Rhinoplasty After 40 in the Washington DC Area: Reston, VA and Chevy Chase, MD
Rhinoplasty after 40 at The Naderi Center is performed by Dr. Shervin Naderi, a double board-certified facial plastic surgeon with more than 20 years of strong surgical focus on rhinoplasty, at our Reston and Chevy Chase offices.
The nose keeps changing with age. The tip can droop, the nose can look longer, and breathing can get harder. Dr. Naderi lifts and supports the tip, refines the bridge and opens the airway, so your nose fits the face you have now and looks natural, never operated on.
20+ Years with Strong Surgical Focus on Rhinoplasty
Thousands of Primary & Revision Rhinoplasties
Complex Cases Referred by ENTs & Plastic Surgeons
Named to Newsweek America’s Best Plastic Surgeons for Rhinoplasty
- 2023
- 2024
- 2025
- 2026
Rhinoplasty After 40: Before and After Photos by Dr. Naderi
A drooping tip, lifted and refinedAfter two unsuccessful nose surgeries in another state, she was referred to Dr. Naderi by a facial plastic surgeon from her home state for revision rhinoplasty.See all views of this patient →
Breathing again, 30 years laterAn aggressive nose job more than 30 years earlier left her with a blocked airway and a pinched, uneven tip. Dr. Naderi performed a complex revision rhinoplasty.See all views of this patient →
A broken nose, set straightShe broke her nose in a fall. Dr. Naderi repaired it with a closed nasal reduction, narrowing the wide, flattened bridge.See all views of this patient →Each patient is unique and individual results may vary.
Your Rhinoplasty Surgeon
Why Choose Dr. Naderi for Rhinoplasty After 40?
Many of Dr. Naderi’s patients come to him for revision of a rhinoplasty done elsewhere, and he performs a high volume of ethnic rhinoplasty. Patients travel to him from across the United States and from abroad.
- 100,000+Procedures performed
- 4 yearsNewsweek America’s Best Plastic Surgeons for Rhinoplasty, 2023 to 2026
- A Destination for Revision RhinoplastyMany patients come to Dr. Naderi to correct a rhinoplasty done elsewhere. Plastic surgeons and ENT physicians in the Washington DC area refer their most difficult noses to him, and colleagues know him as “The Nose Man.”
- High Volume of Ethnic RhinoplastyDr. Naderi performs a high volume of ethnic rhinoplasty for patients of many backgrounds. He refines the nose while keeping it natural and true to your face and heritage.
- Textbook Author on Revision RhinoplastyCo-author of the rhinoplasty chapters in two surgical textbooks: Revision Rhinoplasty (Becker and Park) and Head and Neck Surgery: Otolaryngology (Bailey, Johnson and Newlands).
- Trained by a Past President of the AAFPRSFellowship in facial plastic and reconstructive surgery under Dr. Stephen W. Perkins, a world-renowned surgeon and past president of the American Academy of Facial Plastic and Reconstructive Surgery.
- Board Examiner and Teacher of SurgeonsHas served as an Oral Board Examiner for the American Board of Facial Plastic and Reconstructive Surgery and as Clinical Assistant Professor at Indiana University School of Medicine. Surgeons around the world use his online surgical videos for training.
- Double Board Certified, FACSCertified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery. Fellow of the American College of Surgeons.
What patients can expect
- Dr. Naderi does the computer imaging himself, so what you see on the screen is surgically realistic.
- He advises against surgery when it is not in your best interest.
- He does not routinely pack the nose after surgery.
- He performs open, closed and preservation rhinoplasty, uses advanced grafting techniques, and shapes bone precisely with ultrasonic rhinoplasty and power rasping devices, choosing the right tools for each nose.
“It’s important to me that as the surgeon, I perform all of the imaging rather than a photographer, making sure what I show on the computer screen is surgically plausible.”Dr. Shervin Naderi
Dr. Naderi’s Rhinoplasty Expertise, Featured on RealSelf
RealSelf is where patients research cosmetic surgery and compare surgeons. Its video library features Dr. Naderi teaching patients about rhinoplasty, and his RealSelf patients rate him 4.9 out of 5 stars across more than 350 reviews. He is a RealSelf Top Contributor.
Dr. Naderi’s rhinoplasty videos featured on RealSelf:
- Do Nose Jobs Require Plastic Implants?
- Computer Imaging Previews Nose Job Results
- Am I an Ideal Candidate for Rhinoplasty?
Dr. Naderi on Rhinoplasty in the Media
Rhinoplasty Patient Reviews
4.9 on Google from 1,100+ reviews
“My only regret is not getting it done sooner!”
