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Rhinoplasty city, state

Are you looking for a trusted rhinoplasty cosmetic surgeon in the Bay Area? Dr. Evan Ransom is a renown San Francisco rhinoplasty specialist who performs different forms of a nose job surgery.
Rhinoplasty is the surgical modification of the shape of the nose, also known as “nose job surgery” or nose reshaping. San Francisco rhinoplasty uses a wide variety of approaches and techniques to modify the internal structures and external appearance of the nose. Some common goals include removal of a bump (“dorsal hump”) on the bridge of the nose, reduction or modification of the nasal tip cartilages, narrowing the width of the nose, making the nostrils smaller, and lifting a droopy or hanging tip of the nose. In the majority of cases, rhinoplasty is used to make the nose smaller or more refined (“reduction rhinoplasty”). Less commonly, rhinoplasty can also be used to make the nose larger (“augmentation rhinoplasty”) or to fix breathing problems or trauma (functional rhinoplasty). When a patient has undergone a prior rhinoplasty, but the results were unsatisfactory in some way, a revision rhinoplasty can be performed.

Choosing an Approach
San Francisco Rhinoplasty can be performed either “open” (using an external incision) or “closed” (using incisions only on the inside of the nose). This choice is dictated by the specific goals of the patient, as well as any functional or anatomic issues that would require a specific approach. In addition, most revision rhinoplasty (sometimes called “secondary rhinoplasty”) requires an open approach due to the complex nature of this procedure and the need to provide internal support for the nasal structures (see Revision Rhinoplasty section).
Open rhinoplasty involves a small incision placed in the columella (the bottom of the nose or the skin between the two nostrils) and allows complete exposure of the nasal cartilages and bones. This facilitates precise assessment of the internal issues with the shape of the nose, as well as accurate diagnosis of functional problems. For the Bay Area rhinoplasty patients desiring significant change to the tip of the nose, an external approach is preferred – this allows Dr. Ransom, San Francisco rhinoplasty specialist, to reduce the size of the cartilages, make the two sides of the nose symmetric, and create a more aesthetically pleasing shape for the tip. Examples of problems that San Francisco Rhinoplasty Surgeon Dr. Evan Ransom can address via this approach include a “bulbous” or “boxytip, asymmetric tip cartilages, a crooked or twisted nose, and a nose that is too long (“hook” nose) or “droopy” (hanging columella or excessive columellar show).
Closed rhinoplasty, sometimes called scarless rhinoplasty, eliminates the incision in the columella and places the remaining incisions between the nasal cartilages inside the nose. This technique is very useful for the Bay Area rhinoplasty patients with concerns about the bridge of the nose (nasal dorsum or “dorsal hump”) but who desire minimal or no change to the nasal tip. Narrowing of the nasal bones can also be performed easily through an open or closed approach. Septoplasty can be performed during any San Francisco rhinoplasty and can help to straighten a crooked nose, improve your breathing, or reduce snoring.
Recovery from closed rhinoplasty is generally very quick. In most patients, the majority of the swelling in the nose lasts for a few days to a week. Typically, San Francisco Bay Area rhinoplasty patients will have a flexible plastic cast on the nose for about a week. All the sutures in closed rhinoplasty are dissolvable, so no suture removal appointments are needed. Recovery from open rhinoplasty is similar to closed rhinoplasty, though the swelling of the nose may last for a few more days. Dr. Ransom, San Francisco rhinoplasty expert, does not use any nasal packing, which allows the patient to breath normally after the surgery and significantly reduces postoperative discomfort. San Francisco rhinoplasty and septoplasty procedures may be combined with other aesthetic facial surgery or non-surgical treatments. Please visit the photo gallery for examples.
Deciding on the Right Nose for You
San Francisco Rhinoplasty Cosmetic Surgeon Dr. Ransom works with each individual patient to create the nose that he or she wants. Different noses work for different faces, and Dr. Ransom is sensitive to patients’ desires to “still look like me.” Our goals are to provide natural-appearing enhancement of the nose, in harmony with the other facial features, while preserving or improving the nasal function (breathing). This philosophy is especially important in what is often called ethnic rhinoplasty. So-called “ethnic rhinoplasty” is a surgical procedure designed to reshape a non-Caucasian nose, and deals with the anatomical issues specific to these noses. This procedure can be performed either “open” (using an external incision) or “closed” (using incisions only on the inside of the nose). Most ethnic rhinoplasty requires an open approach due to the complex nature of this procedure and the need to provide internal support for the nasal structures. Ethnic rhinoplasty details can be discussed with Dr. Ransom during your confidential consultation in his office in the Bay Area.
Choosing the Right Doctor
Undergoing rhinoplasty is a very personal decision and requires a true understanding between the doctor and the patient. It’s also a procedure that calls for a highly skilled surgeon. San Francisco Rhinoplasty Cosmetic Surgeon Dr. Ransom is experienced at helping nasal surgery patients meet their goals and fulfill their dreams of being more comfortable and confident. He cares about your San Francisco rhinoplasty being successful every bit as much as you do and is known for the personal approach he takes toward every procedure. Take the first step in reaching your goals and join us for a rhinoplasty consultation at our office in the Bay Area today!

