Facial Plastic Surgeon Doctor Pincus in Beverly Hills, California 90210

Name: Stephen J. Pincus, MD
Last name: Pincus
Gender: male
Began aesthetic medicine in: 1979
Years experience: 44
Primary Specialty: Facial Plastic Surgeon
Website: https://www.drstephenpincus.com/
Business: Stephen J. Pincus, MD, FACS
Address: 9675 Brighton Way
Address suite: Ste. 380
Phone: (310) 651-7195
International phone number: +13106517195
City: Beverly Hills
State: California
Zip Code: 90210
Country: US
Statement: Dr. Stephen J. Pincus, MD, FACS is a double board-certified facial plastic surgeon with 42 years of experience in Beverly Hills, California. Best known for his specialty in revision rhinoplasty and facial feminization, Dr. Pincus also performs facelifts, rhinoplasty (nose jobs), alarplasty, blepharoplasty (eyelid surgery), neck lifts, otoplasty (ear surgery), and facial implants.

The term “alarplasty” means plastic surgery of the ala nasi or nostrils. However, practically speaking, it usually has meant narrowing or bringing in the nostrils or nasal base, if they appear too wide or flared. This may mean excising part of the nostril wall, the nasal floor or both. However, in recent times, because these narrowing procedures have been over-used, inappropriately performed or taken to unnatural extremes, alarplasty has more recently become a plastic surgical procedure to reverse the results of prior narrowing.

There are 5 main approaches that I have to accomplish this.

The simplest is expanding the nasal base using internal nasal flaps in a V to Y approach. This procedure usually lateralizes each side approximately 2-3mm and the scars are hidden within the nose. If more lateralization (widening) is desired, I use either a composite (skin + cartilage) ear graft to the nasal floor or advancement-rotation flaps from the upper lip. These procedures usually give 3-6mm per side of widening. A graft from each ear is needed per side, since the ideal ear graft cannot be divided in half to accomplish these results for both nostrils. The grafts within the nose produce hardly visible scars and the donor sites in the ear also heal quite well with imperceptible scars. Because there are risks of these grafts not “taking” (esp. if there is a moderate amount of scarring from the prior surgery), I have developed an alternative approach using an advancement-rotation flap from the upper lip. There is essentially no chance of this flap failing, but it may elevate the lateral upper lip slightly. This is usually another positive result in the right patient, but may not be desired in some patients.

If elevating the entire upper lip is also desired, a variation of the upper liplift can be performed to also widen the nasal base. This produces 3-6mm of widening per side.

There are situations from prior alar/nasal base narrowing where some of the lateral alar wall has been removed. This is especially true when the objective was to significantly reduce flaring. However, this also tends to straighten and lessen the nostril curvature, which may produce an unattractive or unnatural result. In these cases, it may be necessary to take a composite ear graft that is not flat like the one mentioned previously, but three dimensional. It is taken from a part of the ear called the antihelix and has its own risks and complications that can be explained in detail , if a patient is interested in pursuing this.

Finally, if a significant amount of widening is desired, a three dimensional Z-plasty can be performed by moving the nostril attachment outward while moving an adjacent flap of cheek skin inward. The procedure is also called a “flip, flop, flap” and can lateralize a nostril 1cm or more.
Consulting Fees: -1$
Has Sponsored Offer : No

Special Offers: 
Offer #1: Consultation Fee goes toward the booked treatment!
Special Offer Treatments: All treatments
End Time: all the time
Detail: Consultation fee goes toward booked treatment!
Clinical Privileges: 
  • Torrance Memorial Medical Center, Marina del Rey Hospital, USC-LA County Medical Center
Education: 
  • Medical: MD, Ohio State University College of Medicine
Postdoc Training: 
  • Internship: Bronx Municipal Hospital Center/Albert Einstein College of Medicine
  • Residency: Head and Neck Surgery and Facial Plastic Surgery, Wadsworth VA Hospital, University of California Los Angeles

Stephen J. Pincus, MD

Member of: 
  • fps
Board Certification: 
Stephen Jay Pincus (ABMSUID -01)

Viewed: 8/28/2008
Day of birth:
/
/1943

Status: Alive
Certification: American Board of Otolaryngology
Otolaryngology – General

Status: Certified Active Lifetime Initial Certification 10/29/1976 –
Education: 1969 MD (Doctor of Medicine)
Location: 4644 Lincoln Blvd Ste 409Marina del Rey, CA 90292-6390 (United States)

GPS coordinates on map: 34.0673309,-118.4055413

Primary location: 
Location name: Beverly Hills
State: CA
Country: US
Map point: 34.0752,-118.3990021

