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: 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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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
Helpful 1 person found this helpful
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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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: 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.
Helpful 1 person found this helpful
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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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
Helpful
June 2, 2016
Answer: Deprojection, bridge and tip refinement After reviewing your photos, I believe that your nose would benefit from tip deprojection and refinement, bridge refinement and building up the area between your eyes, known as the radix. I recommend an in-office consultation with a Board-Certified plastic surgeon who will thoroughly examine your nose, create a simulation based on what your nose could look like after surgery, and develop the perfect plan to achieve balance and symmetry.
Helpful 1 person found this helpful
June 2, 2016
Answer: Deprojection, bridge and tip refinement After reviewing your photos, I believe that your nose would benefit from tip deprojection and refinement, bridge refinement and building up the area between your eyes, known as the radix. I recommend an in-office consultation with a Board-Certified plastic surgeon who will thoroughly examine your nose, create a simulation based on what your nose could look like after surgery, and develop the perfect plan to achieve balance and symmetry.
Helpful 1 person found this helpful