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Home  /  Face /  Rhinoplasty

Rhinoplasty (Nose Job)
in Granite Bay and Sacramento

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Natural-looking results that feel proportionate, balanced, and unmistakably you.
Home  /  Face /  Rhinoplasty

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Your nose sits at the center of your face, and when something about it feels off, it can quietly chip away at your confidence every single day. Whether it’s the shape, the size, or the way it affects your breathing, these are real concerns that deserve a thoughtful, personalized approach. At Granite Bay Cosmetic Surgery, Dr. Haley Bray performs rhinoplasty for patients throughout Granite Bay, Sacramento, Roseville, Folsom, and El Dorado Hills, combining a precise understanding of nasal anatomy, an artist’s eye for facial proportion, and the surgical skill to achieve results that look balanced, not operated on.

plastic surgeon examining young woman's nose during rhinoplasty consultation

What Is Rhinoplasty?

Rhinoplasty is a surgical procedure that reshapes the nose for cosmetic, functional, or combined purposes. It can address a wide range of concerns, including:

  • A dorsal hump or bump along the nasal bridge
  • A nasal tip that is bulbous, drooping, or asymmetrical
  • Nostrils that are too wide, too narrow, or uneven
  • A nose that appears too large or too small relative to other facial features
  • A crooked or deviated nose affecting facial symmetry
  • Breathing difficulties caused by a deviated septum or structural abnormalities1

Whether your goals are cosmetic, functional, or both, rhinoplasty can be tailored to your specific anatomy and aesthetic vision.

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Why Consider Rhinoplasty?

Some patients have lived with a feature they’ve always wanted to change. Others experienced an injury that altered the shape or function of their nose. Many simply want their nose to feel more in harmony with the rest of their face. Whatever brings you here, your reasons are valid and your goals deserve to be heard.

Common reasons patients seek rhinoplasty in Granite Bay and Sacramento include:

  • Improving facial balance and proportion
  • Correcting a nasal hump or bump visible in profile
  • Refining a wide, flat, or undefined nasal tip
  • Addressing asymmetry from genetics or a prior injury
  • Improving nasal airflow and breathing function
  • Correcting results from a previous rhinoplasty (revision rhinoplasty)

Open vs. Closed Rhinoplasty: Understanding Your Options

Rhinoplasty is not a one-size-fits-all procedure. Dr. Bray selects the surgical approach based on the complexity of your goals and the anatomy of your nose.

Open Rhinoplasty

Open rhinoplasty involves a small incision made across the columella, the narrow strip of tissue between the nostrils. This approach gives Dr. Bray direct visibility of the nasal structures, making it the preferred technique for more complex reshaping, tip refinement, or revision cases. The resulting scar is typically very small and fades significantly over time.

Closed Rhinoplasty

Closed rhinoplasty is performed entirely through incisions placed inside the nostrils, leaving no visible external scarring. This approach is well-suited for patients with more limited reshaping goals and typically involves a shorter recovery.

Septoplasty and Functional Rhinoplasty

When breathing difficulties are the primary concern, septoplasty may be performed to straighten a deviated septum. This can be done as a standalone procedure or combined with cosmetic rhinoplasty for patients who want to address both form and function at the same time. One surgery, one recovery, two meaningful improvements.

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Are You a Good Candidate for Rhinoplasty?

Rhinoplasty may be right for you if:

  • You are in good overall health with no conditions that would increase surgical risk
  • Your nasal growth is complete (typically around age 16 for women and 17 to 18 for men)
  • You have specific, realistic goals for how you’d like your nose to look or function
  • You are a non-smoker, or are willing to stop smoking well in advance of surgery
  • You are seeking improvement, not perfection, and understand that results are individualized2

The right time for rhinoplasty is simply when these concerns are affecting your confidence enough that you’re ready for a lasting solution. A thorough consultation with Dr. Bray is the best way to determine whether rhinoplasty is the right fit for your anatomy and your goals.

