Why do I keep getting refused for a primary rhinoplasty?

Question

I have contacted 3 doctors who declined my request for rhinoplasty. I do not like the projection of my nose compared to my chin. I would also like a slight curved slope to my bridge instead of just straight. My nose tip swells up a lot and gets red when I cry or do exercise, it also gets sore and sensitive (due to my rosacea?). I have 1 mL of HA injections in my chin and my nose still looks long. I do not want a chin implant as I prefer a delicate chin and jaw. Why do I keep getting refused?

Zoran Potparic, MD · Answer

You seem to be a candidate who needs subtle but expertly performed rhinoplasty. Only on the basis of in person evaluation and discussion about your goals, an experienced, board certified plastic surgeon, expert in rhinoplasty, could give you good idea of what to expect. Good luck.

Eric M. Joseph, MD · Answer

Your photos appear to show an overprojected nasal tip appearance - meaning it may stick out too far. We routinely offer rhinoplasty surgery to people who are looking to have a less projected nasal appearance. If you consult with a reputable rhinoplasty specialist, your request for surgery may be deemed feasible, depending on your examination. Hope this helps. Dr Joseph

Ronald J. Edelson, MD · Answer

After looking at your photos I think I know why nobody wants to operate on you. Your nose is perfect the way it is. Fortunately you have seen three honest plastic surgeons who think your nose is fine and refuse to operate

Ali Gurlek, MD · Answer

Thank you for your question. 
In traditional Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and I would go on some consultations with experts that use digital photography to show you what can be accomplished with your nose and chin and how it might be done and then look at photos of similar patients and become fully informed about the desired procedure

Dr Corbin

Dr Corbin

Why do I keep getting refused for a primary rhinoplasty?

Answers (5)

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