Google plus: https://plus.google.com/u/0/105686746010187438951/about

Treatments: 
  • Adam’s Apple Reduction
  • African American Rhinoplasty
  • Alarplasty
  • Asian Rhinoplasty
  • Brow Lift
  • Buccal Fat Removal
  • Cheek Augmentation
  • Cheek Lift
  • Chin Implant
  • Chin Liposuction
  • Deep Plane Facelift
  • Derma Roller
  • Dermabrasion
  • Ear Surgery
  • Earfold
  • Earlobe Repair
  • Eyelid Surgery
  • Facelift
  • Facelift Revision
  • Facial Fat Transfer
  • Facial Feminization Surgery
  • Facial Reconstructive Surgery
  • Forehead Reduction
  • Genioplasty
  • Lip Implants
  • Lip Lift
  • Lip Reduction
  • Lip Surgery
  • Lipoma Removal
  • Lower Facelift
  • MACS Facelift
  • Mini Facelift
  • Neck Lift
  • Ptosis Surgery
  • Revision Rhinoplasty
  • Rhinoplasty
  • Septoplasty
  • SMAS Facelift
  • Subcision
  • Transgender Facial Feminization Surgery

RealSelf Info

Rating: 5.0
Profile views: 17069
Answer count: 576
Review count: 17
5 star count: 11
Total star count: 11
Star rating: 3.8874363729305
Answer count last three months: 3
Photo and answer count last three months: 3
Lead count last three months: 20
Anonymous votes: 0
Offer count: 1
Profile created: Dec 5, 2007
Profile modified: Sep 20, 2023
Profile photo modified: Sep 20, 2023
Profile promotion: Yes
Profile inactive: No
Premier status: Performance
Tier: Pro
RealCare Promise: No
Directory link: Board Certified Facial Plastic Surgeon
RealSelf’s PRO: Yes
Is Top Doctor: 1
Doctor Designation Start Time: Oct 9, 2023
Doctor Designation End Time: Jan 9, 2024

Locations

  • Beverly Hills, CA, US. GPS coordinates: 34.0752,-118.3990021

Latest ratings of treatments

  • Rhinoplasty (Jun 2018) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Facelift (Oct 2018) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Feb 2021) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Facelift (Feb 2021) – Overall rating: 5/5
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Jan 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Feb 2022) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Mar 2021) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Answered questions: 5/5)
  • Lip Lift (Nov 2022) – Overall rating: 5/5
  • Revision Rhinoplasty (Mar 2023) – Overall rating: 1/5
  • Revision Rhinoplasty (Mar 2023) – Overall rating: 1/5
  • Revision Rhinoplasty (Mar 2023) – Overall rating: 1/5
  • Lip Lift (Nov 2022) – Overall rating: 5/5
  • Revision Rhinoplasty (Oct 2020) – Overall rating: 5/5
  • Lip Lift (Nov 2022) – Overall rating: 5/5
  • Lip Lift (Nov 2022) – Overall rating: 5/5
  • Lip Lift (Nov 2022) – Overall rating: 5/5
  • Lip Lift (Nov 2022) – Overall rating: 5/5
  • Revision Rhinoplasty (Jan 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Feb 2022) – Overall rating: 5/5
  • Revision Rhinoplasty (Feb 2022) – Overall rating: 5/5
  • Revision Rhinoplasty (Feb 2022) – Overall rating: 5/5
  • Revision Rhinoplasty (Oct 2020) – Overall rating: 5/5
  • Rhinoplasty (Aug 2014) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (May 2019) – Overall rating: 5/5

Latest Prices

Rhinoplasty Prices

  • $25 – Jun 26, 2020
  • $25 – Jun 26, 2020

Facelift Prices

  • $22000 – Oct 22, 2018
  • $20000 – Feb 8, 2021
  • $20000 – Feb 8, 2021
  • $20000 – Feb 8, 2021
  • $22000 – Oct 22, 2018
  • $22000 – Oct 22, 2018
  • $22000 – Oct 22, 2018
  • $30000 – May 22, 2014 – Beverly Hills, CA

