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Transformative Nasal Surgery For Beauty & Function

The nose is the central and perhaps the most defining feature of the face. If you like your nose, you will feel self-confident. If you dislike your nose, you will feel as though everyone notices and judges it. Nasal surgery (rhinoplasty) is one of the most common elective surgeries performed today and can have a dramatic effect on your appearance and self-confidence while restoring easy breathing.

What is a Rhinoplasty?

Rhinoplasty is the medical term for what is typically referred to as a “nose job,” or “nose reshaping.” Considered one of the most difficult of all facial surgeries, the procedure involves removing or adding to the nose bridge, reshaping the nose tip, narrowing nostrils, and an array of other delicate strategies to create a more balanced, harmonious, and attractive facial appearance.

Our nose surgery in San Jose can correct a number of different issues, such as:

  • A bump or hump on the nose
  • A flat nasal bridge
  • A bulbous and/or wide nasal tip
  • A long or wide nose
  • A hooked nose
  • An asymmetrical or crooked nose
  • Indentations on the nose
  • Large nostrils
  • Breathing problems such as a deviated septum
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“I couldn’t imagine going anywhere else for any procedure.”

Thank you Dr. J and Dr. E and everyone at the practice!!

SUCH a great experience with Dr. Elbert Cheng and Dr. Jackie Cheng. Everyone at the practice is so nice to work with, helpful, friendly, and accommodating. I was well informed p...

SUCH a great experience with Dr. Elbert Cheng and Dr. Jackie Cheng. Everyone at the practice is so nice to work with, helpful, friendly, and accommodating. I was well informed prior to the procedures received. There were no surprises and everyone at the practice ensured I had everything I needed. Healing was such a smooth experience because of all the prep provided. I could not be happier with the results. Thank you Dr. J and Dr. E and everyone at the practice!!

by S.T.

HIGHLY RECOMMEND!!!

Teresa did an absolutely amazing job on my eyebrow tattoo removal! I flew all the way from Vegas to see her and it was the best decision ever! From the consultation, to the actu...

Teresa did an absolutely amazing job on my eyebrow tattoo removal! I flew all the way from Vegas to see her and it was the best decision ever! From the consultation, to the actual procedure, she was super thorough and walked me through each step of the process! HIGHLY RECOMMEND!!!

by M.V.

The result looks very natural

I had a double eyelid revision on one eye with Dr. Elbert Cheng to correct asymmetry from previous surgeries performed by other surgeons. The consultation with Dr. Cheng felt th...

I had a double eyelid revision on one eye with Dr. Elbert Cheng to correct asymmetry from previous surgeries performed by other surgeons. The consultation with Dr. Cheng felt thorough and reassuring, and I appreciated that the entire process from pre-op to post-op was clearly explained, accompanied by scheduled appointments. I also received post-op care instructions, which I believe helped speed up the recovery process. What truly amazed me was that I experienced no bruising at all, which is something I’ve never had with any of my previous surgeries. In the past, I always bruised, so I was impressed by Dr. Cheng’s skill. It’s been 6 months since the surgery and the fold height is now much closer to my other eye. The result looks very natural. Highly recommend Dr. Cheng to anyone considering eyelid surgery!

by E.O.

Great experience with staff and procedure

Great experience with staff and procedure. I got upper blepharoplasty done in Sept with Dr. Elbert Cheng. From day one the staff was kind and very helpful. During my consu...

Great experience with staff and procedure. I got upper blepharoplasty done in Sept with Dr. Elbert Cheng. From day one the staff was kind and very helpful. During my consultation with Dr. Cheng he was so informative and kind, great bed side manner. He was honest when I asked about other surgeries stating that I didn’t need them at this time, and gave great feedback as to why I didn’t need it and why I should wait. I love my results and healed very quickly. All in all a great doctor who is experienced and very knowledgeable in his field.

by K.S.

One of the best decisions in my life

Long overdue review. Back in November 2023 I got chin lipo from Elbert Cheng - one of the best decisions in my life.

