I want a smaller nose from side profile and also face on my nose up top has a wide bone . I want a smaller looking nose .please tell me if you agree my doc could achieve this without breaking my nose ? He told me he will not be breaking it. I go in 2 weeks and I want to hear your opinions ...if you were to do my nose would you just file it ?
Answer: To achieve a smaller nose, can this be a completed without breaking ? Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best surgery. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. The extent and length of the procedure, cost, and the specific operative steps to achieve an ideal cosmetic result vary from patient to patient and would depend on the findings at your consultation examination.Robert Singer, M.D., FACSLa Jolla, California
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Answer: To achieve a smaller nose, can this be a completed without breaking ? Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best surgery. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. The extent and length of the procedure, cost, and the specific operative steps to achieve an ideal cosmetic result vary from patient to patient and would depend on the findings at your consultation examination.Robert Singer, M.D., FACSLa Jolla, California
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Answer: Creating smaller nose with rhinoplasty without bone breaking I'd ultimately need to see your nose in person, but it seems to me that your upper nasal bone width is wide currently. Controlled bone fractures can be used to narrow them in this case. Also, with smoothing down your bridge on profile view the result will be an even wider appearance unless the nasal bones are repositioned with osteotomies.You can learn more about wide bridge treatment at my web reference link below.
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Answer: Creating smaller nose with rhinoplasty without bone breaking I'd ultimately need to see your nose in person, but it seems to me that your upper nasal bone width is wide currently. Controlled bone fractures can be used to narrow them in this case. Also, with smoothing down your bridge on profile view the result will be an even wider appearance unless the nasal bones are repositioned with osteotomies.You can learn more about wide bridge treatment at my web reference link below.
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April 14, 2016
Answer: I don't think it can be done satisfactorily without "breaking" the nose. But ... ... "breaking" the nose isn't a bad thing. Breaking the nose is where the surgeon makes a tiny incision in the nasal bones so they can be brought closer to each other. Many patients fear it, thinking perhaps that "breaking" the bone means that at a certain time, the patient will be awakened, and a big man with a sledge hammer will come into the room and swing at your nose. In reality it's a totally benign part of the procedure that shouldn't increase the bleeding or the swelling or the bruising, and you won't even know it's been done.Look at the Web reference link for a modification that I made of your nose, and also a link to a discussion of why the bones need to be narrowed if a hump is removed. If you look closely at the animation, you'll see that some of the bridge of your nose has been taken down. If that happens, and the bones are NOT brought closer together, then your nose will look unacceptably wide from the frontal view.Make sense?
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April 14, 2016
Answer: I don't think it can be done satisfactorily without "breaking" the nose. But ... ... "breaking" the nose isn't a bad thing. Breaking the nose is where the surgeon makes a tiny incision in the nasal bones so they can be brought closer to each other. Many patients fear it, thinking perhaps that "breaking" the bone means that at a certain time, the patient will be awakened, and a big man with a sledge hammer will come into the room and swing at your nose. In reality it's a totally benign part of the procedure that shouldn't increase the bleeding or the swelling or the bruising, and you won't even know it's been done.Look at the Web reference link for a modification that I made of your nose, and also a link to a discussion of why the bones need to be narrowed if a hump is removed. If you look closely at the animation, you'll see that some of the bridge of your nose has been taken down. If that happens, and the bones are NOT brought closer together, then your nose will look unacceptably wide from the frontal view.Make sense?
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October 23, 2015
Answer: To achieve a smaller nose, can this be a completed without breaking ? Your nose will require osteotomies (cutting the nasal bones) both to straighten the bridge and also to put the nasal bones back together after reducing the bump and the height of your nasal bridge. In my opinion, there is no way around that fact as not performing osteotomies will leave you with a wide, flat nasal bridge that looks very peculiar. Osteotomies are very safe and routinely performed during rhinoplasty. They can either be performed with a first rhinoplasty or during a revision but they are required for a natural looking result. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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October 23, 2015
Answer: To achieve a smaller nose, can this be a completed without breaking ? Your nose will require osteotomies (cutting the nasal bones) both to straighten the bridge and also to put the nasal bones back together after reducing the bump and the height of your nasal bridge. In my opinion, there is no way around that fact as not performing osteotomies will leave you with a wide, flat nasal bridge that looks very peculiar. Osteotomies are very safe and routinely performed during rhinoplasty. They can either be performed with a first rhinoplasty or during a revision but they are required for a natural looking result. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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April 14, 2016
Answer: Reducing the nose without osteotmies To achieve the best result it would likely be necessary to perform osteotomies (breaking the walls inward) . If that is not done, the nose may appear even wider after surgery, especially if the hump is removed. Breaking the nose is not a big deal and is a very common part of rhinoplasty. Out of the ~200 rhinoplasty procedures I perform every year more than half need osteotomies.
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April 14, 2016
Answer: Reducing the nose without osteotmies To achieve the best result it would likely be necessary to perform osteotomies (breaking the walls inward) . If that is not done, the nose may appear even wider after surgery, especially if the hump is removed. Breaking the nose is not a big deal and is a very common part of rhinoplasty. Out of the ~200 rhinoplasty procedures I perform every year more than half need osteotomies.
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