Revision Rhinoplasty Prices

  • $15000 – Jan 13, 2016 – Beverly Hills, CA
  • $40000 – Mar 5, 2021
  • $19000 – Oct 9, 2020
  • $15000 – Jan 13, 2016 – Beverly Hills, CA
  • $19000 – Oct 9, 2020
  • $40000 – Mar 5, 2021
  • $33000 – Mar 5, 2021
  • $999999 – Oct 2018 – Beverly Hills, CA
  • $22000 – Mar 12, 2015 – Beverly Hills, CA
  • $22000 – Mar 12, 2015 – Beverly Hills, CA
  • $15000 – Jan 13, 2016 – Beverly Hills, CA
  • $15000 – Jan 13, 2016 – Beverly Hills, CA
  • $15000 – Jan 13, 2016 – Beverly Hills, CA
  • $10000 – Aug 19, 2014 – Beverly Hills, CA
  • $999999 – Feb 2013 – Beverly Hills, CA
  • $12000 – Sep 2012 – Beverly Hills, CA
  • $12000 – Aug 2012 – Beverly Hills, CA
  • $12000 – Aug 2012 – Beverly Hills, CA

Lip Lift Prices

  • $10000 – Nov 18, 2022
  • $10000 – Nov 18, 2022
  • $10000 – Nov 18, 2022
  • $10000 – Nov 18, 2022
  • $10000 – Nov 18, 2022
  • $10000 – Nov 18, 2022

Other Prices

  • $10000 – Nov 18, 2022
  • $10000 – Nov 18, 2022
  • $10000 – Nov 18, 2022
  • $10000 – Nov 18, 2022

Other Prices

  • $30000 – May 22, 2014 – Beverly Hills, CA
  • $30000 – May 22, 2014 – Beverly Hills, CA
  • $30000 – May 22, 2014 – Beverly Hills, CA
  • $1500 – Jul 11, 2013 – Beverly Hills, CA
  • $1500 – Jul 11, 2013 – Beverly Hills, CA
  • $30000 – May 22, 2014 – Beverly Hills, CA
  • $1250 – Jul 4, 2014 – Beverly Hills, CA
  • $1500 – Jul 11, 2013 – Beverly Hills, CA

Botox Prices

  • $1500 – Jul 11, 2013 – Beverly Hills, CA
  • $1500 – Jul 11, 2013 – Beverly Hills, CA

Accent Prime Prices

  • $1250 – Jul 4, 2014 – Beverly Hills, CA

Septoplasty Prices

  • $2500 – Jun 2014 – Beverly Hills, CA
  • $2500 – Jun 2014 – Beverly Hills, CA
  • $2500 – Jun 2014 – Beverly Hills, CA

Special Offers

Heading
Start Time / End Time
Detail
Treatments

Consultation Fee goes toward the booked treatment!
Aug 17, 2021 /
May 17, 2033
Consultation fee goes toward booked treatment!
Any treatment

