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Fast Rhinoplasty and Nostril Reduction

When you are having rhinoplasty don’t be concerned about how long [within reason] the case takes or the cost of the operating room fee. Would you prefer that the surgeon does it quickly, but with perhaps less attention to detail and perhaps leaving out an important step? There is usually nothing good about a fast […]

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Thick Skin and Rhinoplasty

Some people have thick skin and are concerned as to how that will affect their rhinoplasty. To assuage some of your anxiety, it is your thick skin that protects you somewhat from having an “overly-operated” look. A tiny nose is not likely to happen and the truth is that in order to give you tip […]

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Swollen Nose

If your tip is wider post op it suggests some things to me: 1] You had perhaps a projected tip with fairly thin skin which may have been “sticking out” more than you liked and the tip projection was probably set back and (similar to lowering a tent pole causing the canvas of the tent to […]

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Revison Saddle Nose

One cm of dorsal and caudal septum left intact after septoplasty is borderline but would usually be adequate unless there is a fracture of the integrity of that “L” strut support. If you have not had the cup cartilage from your ears used for grafting already, it can be harvested without misshaping the ears and […]

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Proportionate Nose

A Strong nose on a small face is different than on a large face. It’s all relative in regard to balance of your features. I have male patients who are concerned about losing their “Authority” and it is a real concern and an overly reduced nose on a masculine face can be feminizing when that […]

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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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