I have considered rhinoplasty for years, but I'm worried about getting a "pinched-look." Would I be a good candidate? (photo)
Doctor Answers (13)
Gary Horndeski, M.D.
Seek an experienced rhinoplasty surgeon.
You Are An Excellent Candidate For Rhinoplasty
Do not be reluctant to have a rhinoplasty if it is something you want.The odds that you will be happy are with you. Rhinoplasty is an immensely popular procedure because, for most people, the results are so satisfying.It works and worked for me.I had a nose job some years ago!
If you are not having the surgery because you are worried about a "pinched look," you are not alone.Unfortunately, the pinched look is when too much cartilage has been removed, and that is a tell-tale sign of an overdone rhinoplasty.The key is to pick a surgeon who who does not overdo and delivers a natural looking nose. As a matter of fact, just under doing it is better than overdoing.
I suggest doing a lot of homework.Read books, visit websites.I am proud to say my two books listed below have been very popular and will be of immense help to you.Likewise, visit my and other comprehensive websites.You are in a large metropolitan area and should be able to find a surgeon whose practice is mostly nasal surgery.That is really what you want.You want a super-specialist in rhinoplasty.That diminishes the chances of disappointment.
Defining the tip is generally done by sculpting the cartilage of the alar lower lateral cartilages.They are both horseshoe-shaped cartilages and generally symmetrical,so just trimming a portion of them can make a big difference.It is also helpful sometimes to trim the cartilage that sits just above what is called the upper lateral cartilages.In any event, if your cartilages and nose skin are deemed appropriate -- which will be determined at consultation -- your surgeon should be able to deliver credible result.
Just to give you some comfort, understand that even in the best of hands, sometimes there can be some minor imperfections.If there is an area in your nose that is a little too narrow or a little too thin, then you might consider the injection revision rhinoplasty whereby instead of surgery, injection of a long-lasting filler material just under the skin of the nose will correct the problem.
Check it out on my website as well as others.You will learn a lot.
Robert Kotler, MD, FACS
Over 4,000 nasal procedures performed
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
Author, THE ESSENTIAL COSMETIC SURGERY COMPANION
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To narrow the nasal bones, medial and lateral osteotomies will need to be performed. Narrowing the tip is accomplished with a combination of either suture techniques or cartilage removal. Any dorsal hump can be shaved down to make the nose is more balanced. Virtual rhinoplasty software is available on the link below along with our rhinoplasty photo gallery to give you an idea what can be accomplished with the procedure
Candidate for rhinoplasty?
The areas that concern you can be realistically improved and make your nose more harmonious with your other pretty facial features by having a natural appearing rhinoplasty performed by an artistic plastic surgeon who is experienced in nasal surgery.
Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medicalhistory and discussing the pros and cons of the operative procedure would not be in your best surgery. Natural appearing results need to be individualized and what
is appropriate for one patient is not necessarily the best for someone else. I would American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and arecomfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, M.D., FACS
La Jolla, California
Am I a Good Candidate for Rhinoplasty?
Would I be a good candidate for rhinoplasty?
Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
Good Candidate for Rhinoplasty Refinement
Yes you are an excellent candidate for rhinoplasty surgery. While the imaging you included is a fair representation of some of your desires for your nose a professional imaging would be best done during consultation. Your nasal tip could use further refinement and straightening of your dorsum as well. During consultation you will have a side view and frontal view image which will show you the proposed result. This will further help you envision how your nose will look and make sure that you and your surgeon are on the same page. It is important when reviewing your surgeons before and after photographs and his digital imaging photographs that you see that they are very close in proximity. Wishing you all the best and a Happy New Year! Michael V. Elam, M.D.