Archive for November, 2010
Computer Imaged versus Real Results III
And now for the final installation in our series of photos demonstrating the comparison of simulated surgical results done pre-operatively with actual rhinoplasty results obtained over one year after surgery. This already beautiful young woman wanted her nose to better balance with her face through hump reduction, tip narrowing and refinement, deprojection, and correction of a hanging columella. In the After photos on the right, you can see how this sense of definition and balance was achieved while maintaining a beautiful, natural look.


Computer Imaged versus Real Results II
Continuing from our last post, we want to show you another example of how closely computer imaged results compare to the final surgical rhinoplasty outcome. This young woman had undergone previous rhinoplasty that left her with a wide, unrefined tip from the front view and a pollybeak-type fullness above the tip on profile view. Our pre-op computer imaging (middle photos) showed tip and alar base narrowing and refinement along with creation of a straight profile, and this was readily accomplished with revision rhinoplasty surgery as can be seen in these one-year After photos on the right.


Computer Imaged versus Real Results I
Computer imaging is extremely important in our practice in helping our patients to articulate their goals for rhinoplasty surgery and for us to be able to communicate effectively what can or cannot be accomplished with surgery. It is not just about drawing a picture of a good-looking nose. For us, it is about being able to show accurately how each proposed change in surgery will truly affect every other aspect of the nose. It is critical for us that we are honest, precise, and real in our imaging. For that reason, we do not over-image but, instead, image a change that we know we can deliver. As a result, we are not only comfortable sending our patients their images before surgery; we use these images as a vital tool to facilitate conversation during the final pre-op visit to make sure that we completely understand the desired aesthetic. And then, we do not deviate from this aesthetic during surgery.
We have compiled images of several patients that we will post over the next several blogs to give you an idea of just how closely the imaged result can predict the final outcome. In these images, you will see the Before Unimaged photo on the left, the Before Imaged photo in the middle and the one-year After photo on the right.


This patient suffered a severely twisted and collapsed nose resulting from prior surgery. The goal and result was achievement of a smooth, natural nose that corrected the scoop, over-projection, nostril retraction and hanging columella while restoring normal breathing. On a side note, the neck liposuction result was even better than predicted.
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