One of the most common reasons people feel self-conscious about their appearance is an overly large or mis-shaped nose that detracts from other attractive features. Rhinoplasty is a cosmetic surgical procedure performed to improve the size and shape of the nose as well as improve facial harmony.
Common Reasons for a Rhinoplasty
When patients come to see us for a consultation regarding their nose, I will ask them while looking in the mirror to tell me and show me specifically what they don’t like. The most common responses I get are the following:
My nose is crooked
I don’t like the bump on my nose
The tip of my nose is too round or bulbous–it has no definition
The tip of my nose is asymmetric
My nose is too wide
My nose is too long
My nose is too large for my face
My nose sticks out from my face too much—over-projects
My nose doesn’t fit my face
The tip of my nose droops when I smile
I can’t breathe
These problems can all be fixed and I have done so with many, many patients over the years.
This 25 year old, referred to Dr. Parker by several other patients, expressed concern about the appearance of her nose and lower eyelids. Specifically, the patient did not like the bump on her nose and her drooping nasal tip, which worsened when she smiled. She also asked to have the puffiness of her lower eyelids corrected. Dr. Parker perfor... Read More
This 25 year old referred by another patient to Dr. Parker requested improvement in the appearance of her nose and chin. She said she was struck in the nose several times when younger but never had any xrays. She is bothered by her crooked nose and tip pointing downward; she has seen several other consultants who discussed a stronger chin wit... Read More
This 26 year old complained that her nose was too large. She said she would like to have it smaller and in better proportion with the rest of her face. Dr. Parker performed an open rhinoplasty during which he reduced the patient’s bony cartilaginous hump, narrowed the nose with infractures, refined and set back her large, over projecting tip... Read More
This 32 year old had 3 prior rhinoplasties elsewhere and requested Dr. Parker to improve the appearance of her nose. Specifically, the patient desired a sleeker profile and more defined nasal tip. She also requested a chin implant to make her chin somewhat more prominent and create better balance with her nose. Using an open rhinoplasty techn... Read More
This 35 year old requested Dr. Parker to reduce her dorsal nasal hump, refine her bulbous nasal tip and give her a stronger chin. Dr. Parker reviewed these concerns with the patient during her initial consultation and discussed an open rhinoplasty as well as chin augmentation to address them. Computer imaging was then used to show the&nb... Read More
This 38 year old was referred to Dr. Parker by another rhinoplasty patient with concerns about her nose. She was bothered by her mild hump and broad tip which drooped with smiling. Dr Parker performed an open rhinoplasty doing the following: component bony-cartilaginous hump reduction, lateral osteotomies to close the “open roof, tiplasty to... Read More
This 27 year old was referred to Dr. Parker by another rhinoplasty patient with concerns about her nose. She asked him to improve her bulbous tip which drooped with smiling and give her a more aquiline profile. Dr Parker subsequently performed an open rhinoplasty doing the following: a component bony-cartilaginous hump reduction, lateral oste... Read More
This 35 year old, referred to Dr. Parker by another patient, requested improvement in the appearance of her nose. She did not like her dorsal hump, bulbous tip and wide base of her nose. Dr. Parker performed an open rhinoplasty during which he reduced the bony cartilaginous hump, performed infractures to appropriately narrow the upper portion... Read More
What to Expect During your Rhinoplasty Consultation
After hearing from the patient about their concerns, we will want to learn more from them. We ask questions and will talk further to be sure they are in good physical health, have not serious medical conditions which would contraindicate surgery or anesthesia. I will want to be sure the patient themselves wants the surgery and is not doing this to please someone else.
I will then perform a careful physical examination to carefully evaluate the anatomic structure of their nose, inside and out.
Next, I will discuss a treatment plan with the patient regarding options to accomplish their goals. As I speak, I will have them look into a hand held mirror while I explain what can be done. I will supplement this discussion using a schematic of the nose and point out the underlying bone and cartilage that will be sculpted.
We will then review computer imaging of the patient’s nose showing them what their nose should look like after surgery. We have done this for many years and have a high correlation rate with what we accomplish in surgery. I will explain our goal is to improve upon the appearance and function of their nose, making them look natural as if they have not had surgery. After surgery, patients will tell us all the time, that no one knows they had a rhinoplasty. We take that as a real compliment!
We will also discuss our Rapid Recovery program and our goal to have the patient recover from surgery as seamlessly and quickly as possible.
Finally, we will also discuss potential risks and complications. I want to be sure that the patient has realistic expectations for what the procedure can accomplish, understands the limitations of surgery and understands what recovery after surgery entails.
I love the artistic and technical challenge as well as the satisfaction of a well-performed rhinoplasty. I also love seeing how life-changing and confidence-boosting the procedure can be on our patients.
Leave a Reply