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949.721.0494

1441 Avocado Ave, Suite 203,
Newport Beach, CA 92660
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    SURGEON. EXPERT. INNOVATOR.
    BOARD CERTIFIED PLASTIC SURGEON SPECIALIZING IN RHINOPLASTY, BREAST AND BODY
    EDITOR OF RHINOPLASTY SECTION OF THE
    AESTHETIC SURGERY JOURNAL
    INTERNATIONAL SPEAKER AND EXPERT
    LEARN MORE ABOUT AARON KOSINS MD
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    "RHINOPLASTY WITHOUT
    BREAKING YOUR BONES"
    RHINOPLASTY WITH PIEZO ELECTRIC INSTRUMENTS AS FEATURED IN AESTHETIC SURGERY JOURNAL
    LEARN MORE ABOUT THE PIEZO METHOD
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    FEATURED IN
    READ MORE ABOUT AARON KOSINS MD
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    Testimonial on Rhinoplasty
    EXCEPTIONAL PROFESSIONAL“WITHOUT QUESTION, THIS WAS THE FINEST EXPERIENCE AND BEYOND MY EXPECTATIONS. DR. KOSINS WAS SEEING ME ON ANOTHER MATTER WHEN HE NOTICED MY DIFFICULTY IN BREATHING. THIS WAS SOMETHING I HAD JUST LEARNED TO LIVE WITH AND HE POINTED OUT IT COULD BE RELIEVED WITH EASE. HE TOOK GREAT PAINS TO CAREFULLY OUTLINE THE PROCEDURE AND EVEN DREW DIAGRAMS OF THE STEPS AND EXPECTED RESULTS. THE ENTIRE PROCESS WAS SMOOTH AND PROFESSIONAL AND THE RESULTS WERE FANTASTIC. I CAN BREATHE AGAIN THANKS TO THE SUCCESSFUL RHINOPLASTY! THE EXCELLENT PROCEDURE WAS DUE TO HIS SKILL AND CARE. HE HAS SUCH A COMFORTING AND EASY MANNER THAT GIVES YOU TOTAL CONFIDENCE IN HIS ABILITY NOT ONLY DO A WONDERFUL JOB BUT TO MAKE IT AS PLEASANT AS POSSIBLE. PLEASE DO NOT MAKE THE MISTAKE OF NOT AT LEAST CONSULTING WITH THIS FINE DOCTOR IF YOU ARE CONTEMPLATING THIS TYPE OF SURGERY. YOU WILL BE GLAD YOU DID. THANKS AGAIN DR. KOSINS!”
    VIEW MORE BEFORE & AFTER PHOTOS
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Plunging Tip 1 Year PostOp The plunging tip is a Plunging Tip
1 Year PostOp

The plunging tip is a nose that plunges on smiling. This is the most common detail that people complain of when they come to see me for a #rhinoplasty.

The patients almost always complain of a dorsal hump, a long nose, a plunging tip on smiling, a bulbous tip, and a large nostril on their profile view. Overall, they often explain that they feel like their #nose takes over their face.

The #goal of the surgery is to make the nose melt into the other facial features. We no longer want the nose to be the prominent feature, but instead, a congruent part of the face. This patient is 1 year postop from a closed #preservationrhinoplasty. This scarless procedure reduced the height of her bridge, optimized her profile,  and lifted the tip. The nose looks absolutely natural at 1 year and she is thrilled!

#nosejob
#RibGraft Ad I’ve said before, in my practice 5 #RibGraft

Ad I’ve said before, in my practice 50% of the patients I see have had #rhinoplasty surgery on their nose before. These #revision lrhinoplasty patients very often require major structural reconstruction. I use the patient’s own rib and I rarely use fresh frozen rib grafts (cartilage from a deceased individual).

The reason I like the patient’s own rib is because it is obviously from their own body, and in my opinion has the best chance at incorporation and maintaining structural integrity. Just as important, soft tissue substitutes can also be harvested at the same time as the rib cartilage. This includes dermis, fat, rectus fascia, and perichondrium. I often use all four things during my reconstruction.

This is a patient that I did a rib graft on last week who had had five previous surgeries on her nose. The rib was necessary to give the #nose length and to de-rotate the nose. 

#education
1 Year PostOp #RevisionRhinoplasty Since the begi 1 Year PostOp
#RevisionRhinoplasty

Since the beginning of my career my practice is focused on #rhinoplasty. Because of this, half the patients I see have had surgery on their nose before, and that offers special challenges for both me as the surgeon, as well as for the patient.

Secondary rhinoplasty is very complex with a wide range of issues and techniques to solve all of the problems. The goal is a straighter, attractive, and functional nose 👃 with improvement, but perfection is impossible. There are imperfections and swelling at first and these decrease with time. You have to have realistic expectations that the nose will never be perfect or completely symmetrical.