What to Expect from Surgery

Rhinoplasty is typically performed under general anesthesia and takes approximately one to four hours, depending on the complexity of the procedure. Surgery is performed in our fully accredited, AAAASF-certified on-site surgical suite, with board-certified anesthesiologists present throughout.

During the procedure, Dr. Bray carefully reshapes the underlying bone and cartilage to achieve your desired outcome. Cartilage grafts, often harvested from the septum, ear, or rib, may be used to add structure or definition where needed. Once the reshaping is complete, the skin is redraped over the new framework and incisions are closed.

Rhinoplasty Recovery and Results

Recovery from rhinoplasty follows a predictable progression, though individual timelines vary. Here is what most patients can expect:

  • Days 1 to 7: Swelling, bruising, and mild discomfort are normal. You’ll wear a nasal splint during this period and rest comfortably at home.
  • Weeks 1 to 2: The splint comes off, bruising begins to fade, and many patients feel comfortable returning to light work and social activities, though some swelling remains.
  • Weeks 3 to 6: The majority of visible swelling resolves and your nose begins to settle into its new shape.
  • 6 to 18 Months: Final results emerge gradually as residual swelling fully subsides. The nasal tip often takes the longest to refine, with most patients seeing their complete outcome between 12 and 18 months post-surgery.

Scarring from open rhinoplasty is placed in a discreet location and typically becomes nearly imperceptible within several months. Closed rhinoplasty leaves no visible external scarring.

Risks and Considerations

As with any surgical procedure, rhinoplasty carries potential risks that Dr. Bray will discuss with you thoroughly during your consultation. These may include temporary swelling and bruising, asymmetry, changes in skin sensation, scarring, breathing changes, infection, and the possibility of revision surgery.3 Choosing a highly trained, subspecialty-focused surgeon is one of the most important decisions you will make, and Dr. Bray will review all risks, your medical history, and your individual anatomy in detail before any procedure is planned.

Revision Rhinoplasty

Revision rhinoplasty, also called secondary rhinoplasty, is performed to refine or correct the results of a prior nose surgery. It is among the most technically complex procedures in facial plastic surgery, and it requires a surgeon who truly understands the nuances of nasal structure and has the patience to listen carefully to what went wrong the first time.

Dr. Bray has experience with both primary and revision rhinoplasty, including complex cases involving cartilage grafting and structural support. If you’ve had a previous rhinoplasty and aren’t happy with your results, we encourage you to come in for a consultation. You’ll have the opportunity to share your concerns openly, and Dr. Bray will give you her honest assessment of what’s possible and how she would approach your care.

Complementary Procedures

Many patients choose to combine rhinoplasty with other facial procedures for a more complete result. Commonly paired treatments include:

Chin Augmentation:
Balancing the chin and nose together can dramatically improve overall facial proportion and profile harmony. It’s one of the most impactful combinations in facial cosmetic surgery, and the results often surprise patients with how much a subtle chin enhancement changes the whole picture.

Facelift or Brow Lift:
For patients addressing multiple signs of aging alongside nasal reshaping, combining procedures means a single recovery period and a result that looks harmonious from every angle.

Non-Surgical Rhinoplasty:
For patients not ready for surgery, injectable fillers can temporarily smooth minor bumps or improve nasal symmetry. This is not a substitute for surgical rhinoplasty but may be appropriate for select candidates who want to explore their options before committing to surgery.

Dr. Bray surgical room

Why Choose Granite Bay Cosmetic Surgery for Your Rhinoplasty?

Rhinoplasty at Granite Bay Cosmetic Surgery is performed by Dr. Haley Bray, a double board-certified facial plastic and reconstructive surgeon whose entire surgical focus is the face. That subspecialty depth matters, especially for a procedure as technically demanding and anatomically precise as rhinoplasty.

