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James M. Pearson, MD

James Pearson Facial Plastic Surgeon
Dr. Pearson is an experienced, double-Board Certified Facial Plastic Surgeon.
Click here to learn more about him and his expertise in facial plastic surgery.

Pearson Rhinoplasty

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(Nose Reshaping Surgery, Nosejob, Plastic Surgery of the Nose)

The nose is the central, most prominent feature of the face and a major influence in defining balance and facial harmony.

Pearson Rhinoplasty Pearson Rhinoplasty Pearson Rhinoplasty

When the nose does not complement the face, it may detract from one's overall appearance. Facial attractiveness is elusive without a nose that is in harmony with surrounding facial features. To that end, the goal of cosmetic rhinoplasty is to create a nose which establishes or maintains balance and harmony with the rest of the face.

Rhinoplasty Overview

GOALS Improve nasal appearance (size, shape, symmetry, proportion, balance) or nasal breathing or restore an injured nose to its pre-injury state
PROCEDURE Rhinoplasty / Nose Reshaping Surgery / Nosejob
ANESTHESIA Local anesthesia with sedation or general anesthesia
LENGTH 2-3 hours
AFTER PROCEDURE Sutures are removed after a few days, splints are removed after 7 days.
RECOVERY Resume normal activities after a couple of days, return to work in 7-10 days, resume full activity and exercise at 3 weeks.

Every year, half a million people who are interested in improving the appearance of their noses seek consultation with facial plastic surgeons. Some are unhappy with the noses they were born with, and some with the way aging has changed their nose. For others, an injury may have distorted the nose, or the goal may be improved breathing. But one thing is clear: nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance.

Before & After Photos

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Sample Patient 1

Sample Patient 2

Sample Patient 3

Sample Patient 4

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Dr. Pearson's practice offers cosmetic, functional and reconstructive rhinoplasty.

Cosmetic Rhinoplasty is performed to improve the appearance of the nose. Although popular opinion does not consider the nose to be central to facial beauty, the nose's central facial location makes facial beauty elusive without nasal harmony with surrounding facial features. To that end, the goal of cosmetic rhinoplasty is to create a nose which is in balance with the rest of the face.

Cosmetic rhinoplasty may include the removal of a dorsal hump, refinement of the nasal tip, straightening or narrowing of a deviated or widened nose, modification of nasal proportions, as well as countless subtle nasal refinements. A beautiful nose has less to do with subjective preference than with symmetry, proportion and balance. When a nose is in harmony with surrounding facial features, attention is directed away from it and towards the eyes.

Functional Rhinoplasty involves improvement of nasal breathing problems. Functional rhinoplasty may include straightening a deviated nasal septum (septoplasty), turbinate surgery to reposition or reduce the size of the nasal turbinates (turbinoplasty) and surgical repair of incompetent nasal valves. Functional rhinoplasty may be covered partly or entirely by medical insurance.

Reconstructive Rhinoplasty entails surgical treatment of a nasal injury in an effort to bring the nose back to its pre-injury state. If the nasal injury is very recent (within days), it may be possible to correct or improve nasal deviation without surgery. Reconstructive rhinoplasty may be covered partly or entirely by medical insurance.

Featured Videos - Rhinoplasty
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Dr. Pearson's Philosophy Regarding Cosmetic Rhinoplasty
Dr. Pearson understands that people want to look like themselves, only better - that is, the best version of themselves. The goal of Cosmetic Rhinoplasty is to retain your unique facial features, while simultaneously minimizing those unfavorable characteristics which detract from facial balance.

The goal of Rhinoplasty is not to look different, just better. In particular, one should never look 'done' or 'surgerized.' as a result of plastic surgery. In order to achieve that, the surgeon needs to avoid the tell-tale signs of surgery.

A superior Rhinoplasty result is usually not even perceived as having resulted from surgery. Onlookers usually comment that our patients look refreshed, or especially well-rested as if having recently returned from a vacation without assuming that it involved surgery.

