Precision Meets Restraint at John Vartanian, M.D.

Dr. John Vartanian is a double board-certified facial plastic surgeon specializing in advanced techniques, prioritizing subtle, individualized outcomes. As one of the few surgeons performing preservation rhinoplasty in the Glendale area, he blends expert training with aesthetic precision to create results that honor your natural anatomy while refining form and function. His patients often seek him out from nearby cities like Burbank for his thoughtful, nuanced approach.

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What Is Preservation Rhinoplasty?

Preservation rhinoplasty is a modern technique that reshapes the nose while maintaining key elements of its internal and external structure. Rather than removing cartilage and bone from the top down, it conserves and repositions what’s already there, minimizes trauma, and preserves the nasal dorsum.

This approach may address the following concerns:

  • Dorsal humps or bumps on the nasal bridge
  • Minor tip or bridge asymmetries
  • Broad or undefined nasal shape
  • Mild functional issues
  • Cosmetic concerns with a structurally sound nose
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Choose John Vartanian, M.D. for Preservation Rhinoplasty

Choosing a surgeon for preservation rhinoplasty in Glendale requires more than interest in the technique—it demands advanced experience, sound judgment, and a refined surgical eye. Dr. Vartanian trained under one of the most respected facial plastic surgeons in Beverly Hills and has performed thousands of facial procedures over the past 20+ years.

He combines his background in the visual arts with elite medical training to offer beautifully balanced and deeply individualized results.

  • Double board-certified in Facial Plastic Surgery and Otolaryngology – Head and Neck Surgery
  • One of a select group of surgeons trained in preservation techniques
  • Focused exclusively on facial plastic surgery—never a generalist
  • Trusted by patients from Glendale, Burbank, and beyond for subtle, natural rhinoplasty results

Dr. Vartanian is an amazing and caring professional. He performed my rhinoplasty and septoplasty surgeries, and what can I say? My case wasn’t the easiest because the internal condition of my nose presented several complications. I had been rejected by many doctors who were unwilling to perform surgery on my nose. But Dr. Vartanian took on the responsibility and the risk of operating on me, and it went perfectly!

R.M.

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Benefits of Preservation Rhinoplasty

Preservation rhinoplasty offers refinement without excessive alteration. It’s ideal for patients who want natural-looking results with less disruption to internal nasal support, leading to a smoother recovery and fewer long-term complications. Benefits typically include the following:

  • Smoother nasal contours with less structural trauma
  • Lower risk of collapse or over-resection
  • More predictable healing and swelling
  • Natural, balanced outcomes
  • Shorter downtime and quicker return to normal activity

Am I a Good Candidate for Preservation Rhinoplasty?

Candidacy depends on nasal structure, skin thickness, and overall goals. During your consultation, Dr. Vartanian will assess whether a preservation approach will deliver your desired result or if a structural rhinoplasty would be more appropriate. The following are ideal candidates:

  • Patients with mild to moderate dorsal hump
  • Those with good existing nasal support and no prior surgery
  • Individuals with straight nasal bones and flexible cartilage
  • Non-smokers in good overall health
  • Patients seeking subtle refinement rather than dramatic change
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What to Expect During the Procedure

Your consultation will include in-depth analysis of your nasal anatomy and advanced computer imaging to help guide expectations. Dr. Vartanian uses this time to discuss both the benefits and limits of preservation rhinoplasty, customizing your surgical plan accordingly.

  1. Digital imaging and nasal structure evaluation
  2. Personalized planning based on preservation goals
  3. Internal adjustments to reposition cartilage and bone
  4. Minimal or no resection of the nasal dorsum
  5. Postoperative care and detailed recovery guidance

Recovery and Long-Term Results

Patients typically experience less bruising and swelling compared to traditional rhinoplasty. Most return to work or daily activities within seven to ten days.

Because key support structures are maintained, results are more stable over time and tend to age naturally with the face. You can expect full refinement to develop over six to 12 months, with long-term results that feel authentic to your appearance.

Types of Preservation Rhinoplasty Techniques

Preservation rhinoplasty isn’t a one-size-fits-all procedure. There are several variations, and the best option is determined based on your anatomy and aesthetic goals. Preservation rhinoplasty procedures include the following:

Dorsal Preservation

Maintains the natural bridge by reshaping from beneath.

Push-Down or Let-Down Technique

Adjusts height by repositioning, not removing, cartilage and bone.

Subdorsal Septal Striping

Reduces the bridge by removing a strip beneath, leaving the dorsum intact.

Alternative or Related Procedures

Structural Rhinoplasty

A more traditional approach is often used when prior surgery or structural concerns require support grafting.

Learn More About Rhinoplasty

Ethnic Rhinoplasty

Tailored reshaping for diverse facial features while maintaining ethnic identity.

Learn More About Ethnic Rhinoplasty

Non-Surgical Rhinoplasty

Temporary refinement using dermal fillers—no downtime, but not permanent.

Learn More About Non-Surgical Rhinoplasty

Functional Rhinoplasty

It focuses on correcting breathing and airflow problems, which are often performed alongside cosmetic procedures.

Learn More About Functional Rhinoplasty

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Frequently Asked Questions Preservation Rhinoplasty

For more information on rhinoplasty and how it can help you achieve your cosmetic goals, please contact Dr. Vartanian to schedule a consultation today. Our staff will be happy to answer any of your questions and assist you in any way we can.

Can preservation rhinoplasty be done if I’ve had prior nose surgery?

Usually not. It’s most effective on noses that have not been previously operated on, where the original structure remains intact.

Is preservation rhinoplasty less risky than traditional rhinoplasty?

In the right hands, it can reduce the risk of collapse or over-resection. However, careful patient selection and surgical expertise are key.

Will my nose look dramatically different?

No. Preservation techniques are ideal for subtle improvements that look natural, not drastic changes.

How long does the procedure take?

Most surgeries last between two and three hours, depending on complexity and whether the tip work or functional repair is included.

Can I combine this with other facial procedures?

Yes. It can be combined with chin augmentation, eyelid surgery, or facial fat grafting for more comprehensive facial balance.

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Begin Your Journey With Subtle, Natural Refinement

If you’re considering preservation rhinoplasty in Glendale, Dr. Vartanian offers one-on-one care backed by elite training and a true understanding of facial harmony. Patients from Glendale, Burbank, and beyond trust his hands for results that feel like you, just slightly more refined.

Schedule your consultation today to learn if preservation rhinoplasty is right for your goals.

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