Dr. Bray holds dual board certifications from the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, Head and Neck Surgery, reflecting the highest level of training in both the cosmetic and functional aspects of nasal surgery. She completed a five-year residency in Otolaryngology, Head and Neck Surgery at Saint Louis University, followed by advanced fellowship training in facial plastic and reconstructive surgery in Roseville and Beverly Hills. She graduated summa cum laude from the University of Missouri-Kansas City School of Medicine and is an active member of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). She has been recognized as a Sacramento Magazine Top Doctor and honored with the Style Magazine Readers’ Choice award.

Because Dr. Bray’s practice is dedicated exclusively to the face, every rhinoplasty she performs is informed by a nuanced understanding of nasal anatomy, facial proportion, and the delicate balance between form and function. Her goal is never to make you look like someone else. It’s to help your nose feel like it was always meant to look this way.

All procedures are performed in our private, AAAASF-accredited on-site surgical center, staffed by board-certified anesthesiologists and designed to provide the highest standard of safety and comfort in an unhurried, boutique setting.

Meet Dr. Bray

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To me, facial plastic surgery is not about making my patient look like someone else, but how I can enhance their unique beauty and minimize the concerns that may be holding them back from feeling 100% confident in themselves.
Dr. Haley Bray

What Our Patients Are Saying

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As a retired surgical technician with years of experience in Plastic Surgery, I can confidently say my experience at Granite Bay Cosmetics with Dr Haley Bray was truly outstanding.

From consultation to post-op care, every step was handled with professionalism, and genuine care. Dr Bray’s surgical skills and eye for detail far exceeded my expectations. My results are natural, refreshed and exactly what I hoped for.

Equally impressive was the staff. From the front office to the surgical team, everyone was warm, knowledgeable and attentive.

I highly recommend Dr Bray and the Granite Bay Cosmetics team to anyone seeking cosmetic surgery. I’m incredibly happy with my experience.”

– S.D.,
Google Review
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FAQs About Rhinoplasty

Most procedures take between one and four hours, depending on the complexity of the reshaping involved. Revision rhinoplasty cases may take longer.

With open rhinoplasty, a small scar is placed on the columella, the tissue between the nostrils. It’s typically very discreet and fades significantly over time. Closed rhinoplasty leaves no external scarring at all.

Initial swelling resolves within the first few weeks, but final results develop gradually. Most patients see their full outcome between 12 and 18 months after surgery, as residual swelling in the nasal tip continues to refine.

Discomfort following rhinoplasty is typically mild to moderate and well-managed with prescribed medication. Most patients describe the sensation as pressure or congestion rather than sharp pain.

Rhinoplasty focuses on reshaping the external appearance of the nose. Septoplasty corrects a deviated septum to improve breathing. The two procedures are frequently performed together when a patient has both cosmetic and functional goals, and combining them means addressing everything in a single surgery and recovery.

The cost varies based on the complexity of the procedure, the surgical technique used, anesthesia fees, and facility costs. If you’re combining rhinoplasty with another procedure such as chin augmentation, that will be factored into your personalized quote as well. Pricing is discussed in full during your consultation with Dr. Bray, so you’ll know exactly what to expect before moving forward. Financing options are available.

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Ready to Love the Way Your Nose Looks?

If you’re considering rhinoplasty in Granite Bay, Sacramento, Roseville, Folsom, or El Dorado Hills, we’d love to meet you. Schedule a personal consultation with Dr. Bray. She’ll take the time to understand your goals, evaluate your anatomy, and create a plan that’s tailored to you. No pressure, no obligation.

Your nose, refined. Your confidence, restored. Let’s get started.

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The content on this site has been medically reviewed by the doctors at Granite Bay Cosmetic Surgery.

1 Mayo Clinic. Rhinoplasty. Available: https://www.mayoclinic.org/tests-procedures/rhinoplasty/about/pac-20384532. Accessed April 23 2026.
2 American Society of Plastic Surgeons. Who is a good candidate for rhinoplasty? Available: https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/candidates. Accessed April 23, 2026.
3 American Society of Plastic Surgeons. What are the risks of rhinoplasty? Available: https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/safety. Accessed April 23, 2026.