Preservation Rhinoplasty in Washington DC

Also Serving Mclean, Alexandria, Loudoun County and Arlington


Overview of Preservation Rhinoplasty in Washington DC

Preservation Rhinoplasty (PR) in Washington DC is an approach to “nose job” surgery that can improve the appearance and function of the nose in a minimally invasive rhinoplasty manner. “Preservation” refers to preserving the ligaments, tissues and cartilages as much as possible, and avoiding removal of structures which is a feature of other methods. By preserving the structure of your nose, the stability of the nose is maximized, and risks of problems leading to revision surgery are minimized. Dr. Rad specializes in “closed” or “endonasal” preservation techniques which combine the best of both worlds: scarless (hidden incisions within the nostrils) and preservation of structure. Popularized by closed rhinoplasty surgeons from around the world, PR is the most modern and “cutting edge” approach in rhinoplasty today.

Am I a Good Candidate for Preservation Rhinoplasty?

If you have never had surgery on your nose previously, and you are concerned to improve a bulbous nasal tip, dorsal hump (bump on bridge), droopy nose, crooked nasal tip, wide nostril base then preservation rhinoplasty may be the best option for you. Deviations from trauma may also be addressed with closed PR methods. However, if you have had severe trauma or you need corrective surgery from prior rhinoplasty, then preservation rhinoplasty may not be the best approach, and rather other “structural rhinoplasty” or closed grafting methods may be needed.

Preservation Rhinoplasty Preparation

Preservation Rhinoplasty Washington DCBefore your rhinoplasty, you and Dr. Rad will spend unhurried time in consultation to discuss your goals, anatomy, and review photos of Dr. Rad’s patient results, discuss risks and benefits of surgery, and how and where surgery is done. You will then receive a customized quote with specific cost estimates of surgery, anesthesia and operating room fees. Dr. Rad’s schedule books 4-6 months out and so be mindful that surgery within weeks is highly unlikely. You should look at your calendar to determine optimal time frames for your schedule considering that recovery is about 7 days.

Leading up to your surgery, you’ll receive detailed pre-operative instructions and you will need a medical clearance by your primary doctor. Smoking, vaping or any nicotine consumption are discouraged as it impairs wound healing and increases risk of infection. You will meet Dr. Rad three times: first for consultation, next for your pre-op visit where you and he will review the plan for surgery, your pre-operative clearance information, and other important details. Finally, you will meet on the day of surgery for final preparations just before your rhinoplasty surgery. Prescriptions for standard medications will be transmitted to your pharmacy before surgery.




The Preservation Rhinoplasty Procedure

Your safety is Dr. Rad’s highest priorities are your safety and comfort. A board-certified anesthesiologist will use a light general anesthesia which is very safe for healthy patients. You will remember nothing about the procedure, you will not feel any pain during your procedure, and you will wake up gently in the recovery room. While a mix of excitement and anxiety is common, keep in mind that Dr. Rad works with a highly skilled team and risks of problems during surgery are extremely low and rare. For your safety, Dr. Rad performs surgery in a AAAASF certified operating facility (“AAAASF” is the highest standard of certification in the US).

The average duration of surgery is 2.5 to 3.5 hours depending on complexity and the desired goal.

Although Dr. Rad is able to perform open or closed rhinoplasty, his preferred method is closed as this is minimally invasive and avoids an external scar across the columella.

If you have a dorsal hump then Dr. Rad employs a “dorsal preservation” approach where the tissues are lifted under the “perichondrium and periosteum (strong layers overlying the cartilage and bone, respectively), then the cartilage and bone are shaped to give the desired appearance. Dr. Rad uses a “let down” or a “push down” method to reduce the nasal pyramid to straight or gently curved. When performing a dorsal preservation rhinoplasty, Dr. Rad will bring down the bridge by removing small areas of cartilage or bone from below the dorsal hump and the top or bottom of the septum.

If you have a bulbous or asymmetric tip then “preservation tip-plasty” can improve the appearance and harmony of your nasal tip. Dr. Rad carefully separates the overlying soft tissues from the cartilages of your tip, and then shapes them with sutures and repositioning maneuvers to create the desired tip shape. Keep in mind that skin thickness is very important to take into consideration because thin skin will show edges more so than thick skin. Think of it like pillows on the bed – a thin bed sheet over the pillows will show the undulations and edges of the pillows, whereas a thick duvet comforter will not. Sometimes tissue thinning can be done but only very carefully as the tissues must be preserved.

