Folsom, CA

Rhinoplasty offers a refined and balanced appearance that lets your facial features reach their full potential. Fellowship-trained facial surgeon Dr. Scott Bueno offers an exceptional rhinoplasty experience so that you can achieve a more confident profile and enhanced facial harmony. Explore what rhinoplasty can do, and discuss your personalized treatment with facial aesthetic surgery expert Dr. Scott Bueno in the boutique atmosphere of our Folsom facial plastic surgery practice.
Brings harmony to the face by reshaping the nose in proportion to other features.
Each surgery is tailored to the patient's individual anatomy and goals.
Addresses both cosmetic and functional concerns, including breathing issues.
Most patients return to daily activities within 1–2 weeks. Rhinoplasty provides a permanent profile enhancement.
Rhinoplasty, often referred to as a “nose job,” is a surgical procedure designed to refine the shape, size, or structure of the nose. Beyond aesthetic changes, it can also correct breathing problems caused by structural issues like a deviated septum, address concerns caused by trauma as a reconstructive surgery, or correct imperfections resulting from a previous surgery with revision rhinoplasty.
Dr. Bueno approaches cosmetic nose surgery as both an art and a science, creating results that enhance facial balance while preserving natural individuality.


Rhinoplasty surgery is performed under anesthesia, and incisions are typically hidden inside the nose or along the nasal base, ensuring discreet, natural-looking results. Dr. Bueno is then able to separate the nasal skin from the underlying bone and cartilage to reshape the nose and achieve the desired outcome. In addition to fine suturing techniques, cartilage, and soft tissue grafts can be placed as needed, paying close attention to internal and external nasal anatomy.
For patients with obstructed nasal passages, Dr. Bueno will reshape internal structures, such as the nasal septum, to allow for increased air flow. Depending on your needs, the procedure may take 2–3 hours, and you’ll return home the same day with a tailored recovery plan.
One of the most common questions patients have about nasal surgery is the difference between open and closed rhinoplasty. Both approaches are effective, but the choice depends on your anatomy, goals, and the level of refinement needed.
Open rhinoplasty uses a small incision across the columella (the strip of skin between the nostrils), allowing Dr. Bueno direct visibility of the internal nasal structures. This technique offers unparalleled precision for complex cases, such as reshaping the tip, correcting asymmetry, or making significant structural changes. While it leaves a tiny scar, it typically fades and becomes barely noticeable.
Closed rhinoplasty, by contrast, is performed entirely through incisions hidden inside the nostrils. This approach is often used for more subtle refinements, with the benefit of no external scar and a slightly quicker recovery.
Rhinoplasty can correct a range of concerns, including:

Rhinoplasty is a cornerstone of creating a desirable profile, and there are a variety of other procedures that are complementary. Many patients seek Dr. Bueno for his profile balancing expertise. Rhinoplasty is commonly combined with chin surgery, neck lift or facial fat grafting.
The benefits of rhinoplasty extend well beyond aesthetics, addressing external and internal nasal anatomy. Patients often experience greater facial harmony, improved self-confidence, and, in many cases, enhanced breathing function. Because the nose is central to the face, even subtle changes can make a profound difference. Dr. Bueno focuses on refining the nose's shape and proportions while preserving the unique character of each patient's face.

Ideal candidates include healthy adults who are bothered by the appearance or function of their nose. Rhinoplasty is not recommended for patients whose facial growth is not yet complete. This usually means that early teens will have to wait for their nose transformation.
During your consultation, Dr. Bueno will review your goals, medical history, and expectations to determine if the procedure is right for you.
Most patients can expect swelling and bruising for the first week. If splints are used, they are typically removed around day 7. While you’ll begin to see improvements right away, refinement continues for at least a year as swelling fully subsides. Patients are advised to avoid strenuous activities for several weeks to ensure optimal healing.

When Can I See Results?
Initial improvements are visible within the first months, but the final shape develops gradually over several months. With each stage of healing, the new contours become more defined, revealing a nose that feels naturally in balance with your other features.
How Long Does Rhinoplasty Last?
Rhinoplasty results are designed to be permanent, offering lifelong enhancement of both appearance and, when needed, breathing function. For many patients, even subtle refinements create a lasting boost in confidence and a sense of harmony that feels authentically their own.
Dr. Scott Bueno is a fellowship-trained facial surgeon, with advanced training in cosmetic nose surgery, who dedicates his practice exclusively to cosmetic and reconstructive surgery of the face. He has traveled around the country to learn modern, evidence-based techniques from world experts in the field of rhinoplasty.
Utilizing training in both cosmetic and reconstructive facial surgery, he brings a unique perspective to rhinoplasty—balancing artistry with structural precision. Patients can expect a boutique experience, individualized care, and results designed to look refined yet natural.
Most incisions are hidden inside the nose. If an external incision is needed, it is placed discreetly and fades significantly with time.
Most patients return to work or school within 1–2 weeks, though full healing continues for months.
Yes, functional rhinoplasty addresses structural issues such as a deviated septum, often leading to improved airflow.
Rhinoplasty is typically performed once facial growth is complete, usually around age 16 for females and 18 for males.
Discomfort is usually mild to moderate and managed effectively with prescribed medication.
This is a technique that enhances the appearance of the nose while preserving much of the anatomy. In the right candidate, this can allow for natural, long-lasting results.