Rhinoplasty

Introduction

After years of agonizing over your nose’s size and/or shape, you may finally consider doing something about it by undergoing rhinoplasty. If you’ve always imagined what you would look like if only your nose were a little smaller, if that nagging nasal bump was gone if it was straighter, or if your nasal tip was not as refined, Newport Beach rhinoplasty surgeon Dr. Michael J. Sundine can perform cosmetic nose reshaping surgery to help you achieve the nose you have always desired.

Woman hand in hair -- Newport Beach Plastic Surgeon, Dr. Michael Sundine

What is Rhinoplasty?

While the technical name of the procedure is rhinoplasty, it’s commonly referred to as a nose job or cosmetic nose surgery. The surgery can be aesthetic, functional, or sometimes both. Many patients have trouble breathing due to genetics or injury, so functional rhinoplasty is performed. If patients are concerned about the look of their nose, we perform cosmetic nose surgery.

Rhinoplasty -- Newport Beach Plastic Surgeon, Dr. Michael Sundine

Rhinoplasty

Quick Facts

Dr. Sundine will review your medical history and closely examine your nasal anatomy to determine if you are a good candidate for nose reshaping surgery. If you are a smoker or are taking any herbal supplements, you must disclose this information. Smoking compromises blood flow to your skin and will greatly affect the healing process. Dr. Sundine will most likely ask you to quit before proceeding with surgery. Below, we’ve included more candidates we see in our practice:

  • Surgery Time: 1 to 3 hours, depending on the complexity of the case.
  • Price: ~$12,000–$18,000 (For an accurate cost, please ask during your consultation).
  • Recovery: Initial recovery takes 7–10 days; you can return to normal activity in 2–3 weeks. Full healing may take up to 1 year.
  • Results: Final results are visible between 6 months and 1 year as swelling subsides gradually.
Published Author -- Newport Beach Plastic Surgeon, Dr. Michael Sundine

What Sets Dr. Sundine Apart From Other Rhinoplasty Surgeons In Newport Beach?

Notable Differences

The nose is one of the first facial features noticed on the face and many people feel it can shape the first impression of an encounter. As a premier Orange County rhinoplasty practice, we see so many advantages with our patients on a day-to-day basis. Below, we’ve listed several:

  • Dr. Michael Sundine has performed over 1,000 successful facial plastic surgeries during his career with long-lasting, stunning results.
  • He is a Board Certified Plastic Surgeon and an American Society of Plastic Surgeons member.
  • With over 25 years of experience, Dr. Sundine is one of the most experienced plastic surgeons in the Newport Beach area.
  • Dr. Sundine has been voted Orange County “Physician of Excellence” over 19 times in his career, and as recently as 2023 in Orange Coast Mag.
  • Dr. Sundine is a published author on facial rejuvenation, having written **Aesthetic Rejuvenation of the Face and Neck****,** which can be purchased online.

Piezoelectric Instrumentation

Rhinoplasty has used mechanical instruments (saws, chisels, osteotomes, and rasps) to help reconstruct the bony nasal vault and lateral walls for centuries. Although these instruments have been carefully refined over the years to minimize damage to the surrounding soft tissues and maximize precision, cosmetic surgeons like Dr. Sundine have continued to look for the next advancement in Rhinoplasty surgery —Piezoelectric Instrumentation (PEI) is exactly that\!

Piezoelectric Instrumentation produces ultrasonic vibrations to cut only the bone and avoid any of the soft tissues. It has also been reported to decrease post-operative pain, oedema (fluid build-up), and ecchymosis (skin discoloration due to bleeding underneath the skin). With extensive exposure, Dr. Sundine can make a more accurate correction of any nasal bone deformities, and PEI safely aids in contouring the bones to achieve narrowing and symmetry with precise control, without losing the stability of the bony fragments.

Non-Surgical Rhinoplasty

(Liquid Rhinoplasty)

Not every patient seeking nasal refinement is ready—or needs—to undergo surgery. For those looking for a temporary, non-invasive solution, nonsurgical rhinoplasty, also known as liquid rhinoplasty, may be the ideal option. This procedure uses injectable dermal fillers to subtly reshape the nose, improve symmetry, and enhance facial balance without incisions, downtime, or general anesthesia.

Using hyaluronic acid-based fillers, Dr. Sundine precisely injects targeted areas of the nose to smooth out uneven contours, lift the nasal tip, or enhance the bridge. The entire procedure typically takes under 30 minutes and delivers instant results that can last 6 to 12 months, depending on the product used and the individual’s metabolism.

