Rhinoplasty
Open and Closed Rhinoplasty in San Francisco
A custom approach with 3D simulation of the result and modern techniques for natural, confident beauty
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
You pay $4,200 instead of $6,000 for rhinoplasty at City Medical Centre. Everything shown below is included, from the surgeon's work to dressings and follow-ups.
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 check your facial proportions, create a 3D preview of your future nose and work out an individual surgery plan
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.
Recorded in the City Medical Centre operating room, not a set-up.
Your path to the perfect nose: from dream to reality
A complete guide from first consultation to recovery
Consultation and nose modelling
To choose the best correction method, the doctor assesses your nose, discusses your wishes and carries out the necessary checks
Pre-surgery check-up
Surgery requires a full lab work-up beforehand: complete blood count, biochemistry, coagulation tests, chest X-ray and sinus X-ray
The surgery
With the chosen method and under general or local anaesthesia, the surgeon performs the rhinoplasty and reshapes the nose
Step-by-step surgical process
Rhinoplasty starts with an individual consultation, a 3D model of the nose and a review of the septum and breathing. Following pre-op preparation, which includes tests, a CT scan and specialist consultations, the patient undergoes surgery.
- Anaesthesia — depending on complexity, TIVA (intravenous anaesthesia) or conventional general anaesthesia
- Access — open technique (external columella incision) or closed technique (incisions made only inside the nose), chosen by the surgeon
- Bone and cartilage correction — using an ultrasonic piezo device to minimise trauma to tissue and vessels
- Creating the new shape — excess tissue is removed or grafted tissue added, and the bridge, tip, nostrils or septum reshaped
- Sutures — atraumatic, dissolvable or cosmetic suture materials are applied
- Fixation — the shape is stabilised with packing and an external splint
Inpatient stay
Procedures are carried out in the clinic's inpatient unit. Following surgery, you stay one day there
Recovery period
A recovery course follows surgery, covering swelling relief, monitoring of the nose and care guidance. Healing is usually complete in about 4 months, with first visible results after two weeks
Post-op check-ups
Before the year ends, you can have a free post-op consultation with our plastic surgeon. During the check-up the doctor assesses the rhinoplasty result, tracks recovery and answers all your questions
Consultation and nose modelling
To choose the best correction method, the doctor assesses your nose, discusses your wishes and carries out the necessary checks
Pre-surgery check-up
Surgery requires a full lab work-up beforehand: complete blood count, biochemistry, coagulation tests, chest X-ray and sinus X-ray
The surgery
With the chosen method and under general or local anaesthesia, the surgeon performs the rhinoplasty and reshapes the nose
Step-by-step surgical process
Every rhinoplasty begins with a personal consultation, 3D or 4D nose modelling and an assessment of the septum and nasal breathing. After preparation that includes tests, a CT scan and specialist consultations, the patient is taken to surgery.
- Anaesthesia — depending on complexity, TIVA (intravenous anaesthesia) or conventional general anaesthesia
- Access — open technique (external columella incision) or closed technique (incisions made only inside the nose), chosen by the surgeon
- Bone and cartilage correction — using an ultrasonic piezo device to minimise trauma to tissue and vessels
- Creating the new shape — excess tissue is removed or grafted tissue added, and the bridge, tip, nostrils or septum reshaped
- Sutures — atraumatic, dissolvable or cosmetic suture materials are applied
- Fixation — the shape is stabilised with packing and an external splint
Inpatient stay
Procedures are carried out in the clinic's inpatient unit. Following surgery, you stay one day there
Recovery period
A recovery course follows surgery, covering swelling relief, monitoring of the nose and care guidance. Healing is usually complete in about 4 months, with first visible results after two weeks
Post-op check-ups
Before the year ends, you can have a free post-op consultation with our plastic surgeon. During the check-up the doctor assesses the rhinoplasty result, tracks recovery and answers all your questions
A surgeon you can trust
An expert plastic surgeon attentive to 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
Please see a clinic physician if you have chronic health conditions!
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
Our team finds the most effective solution for you and delivers an excellent result.
Closed rhinoplasty
Performed through incisions inside the nose, with no visible scars.
Open rhinoplasty
Based on a small columella incision, giving the surgeon more control over the shape.
Septorhinoplasty
A combined surgery to correct the septum and change the look of the nose
Revision rhinoplasty
Secondary correction after an unsuccessful or partly successful operation.
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
To set up a successful surgery, prepare starting 21 days before rhinoplasty. Our plastic surgeon will give you the required tests at the first visit.