I was 34 at the time. I had the most stubborn double ...

Long overdue review. Back in November 2023 I got chin lipo from Elbert Cheng - one of the best decisions in my life.

I was 34 at the time. I had the most stubborn double chin that would not go away. I had lost about 20 pounds through diet and exercise yet it was still there (I’m about 160 lbs, avid weightlifter). I blame genetics. I would see the double chin in photos and on screen while I was in my Zoom meetings - it became such a sore sight for me. I finally bit the bullet to get it removed with lipo.

The staff at Cheng Plastic Surgery were all absolutely amazing. The staff and Dr. Cheng gave me all the information about the procedure and answered all my questions. They were not pushy at all and let me take the time to decide if this was something I wanted to pursue. The day of the procedure, Dr. Cheng and staff were great and made sure I was comfortable and not nervous. The procedure itself was rather quick (less than an hour) and painless. Recovery was surprisingly not bad. There were quick check-in visits post-surgery for Dr. Cheng to monitor healing. I followed all of the post-procedure instructions and healed with no complications and I’m pleased to say the double chin is gone. It’s such a relief to not see it show up in photos anymore. I’m so thankful to Dr. Cheng and his staff - highly recommend.

by A.K.

I've had a fantastic experience with Teresa over the last year

I've had a fantastic experience with Teresa over the last year. She has been cautious, transparent, informative, and empathetic throughout our laser treatment sessions!
Ind...

I've had a fantastic experience with Teresa over the last year. She has been cautious, transparent, informative, and empathetic throughout our laser treatment sessions!
Indeed every member of the Cheng Plastic Surgery team that has helped me has been wonderful :)

by J.T.

I highly recommend Dr. Cheng

I had an amazing experience getting Botox with Dr. Cheng! Dr. Cheng and the staff are incredibly personable, taking the time to listen to my concerns and explain everything in d...

I had an amazing experience getting Botox with Dr. Cheng! Dr. Cheng and the staff are incredibly personable, taking the time to listen to my concerns and explain everything in detail. I never feel rushed, and the whole process is smooth. The results are exactly what I want—natural and refreshed without looking overdone. If you're looking for a skilled and caring provider, I highly recommend Dr. Cheng.

by K.C.

Theresa is the best at what she does!

Theresa is the best at what she does! I live in Fresno and make the drive because there is no one like her. She really takes her time to perfect her work! Will always keep comin...

Theresa is the best at what she does! I live in Fresno and make the drive because there is no one like her. She really takes her time to perfect her work! Will always keep coming back.

by E.A.

Her calm and reassuring demeanor is truly appreciated

The clinic itself is always clean and the staff are very welcoming, making me feel comfortable as soon as I walk in. Teresa is not only professional but also incredibly friendly...

The clinic itself is always clean and the staff are very welcoming, making me feel comfortable as soon as I walk in. Teresa is not only professional but also incredibly friendly. She has such a soothing aura that instantly puts me at ease, and I never feel nervous or anxious during the treatments. Her calm and reassuring demeanor is truly appreciated. I highly recommend Teresa for anyone considering laser treatments — she makes the entire process smooth and stress-free!

by H.D.

Recommend Teresa 10/10

Teresa is great!!!! I love my lips and she was super helpful during the process to make me feel comfortable. Talked me through the whole process it didn't even feel like I was g...

Teresa is great!!!! I love my lips and she was super helpful during the process to make me feel comfortable. Talked me through the whole process it didn't even feel like I was getting my lips done. Recommend Teresa 10/10 experience.

by J.S.

I highly recommend to all

A few years ago I was referred to Cheng plastic Surgery, Best referral ever! I have been fortunate to have Theresa RN, administer all my botox/dysport, she does such amazing wor...

A few years ago I was referred to Cheng plastic Surgery, Best referral ever! I have been fortunate to have Theresa RN, administer all my botox/dysport, she does such amazing work! I highly recommend to all.

by E.T.