Who is a candidate?

Anyone who wants to change the shape of their nose is a candidate for San Francisco rhinoplasty (nose reshaping). In addition, patients with a crooked nose, a history of nasal trauma (for example, an untreated fracture), or significant functional concerns (breathing problems), may choose rhinoplasty as a surgical remedy for these issues. Finally, patients who have had a previous rhinoplasty but were left unsatisfied by the aesthetic result or have had functional issues may be a candidate for a revision rhinoplasty.

Dr. Ransom, San Francisco rhinoplasty expert, see patients from all over Bay Area, including Mill Valley/Marin County, Napa/Sonoma, San Raphael/Petaluma, Hillsborough, San Mateo, Menlo Park, Orinda, Palo Alto, Piedmont, Walnut Creek and the world.

Frequently asked questions

Questions: What should I expect after my procedure?
Answer: In most cases, you will have a cast on the nose for about a week after the San Francisco rhinoplasty. This helps to protect the nose from accidental trauma, and also stabilizes the bones during the initial healing phase. No packing is used in the nose, which makes recovery much more comfortable. Your nose may feel “stuffy” for a few days, but this resolves quickly. Pain is minimal. You will likely feel tired for a couple days and should limit your activities and concentrate on resting and recovery. Contact sports, racket and ball sports, heavy lifting, and straining must be avoided until Dr. Ransom, the Bay Area rhinoplasty specialist, gives you the “okay” – this is typically a couple weeks.
Question: How long is the recovery from a rhinoplasty?
Answer: For most patients, the initial recovery is quick – typically a week or so. Recovery from a closed rhinoplasty may be a bit quicker. Due to swelling inside the nose, many patients feel “stuffed up” for a few days. Bruising is limited, though some swelling will occur throughout the nose. Much of this resolves over the first week, but some swelling will persist after that and may take longer to go away completely. Pain is minimal and San Francisco Rhinoplasty Cosmetic Surgeon Dr. Ransom does not use nasal packing, making recovery more comfortable for his patients. Most plastic surgeons agree that the final result of a rhinoplasty is not seen for at least six months, and it is common to see subtle changes up to a year from the surgery. This is especially true of revision rhinoplasty and complex augmentation (making the nose bigger) rhinoplasty cases.
Question: Will rhinoplasty change my breathing?
Answer: During the healing phase after your San Francisco rhinoplasty, there will be swelling inside the nose. This takes some time to resolve, and may cause a temporary sensation of blockage or “stuffy” nose. After the swelling resolves, there should not be any changes to your breathing. In fact, Dr. Ransom is a nose specialist and uses this knowledge to make sure that his patients’ breathing is not negatively affected by nose reshaping. In some cases where the septum is crooked or functional issues (difficult nasal breathing) exist before surgery, Dr. Ransom can actually improve the breathing during your rhinoplasty. Any issues pertaining to breathing can be discussed with our San Francisco rhinoplasty expert during your consultation.
Question: Are there non-surgical options for changing the shape of my nose?
Answer: Yes, some patients may be candidates for non-surgical rhinoplasty based on their specific anatomy and aesthetic goals. The most suitable patients have smaller noses and primarily desire changes to the profile. A low or flat nasal bridge can be elevated or a small bump can be camouflaged using carefully placed injections of a soft-tissue filler called Radiesse®. For more details, please see the page dedicated to this treatment, located under the Non-Surgical tab.
Question: I had a nose job years ago, but now it doesn’t look the way I want. Can this be fixed?
Answer: Changes caused by the healing process as well as normal aging of the tissues in the nose can lead to an unsatisfactory result over time. In these cases, a revision rhinoplasty may be appropriate. As we age, the skin may become thinner, the cartilages may become weaker or more droopy, and there can be loss of bone in the upper jaw. All of these normal processes can lead to long-term aesthetic changes in the nose. In many cases, revision surgery can be used to add support to the nose or return it to a more desirable shape.

More info and educational resources

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.