Primary Rhinoplasty


PRIMARY Rhinoplasty Surgery in Beverly Hills

As the most visible part of the face, the nose has a tremendous influence on facial aesthetics, which is why many men and women seek rhinoplasty to improve their appearance. In skilled hands, rhinoplasty can eliminate cosmetic imperfections and beautifully enhance your features.

Dr. Robert Kotler is a leading rhinoplasty superspecialist whose reputation has drawn patients from all over the word. His proven track record of creating the most natural-looking results has distinguished his practice as the top choice for rhinoplasty in Beverly Hills. From ethnic rhinoplasty to permanent non-surgical nose enhancement, he offers a wide range of techniques to achieve your cosmetic goals. 

Before & After Photo Gallery

Dr. Kotler has decades of experience performing nasal and facial surgery. See real patient results performed by a superspecialist in Beverly Hills, CA.

Beverly Hills’ Best Rhinoplasty Surgeon

Even among plastic surgeons, rhinoplasty is considered to be one of the most challenging surgical procedures. When undergoing rhinoplasty, patients deserve the peace of mind that their procedure will be performed to the highest standard of care. Dr. Kotler’s elite training and extensive experience have made his practice the premier destination for rhinoplasty in Beverly Hills. He attracts patients from all over the world who are seeking an expert they can trust to enhance the most visible part of their face.

Dr. Kotler is differentiated by his high degree of specialization. Ninety-five percent of his procedures are nasal, allowing him to provide the highest level of expertise and artistry for patients seeking nose surgery. This super-specialization becomes even more important when dealing with challenging cases, such as ethnic rhinoplasty or procedures that require significant structural work.

Such a narrow focus of work is rare among plastic surgeons, and the benefits of choosing a superspecialist cannot be understated: this high level of skill ensures patients receive superior care and achieve the most natural-looking results possible. Take a look at Dr. Kotler’s before-and-after gallery to see the stunning results he consistently produces.

Exclusive Techniques Offered by Our Practice
Throughout his extensive career, Dr. Kotler has advanced the fields of aesthetic and functional rhinoplasty by refining the most effective techniques available. Patients who choose Dr. Kotler for nose surgery will benefit from these innovative techniques:

One of the challenges patients face during rhinoplasty recovery is trouble with breathing. This is due to post-operative swelling and the packing that is placed inside the nose. To solve these issues, Dr. Kotler invented the Kotler Nasal Airway. This patented, FDA-approved device is made of a pair of soft silicone tubes. When inserted into the nostrils after rhinoplasty or any other nose surgery, the airway allows the patient to easily breath immediately after the procedure. Dr. Kotler uses this device for every nose surgery he performs, which greatly improves patient comfort during recovery (especially during the first five days). This well-known device has been adopted by many surgeons internationally.

Patients who want to avoid surgery often opt for a non-surgical rhinoplasty with filler. But before making the final decision, most patients want to see what their expected results will look like. Many surgeons employ 3D imaging software for this purpose. Dr. Kotler takes it a step further by offering saline demonstrations as well. During the initial consultation, Dr. Kotler can inject a sterile saline solution into different parts of the patient’s nose to replicate what the final results will look like. Patients love being able to “test drive” their results before making the final decision. The saline solution is reabsorbed within about two hours.

Most plastic surgeons who offer non-surgical rhinoplasty perform the procedure using hyaluronic acid fillers. While these are a suitable choice, they don’t produce permanent results and require the patient to receive follow-up injections regularly. Dr. Kotler uses a permanent filler called Silikon 1000. Though many patients haven’t heard of it, this permanent filler has been used for decades. The filler’s unique formulation contains liquid medical grade silicone that makes it perfect for permanently enhancing the nose.

What is the Difference between RHINOPLASTY and A FUNCTIONAL NOSE JOB?

Cosmetic Rhinoplasty

Cosmetic rhinoplasty is used to correct imperfections of the nose. Dr. Kotler meticulously makes these corrections, so the results blend seamlessly and naturally with the patient’s facial features.

Rhinoplasty may be used to:

  • Straighten a crooked nose
  • Blend or remove bumps
  • Correct the rotation of the tip of the nose
  • Adjust projection (distance between the tip of nose and lip)
  • Reduce the width of the nasal tip or nostrils
  • Adjust the angle between the lip and nose

In many cases, a combination of nasal adjustments will be used to achieve the desired results.


Functional nose jobs, also known as reconstructive nose surgery, is used to correct abnormalities caused by congenital disabilities or physical trauma that affect the appearance and most often, breathing.

Functional rhinoplasty is used to correct some conditions:

When the septum shifts to one side of the nasal cavity, it results in uneven passageways, which can block airflow and damage soft tissue in the nose. Septoplasty is the specific procedure Dr. Kotler performs to correct this common structural defect.

Turbinates are internal structures on the sides of the nose that intrude into nasal passages as ridges of tissue. These ridges help to moisturize air as it passes through the nose; enlarged turbinates can block airflow.

Nasal fractures can occur anywhere along the pyramid-shaped bony ridge that extrudes from the skull just below the eyes. Without treatment, fractures can obstruct breathing and cause the nose to become crooked or misshapen.

How Surgical Rhinoplasty is Performed

Closed (endonasal) rhinoplasty is performed using only internal incisions. This hides scarring, decreases operative time, and reduces swelling and recovery times. Self-dissolving stitches are used, so they do not have to be removed. Dr. Kotler performs 99% of rhinoplasty cases using this technique. It is superior regarding efficiency and results in a much more comfortable recovery period.

Only super-specialized surgeons have the skill to perform nearly every rhinoplasty and associated nasal septoplasty through the internal approach. With Dr. Kotler’s long experience and extensive specialized training, he is among the few surgeons to deliver this technique to his patients. Patients are happy and feel more confident with no external scarring.


preventing dry nose

Dry skin can happen for a variety of reasons after nose surgery. Disinfectants, tapes, and materials placed on the nose in rhinoplasty may cause some patients reactions such as dryness.  This results in dryness that while not a threat to the result nor likely to cause other problems, is a bit of a nuisance.

 To prevent dry nose after rhinoplasty, drink lots of water and stay hydrated. Good skin hygiene is key.

Post rhinoplasty moisturizers will be provided by nasal surgeons anticipating this temporary condition. Patients can also try at home moisturizers or hypoallergenic moisturizing lotion for decreasing irritation and hypoallergenic moisturizing lotion. Within weeks of your nose healing, dryness from your rhinoplasty should have subsided. If you’re still experiencing dryness months into your recovery, check in with your surgeon because they have evaluated you in respect to your preoperative condition.

how to care for nose skin

After rhinoplasty, some minor skin care is recommended.

For patients with dry skin tendencies, a simple solution can include gentle washing and application of a light moisturizer. 

For patients with oily skin, post rhinoplasty care can include post rhinoplasty preventative measures for any bacteria that can invade the surface. Rhinoplasty bacteria can evolve into acneaform dermatitis. This is not a serious condition and does not threaten the nose. However, it should be dealt with so that the appearance is more normal for the healing stage. Further, if left untreated, the condition can advance to the more invasive acne.

Care for removal of the oil and skin using a variety of astringents such as Witch Hazel is recommended. Furthermore, washing the nose with an anti-bacterial soap will eradicate the bacteria and hasten the resolution.

Meet Dr. Kotler

Superspecialist and Board-certified facial cosmetic surgeon Dr. Robert Kotler has consistently delivered natural rhinoplasties for over 30 years. 

Ways to Schedule a Consultation

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