Dr. Grover has extensive experience in nasal beautification, otherwise known as rhinoplasty. Dr. Grover has over twenty years of rhinoplasty experience beginning with his training at Stanford University. Dr. Grover was fortunate to have trained with some of the finest rhinoplasty surgeons in the world including Ronald Gruber, M.D. at Stanford and Raj Kanodia, M.D. in Beverly Hills.
Dr Gruber is known as one of the champions and expert in the open rhinoplasty technique. Dr. Kanodia is known to be one of the best closed rhinoplasty surgeons in the world as well. In addition to spending a significant amount of time learning from these expert rhinoplasty surgeons, Dr. Grover had the benefit of spending time and observing other great rhinoplasty surgeons including Rollin Daniel, M.D. and Jack Sheen, M.D.
With his years of experience, his extensive training, and his passion for rhinoplasty, Dr. Grover has been able to develop his technique, skills and appreciation in order to provide his patients with natural, long lasting results and among the best rhinoplasty Orange County has available.
Dr. Grover utilizes the open rhinoplasty, the closed rhinoplasty, as well as the closed-open rhinoplasty techniques to deliver the natural results sought after by his Orange County patients.
Many of our Newport Beach rhinoplasty patients do not necessarily want any significant change to their nose and they still want to look like themselves. They do, however, seek some modifications and adjustments to improve their appearance and improve their self-confidence. Many patients often have some concerns about the width of their nose up by the upper part of the nose at the bones, concerns about the bump or hump on their nose which creates a suboptimal profile, and a wide, round or bulbous tip. Some patients also have a concern about having a crooked or misshaped nose.
Many patients seeking rhinoplasty may also suffer from some degree of nasal obstruction. This may be congenital or due to some sort of trauma. Some of the causes of this include a deviated septum, enlarged turbinates, inflamed mucosal tissues due to allergies or pollution or a combination of any of these factors.
Sometimes nasal obstruction can be improved non-surgically with inhaled nasal steroid sprays while other times, adjustments to the septum or turbinates are required such as septoplasty, turbinectomy or turbinotomies (outfracturing of the turbinates).
Techniques for rhinoplasty have evolved quite a bit over the past twenty years compared to the rhinoplasty techniques utilized in the 1970s and 1980s when a 15-20 minute cookie cutter, closed rhinoplasty technique was utilized to create a small, pinched, non-functional nose.
Techniques utilized now by many nasal surgeons including Dr. Grover involve a more methodical, structured rhinoplasty technique that provides a more balanced, natural result that remains functional for breathing.
During his Orange County nose job surgeries, Dr. Grover utilizes an open rhinoplasty technique many times when a patient requires a fair amount of work on their tip. The open rhinoplasty technique, which utilizes incisions inside the nose and a very small, imperceptible incision on the underside or columella of the nose to lift up the soft tissues or skin allows one to directly see the underlying framework of cartilage and bone. This technique allows Dr. Grover to make precise adjustments and modifications to these structures to create a more sculpted result, which is well supported to last a long period of time. One can understand that the open technique allows for greater precision as it allows one to precisely measure the remaining cartilage with measuring tools such as a caliper or ruler.
Rhinoplasty may be performed under general anesthesia, twilight anesthesia or even local anesthesia with oral sedation; however, Dr. Grover often performs his Newport Beach rhinoplasty procedures under general anesthesia with the assistance of board-certified anesthesiologists. Most of Dr. Grover’s patients experience minimal bruising and minimal discomfort and are off pain medications the day following surgery. Nasal packing is not utilized. Intranasal dissolvable sutures are used instead. An external nasal splint is placed on the nose following rhinoplasty and is removed within 5-7 days in the office. A patient’s nose will appear very nice immediately when the splint is removed although some swelling will be present. Most of the swelling is resolved within the first 3-4 weeks, but it will take 12-24 months for it to fully resolve. Night taping may be utilized the first month following surgery to help reduce swelling.
Different variations of rhinoplasty techniques are utilized for male rhinoplasty, ethnic rhinoplasty or revision rhinoplasty procedures. Each case is evaluated on an individual basis. Some patients also benefit from alar reduction (nostril reduction) or chin augmentation to provide the best facial harmony.
Please proceed to the photo gallery to see some of Dr. Grover’s before and after Orange County rhinoplasty and nose job results. Please contact the office to arrange a consultation to discuss your concerns and desires. Dr. Grover utilizes imaging tools from NewLookNow.com to provide his patients with an idea of how their new nose may appear.
A rhinoplasty is usually referred to as a “nose job.” It involves a range of surgical procedures to reshape the nose structure for aesthetic or functional reasons. It is most often sought for an aesthetic problem, such as an overlarge nose, large hump on the nose bridge, drooping tip, asymmetrical nose, overlarge nostrils, or bulbous tip.
Any surgery carries some risk, but it is rare for a patient to experience complications from a rhinoplasty. One issue of great importance is that the procedure is performed correctly – the first time – to help you avoid the need for a revision surgery to correct a bad outcome. Dr. Grover is recognized as a leading, board-certified plastic surgeon with outstanding surgical talent, specializing in rhinoplasty, nose jobs and nose surgery.
Most patients take two weeks off work. During the initial stages of healing you will be wearing a splint to keep the revised nose structure protected and in place. While most patients return to work after two weeks, you will need to continue to avoid vigorous physical activity for four total weeks. Swelling is usually greatly reduced and no longer visible to others after about two months, after which your nose will continue to improve and take on the final, sculpted, more attractive appearance.
As the nose continues to grow until a person reaches about fourteen for girls, and slightly later for boys, it is advised that the surgery is performed after that point. This also allows the surgeon to see the patient’s adult facial features and create the most balanced look to enhance the overall facial appearance.
Patients may be under general anesthetic, or some may have local anesthetic used in conjunction with sedation.
A rhinoplasty is one of the most delicate of all plastic surgeries, and can vary in the time needed to complete, based upon the scope of the issues that need correction. Typical rhinoplasty surgeries last for one to two hours.
An open rhinoplasty involves an incision beneath the tip of the nose. This surgical technique leaves a very well hidden, fine line, that fades over time to become virtually invisible.
When the surgery is complete, you will still be experiencing the effect of the anesthetic. Once this wears off, there will typically be some discomfort. To manage any pain, we provide a prescription for pain medication, so you are comfortable in the initial healing stages.
Arrange a friend or family member to transport you home. You will feel groggy and tired, and it is not safe to drive. Have that person help you for the rest of the day and evening. Your only job will be to rest and recover from surgery.
Most patients return to work one to two weeks after the procedure. If you can, plan for a full two weeks off.
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