“Rhinoplasty is the one procedure in facial plastic surgery where your artistic instincts are tested as much as your surgical technique. The anatomy is complex, the changes are permanent, and the result must be flawless from every angle. I study the relationship between the nose and every surrounding feature before designing a plan — and I do not operate if I cannot achieve a result that will look completely natural.”
What rhinoplasty can do for you
Rhinoplasty refines the nose while preserving identity and ethnic character. Dr. Truesdale's technique balances the nose with the rest of the face from every angle — front, profile, and three-quarter — producing a result that looks like it was always yours.
- A nose that disappears into the face — proportions balance with eyes, lips, and chin so people see you first, never the nose.
- Beautiful from every angle — front, profile, and three-quarter all photograph as one harmonious whole, not three different views.
- Refined, not changed — your ethnic character and what makes your face yours is preserved; only the disharmony is corrected.
- Breathing that finally works — when functional issues are present, septum and turbinate corrections are addressed in the same operation — often for the first time in the patient’s life.
- No more compensating — no more angling for the “good side” in photos, hiding behind contour, or thinking about your nose at all.
Rhinoplasty before & afters
Real rhinoplasty patients of Dr. Truesdale. Each result is a customized plan designed to balance the nose with the rest of the face — and preserve what makes it yours.
Ready to discuss your rhinoplasty goals?
Understanding the rhinoplasty
What the rhinoplasty is
Rhinoplasty refines the nose while preserving your identity and ethnic character. The goal is a nose that balances harmoniously with the rest of your face from every angle — and looks like it was always yours.
Who the rhinoplasty is for
If any of the following describes you, the rhinoplasty may be worth exploring:
What makes Dr. Truesdale’s approach different
Dr. Truesdale’s approach to every procedure reflects a consistent set of principles — the same standards that inform every consultation, every surgical plan, and every post-operative follow-up.
Restraint, Not Over-Correction
The most over-done procedures in facial aesthetics are over-done because someone kept going past the right stopping point. Dr. Truesdale's rule: when the result is right, stop — even if more could technically be done. For the nose, that means refining what’s there — never reducing it past the point where it still looks like yours.
The Artist's Eye
Before becoming a surgeon, Dr. Truesdale was a trained portrait artist. That lens shapes every decision — proportion, light, shadow, the relationship between every feature — in a way purely clinical training alone does not. For rhinoplasty this is everything: a single millimeter changes whether a nose belongs on a face or sits on top of it.
Personal, Start to Finish
Every consultation, every surgical plan, every procedure — performed personally by Dr. Truesdale. No delegation to coordinators, PAs, or residents. Dr. Truesdale is personally involved every step of the way. Every rhinoplasty incision and graft is placed by Dr. Truesdale. The surgeon you met is the surgeon who operates.
Natural Is Non-Negotiable
The only acceptable outcome is one that no one can identify as a procedure — a result that reads as a better version of you. No pulled look, no frozen expression, no obvious work. The rhinoplasty goal: people say your face looks balanced — without ever knowing why.
How Dr. Truesdale plans and performs rhinoplasty
Analysis first, structure over reduction, identity preserved — open vs. closed, grafting, ethnic and revision rhinoplasty, in the surgeon’s own words.
Why choose Dr. Truesdale for your rhinoplasty
Rhinoplasty is the most technically demanding operation in facial plastic surgery, and a single millimeter separates a result that disappears into the face from one that announces itself. Here is what distinguishes Dr. Truesdale.
“A good rhinoplasty is one no one notices — they only notice that the face looks right.”
— Dr. Carl Truesdale, MD
Rhinoplasty before & afters
Real rhinoplasty patients of Dr. Truesdale. Every nose is designed in relation to the specific face it will sit on — no single technique fits every patient.
Your transformation starts with a conversation.
From first consultation to final reveal
We always tell our patients to ‘trust the process.’ You are in good hands on every step of the journey to your unique masterpiece.
Consultation & Imaging
Formal facial analysis with Dr. Truesdale — skin thickness, cartilage framework, septal position, and full facial proportions. Digital imaging shows your projected nose before you commit.
Surgical Planning
Specific structural changes documented — graft needs, open vs. closed technique, and any functional work (septoplasty, turbinate reduction). Medical clearance and pre-op review.
Procedure Day
Performed personally by Dr. Truesdale at our AAAHC-accredited surgical center under MAC (Monitored Anesthesia Care) with IV sedation — gentle, deep sedation comparable to a colonoscopy, administered and monitored throughout by a hand-selected, board-certified anesthesiologist. Open or closed approach depending on anatomy. External cast and possibly internal splints placed. During the cast week, avoid excessive talking, smiling, chewing, or bending; mild blood-tinged drainage is normal for 1–2 days.
Cast & Sutures Out
External cast and sutures removed at Day 5. Cleared to fly once the cast is off. Most bruising and external swelling resolves by Day 10–14. Avoid resting glasses on the nasal bridge for at least 4 weeks after cast removal. After cast removal: nasal saline spray, 2 sprays per nostril 5–6 times daily; toner/astringent twice daily for 2 weeks. Do not blow your nose until the cast is removed — if you must sneeze, do so with your mouth open.
Initial Shape
External shape becoming visible. ~70% of swelling resolved by Month 3. The tip remains slightly swollen and continues to refine.
Look and Feel Like a Masterpiece
Tip swelling resolves progressively over 3–12 months. The fully refined shape is visible by 12–18 months. Your follow-ups along the way are conducted by Dr. Truesdale and our physician assistant.
