Nose surgery or Rhinoplasty is performed to enhance the appearance of the nose and/or to correct a functional problem resulting from internal anomalies, such as a deviated nasal septum, nasal fracture and enlarged turbinates. Although nose surgeries are common, they represent some of the most challenging surgical procedures that are performed, requiring unique expertise and an inexhaustible attention to detail. It can be argued that the nose is the most defining characteristic of the face; even a slight alteration can have a tremendous impact on one’s appearance.

At Profiles Beverly Hills, Facial Plastic Surgeons, Dr. Litner and Dr. Solieman specialize in this delicate procedure. It is for this reason that Drs. Litner and Solieman have gained a reputation that extends far beyond the L.A. metropolitan area.


Rhinoplasty is performed to alter the size and shape of the nose, bringing it into greater balance with the other features of the face. With even small, subtle adjustments, in the hands of the right surgeon, the change can be dramatic. Many patients seek Rhinoplasty to modify an upturned or bulbous tip, change the size and shape of the nostrils, or alter the overall size of the nose.

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Revision Rhinoplasty

If a patient has undergone a rhinoplasty and is dissatisfied with the aesthetic results or is suffering from complications, a secondary, or revision rhinoplasty can be performed. A revision rhinoplasty can correct structural issues relating to the removal of too much or too little cartilage, abnormal scarring, and asymmetry. When significant functional problems exist, such as difficulty breathing, a corrective rhinoplasty may be required to restore normal nasal performance. In general, patients need to wait at least 6 months after the primary rhinoplasty before undergoing a revision rhinoplasty. Because the nose will continue to change in the initial months post-surgery, it is important that the nose has settled into its new form before a second procedure is done.

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Deviated Septum (Septoplasty)

If the nasal septum, the cartilage and bone partition that separates the nasal cavities is crooked, displaced, or deviated, it can cause difficulty breathing. A deviated septum, which does not necessarily correspond with a crooked outward appearance of the nose, can be present at birth. Alternately, it can develop as the result of injury or trauma to the nose. Septoplasty, or Septal Reconstruction, is a surgical procedure that can be performed to straighten the deviated septum to improve nasal function. Because Septoplasty addresses an internal functional issue, it will not affect the nose’s external appearance. For individuals would like to have a cosmetic modification at the same time as the correction of a deviated septum, Septorhinoplasty (Septoplasty in combination with Rhinoplasty) is often a viable option.

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Septal Perforation

Composed of three layers (bone, cartilage and the nasal lining), the nasal septum can develop a perforation, or hole, that punctures through all three layers. A perforation can appear due to a variety of causes, including complications from a previous nose surgery, trauma to the nose, snorting drugs, and certain illnesses. If a septal perforation is suspected or observed, it is important to have it evaluated to determine the extent of the hole. Individuals experiencing chronic infections or problems with airflow, surgery may be recommended. Septal perforation repair is a delicate, complex surgical procedure. As one of the few facilities to treat septal perforations in the US, Profiles Beverly Hills can provide expert consultation and treatment.

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African American Nose

Individuals of African American descent tend to have certain distinguishing nasal characteristics, including low, wide nasal bridges, wide nostrils and nasal tip, soft septal cartilage, and thick skin. These characteristics present specific technical challenges, such as how to heighten the bridge without overbuilding. Drs. Litner and Solieman have long specialized in Rhinoplasty for African-American individuals, pioneering and refining surgical techniques that address the aesthetic considerations mentioned above. Most importantly, Drs. Litner and Solieman recognize that a nose job should not compromise identity. The result is a natural-looking nose, appropriate and in harmony with the rest of the face.

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