I had 4 consults and have chose a Dr. to perform rhino in Aug. '16. Every Dr. said that their first priority would be to narrow the wide bridge bones and correct the flat spot in the middle of my bridge; also that my dorsal hump (hooked nose) could be corrected but that my nose wasn't really that overprojected, but that it could be deprojected 1-2mm. Really? When I look at my profile I just get depressed b/c it looks so huge. Can all these problems be fixed and does the tip need refinement?
Answer: Closed rhinoplasty for de-projection, dorsal hump removal, bridge narrowing and tip refinement A closed rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the overall projection of the nose 3-4 mm, narrowing the bridge and refining the nasal tip. It's also important to reduce the hourglass appearance on the three-quarter profile which is accomplished with small spreader grafts placed underneath the concave upper lateral cartilages. The flat spot on the top of the bridge can be removed along with the dorsal hump and refinement of the tip. All this can be accomplished with the incisions placed on the inside of the nose and without any painful packing placed on the inside of the nose. This is a very difficult rhinoplasty, so choose your surgeon very wisely based on extensive experience.
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CONTACT NOW Answer: Closed rhinoplasty for de-projection, dorsal hump removal, bridge narrowing and tip refinement A closed rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the overall projection of the nose 3-4 mm, narrowing the bridge and refining the nasal tip. It's also important to reduce the hourglass appearance on the three-quarter profile which is accomplished with small spreader grafts placed underneath the concave upper lateral cartilages. The flat spot on the top of the bridge can be removed along with the dorsal hump and refinement of the tip. All this can be accomplished with the incisions placed on the inside of the nose and without any painful packing placed on the inside of the nose. This is a very difficult rhinoplasty, so choose your surgeon very wisely based on extensive experience.
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CONTACT NOW Answer: Rhinoplasty surgery may be considered for nasal shortening and narrowing, tip rotation, and tip deprojection. You appear to have thin skin, and a large, somewhat masculine nasal appearance. Tip deprojection, rotation, along with nasal shortening, and closure of your "open-roof-deformity" are all issues that may be addressed. Goals may be to obtain a smaller, less distracting, and more feminine nasal appearance.Your thin skin may be more prone to show post-rhinoplasty irregularities, so ensure you are completely confident with your choice of surgeons before moving forward.Wishing you all the best, and hope this helps you.Dr Joseph
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CONTACT NOW Answer: Rhinoplasty surgery may be considered for nasal shortening and narrowing, tip rotation, and tip deprojection. You appear to have thin skin, and a large, somewhat masculine nasal appearance. Tip deprojection, rotation, along with nasal shortening, and closure of your "open-roof-deformity" are all issues that may be addressed. Goals may be to obtain a smaller, less distracting, and more feminine nasal appearance.Your thin skin may be more prone to show post-rhinoplasty irregularities, so ensure you are completely confident with your choice of surgeons before moving forward.Wishing you all the best, and hope this helps you.Dr Joseph
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June 2, 2016
Answer: Good rhinoplasty candidate Based on your photos it appears that you would be a good candidate for rhinoplasty, such as the example in the link below. Your rhinoplasty would require:Deprojection of tipHump reductionNarrowing of bridgeNarrowing of tip
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CONTACT NOW June 2, 2016
Answer: Good rhinoplasty candidate Based on your photos it appears that you would be a good candidate for rhinoplasty, such as the example in the link below. Your rhinoplasty would require:Deprojection of tipHump reductionNarrowing of bridgeNarrowing of tip
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June 2, 2016
Answer: One to two millimeters is not enough for your nose. See the "Web reference" link, just below my response. I made a couple of computer morphs of your nose, and animations of the morphs, to show the changes that are possible for your nose in truly expert hands.The deprojection that I simulated is a little more than three and one-half millimeters. There is also an image that shows the new nose with the *outline* of the old nose superimposed, so you can see the difference. Your nose requires a significant deprojection, like the woman in the short attached video above.Another point: yes, the bones need to be narrowed where they create a flat spot on your bridge, and yes, the tip cartilages are broad and need to be narrowed and refined, but your tip absolutely needs to be elevated, as I showed in both morphs. When a nose is de-projected, it usually looks longer, and your nose is not short to begin with. If a primary focus of the operation is not to elevate the tip, you'll be looking for a revision later.You should understand that the changes I demonstrated in the morph require 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.Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he'll change, and by how much he'll change them -- so you know whether it's enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. Then, he must show you before and after photos to prove that he can actually accomplish what he draws on the computer.
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CONTACT NOW June 2, 2016
Answer: One to two millimeters is not enough for your nose. See the "Web reference" link, just below my response. I made a couple of computer morphs of your nose, and animations of the morphs, to show the changes that are possible for your nose in truly expert hands.The deprojection that I simulated is a little more than three and one-half millimeters. There is also an image that shows the new nose with the *outline* of the old nose superimposed, so you can see the difference. Your nose requires a significant deprojection, like the woman in the short attached video above.Another point: yes, the bones need to be narrowed where they create a flat spot on your bridge, and yes, the tip cartilages are broad and need to be narrowed and refined, but your tip absolutely needs to be elevated, as I showed in both morphs. When a nose is de-projected, it usually looks longer, and your nose is not short to begin with. If a primary focus of the operation is not to elevate the tip, you'll be looking for a revision later.You should understand that the changes I demonstrated in the morph require 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.Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he'll change, and by how much he'll change them -- so you know whether it's enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. Then, he must show you before and after photos to prove that he can actually accomplish what he draws on the computer.
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June 2, 2016
Answer: Rhinoplasty 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. I completely agree with your assessment of your overly projected nasal tip: You may also benefit from de-projecting your nasal tip and a dorsal hump reduction. The most important aspect is to find a surgeon you are comfortable with. With good surgical technique, you could have an outstanding result. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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CONTACT NOW June 2, 2016
Answer: Rhinoplasty 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. I completely agree with your assessment of your overly projected nasal tip: You may also benefit from de-projecting your nasal tip and a dorsal hump reduction. The most important aspect is to find a surgeon you are comfortable with. With good surgical technique, you could have an outstanding result. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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