Looking forward to coming back!

I visited to get chin filler done and it was such a great experience. Nurse Teresa was so helpful and walked me through everything she was doing. Looking forward to coming back!...

I visited to get chin filler done and it was such a great experience. Nurse Teresa was so helpful and walked me through everything she was doing. Looking forward to coming back!

by S.H.

Will definitely be coming back for next touch-up!

First time getting Botox at this location and my experience has been wonderful. Teresa was my nurse injector who made the process smooth and painless. Also, the follow up appoin...

First time getting Botox at this location and my experience has been wonderful. Teresa was my nurse injector who made the process smooth and painless. Also, the follow up appointment really showed the improvement in my wrinkles, which Teresa did an amazing job. Will definitely be coming back for next touch-up!

by M.M.

I would come back if I ever needed anything

Kevin was very nice and comforting! Came here for neck line treatment (hyaluronic acid fillers). Overall, was a pleasant experience, and I would come back if I ever needed anyth...

Kevin was very nice and comforting! Came here for neck line treatment (hyaluronic acid fillers). Overall, was a pleasant experience, and I would come back if I ever needed anything

by L.

The clinic itself is always clean and the staff are very welcoming, making me feel comfortable as soon as I walk in. Teresa is not only professional but also incredibly friendly...

The clinic itself is always clean and the staff are very welcoming, making me feel comfortable as soon as I walk in. Teresa is not only professional but also incredibly friendly. She has such a soothing aura that instantly puts me at ease, and I never feel nervous or anxious during the treatments. Her calm and reassuring demeanor is truly appreciated. I highly recommend Teresa for anyone considering laser treatments — she makes the entire process smooth and stress-free!

by H.D.

I saw the finishing product I started to cry

Huge Shout out to Teresa for The super marvelous job she did on my lips. Honestly I was really nervous about doing lip filler and making sure that they came out looking plump an...

Huge Shout out to Teresa for The super marvelous job she did on my lips. Honestly I was really nervous about doing lip filler and making sure that they came out looking plump and full but natural. That's exactly the result I got. Teresa knew exactly how to give me a nice border around my lips and gave me the prettiest cupids bow and pout. looks really pretty with lip liner and gloss now. I actually was so excited when I saw the finishing product I started to cry. I 100% recommend Dr. Cheng & his team for all your aesthetic needs ❤️

by N.E.

I would thoroughly recommend this practice

I saw Dr. Jacqueline Cheng for microblading removal using Pico laser. The entire experience from start to finish, was professional, comfortable, and efficient. I had microbladin...

I saw Dr. Jacqueline Cheng for microblading removal using Pico laser. The entire experience from start to finish, was professional, comfortable, and efficient. I had microblading done 5-6 years ago that never faded, and the lines had blurred. I have been to this practice 3 times; the first for a free consultation, again for a spot test, and the third for the actual laser treatment.

For the day of the actual treatment, I was in and out in under 30 minutes. They numbed my eyebrow with an ice cube to make sure that I was comfortable during the treatment, and talked me through what they were doing during the entire process. The results after one session were already very good and apparent, with the tattoo fading a lot (picture attached). I made a follow-up appointment for 3 months out, but the doctor mentioned that it should fade even more before then as my skin will naturally fade the ink. I would thoroughly recommend this practice for your tattoo/microblading removal.

by D.Z.

I always feel well taken care of here

Dr. Jackie recommended I get the CO2 laser to help lessen the appearance of my acne scars. The procedure itself took less than 20 minutes and was not painful. I love how friendl...

Dr. Jackie recommended I get the CO2 laser to help lessen the appearance of my acne scars. The procedure itself took less than 20 minutes and was not painful. I love how friendly the nurses are in the office too. I always feel well taken care of here and of course, appreciate how friendly and professional Dr. Jackie is.

by E.P.

I’ve honestly tried other places and they just do not compare

I’ve gone to Cheng’s to see Alex for Botox and/or Dysport now a few times and it is always a pleasure. I’ve honestly tried other places and they just do not co...