“I am eternally grateful to Dr. Naderi and his absolutely amazing staff for the top-notch care that I received before, after and during my rhinoplasty. … It is now two months since my rhinoplasty and I am absolutely in love with my new nose. My results are so cute and natural looking, and I am so glad I trusted Dr. Naderi’s expertise. He 100% changed my life and I could never thank him enough for the confidence he has given me. My only regret is not getting it done sooner!”
★★★★★E.F.Google review
“I have such a very long list of praises to sing.”
“I have such a very long list of praises to sing about my experience at the Naderi Center and, specifically, with Dr. Naderi himself that I almost don’t even know where to start with my review! … As there were no results throughout the globe (literally) that compared to the beautiful and natural results that I saw on Dr. Naderi’s website/Instagram, I reached out from Germany and easily scheduled an initial Skype consultation, where Dr. Naderi’s wisdom, in addition to his evident skill, immediately assured me that this was the surgeon for me.”
★★★★★B.B.RealSelf review
“Dr. Naderi has a great talent for making everything look natural and balanced.”
“Thank you to Dr. Naderi and his team! I’m three months post op and I absolutely love my new nose. I was nervous at first and didn’t know how I would feel after getting the surgery and how hard the recovery would be. I found it’s not too bad at all and I was given the best pre and post op care. I was nervous my new nose would look too unnatural but Dr. Naderi has a great talent for making everything look natural and balanced. Very thorough, very thoughtful, and very professional! I feel so confident. Highly recommend”
★★★★★K.A.Google review
“Best decision I ever made going with Dr. Naderi.”
“I had an incredible experience getting a preservation rhinoplasty (septoplasty) with Dr. Naderi. It is one month post-operation and I am so happy with the results. He did perfect work and gave me exactly what I had in mind. It looks completely natural! Swelling is very minimal due to keeping it wrapped consistently. Imaging and the surgery results one month out look the same, and I personally feel that it looks even better than the imaging. I am so happy I chose him as my surgeon. I would recommend him to friends and family. Thank you! Best decision I ever made going with Dr. Naderi.”
★★★★★S.M.RealSelf review
“This has truly been a life changing experience!”
“Its only been 6-weeks since my surgery and I love my new look already! I have to retrain myself not to hide from my right side profile like I used to. I can now wear my hair back and show my elegant nose at all angles. I now feel good about myself when walking by that department store mirror and catching a glimpse of the profile I tried so hard to contour with makeup and using my hair to shield its sharpness. This has truly been a life changing experience! Thank you Dr Naderi and staff!”
★★★★★L.V.Yelp review
“The functional results have been huge for me.”
“The functional results have been huge for me. My breathing opened up immediately, but what really surprised me was how much my sense of smell improved, and with it, my sense of taste. Food just tastes so much better now. The first time I really noticed it, I had to stop for a second because I hadn’t realized how much I’d been missing.
I also noticed that Dr. Naderi takes real pride in his work. You can see it when the cast comes off. He is genuinely invested in how it turned out, and he treats the result like something he personally stands behind.”
★★★★★J.Google review
“I love my new nose so much!”
“I love my new nose so much! Thank you so much Dr. Naderi and his team. I can also finally breath through both noses when I lay down to sleep! Also, two people have asked me for my surgeons information because they love my results (I’m only 3.5 week post op). If you’re contemplating on getting a septorhinoplasty/rhinoplasty then just DO IT.”
★★★★★K.J.Google review
“I live in NYC and the trip was so worth it.”
“Dr. Naderi was amazing! He made me feel very comfortable because he is so confident and knowledgeable. I live in NYC and the trip was so worth it. I will definitely be back!”
★★★★★T.M.Google review
“My daughter and I both had rhinoplasties at the Naderi Center.”
“I can’t say enough about Dr. Naderi and his entire staff! My daughter and I both had rhinoplasties at the Naderi Center and have recommended friends that had procedures completed and are happy as well.”
★★★★★L.H.Google review
Reviews posted by rhinoplasty patients on Google, Yelp and RealSelf. Some reviews are shortened. Each patient is unique and individual results may vary.
Five days after surgery. Watch a patient of Dr. Naderi five days after a preservation and structural hybrid rhinoplasty, with very little swelling and only mild bruising.
How Does the Nose Change After 40?
The nose keeps changing throughout life. With age, the ligaments and cartilages that support the tip weaken, and the tip slowly drops. A drooping tip makes the nose look longer and can shadow the upper lip, which makes the whole face look older and more tired.
The side walls of the nose can weaken too, so the airway may narrow when you breathe in. Old injuries and an earlier nose surgery often show more with time.
