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The eyes may be the windows to the soul, but nothing interferes with facial harmony like an out of proportion nose. Flaws in such a prominent facial feature draw unwanted attention and can hugely hurt self confidence. Fortunately, just a slight alteration can balance the face and restore confidence.

Dr. Binder understands the necessity of understanding both the nose and the patient’s overall facial structure in achieving natural-looking results and reducing the chance of needing revision rhinoplasty later. For almost three decades, his individualized approach to rhinoplasty has led him to pioneer the new “structure” techniques of rhinoplasty, yielding more consistent results and rendering the pre-existing look of an unnatural nose-job obsolete.


Rhinoplasty is one of the most commonly requested surgical procedures in America. It’s both a cosmetic fix for an out of proportion nose and a correction for medical issues such as a deviated septum, which can result in issues like breathing problems.

Just like with any surgery, it is vital for the surgeon to have extensive knowledge and experience in all aspects of nose surgery in order to ensure that the procedure fits needs of each patient. Dr. William J. Binder is one such surgeon, with double board certification and an established reputation in Beverly Hills and the Los Angeles Area, including recognition among his peers as the “end-of-the-line” surgeon for severe, complicated cases. Over 60% of nose surgeries performed at his practice are revision rhinoplasties.

By the Numbers

Rhinoplasty is the second most common cosmetic plastic surgery procedure performed

Breast Augmentation
Rhinoplasty (Nose Reshaping)
Eyelid Surgery

Source: American Society of Plastic Surgeons – 2014 Top Five Cosmetic Surgical Procedures

The Revision Rhinoplasty Expert

Over 60% of Dr. Binder’s cases are complicated revision rhinoplasties

  • Revision
  • Non-Revision

What to expect?

How old are typical patients?

What to Consider When Choosing Rhinoplasty

When considering rhinoplasty, it’s important to determine exactly what you hope to get out of the procedure. There are several things to consider and talk to your surgeon about so you can get the best possible results.

Specific features rhinoplasty can address include:

  • Nose size, width, and profile
  • Over and under projection of the nose
  • Nasal tip shape (i.e. too wide, bulbous, drooping, hooked or too upturned)
  • Oversized, wide, or flared nostrils
  • Nasal asymmetry
  • Limitations or advantages of skin type

While rhinoplasty is often thought of as strictly cosmetic, the procedure can also correct functional problems such as a deviated nasal septum, enlarged turbinates associated with allergies, or a collapse of the nasal valvular (cartilage) structures. In fact, fixing aesthetic and functional problems commonly require the same surgical technique.

Problems in the facial structure, especially a small chin and lower jaw or weak cheeks or midfacial bone structure may also contribute to imbalanced facial proportions. In these cases, surgery of the nose may be performed in conjunction with placement of facial implants or other procedures to achieve balance.

Nasal surgery has the best result after facial growth is completed. This happens around 15 of age for girls and between 15 and 16 for boys.

Rhinoplasty with Dr. Binder

There is no substitute for a consultation. This process provides you, the patient, with the comfort of understanding the procedure and how it will meet your needs. It also allows you to establish a rapport with Dr. Binder to put you at ease and make sure that you feel comfortable. It’s also a great way of making sure all your questions are answered in a way that makes sense to you.

The most common concern of prospective rhinoplasty patients, particularly those in Beverly Hills, is concern over the stereotypical and unnatural “nose job” look, featuring flaring nostrils, an upturned tip, or pinched bridge. This look results from an outdated technique, reduction rhinoplasty, which removed too much cartilage or bone in order to shrink and sculpt the nose.

Fortunately, Dr. Binder’s 30 years of experience in the field has allowed him to eliminate this concern through his sophisticated approach to rhinoplasty, structure rhinoplasty. This technique allows for the repair of a reduction rhinoplasty by adding back to the nose during revision rhinoplasty to achieve a more natural look. For a patient that’s never had rhinoplasty before, the technique focuses on identifying structural and esthetic weaknesses and repositioning tissue to rectify them. Dr. Binder’s philosophy is to create a nose that looks natural with the patient’s other facial features while never compromising breathing.

To create this natural appearance, the entire procedure is performed inside the nose, without severing the columella, or delicate tissue between the nostrils. This prevents visible scars. This technique is referred to as the closed technique and requires a surgeon with more experience and precision than its counterpart, the open technique.

Dr. Binder is able to perform both techniques, saying “I reserve the open rhinoplasty approach for only very special circumstances. In most primary rhinoplasty or majority of revision Rhinoplasty patients, I believe that the experienced surgeon should have the capability to perform Rhinoplasty through the closed approach, which is how I perform the majority of my cases. I have seen too many scars underneath the nose that do not heal properly as a result of the open Rhinoplasty technique. If these scars do not heal well, it is extremely difficult to correct them and they can potentially remain permanently visible.”

However, many surgeons can only use the open technique, as it is significantly more difficult to both learn and practice the closed technique and most training programs do not teach both methods. The open technique also allows for greater visibility during surgery, but can also lead to significantly more scarring, skin shrinkage, and long term unpredictability than the closed technique Dr. Binder prefers.

Although Dr. Binder is capable of performing both techniques, his decades of experience in the field lead him to favor the natural and predictable results that come from using the closed rhinoplasty technique, which also leads to less swelling and bruising post operation than the open technique.

Schedule Your Rhinoplasty with Dr. William J. Binder

Dr. Binder’s approach to rhinoplasty not only improves function, but creates such natural and balanced results that no one will be able to tell that a procedure was ever performed. With 30 years of experience as a double board certified plastic surgeon, Dr. Binder has produced success story after success story. Why continue to live with insecurities or breathing difficulties when with just a call to our offices you can start on your way become a success story, too?

Rhinoplasty Video Library

The Most Difficult Procedures

Revision Rhinoplasty

Structural Breathing Problems

The Importance of Training