Archive for March 1st, 2008

Is Rhinoplasty or Revision Rhinoplasty even worth it?

March 01st, 2008 | Category: Rhinoplasty Philosophy

That’s an odd question coming from a Rhinoplasty surgeon, we know. But, it’s a question we face a lot in our practice. If you spend time on Rhinoplasty discussion forums, you will leave feeling very depressed about your chances for the nose you’ve always wanted. These sites are chock full of nightmare stories of bad results and even worse interactions between the patients and surgeons. Having had a bad result already, many patients find themselves understandably bitter, suspicious of doctors, and despairing for the nose they had. It’s enough to scare off someone considering a first-time Rhinoplasty. More sad is that many Revision Rhinoplasty patients are so scarred from their experience that they are too scared to even think about jumping in the pool again after they’ve almost drowned, even if they can afford to take the chance!

And, the picture may not appear much brighter if you read our blogs. Patients say, “You talk about high revision rates and how hard the surgery is…is it even worth it?”. There are few surgeons who make a practice of doing Rhinoplasty, let alone Revision Rhinoplasty….the technical challenges seem insurmountable in many cases and it can also be very hard to win back a patient’s trust. Well, the story should not be one of doom and gloom. Just because Rhinoplasty and, especially, Revision Rhinoplasty are challenging does not mean that they cannot be consistently done well.

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Why does my nose look different than when I was younger? I now seem to have a hump that I didn’t have when I was younger.

March 01st, 2008 | Category: Aging nose,Rhinoplasty Techniques

The effects of aging on the nose have been classically described.

Aging Man picture

Its obvious when we look at our grandparents that their noses age as well. These changes have all been classically defined and at Profiles we have developed a conservative surgical algorithm which removes most of the signs of an aging nose without making you look dramatically different.

In general terms, you will note that newborns have a nasal dorsum that is concave (naturally scooped) with an upturned tip while in the elderly, the tendency is for the dorsum to appear convex with a ptotic (droopy) tip. Not all people will experience age-related changes to the same degree nor will all patients necessarily find this cause for concern.

As we age, the nasal tip often droops, resulting in an apparent dorsal hump. All we need do to see this is to look at photographs of our grandparents in comparison to their younger counterparts. It always appears as if a hump has grown with time; in truth, this is an optical illusion since our noses don’t grow substantially after the age of maturity. Rather, as the tip drops creating an acute nasolabial angle, the dorsum appears more prominent in contrast to the tip.

To correct these changes, here at Beverly Hills Profiles we follow a specific surgical sequence which we have found allows us to optimally restore your nose to its more youthful appearance. We encourage you to read more in our Modern Rhinoplasty textbook under Aging Nose.

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