The Ethnic Rhinoplasty

Understanding

Ethnic rhinoplasty refers to cosmetic nose surgery tailored to patients of non-Caucasian descent, including African Americans, Asians, Middle Easterners, and Hispanics. Unlike traditional rhinoplasty, which often adheres to Eurocentric aesthetic standards, ethnic rhinoplasty focuses on maintaining each patient’s unique cultural identity while improving nasal function and overall facial harmony.

Dr. Sundine understands the importance of preserving ethnic features and approaches each case with sensitivity and precision. The goal is not to “Westernize” the nose, but to make natural, proportionate changes that suit the patient’s facial features and personal goals. This could include narrowing a wide nasal bridge, refining the nasal tip, reducing nostril flare, or correcting structural issues while respecting the patient’s heritage.

With extensive experience in ethnic rhinoplasty, Dr. Sundine customizes his surgical plan to account for anatomical differences such as thicker skin, softer cartilage, or broader nasal structures. Every procedure is tailored to ensure balance, symmetry, and a natural result that celebrates and enhances the patient’s ethnic background.

What Are The Benefits

Of Rhinoplasty?

The nose is one of the first facial features noticed on the face, and many people feel it can shape the first impression of an encounter. As a premier Orange County rhinoplasty practice, we see so many advantages with our patients on a day-to-day basis. Below, we’ve listed several:

  • Gain more self-confidence with cosmetic nose surgery
  • We can help improve breathing and nasal function from a deviated septum
  • Any unwanted angle or space between the lips and nose can be fixed
  • With the operation, we can alter the shape and size of the nose
  • We can fix any bumps or lumps on the nose
  • The surgery can fix flared nostrils

Who Are the Best Candidates

For Rhinoplasty?

Dr. Sundine will review your medical history and closely examine your nasal anatomy to determine if you are a good candidate for nose reshaping surgery. If you are a smoker or are taking any herbal supplements, you must disclose this information. Smoking compromises blood flow to your skin and greatly affects healing. Dr. Sundine will most likely ask you to quit before proceeding with surgery. Below, we’ve included more candidates we see in our practice:

  • Candidates should be in good overall health.
  • Candidates should have realistic expectations of what rhinoplasty can and cannot do
  • Many candidates are unhappy with the size or shape of their nose
  • Candidates who have difficulty breathing through their nose

*While determining your candidacy, Dr. Sundine will also talk to you about your aesthetic concerns and what can be done to give you the nose you want.

Male Rhinoplasty Vs Female Rhinoplasty

Comparison

While the surgical techniques used in rhinoplasty are similar for both men and women, the goals, anatomy, and aesthetic approach differ significantly. Female rhinoplasty typically focuses on creating a more refined, narrow, and elegant nose with softer contours. Many women desire a slight upward rotation of the nasal tip, a gentle slope to the bridge, and overall facial harmony with traditionally feminine features. In contrast, male rhinoplasty aims to maintain or enhance masculine characteristics, such as a stronger, straighter bridge and a more prominent nasal structure. The nasal tip is usually kept less rotated to avoid a feminized look, and subtle changes are often preferred to preserve a natural, unoperated appearance.

Anatomically, men tend to have thicker skin and stronger cartilage, which can affect how the nose is reshaped and how soon the final results appear. Women typically have thinner skin, making fine adjustments more noticeable. Because of these differences, a skilled rhinoplasty surgeon must tailor the surgical plan to each individual’s facial structure, gender identity, and desired outcome. Whether performing a male or female rhinoplasty, the ultimate goal is to achieve balance, function, and natural-looking results that enhance — not change — the unique character of each patient’s face.

On balcony -- Rhinoplasty -- Newport Beach Plastic Surgeon, Dr. Michael Sundine

What’s The First Step?

The first step to getting cosmetic rhinoplasty in Orange County with Dr. Sundine is to fill out a contact form or call us. Our compassionate front desk team will then schedule a consultation for you to meet one-on-one with Dr. Sundine.

During your consultation, Dr. Sundine will provide a thorough assessment of your face and nose. This is the best time for you to ask questions and let him know your aesthetic desires.

If you’re happy with Dr. Sundine’s recommendations, surgery will be booked, and we’ll provide pre- and post-operative instructions. Dr. Sundine will also have a list of questions he wants to ask before surgery, which will help ensure he can minimize risk and complications.