Once the desired nasal shape is achieved then Dr. Rad checks symmetry, shape and contour to be sure that your new nose balances beautifully with your facial features. Then he closes the incisions and places internal and external nasal splints to support the underlying structures.

  • Preservation Rhinoplasty Before & After Washington DC
  • Preservation Rhinoplasty Before & After Washington DC
  • Preservation Rhinoplasty Before & After Washington DC
  • Preservation Rhinoplasty Before & After Washington DC

Actual Washington DC Rhinoplasty Patient of Dr. Rad’s
See More Top Rhinoplasty Results

Sherber+Rad cannot guarantee specific results.
Individual results may vary.

WWhat Is Recovery Like After Preservation Rhinoplasty?

You will need to have someone drive you home from the surgical facility and to stay with you at least for the first 24 hours. Recovery is approximately 7-10 days when swelling and bruising under the eyes can be visible by others. However, recovery is not exceedingly painful and discomfort is mild and controlled by mild pain medicine. Recovery from preservation rhinoplasty is most successful when patients follow Dr. Rad’s post-surgical care directions as closely as possible. You will have a 1-week post-operative check-up to make sure everything is going well. You and Dr. Rad will talk at length about what to expect during the next 6 weeks.

During the first week following your preservation rhinoplasty procedure, you should take it easy at home and rest. You may return to work from home if you feel comfortable doing so, and most patients feel recovered enough by day 3 or 4. However, keep in mind that you will have visible evidence of having had surgery and so staying off video teleconference may be best. Your voice will sound somewhat “nasal-y” during the week after surgery because your nose will have splints which congest the nasal passages. This is normal and temporary.

Some drainage from the nostrils is expected and you should keep the nostril rims clear of dried blood. Use nasal saline as needed.

Normal return to work following a preservation rhinoplasty procedure can occur in around 7-10 days. Your ability to return to work sooner will depend on the specifics of your job, so it is best to discuss this with Dr. Rad.

Patients can resume light exercise 2 weeks after, and ramp up to unrestricted activity 4 to 6 weeks after preservation rhinoplasty surgery. You can start light chores and light housework a few days after surgical treatment. Light outdoor walking may be possible, depending on your recovery. No heavy lifting or intense physical exercise for 4-6 weeks.



Cost is multifactorial and starts at $9,500, increasing with complexity and length of surgery. We cannot give detailed quotes before consultation.

Arrange Your Consultation

Call +1 202.517.7299 or email to arrange your consultation with Dr. Rad. A $150 fee applies and this is for Dr. Rad’s time and expertise. The consultation is the first step in determining the best option for you.


Consultation with Dr. Rad Washington DC


Your initial consultation with Dr. Rad will help him better understand your specific nasal anatomy, along with your needs and goals for your preservation rhinoplasty. Dr. Rad will examine your nose and will take photographs. The two of you will also go over your complete medical history to ensure that you are a good candidate for the procedure.

Dr. Rad will go over the details of preservation rhinoplasty, including preparation and recovery, to make sure that you are well informed. If you have any questions or concerns regarding the procedure, the consultation is the ideal time to ask them.

What are Dr. Rad’s patients saying?

Preservation Rhinoplasty Washington DC

“We consulted with three plastic surgeons before choosing Dr. Rad for my 17-year-old son’s rhinoplasty and chin implant in March 2017. From the first meeting, we felt confident that Dr. Rad is a skilled, experienced, and talented surgeon who pays attention to every detail. He is also a super guy – warm, caring, attentive, and welcoming. Everything went smoothly and we are extremely happy with the results. We are very pleased with the whole experience and recommend him without hesitation.“

A.B. in Washington, DC | October 3, 2018

Preservation Rhinoplasty Washington DC


Preservation Rhinoplasty Washington DC

About your Washington DC surgeon

Dr. Rad’s credentials speak for themselves: Princeton (B.S.E, Magna Cum Laude), Duke School of Medicine (M.D.) and University of London (Ph.D.) educated and Johns Hopkins Plastic Surgery trained, he is a Diplomate of the American Board of Plastic Surgery, Assistant Professor at Johns Hopkins, and long-standing member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery. Dr. Rad is considered an expert in facial plastic surgery and microsurgery. He is ranked the #1 plastic surgeon in Washington DC based on aggregate ratings from all independent ranking websites: “top-rated local“, “three best rated” top plastic surgeon, and “top plastic surgeon reviews“. SHERBER+RAD has never engaged in paid advertising, and all rankings and reviews are from vetted and respected sources.

Meet Dr. Rad

Preservation Rhinoplasty Washington DC


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Sherber+Rad1101 15th St. NW, Suite 100, Washington, D.C. 20005