Rhinoplasty after 40 is less about changing your nose and more about restoring it: lifting and supporting the tip, refining the bridge and opening the airway, so the nose looks like it belongs to your face today.
Benefits of Rhinoplasty After 40
Rhinoplasty after 40 can make the face look more rested and help you breathe better, while you still look like yourself.
No. There is no upper age limit for rhinoplasty as long as you are healthy. Many patients who wanted a nose job for years finally have it later in life and are glad they did.
A good candidate is in good general health, does not smoke or will stop before surgery, and wants a natural improvement rather than a different face. Before surgery you have a medical clearance and lab tests with your own doctor.
Rhinoplasty Videos
Watch Dr. Naderi’s rhinoplasty patients before and after surgery, and hear him explain how a nose is shaped and cared for. Tap any video to play it.
Before and After
Patient Reveals
Dr. Naderi Explains
More rhinoplasty answers from Dr. Naderi in our video library
Computer Imaging: See Your New Nose Before Surgery
Computer imaging is the clearest way for you and your surgeon to agree on a plan. Dr. Naderi morphs your own photos on a large screen during the consultation, so you can see the proposed nose on your face and ask for changes before surgery, not after the cast comes off.
Take a dorsal hump as an example. Every surgeon will plan to remove it, but how much comes off decides whether the profile ends up straight, slightly curved or scooped. Imaging lets you choose.
Dr. Naderi does the imaging himself, because the surgeon doing the surgery is the one who knows what is surgically realistic. Imaging is not a guarantee of the outcome. It is the road map he follows in the operating room. You are welcome to bring your own edited photos to show what you like and what you fear. Learn more about our 3D imaging technology.
We will bring the experience.
Rhinoplasty at a Glance
Dr. Shervin Naderi, double board-certified facial plastic surgeon
General anesthesia
About 2 hours
Inside the nose for a closed rhinoplasty. An open rhinoplasty adds one small incision on the skin between the nostrils.
Mild to moderate. Dr. Naderi does not routinely pack the nose, so many patients need little or no pain medication.
5 to 10 days
About 1 week for most patients
No exercise for 1 month
Avoid both for 1 to 3 months if the nasal bones were set
Most patients enjoy their new nose within a month, and most of the change happens in the first year. Subtle refinement continues for 3 to 5 years.
No. There is no upper age limit as long as you are healthy.
$18,000 to $27,000 for primary rhinoplasty (Dr. Naderi’s surgeon’s fee). Anesthesia and surgical facility fees are separate. Revision rhinoplasty starts at $45,000. See our full price list.
Yes. Rhinoplasty can be done in the same operation as a deep plane facelift, eyelid surgery, a brow lift or fat grafting. Dr. Naderi plans it with you at your consultation.
How Much Does Rhinoplasty Cost in the Washington DC Area?
Insurance. Medical insurance does not pay for cosmetic rhinoplasty. It may cover part of the surgery when there is a medical need, such as correcting a breathing problem.
Primary rhinoplasty with Dr. Naderi costs $18,000 to $27,000. That is Dr. Naderi’s surgeon’s fee. Anesthesia and surgical facility fees are separate. Revision rhinoplasty starts at $45,000.
Rhinoplasty prices in the Washington DC area vary widely, partly because some quotes cover only the surgeon’s fee. When you compare prices, ask whether anesthesia and the surgical facility are included.
| Primary rhinoplasty | $18,000 to $27,000 |
|---|---|
| Revision rhinoplasty | From $45,000 |
| Consultation, primary rhinoplasty | $250 |
| Consultation, revision rhinoplasty | $500 |
Your consultation fee is applied to your surgery when you schedule within three months of your consultation.
Included in your price
- Dr. Naderi’s surgeon’s fee
- Follow-up visits at The Naderi Center
Not included
- Anesthesia fee
- Surgical facility fee
- Pre-surgical medical clearance and lab tests, usually covered by your medical insurance
- Prescription medications, usually covered by your medical insurance
A plan designed for your nose. No two noses are alike, so no two surgical plans are alike. After your consultation and examination with Dr. Naderi, you receive a personalized proposal that reflects the surgery he has designed for you.
Patient Financing
Pay Over Time with Cherry
Monthly payment plans for surgery and treatments, including 0% APR options for qualifying patients. Checking whether you qualify won’t affect your credit score.
How to Prepare for Rhinoplasty
- Stop smoking at least two weeks before surgery. Smoking impairs your circulation and slows healing.
- Review your medications with us, including over-the-counter products, vitamins and herbal supplements.
- Avoid aspirin and ibuprofen, and products that contain them, before and after surgery. They interfere with clotting and can cause bleeding.
