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Overly Rotated Tip

Although the overly rotated tip is congenital in some people, all too often it is the consequence of the surgeon not recognizing that reducing the hump or bridge along with the standard procedure of trimming the upper edge of the wide tip cartilages results in loss of the support system that was keeping your nose […]

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Open vs closed

It is incorrect if a doctor tells you your strut can not be addressed with closed rhinoplasty. It is more likely that the doctor favors the open approach or has only been trained in open rhinoplasty. A tip strut can be readily approached with closed rhinoplasty which is through the same scar along the sides […]

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Narrow and Lengthen the Nose

Many patients with a wide bridge and/or correct a flat nose have osteotomies to narrow the upper bony part of the nose concurrent with bridge grafts and a lengthening procedure. It is common in the Far East to have bridge augmentation with silicone implants to raise the profile of the bridge and to concomitantly give […]

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How to choose Rhinoplasty Surgeon

The main reason for not choosing a doctor who is a “Cosmetic Surgeon” is that an MD can get this title without actually any formal university training in nose surgery or in any cosmetic procedure for that matter.  A dermatologist or an ophthalmologist or most any doctor can apply for and obtain certification as a […]

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Healing Time

I tell my patients to not look at the front view with scrutiny for two to three weeks by which time about 80% of swelling is gone. The profile will look better before the front view. Avoiding exercise and hot tubs and such stimulation and strategic post op taping can definitely limit and guide the […]

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Hanging Columella

I see at times an otherwise reasonably good rhinoplasty that has not addressed the lip/nose junction [Naso-Labial junction]. There is an ideal ratio of length of upper lip to the length of nose and a “hanging Columella” can not only encroach upon the upper lip and make it too short, but also present an unattractive […]

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Drop of Tip Projection

There is an ideal naso-facial angle which involves the angle of projection of the tip of the nose off the plane of the face [a line drawn from the chin to the forehead]. If your present tip projection is over 40 degrees it is over projected and you may be concerned about a “Pinocchio” appearance […]

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Crooked Tip

As a famous Otolaryngologist, Dr. Ogura, wrote many years ago “As goes the septum, so goes the nose”. You very likely have a deviation of the caudal [lower] end of your septum and it is pushing the columella [skin between the nostrils] downward and to one side. Apparently the deviation is to the right and […]

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Cheek Lift

If the doctor is a plastic surgeon certified by the American Board of Plastic Surgery or an Ear Nose Throat physician with facial board certification you are best served. Dermatologists can be good at injecting fillers yet the more holistic opinion as to whether or not a filler injection or cheek implant or cheek lift […]

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Black Rhinoplasty 2

If you have a very wide nostril and tip, I think you are not in much danger of losing your ethnicity since narrowing your tip and nostrils in one procedure will give you only partial correction. Michael Jackson had over 6 operations and actually looked ethnic yet improved until he pushed the envelope with successive […]

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