Preparing for My Rhinoplasty

5 Steps

Preparing for rhinoplasty is essential to ensuring a smooth surgery and recovery. Prior to your procedure, Dr. Sundine and his team will provide detailed pre-op instructions, but here are some general guidelines:

  1. Stop smoking at least 4 weeks before surgery to aid in healing.
  2. Avoid anti-inflammatory medications, aspirin, and herbal supplements 2 weeks before surgery, as they can increase bleeding.
  3. Arrange for a ride home and someone to stay with you the first night after surgery.
  4. Have soft, easy-to-eat food available for the first few days.
  5. Set up your recovery area with pillows to keep your head elevated, ice packs, and entertainment to keep you comfortable while you rest.

What to Expect on the Day of Rhinoplasty

Your Rhinoplasty will be performed by Dr. Michael Sundine in Newport Beach. The surgery is performed under general anesthesia at an accredited outpatient facility. You will be sent home a few hours after surgery. Dr. Sundine will use one of two techniques when performing your nose surgery: open rhinoplasty or closed rhinoplasty.

If you are looking for minor cosmetic changes, closed rhinoplasty is frequently used. With this procedure, the incisions are created on the inside of the nose. Dr. Sundine uses small surgical tools to manipulate your nasal tissue to produce the desired result.

Open rhinoplasty involves incisions in the columella, the strip of skin between the nostrils; the top layers of skin are then lifted back. This procedure allows greater visibility and manipulation of the underlying nasal structures, and the results are also more predictable.

The surgery takes one to three hours, depending on the complexity of the operation. During your consultation, Dr. Sundine will give you a more realistic expectation of how long it will take.

Dr. Sundine getting ready for surgery

Open Vs. Closed Rhinoplasty

Comparison

When planning your rhinoplasty, Dr. Sundine will determine whether an open or closed approach is most appropriate for your goals and anatomy.

  • Closed Rhinoplasty: A closed rhinoplasty involves incisions made entirely inside the nostrils. This technique leaves no visible external scarring and is often used for minor reshaping or refinement. Recovery time may be slightly quicker, and postoperative swelling is generally reduced. However, it offers limited access to the nasal framework, which can make certain structural adjustments more challenging.
  • Open Rhinoplasty: This approach uses a small incision across the columella (the strip of tissue between the nostrils) to lift the nasal skin and fully expose the underlying structures. This technique is preferred for more complex cases, such as major reshaping, revision rhinoplasty, or detailed work on the nasal tip or bridge. Although it involves a small external scar, it typically heals very well and is barely noticeable over time.

During your consultation, Dr. Sundine will thoroughly explain each method and recommend the technique that will provide the most natural and effective results for your unique anatomy.

Revision Rhinoplasty

Understanding

Rhinoplasty surgery is a specialty performed after a primary rhinoplasty when the patient is unhappy with the initial results. It’s one of the more complex plastic surgery procedures, as patients have extremely high expectations. Because of this, many surgeons can’t achieve the results their patients are looking for. As an expert in the anatomy of the face, Dr. Sundine champions some of the more difficult cases. Many times, these are revisions on previous nasal surgery from other plastic surgeons. If you’d like to learn more about revision rhinoplasty, please read our full page on it.

Rhinoplasty

Recovery

After you wake up from your rhinoplasty surgery, your nose will have an external splint and a mustache dressing, and your face will most likely feel sore. Splints will also be inside your nose, keeping the tissues intact during healing. You will be given a prescription for pain medication, some antibiotics, and post-operative instructions on how to care for yourself. The bandages are usually removed seven days after surgery.

During the days and weeks following nose surgery, you should avoid smoking, blowing your nose, and participating in strenuous physical activities. Dr. Sundine will closely monitor your healing process. You will likely be able to return to your daily routine within 10 days. Please note that while your nose will heal fully within a few weeks, the results will become visible gradually, and the outcome may not be evident for up to 12 months.

8 Tips for Recovery From Nose Surgery

Knowledge
  1. Keep your head elevated at all times for the first week to reduce swelling.
  2. Avoid strenuous activity and heavy lifting for 3 weeks.
  3. Apply cold compresses as directed to minimize swelling and bruising.
  4. Take all medications exactly as prescribed, including antibiotics and pain relievers.
  5. Use a saline nasal spray to keep your nose moist and prevent crusting.
  6. Do not wear glasses for 4 weeks post-op unless they are taped above the bridge of your nose.
  7. Protect your nose from sun exposure for at least 6 months by wearing sunscreen and hats.
  8. Attend all scheduled follow-up appointments so Dr. Sundine can monitor your healing.