- Use Tylenol (acetaminophen) if you need a pain reliever or fever reducer.
- Read your instructions. Go over our rhinoplasty pre- and post-operative instructions before surgery day.
How Rhinoplasty Is Performed
Rhinoplasty takes about two hours under general anesthesia. Dr. Naderi works through incisions inside the nose (closed rhinoplasty) or adds one small incision between the nostrils (open rhinoplasty) to reach the cartilage and bone that give the nose its shape.
He then reshapes that framework. Depending on your nose, he may reduce a hump, narrow the nasal bones, or lift, shorten, refine or support the tip. To make a nose smaller he removes cartilage or bone. To build or support it he adds cartilage grafts.
When there is enough of it, Dr. Naderi prefers to use your own septal cartilage, taken from the nasal septum, the wall that divides the two air passages. If previous surgery has left too little septum, he may use rib cartilage, either your own or donor rib.
When the framework is finished, the skin is laid back over it and takes on the new shape. A small splint supports the nose while it heals. Dr. Naderi does not routinely use nasal packing.
Anesthesia for Rhinoplasty
Dr. Naderi performs rhinoplasty under general anesthesia. You are fully asleep, comfortable and still for the whole operation, which matters in a surgery measured in millimeters. A breathing tube protects your airway, and a board-certified anesthesiologist stays with you from start to finish.
Can Rhinoplasty Be Combined With a Facelift or Eyelid Surgery?
Yes. Rhinoplasty can be done in the same operation as a deep plane facelift, eyelid surgery, a brow lift or facial fat grafting, under one general anesthetic with one recovery, so the whole face is brought into balance together.
Dr. Naderi plans combined surgery at your consultation and will tell you honestly whether one procedure will do what you want. Combined surgery is priced at your consultation.
Modern Rhinoplasty Techniques Dr. Naderi Uses
- Preservation rhinoplasty. Keeps your natural bridge and its support intact and lowers it from underneath, in place of removing a hump and rebuilding the bridge. Dr. Naderi uses it in select patients. Read more about preservation rhinoplasty.
- Ultrasonic (piezo) rhinoplasty. Shapes the nasal bones with an ultrasonic instrument in fine, controlled steps in place of traditional chisels and rasps. Dr. Naderi uses it in select patients.
- Structural rhinoplasty. Supports the tip and bridge with grafts of your own cartilage, usually from the septum, so the nose keeps its shape as it heals.
- Closed and open approaches. Dr. Naderi performs both and chooses the approach for each nose.
- Computer imaging. He does the imaging himself, so you see a surgically realistic plan before surgery.
Rhinoplasty is widely considered the most difficult operation in plastic surgery. It is three-dimensional surgery measured in millimeters, and it takes a surgeon who understands both the shape of the nose and how it breathes. Dr. Naderi does not use technique names for marketing. He chooses what each nose needs.
Rhinoplasty Recovery, Week by Week
Plan on one week off work or school. A small cast stays on your nose for 5 to 10 days, and exercise waits for one month.
| When | What to expect |
|---|---|
| Day of surgery | About 2 hours under general anesthesia. Dr. Naderi does not routinely pack the nose, so many patients need little or no pain medication. |
| First week | A small cast stays on the nose. Expect bruising and swelling around the nose and eyes. Cold compresses help. Take the week off work or school. |
| Days 5 to 10 | Dr. Naderi removes the cast, along with sutures after an open rhinoplasty. Most patients then return to work or school, with a little cover-up makeup for any light bruising. |
| First month | No exercise, to prevent nosebleeds and limit swelling. Most patients are enjoying their new nose by one month. |
| 1 to 3 months | No glasses or contact sports if the nasal bones were set. |
| 1 to 5 years | Most of the healing is done by one year. After that the tip keeps refining and gaining definition. |
If nasal packing is needed, it is removed about two days after surgery. Heavy exercise, excess heat and changes in altitude can increase swelling. See the recovery products our surgeons recommend for your post-op care kit.
How the Nose Changes as It Heals
The photos you see right after surgery, at one week or even at one month are not the final result. Downtime for most patients is about a week, and most of the healing happens in the first year. After that the changes are subtle. Over the next 3 to 5 years the tip keeps settling, the nose moves in closer to the face and it gains definition, especially with thick skin.
Rhinoplasty Surgery Aftercare
Traveling to Dr. Naderi for Rhinoplasty
Patients fly in from across the country and abroad for rhinoplasty with Dr. Naderi. Our team plans the trip with you so that you make as few visits as possible. Our guide for out-of-town and international patients covers scheduling, travel and recovery in full.