I’ve gone to Cheng’s to see Alex for Botox and/or Dysport now a few times and it is always a pleasure. I’ve honestly tried other places and they just do not compare. 10/10 I will always come back & recommend Botox/Dysport here at Cheng’s. Technique and knowledge goes a long way with these type of things, and cheaper doesn’t always mean better yall! Trust me I’ve learned along the way! Not to mention the office is always so clean and the staff is very welcoming.

by C.W.

As soon as you enter you feel welcomed

Great experience here!!! The lovely person who attended me at Cheng Plastic Surgery was Teresa. She is so amazing and I left so happy. The service I came in for was lip filler, ...

Great experience here!!! The lovely person who attended me at Cheng Plastic Surgery was Teresa. She is so amazing and I left so happy. The service I came in for was lip filler, I wanted plumper lips that would look natural and she did just that! It was my first time so I can't lie and say I didn't feel nervous at first. But after the consultation and her talking me through it, it was easy to give her my full trust. She made me feel so at ease and explained everything so well. She is very experienced/professional and well informed, told her my goals and she worked her magic. Don't regret it one bit. And Teresa's energy is beautiful, feels genuine and warm-- I feel that is important in these types of services!

Location is great. Aesthetics are on point. Super clean. Everyone who I interacted in the office with was very kind, so many smiles. As soon as you enter you feel welcomed and inside rooms I always felt well attended.

by R.C.

Thanks Teresa, Dr. Cheng, & team!

I had a problem with a frown line & Teresa at Cheng Plastic Surgery has done a great job resolving my issue with botox/dysport therapy. Thanks Teresa, Dr. Cheng, & team!...

I had a problem with a frown line & Teresa at Cheng Plastic Surgery has done a great job resolving my issue with botox/dysport therapy. Thanks Teresa, Dr. Cheng, & team!

by N.S.

He is truly the best and most knowledgeable doctor

My family has been coming to Dr. Cheng for all of our beauty needs. He is truly the best and most knowledgeable doctor. His team is also so kind and they will go above and beyon...

My family has been coming to Dr. Cheng for all of our beauty needs. He is truly the best and most knowledgeable doctor. His team is also so kind and they will go above and beyond to make sure you’re satisfied and comfortable.

by C.

Amazing session with Kevin!

Amazing session with Kevin! Super thoughtful in explaining the journey and provided guidance on how to approach my skin. Appreciate the team of how to apply the treatments. Sche...

Amazing session with Kevin! Super thoughtful in explaining the journey and provided guidance on how to approach my skin. Appreciate the team of how to apply the treatments. Scheduling was easy and getting to the office was also easy

by R.K.
dark hair woman with eyes closed

What is the Difference Between Open & Closed Rhinoplasty?

There are two main rhinoplasty techniques – open and closed. Closed nasal surgery does not require an external incision but is a technique utilized for refining the nose. The surgeon does his or her work through the nostrils only.

The external or open rhinoplasty involves a small incision across the tissue between the nostrils (the columella). The scar is small and hidden underneath the nose. This approach is utilized if more extensive corrections are required.

What are the Benefits of Rhinoplasty?

  • Helps reshape and refine the nasal tip, bridge and nostrils
  • Improves harmony and balance among the facial features
  • Enhances self-confidence and boosts self-image
  • Natural-looking outcome that is customized to your tastes
  • Long-lasting results
  • Can improve breathing and sleep
“I adore Dr. Cheng; she is amazing. She does not rush, does not try to upsell. She is very caring. I will never go anywhere else but to her.”

Dora L.

Who is a Candidate?

Anyone who is dissatisfied with the shape or appearance of their nose or who has breathing function problems is a likely candidate for rhinoplasty. However, other factors may impact your candidacy, and only an in-person consultation will ensure this procedure is right for you.