Even in the best hands, there is a touchup or revision rate because the body doesn’t heal these surgeries normally. There is often very distorted, anatomy and heavily scarred tissue. 

This patient is 1 year out from her surgery and healed beautifully. She is super happy with her natural and elegant looking nose and now she can move on in her life with #confidence. 

#rhinoplastyspecialist
#rhinoplastyexpert
#Rhinoplasty 3 Months PostOp This amazing #before #Rhinoplasty
3 Months PostOp

This amazing #beforeandafter result is a great example of how a #malerhinoplasty should be done. It is important to preserve the front view when doing the surgery, and to avoid feminization.

During his #rhinoplastysurgery, I lowered the bridge without widening it whatsoever. The tip was better supported, and the cartilage refined in order to optimize the profile.  The #goal was a masculine nose 👃 .

Three months after surgery, his nose looks absolutely natural, and he says that all of his friends and colleagues really love the new look. Congratulations!
EARLY POSTOP #RHINOPLASTY I am super excited to s EARLY POSTOP #RHINOPLASTY

I am super excited to show you this amazing #beforeandafter reel on a patient that is only one month out from her #nosejob surgery. One of the biggest issues this patient had was very thin skin. Thin #skin tends to show more irregularities and asymmetries. On the other hand, healing tends to be very quick.

This patient had a deviated nose with irregular dorsal aesthetic lines, and a bulbous tip. She also had a large hump on profile. My dorsal modification was used to lower the bridge and to build out the mid vault. Structural tip surgery was done to support the tip and to reorient the tip cartilages.

Only one month out from surgery she looks elegant, beautiful, and she now has a nose that fits her facial features. What a #transformation!
Nasal Tip Asymmetry Part 2 Yesterday we looked at Nasal Tip Asymmetry
Part 2

Yesterday we looked at nasal tip asymmetry in a patient who had never had #rhinoplasty before. This is usually due to a septal deviation and/or asymmetric nasal tip cartilages. If a patient has had nasal surgery these factors usually are involved, but also there is distortion and scar tissue from prior surgery.

These cases require even more reconstruction and stabilization of the base of the nose as well as the nostrils. This #revisionrhinoplasty patient presented to my clinic with asymmetry of her dorsum and of her tip with a significant septal deviation, as well as asymmetry and distortion of her tip cartilages. The base of the tip of the nose was stabilized by extending the septum. The cartilage was rearranged and supported with cartilage grafts. After her rhinoplasty, she has much better symmetry and a normal looking #nose. She is super happy and can move on with her life with #confidence and #beauty.
NASAL TIP SYMMETRY The most difficult aspect of # NASAL TIP SYMMETRY

The most difficult aspect of #rhinoplasty is when patients have nasal and facial asymmetry. All patients have this to some degree, and it cannot be fully corrected because nasal surgery does not fix facial asymmetry.

This particular patient had a deviated septum from right to left that had abnormally pushed on her nasal tip for decades. During the #nosesurgery it was also obvious that the tip cartilage on the right and left side did not look related at all.

The key to fixing nasal tip asymmetry is strong central tip support. For this I use my #tacograft that was published over five years ago and is used around the world. Basically, this takes the strong part of the septum and moves it towards the tip where it can be stabilized. Using sutures and grafts I was able to get the right and left cartilages to look very alike and to support the nostril rims. The final maneuver is slinging the tip complex over the new tip support.

Four months after her #rhinoplastysurgery this patient has beautiful tip symmetry and an elegant #nose. The nose is no longer the centerpiece of her face and it just disappears illustrating her other beautiful features.
I am seeing tons of patients these days who come i I am seeing tons of patients these days who come into my office for a #rhinoplasty consultation and have a history of multiple #filler injections in their #nose. I want to be clear, filler can be safe in experienced hands and can also be good for correcting minor irregularities. However, this is not the answer for most patients.

There are multiple kinds of fillers that are used. The fillers based on hyaluronic acid are generally more safe because if they cause an issue, like arterial or venous occlusion, the filler can usually be diluted with an enzyme. These complications, while rare, are devastating to patients and the end result can be necrosis.  What I definitely do not recommend is permanent filler in the nose. If you have a problem, then you have a permanent problem.

If you are thinking about changing the shape of your nose, don’t be fooled by marketing or a quick fix. There are no shortcuts in life and especially with nasal surgery. I want to thank my friend Dr. Gosling from Brazil for providing this video.  Unfortunately, we are seeing filler more and more in the nose, and it predisposes the patients to an increased length of healing with a higher incidence of infection and prolonged swelling.

