To start, list the top three things that cause you concern regarding
your nose. Try to
identify what specifically you want to change. Take this list to your consultation so you can
work with your
surgeon to develop a realistic plan for reaching your surgery goals.
You need a surgeon who is a
true expert. An expert is one who is Experienced and performs rhinoplasty frequently at least 2-3 times
a week, has Expertise and has written and teaches others about rhinoplasty, and one who can show you Excellent results. This
should be done in the
hands of a Board Certified Plastic Surgeon or Otolaryngologist
with expertise in Rhinoplasty.
What to ask for at consultation
At consultation you will show the surgeon what it is that you do not like about your nose. Also tell him or her, exactly what type of nose you don't want to have.
The surgeon will go over the plan with you, and tell you how realistic your expectations are.
Rhinoplasty and revision
I think that you need to present for consultation and review your goals in person. A full nasal analysis is warranted. Best of luck.
A rhinoplasty procedure can accomplish shaving down the dorsal hump, decreasing the projection of the nose, narrowing the bridge line and refining the tip. This important to lift the nasal tip cartilages as well. In addition, releasing the depressor septi ligament is required to prevent the tip from drooping when smiling. Rhinoplasty is a difficult endeavor, so choose your surgeon very wisely based on extensive experience creating natural results.
Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from a cephalic rotation of your tip to turn up your tip
slightly and a conservative dorsal hump reduction. It is very important that you thoroughly research
your surgeon before committing to surgery. It is a good idea to research your
surgeon's educational background, online reviews, before & after pictures,
and speak with anyone who you may know who has had surgery with that surgeon.
During your consultation, make sure that you don't feel rushed and make sure
that you have adequate time with your surgeon and not just their patient
coordinator or nurses. If the majority of your consultation is spent with
someone other than the surgeon, this is usually not a good sign. The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified expert surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon