When I smile, my nose ''spreads'' across my face. Is there a procedure to stop me from getting this with a rhinoplasty? Will alar base procedure stop this? Also, I read about doctors being able to ''thin the skin'' on rhinoplasty patients with thick skin how is this performed, and is this the same as nasal smas? Thank you.
October 29, 2009
Answer: Rhinoplasty and Facial Balance It is difficult if not impossible to keep the base of the nose from moving when you smile, and so I wouldn't set this as one of your goals for surgery. However, there is a natural balance between the width of the nose and the width of the mouth when your face is resting (no movement). Some folks have noses that are wider that this ideal, and so it throws off the balance of their central face. Reducing the width of the alar base can narrow the base of the nose and improve this balance, but this is really only seen at rest, not with motion. In terms of surgically thinning the skin of the nose, I personally think this is difficult to do and even risky to do at the time of surgery. What I will do in some patients in do an injection of Kenalog (a steroid) into the skin several weeks after the procedure-- this steroid will reduce the inflammation and soften the skin a bit, and is a safer approach in my opinion. Hope that helps, Dr. Salemy
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October 29, 2009
Answer: Rhinoplasty and Facial Balance It is difficult if not impossible to keep the base of the nose from moving when you smile, and so I wouldn't set this as one of your goals for surgery. However, there is a natural balance between the width of the nose and the width of the mouth when your face is resting (no movement). Some folks have noses that are wider that this ideal, and so it throws off the balance of their central face. Reducing the width of the alar base can narrow the base of the nose and improve this balance, but this is really only seen at rest, not with motion. In terms of surgically thinning the skin of the nose, I personally think this is difficult to do and even risky to do at the time of surgery. What I will do in some patients in do an injection of Kenalog (a steroid) into the skin several weeks after the procedure-- this steroid will reduce the inflammation and soften the skin a bit, and is a safer approach in my opinion. Hope that helps, Dr. Salemy
Helpful
Answer: Techniques that prevent widening the nose Hi and thanks for your question. All procedures that narrow the nostrils will reduce widening upon animation but none will completely eliminate this as no operation affects the facial muscles which are responsible for widening or flaring of the nostrils. See a board certified plastic surgeon experienced in rhinoplasty who can address your concerns in a consultation. Best of luck!
Helpful
Answer: Techniques that prevent widening the nose Hi and thanks for your question. All procedures that narrow the nostrils will reduce widening upon animation but none will completely eliminate this as no operation affects the facial muscles which are responsible for widening or flaring of the nostrils. See a board certified plastic surgeon experienced in rhinoplasty who can address your concerns in a consultation. Best of luck!
Helpful