Complete blood count covering ESR, differential and platelets
Urinalysis
Infection panel: HIV, HBsAg, anti-HCV and Treponema pallidum antibodies
Blood type and Rh factor
Biochemical blood panel — total protein, urea, uric acid, creatinine, glucose, bilirubin (total, direct and indirect), ALT, AST, K, Na, Cl, cholesterol
Clotting tests — 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
- Avoid cosmetic treatments that damage the skin: scrubs, peels, etc.
Important!
- Each test must be on a separate form
- The facility's stamp and doctor's signature are required
- Purchase class 2 compression stockings beforehand for the inpatient stay
- On the day of the operation, stop eating and drinking at least 6 hours before the set time
- If you have a chronic condition or are regularly monitored by a specialist, get their clearance for elective surgery under general anaesthesia
Recovery after rhinoplasty: stages and advice
The recovery period after nose surgery is as important as the surgery. Correct recovery shapes how aesthetic and balanced the final result turns out. City Medical Centre monitors recovery closely and divides it into three phases: early, middle and late
Early phase
- Observation in the inpatient unit continues for the first 24 hours after rhinoplasty
- Days 1–3: splints stay in the nostrils and you breathe by mouth
- Swelling occurs, and congestion or bruising is possible
- Day 7: the splints come out. Up to 14 days the aluminium splint stays; on day 14 stitches go together with the splint
- No bending over, touching your nose or wearing glasses
Middle phase
- Swelling fades gradually, yet the tip and bridge may remain swollen
- For one month: avoid exercise, bathhouse, sauna, pool, hot baths and sun
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- For 1–1.5 months following nose surgery, you may feel slightly congested
- The nose takes its final shape in 1–1.5 years
- Keep seeing your surgeon during this time
Early phase
- Observation in the inpatient unit continues for the first 24 hours after rhinoplasty
- Days 1–3: splints stay in the nostrils and you breathe by mouth
- Swelling occurs, and congestion or bruising is possible
- Day 7: the splints come out. Up to 14 days the aluminium splint stays; on day 14 stitches go together with the splint
- No bending over, touching your nose or wearing glasses
Middle phase
- Swelling fades gradually, yet the tip and bridge may remain swollen
- For one month: avoid exercise, bathhouse, sauna, pool, hot baths and sun
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- For 1–1.5 months following nose surgery, you may feel slightly congested
- Over 1–1.5 years the nose takes on its final shapeKeep in touch with your surgeon in that 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
For quicker recovery and an ideal result after rhinoplasty, we advise
- 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
Popular and well-established as nose surgery is among aesthetic procedures, it still carries certain risks, like any surgery. Our clinic keeps the chance of complications after rhinoplasty to a minimum with thorough pre-op preparation and post-op monitoring.
Possible complications after surgery
Swelling and bruising
A normal body reaction, but excessive cases need monitoring
Bleeding
In the first days this may occur, especially if restrictions are neglected
Infection
An extremely rare complication caused by poor hygiene
Nose shape irregularities
Asymmetry, septum shift, uneven cartilage fixation
Impaired breathing
Possible from over-removal of tissue or 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. A doctor's skill and experience are central to safe rhinoplasty.
- Full diagnostics before surgery. Involves tests, CT, ECG and checks by the surgeon and anaesthetist.
- 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 appointments reveal the slightest deviations so they are fixed early.
- Psychological readiness. The patient needs to understand the final result appears in 1–1.5 years.
Important: if breathing is hard, pain is severe, fever is high or the shape changes after rhinoplasty, get in touch with your doctor straight away.
Rhinoplasty at City Medical Centre is performed using modern technology, safe materials and continuous medical supervision, which minimises the risk of complications.
How to avoid complications after rhinoplasty?
- Choose an experienced surgeon. A doctor's skill and experience are central to safe rhinoplasty.
- Full diagnostics before surgery. Involves tests, CT, ECG and checks by the surgeon and anaesthetist.
- 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 appointments reveal the slightest deviations so they are fixed early.
- Psychological readiness. The patient needs to understand the final result appears in 1–1.5 years.
Important: if breathing is hard, pain is severe, fever is high or the shape changes after rhinoplasty, get in touch with your doctor straight away.
Rhinoplasty at City Medical Centre is performed using modern technology, safe materials and continuous medical supervision, which minimises the risk of complications.
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Rhinoplasty — prices
The first consultation is free. The surgeon confirms the exact cost at the consultation after an exam.
Service
Discounted price
Rhinoplasty:
frequently asked questions
When is the best time for rhinoplasty?
18 to 45 is the optimal age. By this age the nose has formed completely, while tissues still heal well. With medical indications, older patients can have surgery if their general health allows
How do I prepare for rhinoplasty?