We are grateful to our many patients who have generously contributed their before and after photos so that others may learn. Please view our photo gallery to see samples of Dr. Pearson's work. Pictures may speak more clearly than words what we mean by 'the best version of yourself.'

Why Should You Choose Dr. Pearson to Perform Your Rhinoplasty?
In the field of plastic surgery, rhinoplasty is regarded as the most technically challenging of all operations. Whether rhinoplasty is sought for cosmetic, functional or reconstructive reasons, your choice of a qualified facial plastic surgeon is of paramount importance. Dr. Pearson is trained in both facial plastic surgery, and ear, nose, throat surgery, which provides you as the patient with the highest level of training and expertise. Furthermore, Dr. Pearson is an expert in the field and has written numerous surgical book chapters and articles covering various aspects of this complex operation.

Which Nasal Attributes Can Rhinoplasty Change or Improve?
Rhinoplasty can change:

  • Nasal asymmetry and deviation
  • Nose size, in relation to the other facial structures
  • Nose width, at the bridge
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is large or bulbous, drooping, or too upturned
  • Nostrils that are large, wide or upturned

Candidates for Rhinoplasty Surgery
Some of the indications that you may be a good candidate for rhinoplasty:

  • Your nose is off-center or crooked
  • Previous injury has made your nose asymmetrical
  • Your nose appears too large for your face
  • There is a bump on the nasal bridge when viewed in profile
  • Your nose seems too wide when viewed from the front
  • The nasal tip droops or plunges
  • The tip is thickened or enlarged
  • Your nostrils are excessively flared

You may be a candidate for Cosmetic Rhinoplasty if you are dissatisfied with the appearance of the size or shape of the nose. If you experience breathing difficulty and the structure of the nose is determined to contribute to this problem, you may be a candidate for Functional Rhinoplasty. If you have recently sustained an injury to your nose which has affected its appearance, you may be a candidate for Reconstructive Rhinoplasty.

Rhinoplasty Surgery
The nose is a complex three-dimensional structure composed of multiple tissue types including bone, cartilage, skin, mucosa, and muscle. Rhinoplasty entails making surgical changes to the nasal tissues in order to affect the size, shape, and/or function of the nose. In many cases, the goals of rhinoplasty are neither entirely cosmetic, functional or reconstructive but some combination of these.

Possible Non-Surgical Alternative Treatments
For subtle improvements, non invasive methods may be considered to improve the appearance of the nose. For those who do not wish to consider surgery, injectable fillers may be employed by Dr. Pearson to improve nasal appearance. Call us for a consultation to learn if you may be a candidate for a non-surgical nasal treatment.

Recovery after Rhinoplasty Surgery
Following rhinoplasty, you can expect a few days of swelling and soreness which is well controlled with oral pain medications. Any nasal packing is removed after 1 day. Any external nasal sutures are removed after a few days. Internal and external nasal splints are typically removed after 7 days. By then, much of the nasal swelling is resolved and nasal breathing is improving. The nasal bones heal over several weeks. You can resume most normal activities after a couple of days, except for intense exercise, which may be resumed at about 3 weeks. Most people are able to return to work in 7-10 days. Contact sports should be avoided for at least 6 weeks.

Rhinoplasty Publications by Dr. Pearson

Dr. Pearson is a Rhinoplasty specialist and a published author who has written numerous articles and plastic surgery textbook chapters on this topic. Learn more here.

