Rhinoplasty
Artistry as a surgical principle
The best rhinoplasty is one that is never noticed as such. The goal is not to replace the nose with a different one, but to resolve what bothers a patient while preserving, and often enhancing, what makes them distinctly themselves.
The existing structure is worked with, not overridden. This is a disciplined approach: precise about what to change, and equally precise about what to leave alone.
"The most successful outcomes appear effortless and enduring. Not like something was done, but like something was always there."
Every case is planned individually. The planning process begins in the consultation room, where photo morphs are created together, agreed upon by surgeon and patient, and serve as the visual reference point for surgical planning.
Both cosmetic and functional rhinoplasty are offered, and more often than not the two are addressed together. Breathing and aesthetics are not competing goals. They are deeply interconnected, and treating them as such produces the most complete results.
Trained to operate at the highest level
A background spanning both cosmetic refinement and complex reconstructive surgery informs every procedure performed here. Rhinoplasty at its most nuanced requires both artistic judgment and structural mastery.
American Board of Otolaryngology – Head & Neck Surgery
American Board of Facial Plastic & Reconstructive Surgery
Facial Plastic & Reconstructive Surgery
University of
Toronto
Advanced training in primary, functional, revision, and
reconstructive rhinoplasty.
Piezoelectric (Ultrasonic) Rhinoplasty enables precise bone work with reduced trauma, less bruising, and faster recovery compared to conventional instruments.
Is rhinoplasty right for you?
Candidacy is nuanced and something determined together in consultation. These are the considerations weighed most carefully.
Cosmetic concerns
Dorsal hump, width, tip definition, asymmetry, or overall proportion. Good candidates have specific, articulable goals and realistic expectations of outcome.
Functional concerns
Nasal obstruction from a deviated septum, valve collapse, or turbinate hypertrophy. Many patients present primarily for breathing and leave with a nose that looks better too, because the anatomy often dictates both.
Facial balance
The nose is assessed in the context of the full face. Chin projection, facial thirds, skin thickness, and skeletal structure all bear on what an ideal result looks like for a given patient.
Readiness & timing
Facial growth should be complete, typically mid-to-late teens for cosmetic surgery. Emotional readiness and settled, non-pressured motivation matter as much as physical candidacy.
Your rhinoplasty, tailored to you
Male Rhinoplasty
Rhinoplasty for the male face requires a different approach. The goals, the anatomy, and the definition of a successful result are all distinct. Proportion, character, and no trace of surgery.
Learn MoreUltrasonic Rhinoplasty
Bone work performed with a piezoelectric device rather than conventional chisels. Greater precision, less trauma, and a more predictable result. Backed by Dr. Hashemi's published research.
Learn MoreA conversation, not a sales pitch
Consultations here are unhurried. The approach is to listen first, ask questions, and offer an honest clinical perspective second. Nasal anatomy is reviewed in detail, goals are discussed, and a clear picture is given of what is surgically achievable and what is realistically expected in each specific case.
A key part of every consultation is collaborative photo morphing: creating imaging together, iterating until both surgeon and patient agree it represents a realistic and desirable target. These morphs serve as the visual reference for surgical planning. They are a communication tool, not a guarantee.
Breathing function is reviewed at every rhinoplasty evaluation. Cosmetic and functional concerns are frequently intertwined, and addressing both in a single operation is often in the patient's best interest.
If a procedure would not meaningfully serve a patient's goals, or if expectations exceed what surgery can reliably deliver, that will be stated directly. That honesty is a feature of this practice.
Complexity is where your surgeon's skills show
Rhinoplasty is among the most technically demanding procedures in all of surgery, and despite meticulous planning, the operating room has a way of presenting surprises. Ridges or divots, paucity of bone or cartilage, and anatomical or post-traumatic features that are not apparent until surgery can dramatically change the appearance of the nose if not appropriately handled in the moment. These findings shift the direction of the operation and can begin pulling the surgery down a path that deviates from the plan, sometimes subtly, sometimes significantly.
This is not a failure of planning. It is the nature of rhinoplasty. What separates a good outcome from a compromised one in these moments is not the plan, it is the surgeon.
"The goal is to take command of the nose. Not to let the nose take command of you."
It is to your benefit to select a surgeon with tested experience in rhinoplasty, someone who can adapt in real time to unexpected anatomy. This means reconstructing with bone or cartilage grafts, using ultrasonic tools for precise contouring and fixation, and performing careful excision or repositioning of cartilage and bone as the situation demands. This toolbox of maneuvers represents the full vocabulary of an experienced rhinoplasty surgeon. It is not a fallback. It is required in many surgeries, deployed as needed to keep your result on course.
This is why surgeon selection in rhinoplasty matters beyond before-and-after photographs. It is the capacity to navigate complexity, not just to execute a plan when everything goes as expected, that ultimately determines your result.
Your face. Your identity. Your result.
Rhinoplasty done well is invisible. It is the version of you that people notice looks somehow more balanced, more rested, more like yourself, without being able to say precisely why. That is the outcome aimed for with every patient.
For those considering rhinoplasty in Palo Alto or the Silicon Valley area, the planning page below is a good place to start.
Learn More about Planning & Recoveryfor Rhinoplasty→