face. Modern rhinoplasty is not just a surgery to change how the nose looks, but complex surgical work to achieve an aesthetic ideal without harming health.
What is rhinoplasty, or nose reshaping surgery?
In its essence, rhinoplasty is a comprehensive solution. It addresses congenital and acquired nasal deformities, including cases after a nasal injury. Typical concerns are a dorsal hump or an overly wide nose. Correction may also concentrate on the nasal tip (tip rhinoplasty) or the nostrils (alar rhinoplasty). An individual surgery plan is prepared for every patient, based on all features of the nose.
How is the surgery performed?
Rhinoplasty takes 1.5 to 3 hours under general anaesthesia, depending on how complex it is. Surgeons use two main approaches, open rhinoplasty and closed rhinoplasty. With open rhinoplasty, a small incision on the columella (the tissue between the nostrils) lets the surgeon see all nasal structures in full. With closed rhinoplasty, the incisions are inside the nose and no visible scars remain.
Your surgeon chooses the technique according to your goals. For example, the open approach is often required to correct an upturned nose or perform complex reshaping of the nasal bones and bridge.
Recovery and results
The nose must be cared for after surgery. An aluminium splint is applied to the nose, and special silicone splints are inserted inside. The nose works in a limited way in the first days but recovers quickly. In 1–1.5 years, once swelling fully subsides, the final rhinoplasty result can be assessed.
Why trust the professionals?
Rhinoplasty is a significant step. Done well, it gives you a new nose that blends perfectly with your features and works without flaws. The surgeon assesses every parameter in detail at the consultation: nose size, tip projection, the septum and nasal lining. Thanks to 3D modelling, you see your future nasal proportions before rhinoplasty is performed.
Instead of just searching the web for rhinoplasty photos, book a consultation to discuss what modern rhinoplasty can and cannot do for you. We specialise in correcting external nasal deformities and nose reshaping.
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Other services at our clinic
How a nose job works for Fresno residents
Who is a candidate? The optimal age is 18 to 45, when the nose is fully formed and tissues heal well; with medical indications, older patients can also be considered if health allows. Indications include asymmetric cartilage or nostrils and significant breathing problems. Anyone researching rhinoplasty in Fresno should know the contraindications too: decompensated chronic disease, skin damage or inflammation in the area.
Preparation begins about 21 days before surgery, when the plastic surgeon hands over the list of tests. Three to five days before, stop smoking and alcohol, cut salty, fatty and spicy foods and avoid peels or scrubs. On the day itself, the last food and drink should be at least six hours before the operation. This routine is the same for every Fresno patient.
Nothing about the price is hidden. For $4,200, residents of Fresno get the operation performed by the plastic surgeon, a day in the ward, follow-up appointments and dressings, and personal coordinator support throughout. The same amount covers open and closed techniques, tip correction and septorhinoplasty. Your first step is a free consultation where the doctor assesses the nose and gives a precise quote.
Get a consultation
Apply before the end of the year and get a consultation on us!
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