Rhinoplasty Experts Reference

Rhinoplasty: The Experts' Reference

Management of the Aging Nose


Master Techniques in Rhinoplasty

Master Techniques in Rhinoplasty

The Underprojected Nose / Ptotic Tip


Encyclopedia of Flaps

Grabb's Encyclopedia of Flaps
Local Mucosal Flaps for Septal Perforation


Management of the Aging Nose

Facial Plastic Surgery
Management of the Aging Nose


Facial Plastic surgery clinics - nasal implants

Facial Plastic Surgery Clinics of North America

Nasal implants


Advanced Therapies in Facial Plastic and Reconstructive Surgery

Advanced Therapy in Facial and Plastic and Reconstructive Surgery

Nasal Grafts & Implants

Reviews from Dr. Pearson's Rhinoplasty Patients

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Pearson Plastic Surgery

Pearson Plastic Surgery

Pearson Plastic Surgery


Contact Us

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James M. Pearson, MD

James Pearson Facial Plastic Surgeon

Dr. Pearson is an experienced, double-Board Certified Facial Plastic Surgeon.
Click here to learn more about him and his expertise in facial plastic surgery.

Our Surgical Facility

Strand Surgical Center is a fully-accredited ambulatory surgical facility founded by Dr. James Pearson to serve our patients in a safe, private, comfortable and convenient environment.

Our surgical team members have been personally selected by Dr. Pearson for their high level of skill, safety and patient satisfaction.

Strand Surgical Center is accredited by Quad A, the nation’s premier accrediting association for ambulatory surgical facilities.

A Quad A-accredited facility must comply with the most stringent set of applicable standards available in the nation and meet strict requirements. Quad A provides official recognition to facilities that have met 100% of its high standards. Accreditation assures the public that patient safety is the top priority in a facility.

The Medical Centre Building
4201 Torrance Boulevard, Suite 150
Torrance, CA 90503
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Our facility is located in Torrance, on the ground floor of the Medical Centre Building across the street from Providence Little Company of Mary Hospital.

Our convenient location serves:
the Beach Cities of Manhattan Beach, Hermosa Beach and Redondo Beach, as well as
Palos Verdes and Torrance and the greater Los Angeles and Orange county areas.

Many of our patients visit from out of town for services.
We are located 15 minutes from LAX and with easy access to the 405 and 110 Freeways.

Why does Accreditation Matter ?

The American Board of Facial Plastic Surgery requires members to operate out of facilities that are routinely monitored for safety and quality. Unfortunately, there are many facilities that surgeons are operating from that are not accredited and monitored. Dr. Pearson is board-certified and our operating facility has the highest level of accreditation as an outpatient surgical center.

Finding out if your surgery center is accredited is simple. Visit JCAHO, AAAHC, or QUADA for more information, or to find an accredited surgery center near you. Here are the top reasons why accreditation matters:

  • Physician's certifications are routinely checked, making sure all doctors operating in the facility are currently licensed.
  • An accredited facility will monitor and report incidents of infections, complications, and other concerns related to patient safety to the medical board and health department.
  • Quality management ensures the best patient care standards are met, from equipment, sanitation, and staffing.
  • Patient care and treatment plans are reviewed and updated regularly, making them current with updated standards.
  • Supplies, drug, and medication expiration dates are checked and made current.
  • Surgeons serve as peer review monitors for each other, ensuring quality of care.
  • Anesthesia standards are clearly set, and always administered by a licensed anesthetist.
  • Accredited ambulatory facilities are shown to have very low rates of serious complications and low mortality rates.

American Academy of
Facial Plastic Surgery

American Board of Facial Plastic
& Reconstructive Surgery
American College of Surgeons
Dr. Pearson Castle Connolly Top Doctor
Castle Connolly

Dr. Pearson sees patients from around the world including the following Southern California locations: Beverly Hills, Brentwood, Burbank, Culver City, El Segundo, Glendale, Hawthorne, Hermosa Beach, Hollywood, Huntington Beach, Laguna Beach, Long Beach, Los Angeles, Malibu, Manhattan Beach, Marina del Rey, Newport Beach, Orange County, Pacific Palisades, Palos Verdes, Playa del Rey, Playa Vista, Rancho Palos Verdes, Redondo Beach, Rolling Hills, Rolling Hills Estates, San Pedro, Santa Monica, Seal Beach, South Bay, Torrance, Venice, Ventura, Westchester, West Hollywood, Woodland Hills