Getting ready involves consultations with the plastic surgeon, lab work (CBC, biochemistry, coagulation, infection tests), ECG, chest X-ray, plus a nasal X-ray or CT. A week ahead, give up anticoagulants, alcohol and smoking. The day before — light food; no food 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 — surgery on the nasal septum to bring back normal breathing, leaving the outer contour of the nose unchanged.
Frequently both surgeries are done at once, especially for a patient with a deviated septum and aesthetic concerns. That way the look is harmonious and full breathing returns. At City Medical Centre . we perform rhinoseptoplasty — one combined surgery addressing both tasks at once
What are the risks of rhinoplasty?
Any operation carries possible swelling, bruising, infection, bleeding, temporary breathing problems and minor asymmetry. To keep risks minimal, City Medical Centre employs modern techniques, anaesthesia and equipment, plus post-op monitoring and recovery therapy
When will I see the result?
Swelling subsides and first improvements appear (2–3 weeks), but judging the final rhinoplasty result is possible in 1–1.5 years, when tissues fully settle
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?
With the closed technique, incisions are made inside, so external scars are absent. The open technique leaves a barely visible scar on the columella (the bridge between the nostrils), fading almost entirely as time passes. Microsurgical techniques and quality sutures help our doctors keep scars minimal
How much will rhinoplasty change my appearance?
Rhinoplasty makes the face more harmonious and improves its aesthetics, without losing what makes you individual. Using 3D modelling, you see the expected result in advance and agree on changes with the surgeon
Rhinoplasty cost at City Medical Centre?
City Medical Centre offers rhinoplasty for $4,200 instead of $6,000 with the current discount. First consultation is free.
What does the rhinoplasty price depend on?
The extent of surgery determines the cost, which is set at the consultation: after examining your nose and facial proportions, the doctor names the exact price.
What does the rhinoplasty price include?
General anaesthesia for the surgery, one day in the inpatient unit, doctor monitoring and a complimentary check-up afterwards. The clinic guarantees the result for life.
How much is a consultation?
We offer the first consultation at City Medical Centre free. The doctor examines your nose, evaluates the proportions of your face and names the exact cost.
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?
Essentially, rhinoplasty is a comprehensive solution. It corrects congenital as well as acquired nasal deformities, such as those after a nasal injury. A dorsal hump or an overly wide nose often troubles patients. Correction may also focus on the nasal tip (tip rhinoplasty) or the nostrils (alar rhinoplasty). Each patient's surgery plan is made individually, considering all features of the nose.
How is the surgery performed?
Rhinoplasty is performed with the patient under general anaesthesia and lasts 1.5 to 3 hours, according to complexity. The two main approaches are open rhinoplasty and closed rhinoplasty. Open rhinoplasty means a small incision on the columella (the tissue between the nostrils), offering the surgeon a full view of the nasal structures. Closed rhinoplasty relies on incisions inside the nose and leaves no visible scars.
Technique is chosen by the surgeon in line with your goals. The open approach is often necessary, for example, when correcting an upturned nose or complex reshaping of the nasal bones and bridge.
Recovery and results
Care of the nose is needed after surgery. An aluminium splint is fixed on the nose, with special silicone splints inside. Nasal function is reduced for the first days but recovers quickly. The final result of rhinoplasty can be assessed in 1–1.5 years, once all swelling is gone.
Why trust the professionals?
Rhinoplasty is a big decision. A well-done rhinoplasty means a new nose that fits perfectly with your features and functions flawlessly. At your consultation the surgeon evaluates all parameters in detail: nose size, tip projection, the septum and nasal lining. Our 3D modelling lets you see the future proportions of your nose before rhinoplasty is performed.
Don't stop at rhinoplasty photos online. Book a consultation and discuss what modern rhinoplasty is and isn't able to do for you. Our specialty is the correction of external nasal deformities and reshaping of the nose.
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Other services at our clinic
Choosing rhinoplasty in San Francisco
Rhinoplasty covers several procedures. Tip rhinoplasty targets the nasal tip, alar rhinoplasty the nostrils, septorhinoplasty the septum together with the outer shape, and revision surgery corrects an earlier unsuccessful result. Revision is more complex and is done no earlier than a year after the primary operation. The plan for each person from San Francisco is built around their anatomy and wishes.
First visible results appear after about two weeks, and full healing takes around four months on average. The nose settles into its final shape over 1–1.5 years, so seeing your surgeon during this period matters. Until the end of the year, San Francisco patients can have a free post-op consultation where the doctor evaluates the outcome, monitors recovery and answers questions.
Nothing about the price is hidden. For $4,200, residents of San Francisco 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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