Aesthetic & Functional Rhinoplasty
Surgical refinement of the nose to achieve elegant facial harmony, precise nasal proportion, and uncompromised breathing.
Overview
Rhinoplasty is widely recognized as one of the most complex and artful procedures in facial plastic surgery. The nose occupies the absolute center of the face, defining profile aesthetics, front-facing balance, and airway mechanics. Dr. Garrett Ni approaches rhinoplasty with a dual commitment: preserving or expanding nasal airway function while sculpting a nose that seamlessly complements your cheekbones, chin, and eyes. Whether addressing a prominent dorsal hump, droopy or wide tip, nasal asymmetry, or previous surgical trauma (revision rhinoplasty), Dr. Ni creates natural, structural results that never look 'operated on.'
Who It Is For
Ideal for individuals dissatisfied with their nasal hump, wide tip, crooked bridge, nostril flare, or breathing impairment caused by a deviated septum or collapsed nasal valves.
Key Anatomical Zones
Preserves key anatomical ligaments (Pitanguy's and scroll ligaments) to maintain dynamic tip flexibility and avoid stiffness.
Ultrasonic piezotome technology and diamond rasps reshape bone with microscopic precision without bruising soft tissue.
Autologous cartilage grafts support the internal nasal valve to guarantee long-term athletic airflow.
A tiny inverted-V stair-step incision across the columella heals into an imperceptible, hidden line.
Dr. Ni’s Approach
Dr. Ni’s double board-certified Otolaryngology Head and Neck Surgery training equips him with deep expertise in internal nasal airway architecture. He utilizes open and structural preservation rhinoplasty techniques, using precise cartilage grafting (septal, conchal, or rib) to build strong, resilient internal support frames that maintain airway patency and resist scar contracture over a lifetime.
Surgical & Anatomical Technique
Using an open or closed structural approach, Dr. Ni precisely exposes the osseocartilaginous vault. The dorsal hump is reduced incrementally. Spreader grafts are placed to stabilize the middle third of the nose and ensure open airway dynamics. The lower lateral cartilages are sculpted using tip suturing techniques (domal equalization and columellar strut support) to achieve natural tip rotation and refined definition.
The Experience
During your consultation in Mount Carmel, Dr. Ni conducts high-resolution profile photography and digital morphing analysis to align surgical goals with your unique anatomical features.
Performed under general anesthesia or twilight sedation in an accredited surgical center. Dr. Ni utilizes ultra-delicate piezotome (ultrasonic) or micro-instrumentation to reshape bone and cartilage with minimal trauma.
Recovery Timeline
A lightweight external nasal splint is worn for 7 days. Dr. Ni avoids painful traditional internal packing. Most patients return to work or school after splint removal at day 7.
Protective external splint in place. Cold compresses on cheeks. Normal nasal breathing through soft internal stents.
External splint and delicate columellar sutures removed in-office. Immediate profile refinement visible.
Return to professional work, social routines, and light walking with minimal residual bruising.
Subtle tip edema continues to refine, revealing exquisite sub-millimeter definition.
Why Choose Dr. Garrett Ni
Double board-certified facial plastic and reconstructive surgeon with dedicated ENT residency training.
Fellowship-trained at Ronald Reagan UCLA Medical Center and Mount Carmel aesthetic practices.
Expertise in structural preservation techniques—delivers natural beauty while optimizing airway function.
Comprehensive 3D photography and anatomical morphing consultation to align expectations.
What It Treats
- Dorsal humps and high bridge projection
- Bulbous, droopy, or boxy nasal tip shape
- Deviated septum and internal nasal airway obstruction
- Nasal crookedness, asymmetry, or trauma deformities
- Unbalanced chin-to-nose profile projection
Key Benefits
- Harmonizes central facial balance and profile contours
- Refines nasal tip definition and dorsal bridge line
- Corrects deviated septum and internal nasal valve collapse
- Preserves natural ethnic identity and structural integrity
- Structural preservation prevents late nostril collapsing or pinched tips
Frequently Asked Questions
Common questions about Aesthetic & Functional Rhinoplasty.
Related Procedures
Schedule Your Private Consultation
Consult personally with Dr. Garrett Ni at our Mount Carmel practice to discuss your aesthetic goals and receive an individualized surgical plan.