Which surgeon to choose? what is needed - Rhinoplasty (photos)
Doctor Answers 9
Wow. Confusing to get such different opinions. Some of those doctors don't understand rhinoplasty.
You do not need increased projection to the tip. "Projection" means how far forward, away from your face, the nose sits. Your strong hump makes the tip look weak in its forward projection, but really the tip is strongly projected already. In the morph, I moved the tip closer to your face, "deprojecting" it. Perhaps it should be moved even a closer to your face than in my morph.
If your tip is not elevated, to make the nose look shorter, your nose will look awful. Your nose is long now, and lowering the bump will make it look even longer, so the tip needs to come up. Your tip must be elevated, so if a doctor said not to do that, stay away! And elevating the tip *is* lots of work on the tip, so the doctor who said he wouldn't touch your tip is also off base.
From the front, your nose seems off center, and that can be addressed at the same time as making the other changes.
You should understand that the changes I demonstrated in the morph and discussed here require very advanced techniques, techniques that most plastic surgeons cannot handle. Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon. And you **MUST** see the doctor's before and after photos, finding other patients with changes somewhat similar to what you want for yourself. You have a very difficult rhinoplasty, and you don't want to be looking for a revision later.
The chosen one, some advices:
I usually tell my patients that the first step for a safe plastic surgery is to choose a board certified aesthetic and reconstructive plastic surgeon.
This should have a personal website containing details of his professional biography and some photos of the procedures performed.
Your plastic surgeon should be transparent and a honest person with you, with ethical and human values, and especially with good reputation and history. Also, it's much better if this doctor have special training and experience in procedures like the one you're interested.
Dr. Emmanuel Mallol Cotes.-
Goals of Rhinoplasty Surgery
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Best rhinoplasty for me?
Hello! It can be confusing when talking to different surgeons, as each surgeon has his/her own approach. It is important to look at before/afters the surgeon has performed, ensure the surgeon is performing a good number of COSMETIC rhinoplasty (at least 50 a year) and perhaps even ask to talk to former rhinoplasty patients about their experience. Photo morphing is also very helpful in guiding the decision making process and virtually all surgeons who do a large number of rhinoplasties can do this for you. Experience matters- it is best to make sure you go to someone who doesn't just do the occasional rhinoplasty between many breast augmentations. Ask pertinent questions and take your time in proceeding. Revision rhinoplasty is much more difficult and costly, and often avoided by careful selection of your primary surgeon. Good luck!
Rhinoplasty is partly mechanical and partly artistic. There are certain mechanical aspects of rhinoplasty that need to be performed to ensure that breathing is not compromised. However, apart from that, it is definitely an artistic pursuit. You should go with your gut feel of the surgeon who you think has the greatest ability to improve your nose artistically from your point of view.
Thank you for your question and pictures. You have some complex issues with your nose and obviously they are all interrelated and interconnected. I think it is a mistake not to address your tip because the deviation of your nasal septum involves your tip. I would go with the surgeons who recommended addressing tip, hump reduction, and attempting to straighten your nose. You will likely need spreader grafts and not all surgeons place these grafts in the nose. These grafts decrease the possibility of collapse of the midportion of your nose, after surgery. Go with your gut instinct when choosing and an experience rhinoplasty surgeon. Best of luck!
Which surgeon to choose? what is needed - Rhinoplasty
Richard Chaffoo, MD, FACS, FICS
Triple Board Certified Plastic Surgeon
Rhinoplasty and chin implant
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