Opinions: 1st plastic surgeon wants to graft cartilage to make the more contoured side fuller, fix my deviated septum which everyone has said is why my nose is crooked & to do this by OPEN rhinoplasty.2nd wants to remove cartilage to make it match the contoured side,smooth out the bones,add one piece of cartilage to the bridge to reduce the 'ski slope-iness' of my nose doing CLOSED rhinoplasty.3rd said that not to touch the bones,just add cartilage to make the contoured side fuller, OPEN. Help?
Answer: Rhinoplasty to address asymmetry of nasal cartilage
Spreader grafts are placed on the concaved side of the midthird of the nose when there is a differential in the profile. If there is a severe convexity to one side, then shaving the high side down to match the concaved side will also be performed in addition to the spreader graft. Spreader grafts are a patients own cartilage, harvested from the internal portion of the nose and placed along the bridge line to improve the profile and symmetry. Repair of a deviated septum itself will not effect the outside portion of the nose and is simply performed only for improvement of airflow dynamics through the nose. Both of these procedures can be performed through closed rhinoplasty techniques.
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Spreader grafts are placed on the concaved side of the midthird of the nose when there is a differential in the profile. If there is a severe convexity to one side, then shaving the high side down to match the concaved side will also be performed in addition to the spreader graft. Spreader grafts are a patients own cartilage, harvested from the internal portion of the nose and placed along the bridge line to improve the profile and symmetry. Repair of a deviated septum itself will not effect the outside portion of the nose and is simply performed only for improvement of airflow dynamics through the nose. Both of these procedures can be performed through closed rhinoplasty techniques.
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CONTACT NOW January 5, 2013
Answer: Closed with Tip Reduction and Sanding
The closed obviously avoids the scar. Removal of tip cartilage has less variability than the placement of a graft. Sanding makes sense as does the cartilage graft. If the scoop does not bother you, then no cartilage graft necessary. The female nose tends to look more scooped out than a male nose, but that is, of course, your decision.
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Answer: Closed with Tip Reduction and Sanding
The closed obviously avoids the scar. Removal of tip cartilage has less variability than the placement of a graft. Sanding makes sense as does the cartilage graft. If the scoop does not bother you, then no cartilage graft necessary. The female nose tends to look more scooped out than a male nose, but that is, of course, your decision.
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December 14, 2012
Answer: Surgical options for rhinoplasty
First, thank you for the photos. You mentioned several treatment options recommended by different surgeons but you didn't mention your specific concerns about your nose. It's more important to hear what you like and dislike about your nose. Do you have a clear idea of what you want your nose to look like? Make a wish list and then go to the surgeons and ask each one how they would address your surgical goals. The surgical plan should match what you are trying to accomplish. There may be more than one treatment plan that can help you achieve your goals and it's critical that you feel comfortable with both the surgeon and the plan.
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Answer: Surgical options for rhinoplasty
First, thank you for the photos. You mentioned several treatment options recommended by different surgeons but you didn't mention your specific concerns about your nose. It's more important to hear what you like and dislike about your nose. Do you have a clear idea of what you want your nose to look like? Make a wish list and then go to the surgeons and ask each one how they would address your surgical goals. The surgical plan should match what you are trying to accomplish. There may be more than one treatment plan that can help you achieve your goals and it's critical that you feel comfortable with both the surgeon and the plan.
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March 22, 2016
Answer: Rhinoplasty Opinion With all of the different suggestions for surgical approaches, I understand your frustration in deciding what to do and who to choose to perform your surgery. I am not going to give my opinion about how to make your nose look different, because I don't know what it is that you dislike about your nose. Make sure the surgeon you choose completely understands what it is about your nose that bothers you. Based on your concerns, you and that surgeon should be able to come up with a game plan to meet your expectations. Hope this helps! :) Thanks for your question and photos. Best of Luck!
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Answer: Rhinoplasty Opinion With all of the different suggestions for surgical approaches, I understand your frustration in deciding what to do and who to choose to perform your surgery. I am not going to give my opinion about how to make your nose look different, because I don't know what it is that you dislike about your nose. Make sure the surgeon you choose completely understands what it is about your nose that bothers you. Based on your concerns, you and that surgeon should be able to come up with a game plan to meet your expectations. Hope this helps! :) Thanks for your question and photos. Best of Luck!
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December 31, 2015
Answer: Contouring one side of the nose The most important issue is understanding what you don't like, and having a clear understanding of the 'goal'. Each surgeon will have their bias, though we sometimes find adding a cartilage graft to the side of the nasal bone very hard to blend. The skin is thin and with touch and glasses the laid on or added graft just might be a bother. We like the idea of the graft over the dip in the bridge (if that is the look you are drawn to) and fracture (with septum straightening) to reduce the deviation in the nose. Closed or open can both work.
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December 31, 2015
Answer: Contouring one side of the nose The most important issue is understanding what you don't like, and having a clear understanding of the 'goal'. Each surgeon will have their bias, though we sometimes find adding a cartilage graft to the side of the nasal bone very hard to blend. The skin is thin and with touch and glasses the laid on or added graft just might be a bother. We like the idea of the graft over the dip in the bridge (if that is the look you are drawn to) and fracture (with septum straightening) to reduce the deviation in the nose. Closed or open can both work.
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