Doctor Answers 8
If you are unhappy with the look of your nose, you think that you would be much happier after a rhinoplasty operation; if you had an accident and the shape of your nose got worsened after this accident; then you can be a good candidate for rhinoplasty operation. It is a well-known fact that individuals with feeling themselves beautiful have higher self-esteem. Therefore; if the look or functionality of your nose bothers you, you can get benefit from a rhinoplasty operation.
There are different kinds of rhinoplasty operations however we can divide them as the one that requires bone excision and the one that does not need bone excision. The main fact that we classify the rhinoplasty operations like that is that the results and postoperative period is associated closely with this fact. In the operations like “nasal tip correction”, “simple rhinoplasty” there is no need for a bone excision however these minor operations cannot be beneficial for everyone. The operation type is need to be determined by the surgeon according to needs of the patient. In these minor operations the rhinoplasty is performed with closed method. The bone and the cartilage tissues are not involved in the surgery directly. Small nasal bumps can be removed in these operations.
In the operation that needs the bone and cartilage tissues to be involved; open approach is used. In the procedures with open approach, the size, shape and functionality of the nose can be improved. The big nasal bumps can be removed and septal deviations can be corrected providing a better nasal airway.
Dorsal hump reduction without tip contouring
Limited rhinoplasty procedures
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Communication communication communication!
Thank you for your question, and this is something that you will hear me say over and over again. You should never do any surgery if you are not 100% in tune with what your surgeon intends to do. Both of you should be on the same page. During consultation, this should be stressed and that is the time where both of you have a "meeting of the minds" so to speak, where upon a plan is laid out. In my office, you never go from "consult to the OR" - particularly with noses. It is of utmost importance, particularly in ethnic rhinoplasty, to improve, not change, the overall appearance. Take as much time as possible during your consultation and discuss what you would like and would not like to happen - even bring examples if possible. If someone does not want to take the time to listen...then it probably is not the right place. Best of luck. I hope some of this helps.
Tip Work is Optional
I think patients should be the ones to decide on what features they like and dislike, obviously changing only the ones they want to improve upon. In fact, taking down the bump only would make the surgery somewhat more predictable, as I feel the more things needing to be changed, the bigger the risk that everything doesn't fall exactly into place with good harmony. I let patients tell me what they want, although I do show them the different options as well as give my opinion with computer imaging. I think seeing the change on your own face in this way is very helpful. Depends on the face, but I too like a little columellar show usually and definitely avoid an overly rotated nose. This is somewhat subjective however as some patients prefer more rotation that others. For me, the final call is up to the patient and I do everything to get as close to the agreed upon simulation as possible. This type of communication is key to a successful outcome and a happy patient.
Rhinoplasty candidate for dorsal hump removal
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.