- Start with a virtual consultation. You send photos ahead of time using our rhinoplasty photo guide. The surgical consultation fee is $250 for primary rhinoplasty and $500 for revision rhinoplasty, and includes an in-person visit with Dr. Naderi.
- Receive your surgery plan. Your proposal arrives by email, and a patient coordinator walks you through scheduling.
- Arrive one to two days before surgery. You meet Dr. Naderi in person before your procedure. Pre-operative testing is done with your own doctor within 30 days of surgery.
- Stay for one week after surgery. Then you can travel home.
- Follow up from home. Your one-month visit is done by telehealth.
We are close to Dulles International, Reagan National and BWI airports. Patients often stay at The Ritz-Carlton Tysons Corner, JW Marriott Reston Station, Hyatt Regency Reston or AC Hotel Reston.
Rhinoplasty Offices in Reston, VA and Chevy Chase, MD
Dr. Naderi sees rhinoplasty patients at both offices of The Naderi Center. Patients come to him from Washington DC, from Northern Virginia, including Arlington, Alexandria, McLean, Great Falls and Vienna, and from Maryland, including Bethesda, Potomac, Annapolis and Baltimore. Maryland patients can read more on our page for rhinoplasty in Bethesda and Chevy Chase.
Maryland
5454 Wisconsin Ave,
Suite 1655
Chevy Chase, MD 20815
(301) 222-2020
Monday to Thursday, 9 AM to 5 PM
Friday, 9 AM to 4 PM
Get directions
Virginia
1850 Town Center Parkway,
Pavilion II, Suite 551
Reston, VA 20190
(703) 481-0002
Monday to Thursday, 9 AM to 5 PM
Friday, 9 AM to 4 PM
Get directions
Rhinoplasty After 40 FAQs
Am I too old for rhinoplasty?
No. There is no upper age limit for rhinoplasty as long as you are healthy. Many patients who wanted a nose job for years finally have it later in life and are glad they did.
Why does my nose look bigger as I get older?
With age, the ligaments and cartilages that support the tip weaken and the tip slowly drops. A drooping tip makes the nose look longer and bigger, even though the nose itself has not grown much.
Can rhinoplasty lift a drooping nose tip?
Yes. Dr. Naderi lifts the tip and rebuilds its support with advanced grafting techniques, so it stays up and looks natural.
Will rhinoplasty make me look younger?
Lifting a drooping tip and balancing the nose can make the whole face look more rested and fresher. Rhinoplasty is not a facelift, so it does not tighten loose skin, but it can be combined with one.
Can rhinoplasty help my breathing after 40?
Yes. Straightening a deviated septum and supporting weak side walls of the nose improves airflow that often gets worse with age.
Is rhinoplasty recovery different after 40?
The plan is the same: a small cast for 5 to 10 days, about one week off work, and no exercise for one month. Most patients enjoy their new nose within a month.
Can I combine rhinoplasty with a facelift or eyelid surgery?
Yes. Rhinoplasty can be done in the same operation as a deep plane facelift, eyelid surgery, a brow lift or facial fat grafting, with one anesthetic and one recovery.
How much does rhinoplasty after 40 cost?
Primary rhinoplasty is $18,000 to $27,000 for Dr. Naderi’s surgeon’s fee. Anesthesia and surgical facility fees are additional. Combined surgery is priced at your consultation.
Will my nose still look natural?
Yes. The goal is a nose that fits the face you have now and never looks operated on. Computer imaging at your consultation lets you and Dr. Naderi agree on the plan.
I had a nose job years ago. Can it be fixed now?
Yes. Many of Dr. Naderi’s patients come to him to correct a rhinoplasty done elsewhere, sometimes decades earlier. Revision rhinoplasty is planned at least one year after your last nose surgery.
What anesthesia is used for rhinoplasty?
General anesthesia, given by board-certified anesthesiologists who supervise CRNAs, so you are comfortable and Dr. Naderi works under the best conditions.
Do I need medical clearance before rhinoplasty?
Yes. You have a pre-surgical medical clearance and lab tests with your own doctor before surgery.
Who performs rhinoplasty at The Naderi Center?
Dr. Shervin Naderi, a double board-certified facial plastic surgeon with more than 20 years of strong surgical focus on rhinoplasty.
Where can I have a rhinoplasty consultation?
At our Reston, VA and Chevy Chase, MD offices. Patients come from Washington DC, McLean, Great Falls, Arlington, Alexandria, Bethesda, Potomac and across the country.
Medically reviewed by Shervin Naderi, MD, FACS. Dr. Naderi is a double board-certified facial plastic surgeon. Last reviewed .