Doctor's answers

Question
Answer Header & Date
Answer Snippet
Can a closed rhinoplasty fix my twisted/rounded nose?
"Twisted" nose following revision rhinoplasty
Sep 8, 2023
Hello & sorry for your poor post-operative result. Theoretically, anything that can be accomplished via an "open" approach can also be accomplished via a "closed" approach. The only difference is in the degree of accuracy in the diagnosis and the ease in making any corrections. Lifting the skin up and looking down on the bony-cartilaginous nasal structure in place is more accurate than looking through internal nasal incisions &/or delivering the structures out of the nose. Furthermore,...
Would I benefit from a rhinoplasty or alarplasty? Unhappy with tip
Rhinoplasty vs alarplasty
Sep 4, 2023
Your nose presents a number of interesting anatomical issues, which gives you the impression of being unaesthetic. Firstly, the tip cartilages are rather wide and seem to make up 75%-80% of the nasal base. Also, it appears the lateral wings (crura) are maldirected upwards instead of more laterally, giving the tip a round or ball-like appearance. Also, the soft tissue beneath the tip, which we call the "soft triangles", are too prominent which is also detracting. An alarplasty is exactly what...
Rhinoplasty 2 years ago went well but still have small bump, can I could get it removed in-office
Post-op dorsal "bump"
Sep 4, 2023
It appears that your bump is probably at the lower end of the nasal bones. This could have resulted from inadequate reduction in this area or too much removal of the cartilaginous dorsum below (distal) to it. Without seeing the entire bridge, it is hard to say what should be done. If the bump is further reduced, it may contribute to a greater, unaesthetic depression. My best advice would be to see a nasal specialist to get his in-person opinion.
Would alarplasty and tip plastic help me achieve this look?
More refinement?
Aug 14, 2023
It's difficult to project what you would consider as a "perfect" endpoint. You do have a tad amount of excess nostril show, but I don't think that narrowing the nostrils via an alarplasty is the answer. I would suggest lowering the nostril rims slightly, and maybe even adding rims grafts Creating a slightly more aesthetic tip with a small graft is also a consideration.
Best surgical approach to make my nose smaller around the bottom?
Reducing nasal base
Aug 4, 2023
Hello Alexandria. You have flaring of the nostrils which makes your nostrils appear too "open"! My approach would be to reduce the alar walls and not the nasal floors. This would reduce the flaring and decrease the amount of nostril "show" but not decrease the external valves or actual openings, which could cause some degree of nasal obstruction.
Revision Rhinoplasty. Can my nose still be made smaller, and the tip lifted considerably?
Revision rhinoplasty
Aug 2, 2023
I am sorry for your unfortunate results. It's hard to respond to your question without seeing any photos. However, in general, there are many approaches that a more experienced surgeon may have to help you obtain your objective. You should seek opinions from surgeons who specialize in revision rhinoplasty.
Can the nose be shortened?
Nose shortening
Aug 2, 2023
Usually "shortening" of the nose means decreasing the length from the nasion (top of nose between eyes) to the nasal tip. The most common way of doing this is by rotating the tip upward. I am not sure what you mean by "heightening the full density" of the nose. You would be better served by adding some photos to your question and relating it to an endpoint you have in your mind. Other than that, it is hard to know what you mean.
Why does my nose tip is uneven 1.5 years post-op, left side looks bumpy
Asymmetric tip
Jul 30, 2023
It seems to me that either the left tip cartilage is bigger than the one on the right or the tip is being deflected to that side from a deviation at the end of the septum. In either case, it is something that will probably not improve with time and should have been corrected or prevented during your surgery!
Is this cartilage collapse and roof deformity?
Nasal deformity
Jul 23, 2023
Hello and sorry for your disappointing results. It is possible that the deformities resulted from dermal atrophy following the steroid injection. Occasionally this can be reversed by irrigating out the depot steroid with saline. Or they sometimes manifest as the post-operative swelling resolves. Usually depressions in the upper one third of the nose are bony in nature that have been unmasked. Deformities such as yours can be corrected with either onlay grafts of fascia or cartilage,...
Will a chin implant give me more facial balance?
Facial balance
Jul 23, 2023
I think a chin implant may help slightly. But you would probably be better off by deepening the naso-frontal angle at the top of your nose !
Possible Deformities after Rhinoplaty? Pollybeak and Deep Alar Crease?
Post-operative dorsal deformities
Jul 21, 2023
Sorry for your disappointing results. Basically, when the underlying structure of the nasal dorsum is reduced, the skin at the top of the nose, which is thinner, can redrape quite effectively. However, the more sebaceous, thicker skin towards the bottom of your nose will shrink down only "so much", based upon the amount of excess skin and the underlying structure. If the amount of skin is slightly more than the underlying structure that it covers, it shrinks down to the smallest volume for...
Chin dimples after implant removal
Chin dimpling
Jul 21, 2023
I am not sure why you removed the implant. But by so doing, the mentalis muscle dropped backwards and the vector of closing your mouth is probably at an angle now and not as vertical. Because it's at a less favorable angle, it has to work harder and hence the dimpling! In my experience, implants tend to lessen the dimpling because they move the mentalis into a more favorable vertical position. Also, I would think that injecting the area with filler would not move the mentalis into a more...
Can you reduce alar flare without reducing nostril size? Wide alar/small nostrils
Alarplasty?
Jul 21, 2023
If you make the tip more narrow & angular, you will be making the nostrils appear slightly more flared. So that is a decision that should be made following the tip-plasty. Or if there is doubt, I usually wait to see what the patient thinks and do it at a later time under local. Now in answer to your original question, there are several approaches that can be considered. If one is concerned about reducing flare, but not nostril size, a wedge can be cut out of the sidewall of the nostril...
Can these irregularities be fixed?
Post-op nasal asymmetries
Jul 20, 2023
I am sorry that your postoperative result is causing you much grief. It appears that the persistent left tip deviation is resulting in some, if not all, of the nostril asymmetries as well as the "mass" you see. You would best be served by getting a second opinion from surgeons with experience in revision rhinoplasty. The problem may possibly be corrected by correcting a deviated septum or asymmetric lower lateral tip cartilages. Plus, I would definitely not accept the fact that there is not...
Did the doctor take too much off my nose tip?
Post-op rhinoplasty
Jul 19, 2023
In answer to your question, based upon the single submitted photo, it appears that you have a very satisfactory result! Perhaps you need some time to get use to your new appearance. It would have also helped to see a front view for a more thorough evaluation of the result. Additionally, the relationship of your upper lip to your lower lip & chin appears to be spot-on from measurements off this photo.

Latest Before And After Photos

Last updated on 11/23/2023