For those who desire a rhinoplasty for cosmetic reasons, we recommend that you wait until your nasal bone is fully grown. For girls, this is usually at around age 15, and for boys around age 18.

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Rhinoplasty Recovery Timeline

You need to plan for recovery from a rhinoplasty, so the process is smooth, rapid, and comfortable. The process unfolds as follows:

  • A few hours after your surgery, you can go home in the care of a friend or relative. You will not be able to drive right away.
  • For 2 weeks, bruising and swelling are common. It will take many months and even up to one year for your nasal tissues to mature and reveal their final shape. But it’s important to realize that within a short time (one to two weeks), the swelling will not be as noticeable, and you can reappear confidently in public. You can take pain medication, and we recommend sleeping upright for a few weeks to minimize the swelling.
  • Splints on the outside of the nose, and sometimes on the inside, will support the new structure for about a week during the healing process. Packing of the nostrils is not usually necessary, but some patients might need it for a few days.
  • Some minor bleeding from the nostrils is normal for the first week. It is important to avoid rubbing or blowing your nose for seven to ten days. You should be able to wear eyeglasses after a few days to a week, but Dr. Cheng will give you specific instructions depending on your specific surgery.
  • Most people take 10 days off from work (or school) after rhinoplasty. Slow walking is usually resumed a few days after the procedure, but contact sports must be avoided for up to six months if your bones have been repositioned.
  • We will remove your sutures in about a week. We will also see you for postoperative examinations to ensure you are healing well.

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How Much Does a Rhinoplasty Generally Cost?

The cost of rhinoplasty in San Jose can vary dramatically depending on the condition of your nose and the extent of the corrections required. We are happy to discuss the cost for rhinoplasty surgery during your consultation with us.

Why Choose Cheng Plastic Surgery in San Jose?

Out of all cosmetic surgeries available today, rhinoplasty is the most nuanced and difficult procedure to perform well. The importance of seeking out a true master of the art can’t be overstated.

Double board-certified in head and neck surgery and facial plastic and reconstructive surgery, Drs. Elbert and Jacquline Cheng are two such masters. With a combined two decades of hands-on experience in the operating room, they have seen and experienced it all and perfected their procedure and skills in order to produce the best and most natural results possible.

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FAQ Rhinoplasty

Will insurance cover my nose surgery?

While rhinoplasty is a cosmetic procedure for the majority of patients, if you have a breathing problem, a portion of your surgery might be considered medically necessary. In that case, some insurance carriers may cover part of the cost of the procedure.

What are the potential side effects of rhinoplasty?

As with all surgical procedures, you can expect a few short-term side effects and potential risks. Our doctors take all necessary precaution to ensure you don’t suffer from any complications, however the following are some potential risks: Discoloration, swelling, numbness, itchiness, or discomfort of the nose. Allergic reactions to anesthesia, infections, scarring, or labored breathing, which can be corrected through revision rhinoplasty.

What is the legal age for rhinoplasty?

As with all surgical procedures, you can expect a few short-term side effects and potential risks. Our doctors take all necessary precautions to ensure you don’t suffer from any complications, however, the following are some potential risks: Discoloration, swelling, numbness, itchiness, discomfort of the nose, allergic reactions to anesthesia, infections, scarring, or labored breathing.

Can rhinoplasty be combined with any other treatments?

Some patients decide to have a facelift, chin augmentation, cheek augmentation, forehead lift (brow lift), or eyelid surgery at the same time as their rhinoplasty for a more comprehensive rejuvenation of the face.

Is the procedure painful?

Each rhinoplasty treatment is performed so you are comfortable and free from pain or discomfort, with the right amount of anesthetic administered. Relatively minor procedures may require a local anesthetic. However, we may use a general anesthetic for those who are more sensitive and for more extensive nose reshaping surgeries.

What type of anesthesia is used?

Our Palo Alto rhinoplasty procedure can be performed under local anesthesia if your surgery does not require repositioning bones. If the procedure involves breaking bones, then you will be given the option of general anesthesia.

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