How Much Does a Rhinoplasty Cost in Newport Beach?

Financing

A Newport Beach Rhinoplasty is a highly personalized procedure. The techniques and work required to attain the patient’s desired results will vary. Financing options are available to help make the payment process easier. During the consultation process, Dr. Sundine can address any questions regarding cost, financing, and payment options.

Rhinoplasty

Resources

As a leader in facial aesthetics in southern California, Dr. Sundine has multiple resources when it comes to rhinoplasty. Please view these other pages on our site about the surgery:

Anatomy Of The Nose

Lesson

Understanding the anatomy of the nose is essential to appreciating how rhinoplasty works. The nose is a complex structure made up of bone, cartilage, skin, and soft tissue, all of which contribute to its shape, function, and appearance.

  • Nasal Bone: Forms the upper third of the nose and defines the bridge. Changes here affect the height and straightness of the nose.
  • Upper and Lower Lateral Cartilage: These cartilages shape the middle and tip of the nose. Altering them can refine the tip, improve projection, or reduce bulbosity.
  • Septum: The cartilage and bone wall that divides the nostrils. A deviated septum can cause breathing difficulties and is commonly corrected during rhinoplasty.
  • Nasal Tip: Formed by the lower lateral cartilages. Adjustments here influence the rotation, width, and definition of the tip.
  • Nostrils (Alar Base): The external openings of the nose. Rhinoplasty can reduce nostril flare or asymmetry by adjusting the alar base.
  • Skin Thickness: Skin plays a crucial role in healing and final outcomes. Thicker skin may mask subtle changes, while thinner skin reveals them more clearly.

Dr. Sundine uses his deep understanding of nasal anatomy to achieve precise, natural-looking results. During your consultation, he will explain how each part of your nose contributes to your appearance and what changes are feasible based on your structure.

Why Choose Dr. Sundine?

Dr. Sundine is highly regarded by both patients and physicians alike and is sought out for his unique skillset of championing some of the toughest rhinoplasty cases. Dr. Sundine is a proud member of the American Society of Plastic Surgeons (ASPS) and the American Board of Plastic Surgery (ABPS), and a fellow of the American College of Surgeons (FACS). He performs both primary and secondary rhinoplasty procedures and is known among Newport Beach patients as one of the more skilled nose surgeons in Orange County. He is also a craniofacial surgeon with special expertise in the treatment of facial problems. Dr. Sundine’s expertise is what makes him among the best to perform a Rhinoplasty Newport Beach residents can depend on.

Schedule A
Consultation

If you have been concerned about the appearance of your profile due to the size and/or shape of your nose, a Rhinoplasty from Dr. Sundine could be a great solution. To schedule your consultation, please call us at (949) 706-3100 or use our website to request an appointment, and a member of our team will be happy to help you.

Schedule A Consultation

Rhinoplasty FAQs

Your procedure questions answered.

Rhinoplasty Aftercare Instructions

Real Patients

Real Reviews

What I really like about Dr. Sundine is his vast experience and training. I also like the fact he did not try to sell me other procedures. He is also very down to earth and easy to talk to. I am very satisfied with the results and I highly recommend him.

After much research and multiple visits to other surgeons, I knew right away that Dr. Sundine was the perfect choice for me. I felt completely confident in his ability from the first visit to the last. I have been singing his praises to all of my friends and will recommend him to anyone searching for a plastic surgeon. Thanks, Dr. Sundine

Dr. Sundine is an excellent plastic surgeon! I have been using his services for almost 5 years. If you want to look years younger and fully refreshed I highly recommend that you use his services. Patients walk out looking naturally gorgeous, not overdone like some of the women in Orange County!

Dr. Sundine is the best plastic surgeon. Dr. Sundine’s excellent skills and knowledge has made my surgery turn out so well. But more importantly, it made me feel better about myself. Again, thank you Dr. Sundine for all you have done for me. You are the best surgeon!

I gave Dr. Sundine the highest possible review in each category because he truly deserved the highest reviews on every level. I am a very well recognized lawyer on the West Coast. My firm has spent millions of dollars on television advertising in which I appear. I could not afford to have a bad facelift or even for people to notice I had a facelift at all. I interviewed many physicians including some of the “celebrity” physicians. Ultimately, I chose Dr. Sundine.