Individual timelines vary. Dr. Truesdale sets realistic, patient-specific expectations during your consultation — not exaggerated claims.
See if a Rhinoplasty is right for you.
See the work in motion
Dr. Truesdale on technique, philosophy, and patient stories — from his self-produced Beyond the Surface docuseries and his educational content library.
Rhinoplasty FAQs
Bring your own questions to consultation — Dr. Truesdale personally answers every one. Below are the questions patients ask most often about rhinoplasty.
The strongest candidates have specific concerns about nasal shape, tip definition, dorsal hump, alar width, or breathing that are genuinely impacting your quality of life. Dr. Truesdale evaluates you personally in consultation and only recommends the procedure when it will genuinely help. If a different approach would serve you better, he’ll tell you that too.
The honest answer: most noses can be improved, but not every concern is worth operating on. Dr. Truesdale uses digital imaging during consultation to show you realistically what surgery can and cannot achieve for your specific anatomy. If the result wouldn’t produce a meaningful change, he’ll tell you that — and recommend not proceeding.
Most patients describe the discomfort as mild to moderate. Dr. Truesdale’s team is available throughout recovery — you are not managing discomfort on your own. See “What kind of anesthesia is used?” for details on intra-operative comfort. Dr. Truesdale’s team is available throughout recovery — you are not managing discomfort on your own.
Our surgical procedures utilize a patient-focused anesthesia technique known as MAC (Monitored Anesthesia Care) and IV Sedation, ensuring your maximum comfort and safety. This method provides a level of gentle, deep sedation comparable to the comfortable experience many patients have during a colonoscopy, which we have found helps make patients less fearful. The anesthesia is administered intravenously and meticulously monitored by a hand-picked group of board-certified anesthesiologists, who are dedicated to your well-being throughout your entire procedure.
Plan on 10–14 days of social downtime. Expect a splint worn for the first week; the largest bruising subsides by day 10–14. Light cardio resumes at 2 weeks; most patients are cleared for strenuous exercise at about three weeks, at a follow-up visit. Your follow-up appointments along the way are conducted by Dr. Truesdale and our physician assistant, with Dr. Truesdale seeing you personally at the key milestones.
That’s the entire standard Dr. Truesdale designs for. A rhinoplasty should look like the nose you were always meant to have — not a different nose. Every patient is evaluated in a seated, relaxed state beforehand so the target is based on your real anatomy — never on an idealized template.
Permanent. A well-performed rhinoplasty is a permanent change. The nose ages at the same rate as the surrounding face — never reverting.
Yes. A significant portion of Dr. Truesdale’s patients travel from across the United States and internationally. The process begins with a virtual consultation with Dr. Truesdale himself (not a coordinator), followed by in-person pre-procedure evaluation. Our patient-care coordinators help arrange travel, accommodations, and local transportation, and Dr. Truesdale’s team conducts virtual follow-ups after you return home.
Request a consultation through the form at the bottom of this page, email contact@doctortruesdale.com, or call (424) 363-4112. Our team responds within one business day to schedule either an in-person consultation at 150 S. Rodeo Drive, Suite 360, Beverly Hills, or a virtual consultation worldwide. Every consultation is conducted personally by Dr. Truesdale.
Rhinoplasty can be performed once the nose is fully developed — typically around age 16 for young women and 17–18 for young men. There is no upper age limit; Dr. Truesdale regularly operates on patients in their 40s, 50s, and 60s seeking refinement or functional improvement. The best time is when you’re emotionally ready and your goals are clear.
The cost of rhinoplasty can vary based on the patient’s situation, including if it is a revision surgery and if this surgery will be combined with other surgeries or treatments. The total cost may include the surgeon’s fee, operating room fees, and anesthesia fees. At Truesdale Facial Plastic Surgery, we believe the surgeon’s philosophy and experience, and your comfort with him, are just as important as the final cost of the surgery. We can provide an approximate range for this procedure over the phone, and your patient care coordinator (PCC) will confirm the pricing for you after your consultation with Dr. Truesdale.
We stand behind every result.
Cosmetic surgery has inherent variability. Dr. Truesdale’s commitment to you is the same one he makes to every patient: technical excellence, candid communication, and a hands-on relationship through your full first year of healing — and beyond if needed.
If a revision is medically warranted within the first 12 months following surgery, Dr. Truesdale may waive his surgeon’s fee for that revision — evaluated case-by-case at your one-year follow-up. Operating-room and anesthesia fees, billed directly by those providers, remain the patient’s responsibility; flexible third-party financing is available for those costs.
Facial tissue continues to mature and settle for a full year. What looks suboptimal at Month 3 or 6 frequently resolves on its own. Operating prematurely on tissue that hasn’t reached its final state risks compounding the problem rather than solving it.
Read the full policy →
This procedure is performed by Dr. Truesdale or his hand-picked associate Dr. Sajjadi — discuss the right path on your free Surgery Discovery Call.
Schedule your rhinoplasty consultation
A conversation with Dr. Truesdale is the first step toward a result that harmonizes perfectly with your face — from every angle. We respond same-day, Monday-Friday.
Book a Surgical Discovery Call online
After clicking the booking link, select “new patient” under Schedule Your Appointment and fill out the form to see our current availability for a Surgical Discovery Call with a Patient Care Coordinator and book immediately. Call us (424) 363-4112 for additional appointment times and information.All times are based on Los Angeles, Pacific Time (PT).
Book Discovery Call →Prefer to share details first? Submit the form and a Patient Care Coordinator will reach out the same business day (Monday–Friday).