Rhinoplasty

in San Francisco

San Francisco • Bay Area • Board-Certified Facial Plastic Surgeon

Home | Face Rejuvenation | Rhinoplasty

Natural Refinement

& Improved Breathing

Rhinoplasty is one of the most nuanced procedures in facial plastic surgery. It requires not only an artistic eye, but a deep understanding of nasal structure and function. Under the care of Dr. Michael Macdonald, rhinoplasty is approached as a balance of form and function—refining appearance while supporting healthy, comfortable breathing.


Patients seek rhinoplasty for many reasons: to soften prominent features, improve symmetry, or address long-standing breathing concerns. Each treatment plan is individualized, with the goal of creating results that look natural, feel balanced, and age well over time.

A Balanced Approach to Rhinoplasty

The nose plays a central role in both facial harmony and daily function. Dr. Macdonald’s approach considers the entire face—not just the nose itself—while also addressing the internal structures that affect airflow and breathing.


By combining aesthetic refinement with functional correction when needed, rhinoplasty can enhance facial balance and improve quality of life. The result should never look obvious or artificial. Instead, patients often hear they look more refreshed, more balanced, or simply more like themselves.

Why Choose Dr. Michael Macdonald for Rhinoplasty

Rhinoplasty is among the most technically demanding facial procedures, and experience matters—especially when aesthetics and breathing are addressed together.


Dr. Macdonald is double board-certified in Facial Plastic & Reconstructive Surgery and Otolaryngology–Head and Neck Surgery. This dual expertise allows him to evaluate both the external appearance of the nose and its internal support structures with precision and care.


Patients throughout San Francisco and the Bay Area choose Dr. Macdonald for his measured judgment, honest guidance, and ability to deliver refined results that respect both facial anatomy and nasal function.

Benefits of Rhinoplasty

Aesthetic Benefits

  • Improved facial balance and profile harmony
  • Refinement of nasal shape, size, or asymmetry
  • Results that appear natural and proportionate

Functional Benefits

  • Improved nasal airflow and breathing
  • Correction of internal structural concerns
  • Relief from chronic nasal obstruction or congestion

Is Rhinoplasty Right for You?

Rhinoplasty may be a good option if you:


  • Feel your nose draws attention away from other facial features
  • Experience difficulty breathing through your nose
  • Have concerns related to asymmetry, bumps, or nasal shape
  • Want natural improvement rather than dramatic change

During consultation, Dr. Macdonald helps determine what is realistic and appropriate for your anatomy, goals, and long-term comfort.

Rhinoplasty at a Glance:

What to Expect

The Consultation

Your consultation is a thoughtful, unhurried conversation focused on understanding your concerns, goals, and medical history. Both aesthetic preferences and breathing concerns are carefully evaluated.


Customized Surgical Planning

Each rhinoplasty plan is tailored to the individual. Depending on anatomy and goals, techniques may address nasal shape, internal support, or both—always with an emphasis on balance and stability.


Surgical Approach

Open or closed rhinoplasty techniques may be used, depending on the complexity of the case. The approach is selected based on what will provide the safest, most precise outcome.


Recovery, Healing & Long-Term Results

Recovery from rhinoplasty occurs in stages. Swelling and bruising are expected initially and gradually improve over time. Breathing may feel temporarily congested during early healing, particularly when internal structures are addressed.


As swelling resolves, refined results continue to emerge over several months. When performed thoughtfully, rhinoplasty results are long-lasting and designed to age naturally with the face.


Safety, Experience & Surgical Judgment

Rhinoplasty requires careful planning and technical restraint. Preserving nasal support and function is essential to both appearance and breathing.


Dr. Macdonald’s experience in both facial aesthetics and nasal anatomy allows for a comprehensive approach that prioritizes safety, stability, and predictable outcomes—reducing the need for revision and supporting long-term satisfaction.

Before & After Results

View transformations achieved by Dr. Macdonald in our Rhinoplasty Gallery. Individual results vary.

Rhinoplasty FAQs

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In many cases, yes. When internal structural issues are present, functional improvements can be addressed during rhinoplasty.

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Most patients return to non-strenuous activities within 1–2 weeks, with continued refinement over several months.

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Rhinoplasty results are long-lasting, though the nose will continue to age naturally over time.

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When functional breathing correction is involved, partial coverage may be possible. This can be discussed during consultation.

Let’s Talk About What’s Right for You

You don’t need to know which treatment you want—that conversation starts with understanding your goals. A consultation with Dr. Macdonald offers honest guidance, clear options, and a personalized plan designed around you.

Let us help you achieve your aesthetic goals with confidence and ease.

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