Worcester Rhinoplasty doctors

Frank P. Fechner, MD Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester
71 answers
Stuart H. Bentkover, MD Stuart H. Bentkover, MD
Worcester Facial Plastic Surgeon
123 Summer Street Suite 675, Worcester
18 answers
Daniel Del Vecchio, MD Daniel Del Vecchio, MD
Boston Plastic Surgeon
38 Newbury Street Fifth Floor, Boston
8 answers
David W. Connors, MD David W. Connors, MD
Worcester Plastic Surgeon
10 Winthrop Street, Worcester
Gary Fudem, MD Gary Fudem, MD
Worcester Plastic Surgeon
281 Lincoln Street, Worcester

Recent Answers

Indentation in Bottom of Nostril, Left After Rhinoplasty, Why is This? (photo)

I got a rhinoplasty a month ago and there is a huge indention in the nostril base on the left side. It makes my profile from the left look much worse than the right... Even if the doctor 'smooths it out,' how will this raise the indention? He almost gets offended when I ask about it. Has anyone ever seen this? I completely did not expect this. Trent

A: Indentation Will Probably Go Away

Im guessing but you may have had an open rhinoplasty, with cartilage grafting.  The distal most tip of the columellar skin flap is therefore the area under greatest tension and has the worst blood supply.  In the area of the nostril sill it is not uncommon to have a depression or notchin.  This effect can be due to swelling of the tip of the skin flap, which subsides over time.  Worst case scenario,  filler such as restylane or even micro fat grafting can take care of this.  Best Regards,

 

Dr Del Vecchio

Daniel Del Vecchio, MD
Boston Plastic Surgeon
Is my Morph Picture Surgically Possible for Rhinoplasty? (photo)

So I found a morph program and decided to give it a shot. I really like what I did with my nose on with the morph and was wondering if this could be achieved from rhinoplasty. I know I have relatively thick skin so that will limit the definition of my nose but will it be close to my desired results?

A: Is it Possible? The True ROle of Preoperative Simulation

The simulation is a good tool to see if the surgeon and the patient are on the "same page"  as far as the operative goals and strategy for the rhinoplasty.  It should not be used as a way to answer,  "can I acheive this result?"  So,  I would tell you that the results of your simulation suggest you want a narrower nose in the upper middle and lower thirds of the nose on AP (antero-posterior) view.  Your comments about thick nasal skin suggest you seek more definition of the tip.  That said,  I think your best operative strategy is an open rhinoplasty with alar base cinch technique to narrow the alar base, a columellar strut to provide more support and definition to the tip, tip sutures to better define the tip elements, and infracturing to narrow the upper nose.   Best of luck.  You can see cases like this at our site.

 

Dr Del Vecchio

Daniel Del Vecchio, MD
Boston Plastic Surgeon
Ethnic Nose too Short After Rhino, Will The Shape Keep Changing?

I recently had rhinoplasty on a middle eastern nose. My surgeon and I agreed to preserve ethnicity while making some changes. We agreed on reducing the hump, and very minor tip refinment. I was very worried about keeping my ethnicity . The cast came off yesterday and I am extremely dissapointed. The bridge looks too low and flat even though he claims he left part of the hump. My nose looks nothing like the image he showed me. Is it possibly swelling? I cant see how bridge will look higher?

A: Questions The technical maneuvers used in rhinoplasty are important. Equally important is the nasal aesthetic evaluation and the sequence of planned maneuvers for a given nose. Well performed maneuvers in the wrong patient stem from a lack of aesthetic judgement and can yield poor results and dissatisfied patients. That said, often ethnic, flat noses with inadequate tip projection and wide alar bases have short columella length. These noses often require structural support, or "addition" rhinoplasty: Often, de-rotation of the tip, columellar struts and septal extension grafts are needed, as well as alar base reduction. These are the work-horse maneuvers of the wide, flat ethnic nose. On the other hand, a nose with a large hump, dropped tip and overprojection often benefits from the more classic "reduction" rhinoplasty: dorsal hump reduction, tip definition with cartilage sculpting, and In-fracturing. Based on this generic discussion, you should be able to put your own case in one of these broad categories. Then see what maneuvers your surgeon did. Best Regards, Dr Del Vecchio rhinoplastyboston
Daniel Del Vecchio, MD
Boston Plastic Surgeon
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