Beverly Hills Rhinoplasty Surgery Blog

Please note: We are happy to see that our blog is of some help to many of you who are considering or recovering from rhinoplasty. While we would like to address your concerns directly, we are not able to dispense medical advice over the internet. Your own surgeon is your best resource in the first weeks and months after surgery. If, after 5-6 months, you continue to feel unhappy with your result, feel free to contact us via our practice site www.beverlyhillsprofiles.com and we can arrange time to discuss your concerns. All the best for a happy outcome.

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Plastic surgery today has become widely accessible and more socially acceptable. The result has been a much wider public understanding and acceptance of plastic surgery across the spectrum, including the various ethnic populations that make up the world and, particularly, the United States. As a result we see patients from around the world that make up almost any ethnicity one could think of. Read more

We have recently heard from a couple of prospective patients who are concerned about having open rhinoplasty to narrow the tip and a nostril narrowing procedure (alar base reduction) at the same time. They had been to see other surgeons who had advised against this because of fear of risk to the blood supply of the nasal tip. Read more

We often see ethnic patients wanting a more defined nose. Many ethnic noses tend to have thicker skin. Achieving the definition, narrowing, and refinement you desire has everything to do with how that thick skin wraps around the cartilage structure underneath. If the cartilage structure is well-defined and well-supported, you can achieve excellent definition. If the cartilage lacks shape, your tip will look the same- bulbous, wide, full, and lacking in shape. On top of that, ethnic patients often have a thicker layer of tissue under the skin that lays on top of the tip cartilage. In these cases, it is necessary to carefully ‘thin out’ the thicker pad of tissue under your skin so that the newly-defined cartilage can show through. Read more

How about neither? We are often asked about nasal implants. These are primarily used for East Asians, African Americans, and others seeking a stronger, higher nasal bridge and a more refined tip. They are also sometimes recommended for patients whose bridge has been lowered too much during previous surgery. Implants can be of various materials but the most commonly used implants are made of silicone/silastic.

Above you can see the typical shape of a nasal L-strut implant. This particular one happens to made of Medpor which can be a real problem to revise…but that’s another story.

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Every so often we are confronted by the patient who has gone overseas to have surgery only to return with a botched result. Now this is not to say that surgeons outside the US are not good or as accomplished but simply that once you have surgery overseas your ability to have adeuate follow up or in the worst case scenario recourse toward revision are dramatically decreased. Read more

We were recently asked if rhinoplasty is customized to each person because this individual liked her longer nose but wanted a smaller tip and a less droopy appearance. Rhinoplasty absolutely is and should always be individualized to your features, skin type, and specific goals and desires for your nose! Read more

Indications for Tip Grafts in Revision Rhinoplasty

In the revision rhinoplasty patient tip grafts may be necessary if: (1) there is a pollybeak deformity (2) there is an asymmetric tip or nasal bossae (3) there is a poorly defined nasal tip (4) in the overly shortened nose, or (5) there was failure to recognize false tip projection at the time of primary surgery or there was loss of normal tip support mechanisms after primary rhinoplasty. We will explore each of these situations in turn and post representative examples in future blogs. Read more

We have gotten a number of emails recently asking about what can be done for bad nostril scars. These usually result from a poorly planned nostril reduction procedure, often called alar base reduction. For many ethnic rhinoplasties, narrowing of the nostrils is a desirable goal to bring the tip into balance. There are a number of ways of doing this but all involve some sort of incision along the opening or rim of the nostril (at least that’s the only way to get a permanent change). If done well, these scars should be invisible once they are healed (watch out for our upcoming post with pics on how to do it right!). Read more

In the NY Times Magazine last week we came across these stunning pictures of Yasmine Warsame, a beautiful East African model from Somalia who grew up in Canada.

We looked her up since we had never seen her before and we came across her myspace site where she’s quoted as saying: Read more