#nosejob
#plasticsurgery
@drgustavogosling
I just had to post this because I think it’s hys I just had to post this because I think it’s hysterical. My #BostonTerrier dogs Lua and Charlie went away to stay with one of our best friends’s wife for the weekend. This of course made me super nervous because grandma usually takes care of the #dogs when we are out of town.

Multiple times per day I’m getting these updates and they are hilarious. I hope you enjoy it as well. Happy Saturday!
#Rhinoplasty and #FatTransfer to the Cheeks Check #Rhinoplasty and #FatTransfer to the Cheeks

Check out this #beforeandafter reel on my beautiful patient who came all the way from Massachusetts for nasal surgery and to improve the look of her lower eyelid and cheek. She is very early out from her operation, but it is obvious that this will be life-changing. I was so fortunate and happy that she came back all the way from the East Coast for her follow up, and she looked absolutely amazing.

The bridge of her nose was skinny and the tip plunged on smiling. Also, there was pinching to the tip and she had some breathing issues on inspiration. Finally because she is in very good shape, she had flattening of her cheeks which accentuated her lower eyelid:cheek junction.

Just a few months out from #rhinoplastysurgery she looks absolutely beautiful and rejuvenated. I think the surgery took 10 to 15 years off of her appearance and she looks absolutely elegant. Congratulations to this patient.

#transformation
Check out this fantastic #nosejob result. This pat Check out this fantastic #nosejob result. This patient came to see me exactly 1 year after her #rhinoplasty and told me that her #confidence had gone through the roof! She told me that the surgery changed her life, and I am so happy to see her big #smile in my office.  The pictures are worth 1000 words, but she looks absolutely #beautiful and I can’t wait to see her next year for her two year visit.

✌️ No breaking bones with Piezosurgery
🙏 No packing
🤯 Total Preservation Rhinoplasty
🔥 1 week recovery

Who’s getting one in 2026?!
Just a few amazing photographs and messages that I Just a few amazing photographs and messages that I’ve gotten or have been posted by my patients over the last week or so. I love getting these every day. They put a huge smile on my face.

#plasticsurgeon
#rhinoplasty
#nosejob 
#rhinoplastyspecislist
#vibes
Aaronkosins 600x874

Plastic Surgeons in Newport Beach, California

I am a Board Certified Plastic Surgeon in Newport Beach of the face, nose, breast and body.  My philosophy is to listen very carefully to the wishes of my patients.  My patients and I are a team. By being open and listening to each other, we can make decisions about what procedure is right for you. I follow my patients and their surgical results indefinitely, and the relationship lasts our lifetime. My goal is to be your doctor for all your aesthetic needs.  Importantly, my staff and I will provide all the information you need to make an intelligent and informed decision. In fact, I encourage my patients to visit several Plastic Surgeons in Newport Beach to find the person whose style and demeanor is best for them. It is very important that you be comfortable with your Newport Beach Plastic Surgeon.

As a graduate from the University of Southern California and the University of California at Irvine, I have had the opportunity to work with dozens of brilliant and innovative Plastic Surgeons. From that, my own brand of bedside manner and surgical technique has evolved to deliver outstanding service as well as fantastic results to my patients.

If you are considering plastic surgery, please make an appointment and come see the distinct and personalized services we offer. I take my time and have a unique approach to each surgery. For this reason, we will go over your pictures and motivations at length so I can get a true sense of your desires and expectations.  I book extra time for each surgery as Plastic Surgery for me is an art as well as a science. All outpatient surgeries are performed at Newport Beach Surgery Center. I have chosen this accredited center because its safety record and excellent support staff are unmatched in Newport Beach. In addition, only board-certified Anesthesiologists are involved in your care, which I believe is paramount to patient safety during your surgical experience.

American Board Of Plastic Surgery

Please be patient if it takes time to get an appointment or schedule surgery.  Taking the extra time with each consultation and operation helps to ensure an aesthetic result that my patients and I will be happy with.  Our practice is not a factory and I always advise not to rush into any surgery.  I take your trust and our relationship very seriously, which is why I created all of the content on this website myself.

As one of the leading Newport Beach Plastic Surgeons, Aaron Kosins, MD provides cutting-edge treatments and cosmetic surgery procedures. You can depend on Dr. Kosins for exceptional guidance regarding multiple procedures including body contouring to breast augmentation and Rhinoplasty.

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ZO® Skin Health believes the only way to achieve skin health is through the power of science. With world-renowned dermatologist Dr. Zein Obagi as our legacy, ZO® Skin Health pushes the boundaries of medical-grade skincare. Combining our innovative approach, powerful technologies, and product education, ZO® brings a new perspective to traditional skincare.

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Newport Beach Plastic and Rhinoplasty Surgeon

949.721.0494

Newport Beach Plastic and Rhinoplasty Surgeon

1441 Avocado Ave, Suite 203 Newport Beach, CA 92660
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