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Dr. Honrado’s Facial Plastic Surgery Blog

Are you considering Rhinoplasty?

If you’re considering a rhinoplasty, you are not alone.  More commonly, the nose job, is one of the most popular procedures in Los Angeles.  Rhinoplasties have evolved considerably over the past two decades.

Back in the 80’s we saw sharp, ski slopes, where the goal was to reduce size, width smooth out bumps and if possible, give the tip a slight upward turn.  We have come a long way since.  The procedure is now incredibly nuances with unique, subtle reshaping and can also address the complexities of post-traumatic surgical procedures in a way it never had.

As a surgeon, it’s important that we ask prospective patients some deeper questions about their motivation during our initial meeting.  The questioning often goes as follows:

– Are you looking for an improvement in one area or a more general effect?

– Is there a “nose” you are trying to resemble say that of a certain actress, actor or model?

– What are the specifics of what bothers you and for how long?

– Is your rhinoplasty being planned for cosmetic reasons, or to help you recover from an obstructed airway or an accident?

From here we work together to map out and design the overall look you want.   The goal is to achieve an attractive effect that complements your face, naturally. We investigate the internal structures that will support those changes.  As a board-certified otolaryngology surgeon as well as a cosmetic surgeon, I often spend much time with my patients to explain how the various tissue types will respond and set according to the new contours of your face.

The needs of the patient will define the complexity or simplicity of the procedure.  For example, a deviated septum will typically take less time than a full reconstruction.  You can learn about the recovery process which can take up to several weeks.

The best way to know if you are a good candidate for rhinoplasty is to set up a consultation with Dr. Honrado today.  (310) 286-0043



What is THERMIlift?

What is THERMIlift – Minimally invasive device that heats and repairs saggy, lose skin from within. Tightens the skin, reduces fat and relaxes the frown (glabellar) lines of the forehead. Non-toxin alternative to injectable neurotoxins that eliminates or significantly reduces frown line and wrinkles.

It can last up to two years.

Here is a visual presentation of what THERMIlift is …

What is ThermiLift?


  1. Treats lax and sagging skin.
  2. Treats frown lines.
  3. Treats many areas of the body.
  4. Stimulates long-term collagen growth.
  5. Its safe, comfortable and minimally-invasive.
  6. Minimal or no downtime.
  7. Short Recovery.

THERMIlift is perfect for patients who want:

  1. To delay a major procedure.
  2. An effective one time treatment.
  3. Little down time.
  4. Long lasting results.
  5. The In-Between Patient.


  • Anesthesia: Local
  • Duration: 1 hour long
  • Description: Tiny radio frequency probe delivers the prescribed dose of safe RF energy through the non-insulated tip of the probe to heat the targeted fat cells causing the skin to heat, tighten and retract.
  • ThermiLift technology allows to precisely locate an area for treatment, and then apply a specific dose of controlled radiofrequency energy to a portion of the targeted area.
  • The clinician can set the desired temperature and know that is being delivered in consistent doses to the desired area.

Things to remember about THERMIlift:

  • Results are gradual and may take from three to six months to maximize the effects of the treatment.
  • Can be used to tighten the skin of the face, neck, back, chest and arms.
  • It’s ideal for small areas.
  • It’s a safe effective treatment that can reduce fat and tighten skin post procedure.
  • The dose for each patient is therapeutically customizable.
  • It’s ideal as an addition to a minimally invasive rejuvenation treatment plan,


  • Little to no downtime.
  • Mild swelling or discomfort for a few hours.

How is rhinoplasty cost determined?

When booking a costly surgical procedure such as a rhinoplasty, patients naturally get focused on the price.  It’s impossible not to.  The price is often as high as the physical and emotional cost.  If we break down the “price tag”, we can see what is the surgeon’s fee, and what goes to everything else – fees for the surgical center, nurses, anesthesiologists, etc.  Once the price is decoded, it may start to make more sense.  Nevertheless, patient’s want to know how a rhinoplasty cost is determined.

While the rhinoplasty is one of the most common plastic surgeries in our country for males and females, no two noses are exactly alike.  Many aspects of the surgical process remain relatively the same for many patients such as fees for the operating room, specific needs of the patient will help determine the total price.  This is often determined after an initial consultation.

A warning to prospective patients: Never shop for a procedure based on a price.  Be warned if you are getting quotes over the phone without ever having seen you.  Beware of special offers or “two for one” deals or any sorts of “discounts.”  

Special offers and group discounts might work in some offices for cosmetic/aesthetic non-invasive offers such as Botox or fillers.  But when it comes to surgery, forget it.  You only have one face and one nose.  And, your nose is the centerpiece.  There is a reason rhinoplasties are the number one revision surgery, meaning people have them done again and again.  A lot can go wrong.

Now that you know never to book a procedure for the price and have done the proper research into finding a board certified facial plastic surgeon who specializes in rhinoplasty, your next step is to set up several consultations where you will asses your comfort level with the doctor, ask questions and study before and after photos.  Is it a primary or revision?  How complex is it?  How much time is needed?  Will there be grafting, septoplasty, tubrinoplasty or a host of aesthetic shaping techniques?  Once this is all determined, in person, you will be given an accurate price range for your rhinoplasty, and one that is totally specific to you.

Considering rhinoplasty or revision rhinoplasty?  Book a consultation with Board Certified facial plastic surgeon, primary and revision rhinoplasty expert Dr. Honrado today 310.286.0043.