I had Rhino in March 2018. I decided to go with silicone to add height where the nose bridge had deep slope & hopefully to make the alar less wide. We left the alar base undone at the time because I didn't want to have visible scars. I think now the nose bridge looks too high for my asian features. I am wondering if the height will reduce even with silicone? Should I have revision to reduce maybe 2mm of height? Is it a viable plan? Should the silicone be removed? What would you recommend? Tks
Answer: Nose Changes after Silicone Implant Given the amount of time that has passed since your rhinoplasty, what you see now is likely to be what your nose will look like. After over two years, the swelling is likely completely resolved. If you feel like your nasal bridge is too high, you can undergo secondary rhinoplasty to change it. From the front view, the bridge appears a little too narrow. Additionally, you can see the outline of the implant from your side view photo which can happen with silicone implants. I would recommend considering a DCF graft to provide a more natural (less operated on) look to your nose.
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Answer: Nose Changes after Silicone Implant Given the amount of time that has passed since your rhinoplasty, what you see now is likely to be what your nose will look like. After over two years, the swelling is likely completely resolved. If you feel like your nasal bridge is too high, you can undergo secondary rhinoplasty to change it. From the front view, the bridge appears a little too narrow. Additionally, you can see the outline of the implant from your side view photo which can happen with silicone implants. I would recommend considering a DCF graft to provide a more natural (less operated on) look to your nose.
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January 29, 2019
Answer: Asian Rhinoplasty Candidate & Results You have to give yourself some more healing time. Your nose and surrounding areas are going to be swollen for a while and you should be consulting the surgeon that performed the procedure but give yourself some time before going back in so some of it can subside. It can take up to a year for final results.As a specialist in rhinoplasty surgery as it pertains to ethnic rhinoplasty, I can tell you that these are the most common issues I hear patients discuss with me regarding their reasons for wanting to alter the appearance of their nose while still maintaining their ethnic identity: Asian rhinoplasty patients discuss their dissatisfaction with the following: Flat nasal profileSlight nasal bridgeFlared nostrilsWide nasal tipPoor nasal tip strengthI employ specialized surgical techniques for Asian Rhinoplasty and my number one goal is to have a unified vision with my patient. I do not want to harm a patient's ethnic identity, however, I want to allow for each patient achieve the very best results they can and that occurs by having a highly personalized and customized surgical plan. I have over two decades of experience in facial plastic surgery and am able to preserve the ethnic characteristics of my patients while delivering the results they desire. When selecting a rhinoplasty surgeon, it is of the utmost importance that you choose a surgeon who is board certified in facial plastic surgery. Board certification matters. Especially, when you are considering ethnic rhinoplasty. You want your face and nose in the hands of an experienced and qualified surgeon. I am including a website link about Asian Rhinoplasty as well as video that discusses in detail the specifics of this procedure. I hope you find this information helpful. Please feel free to reach out to our New York City office if we can help answer any questions you might have in your decision making process. Sincerely, Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon
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January 29, 2019
Answer: Asian Rhinoplasty Candidate & Results You have to give yourself some more healing time. Your nose and surrounding areas are going to be swollen for a while and you should be consulting the surgeon that performed the procedure but give yourself some time before going back in so some of it can subside. It can take up to a year for final results.As a specialist in rhinoplasty surgery as it pertains to ethnic rhinoplasty, I can tell you that these are the most common issues I hear patients discuss with me regarding their reasons for wanting to alter the appearance of their nose while still maintaining their ethnic identity: Asian rhinoplasty patients discuss their dissatisfaction with the following: Flat nasal profileSlight nasal bridgeFlared nostrilsWide nasal tipPoor nasal tip strengthI employ specialized surgical techniques for Asian Rhinoplasty and my number one goal is to have a unified vision with my patient. I do not want to harm a patient's ethnic identity, however, I want to allow for each patient achieve the very best results they can and that occurs by having a highly personalized and customized surgical plan. I have over two decades of experience in facial plastic surgery and am able to preserve the ethnic characteristics of my patients while delivering the results they desire. When selecting a rhinoplasty surgeon, it is of the utmost importance that you choose a surgeon who is board certified in facial plastic surgery. Board certification matters. Especially, when you are considering ethnic rhinoplasty. You want your face and nose in the hands of an experienced and qualified surgeon. I am including a website link about Asian Rhinoplasty as well as video that discusses in detail the specifics of this procedure. I hope you find this information helpful. Please feel free to reach out to our New York City office if we can help answer any questions you might have in your decision making process. Sincerely, Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon
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January 23, 2019
Answer: Asian Rhinoplasty It's difficult to make an accurate assessment without an in-person exam. Consultation with an Asian rhinoplasty specialist experienced with autologous grafts will help you to carefully weigh the available options.
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January 23, 2019
Answer: Asian Rhinoplasty It's difficult to make an accurate assessment without an in-person exam. Consultation with an Asian rhinoplasty specialist experienced with autologous grafts will help you to carefully weigh the available options.
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January 22, 2019
Answer: Does nose height decrease after surgery with silicone? No, silicone does not change over time so the height would not reduce because of this. I would advise going back to your surgeon to discuss possible options.
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January 22, 2019
Answer: Does nose height decrease after surgery with silicone? No, silicone does not change over time so the height would not reduce because of this. I would advise going back to your surgeon to discuss possible options.
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January 8, 2019
Answer: Silicone in rhinoplasty Given that you're currently about 9 months out from surgery, a majority of the swelling has likely resolved (though you can see residual swelling in patients up to and beyond a year so without examining you in person it would be hard to say) and I wouldn't expect the bridge to lower too much more than it already has. The "starting point" of the nose on the frontal view is typically higher in caucasian patients than Asian patients, and when you use dorsal augmentation in Asian patients, its important to consider how the dorsal height may westernize some of the facial features. If your goal is to create a more natural Asian look, then you may require revision surgery. I personally am not a fan of silicone implants but they are used frequently by many surgeons. It may be best for you to have a consultation with a facial plastic surgeon who specializes in revision rhinoplasty/Asian rhinoplasty for a discussion of your best options and when dealing with revisions, multiple consultations is always a good idea. Good luck!
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January 8, 2019
Answer: Silicone in rhinoplasty Given that you're currently about 9 months out from surgery, a majority of the swelling has likely resolved (though you can see residual swelling in patients up to and beyond a year so without examining you in person it would be hard to say) and I wouldn't expect the bridge to lower too much more than it already has. The "starting point" of the nose on the frontal view is typically higher in caucasian patients than Asian patients, and when you use dorsal augmentation in Asian patients, its important to consider how the dorsal height may westernize some of the facial features. If your goal is to create a more natural Asian look, then you may require revision surgery. I personally am not a fan of silicone implants but they are used frequently by many surgeons. It may be best for you to have a consultation with a facial plastic surgeon who specializes in revision rhinoplasty/Asian rhinoplasty for a discussion of your best options and when dealing with revisions, multiple consultations is always a good idea. Good luck!
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