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A pinched or overly narrow nose creates an unnatural appearance and often impairs breathing significantly. This typically results from previous rhinoplasty that removed too much structural support. At Chrisalys, we offer expert pinched nose correction to restore natural width, improve breathing function, and create balanced nasal proportions.

Dr. David N. Sayah brings over 26 years of experience to every pinched nose reconstruction. He is a board-certified plastic surgeon and Fellow of the American College of Surgeons. His training at UCLA Medical Center, combined with his extensive experience in complex revision rhinoplasty, allows him to rebuild weakened nasal structures.

Our Los Angeles and Beverly Hills practice serves patients seeking to restore natural width, improve breathing function, and create harmonious proportions that enhance both appearance and respiratory capacity.

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Our Advanced Pinched Nose Reconstruction Techniques

Correcting pinched nose deformities requires sophisticated reconstruction techniques that rebuild weakened structures, widen narrowed areas, and restore proper breathing function.

  • Spreader Graft Placement: The cornerstone of pinched nose correction involves placing spreader grafts to widen the middle vault and restore internal valve function. Cartilage strips placed along each side of septum create structural support. Widening of internal nasal valve improves airflow significantly.
  • Butterfly Graft for Alar Support: When external nasal valves collapse, butterfly grafts provide critical support. Specially shaped cartilage graft positioned to support alar sidewalls. Prevention of collapse during inhalation restoring normal breathing.
  • Alar Batten Grafts: These horizontal grafts reinforce the lateral nasal walls preventing collapse. Cartilage strips placed along upper lateral cartilages provide structural support. Strengthening of weakened sidewalls prevents inward collapse during breathing.
  • Lateral Crural Strut Grafts: When the nasal tip appears pinched from over-aggressive surgery, lateral crural grafts restore width. Cartilage grafts placed within tip cartilages widening narrow tip.
  • Osteotomies for Width Restoration: When over-aggressive bone narrowing created pinching, outfracture osteotomies can widen the upper nose. Controlled bone fractures allowing bones to move outward.

Recovery After Pinched Nose Reconstruction

Recovery from pinched nose correction typically involves more swelling and longer healing compared to primary rhinoplasty due to the extensive grafting and reconstruction required.

  • First Week: Nasal splint protects reconstructed structures. More swelling than primary rhinoplasty due to extensive grafting. Splint removal around day 7 reveals widened nose though significant swelling obscures refined contours.
  • Weeks 2-4: Progressive swelling reduction allows increasingly apparent widening. Breathing improvement often noticeable immediately despite swelling. Most patients return to work within 2-3 weeks.
  • Months 2-6: Continued gradual improvement as swelling slowly resolves. Widened middle vault becomes clearly apparent with eliminated pinching. Breathing reaches maximum improvement.
  • Months 6-12: Final refinement occurs as last traces of swelling disappear. Grafts fully integrate with surrounding tissues. Nose assumes permanent widened contour with natural appearance.

Patients with extensive grafting, particularly those requiring rib cartilage, may need 12-18 months for complete swelling resolution and final results to emerge fully.

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A middle-aged man in a white lab coat with a heart-shaped transgender pride pin stands indoors, looking at the camera with a neutral expression.

Meet Dr. David Sayah

Dr David Sayah is a board certified plastic surgeon in Beverly Hills known for his natural approach to aesthetic surgery. With more than 26 years of experience, he combines surgical precision with artistic insight to deliver balanced and refined results. His philosophy centers on enhancing individual beauty rather than changing it.

A graduate of the UCLA School of Medicine and a Fellow of the American College of Surgeons, Dr Sayah trained at leading medical centers including NYU and UCLA. His work in wound healing and scar formation research helps patients heal beautifully with minimal scarring. Fluent in five languages, he welcomes patients from Beverly Hills, Los Angeles, and across the world who seek exceptional, natural results.

Meet Dr. Sayah

Schedule Your Pinched Nose Consultation in Los Angeles

If a pinched nose from previous rhinoplasty is affecting your breathing and appearance, we can help. Contact Chrisalys today to schedule your consultation.

We will evaluate your specific situation and create a personalized treatment plan. Dr. Sayah will explain how revision rhinoplasty can widen your narrow nose, restore proper breathing, and create the natural, proportionate appearance you deserve.

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Address

436 North Bedford Drive Suite 202
Beverly Hills, CA 90210

Opening Hours

Monday-Friday: 9:00AM-5:00PM

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Schedule an Appointment (310) 385-7710