Quick Rhinoplasty or Minimally Invasive Rhinoplasty

Respectfully, I would have to disagree with the panel on this one.  A rhinoplasty procedure performed by an experienced plastic surgeon takes into account countless procedures individualized for the specific anatomic subunits of the nose. 

In the initial assesment of your nose, I would assess the individual anatomic subunits of your nasal profile in the lateral, oblique, and anteroposterior planes and assess your individual anatomic, structural, and functional needs.

In many cases, a patient will not need a full rhinoplasty and may benefit from a focused, so-called 'quick fix' rhinoplasty to correct a single anatomic irregularity. Not everyone needs a complete three hour rhinoplasty. 

However, be cautious and seek the advice of an experienced rhinoplasty plastic surgeon to balance the natural harmony of your nose and face.

Reducing the alar width can benefit some patients in whom the only problem is wide nostrils. It is in fact an excellent procedure. Of course caution is necessary not to overreduce the nostrils, creating a "cannon" effect of the nose, with thick nostrils but not enough lumen. Alar base reduction can also cause a notched, unnatural appearance to the nostrils if not performed correctly. A skilled rhinoplasty surgeon will best be able to explain these procedures and their effect on the overall balance of the nose.

As the other panelists have already noted, the nose should obviously be considered in its totality, including breathing aspects of the nose.

If the "instant nosejob" refers to putting fillers such as Artecoll on the top of the nose, building up the bridge and thinning the appearance, this procedure is ill advised.

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Hi Lovely Lana,

Rhinoplasty has been described as the most difficult of all facial plastic surgical procedures. Sculpting the nose to blend in with the other surrounding facial features is the goal. A beautiful nose "gets out of the way" of attractive eyes, cheeks, jaw line, and mouth.

Narrowing the base of the nose can be one step in a rhinoplasty, very rarely the only step. When one area of the nose is altered, the rest of nose is usually sculpted to fit the change. The most essential aspect of rhinoplasty is the proper diagnosis of what is causing the perceived problem. Once the diagnosis is made, then a properly qualified rhinoplastic surgeon can carry out the necessary maneuvers to accomplish the desired results.

It is essential to choose your rhinoplasty surgeon most carefully. Everyone's nose is different, and surgeon’s skills and aesthetic senses of beauty differ. Take your time and make sure that you and your surgeon are "on the same page" with regard to your expectations and the surgeons ability to meet those expectations.

By all means avoid the "quick fix". The first rhinoplasty operation is your best chance at getting the excellent result that you desire. Revision rhinoplasty is more difficult because of what has been removed as well as scar tissue.

Good luck and be well.

Dr. P

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