Archive for the 'Revision Rhinoplasty' Category

The Profiles Perspective: Our Belief that Synthetic (Alloplastic) Materials Should Not Be Used in Rhinoplasty

At Profiles, we have always held the standard and belief that when doing rhinoplasty and revision rhinoplasty, there is a hierarchy we can follow when grafting material is needed. Ideally, whenever possible, we use septal cartilage. It allows us to replace any missing cartilage or to build support using tissue that is essentially identical to the normal cartilage we find in your nose. In some cases, the septal cartilage is too thin and flimsy and unsuitable for use; even in primary cases. And in revision rhinoplasty, the quantity and quality of remaining septal cartilage may be inadequate for reconstruction.

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Rib Cartilage in Rhinoplasty Surgery: The Beverly Hills Profiles Perspective

If you are reading this post, you likely had previous rhinoplasty and have now seen a revision surgeon who has recommended that you have rib cartilage removed during your revision surgery. The use of rib cartilage in revision rhinoplasty has become increasingly popular over the last many years as revision rhinoplasty surgeons continue to seek out alternative sources of cartilage for grafts that are often necessary during revision.

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Steroids and Rhinoplasty

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 and we can arrange time to discuss your concerns. All the best for a happy outcome.

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What do you do if too much nostril shows?

March 30th, 2010 | Category: Revision Rhinoplasty,Uncategorized

The Hanging Columella or Notched Ala: Why you see so much of your columella and septum on profile and how we fix it
The Appearance of Retracted Nostrils or of  Too Much Visible Septum

If you are looking at this blog, you (or someone you hold dear) probably had a rhinoplasty (nose job) sometime in the past and now when you see yourself, especially on profile, all you see is that the middle part of your nose at the bottom (the columella and the septum behind it) is way too visible. Perhaps you have been thinking all this time that your septum shows way too much or that the middle part just seems to hang so low.  You may have seen your original surgeon who said you “healed badly” or you just figured it can’t really be fixed. And unfortunately, frequently this is a problem that even many surgeons find confusing.

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Ethmoid bone grafts in Rhinoplasty and Revision Rhinoplasty

Recently we’ve seen a number of people who have asked about the use of ethmoid bone in revision rhinoplasty. Each had previously undergone a nose job that had over time either resulted in loss of tip support- resulting in a droopy nasal tip- or had a twisted nose which had been partially corrected but over time had twisted again- resulting in a crooked nasal tip. Read more


Rhinoplasty and Nostril Narrowing at the same time

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

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Loss of identity after rhinoplasty

June 04th, 2009 | Category: Revision Rhinoplasty,Rhinoplasty Philosophy

Everyone who has suffered a poor Rhinoplasty result experiences a range of negative emotions. All are understandably unhappy about their noses and fearful of misplacing their trust once more. Yet, there are some who experience a more extreme reaction, a few of whom we’ve seen recently. Read more

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How we make your nose smaller

When you’re thinking about a nose job, you either don’t care how it’s done… you just want to make sure your surgeon can deliver the result you want and that’s it. Final. Over. Period. Or, you may join a growing group of people who want to research the procedure in detail to learn the pluses and minuses of open vs. closed rhinoplasty or Technique A vs. Technique B. If that sounds familiar, this blog is for you. Read more

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Tip Narrowing and Refinement

The main concern for many people seeking Rhinoplasty is a wide, boxy, or bulbous nasal tip. They’d like it to be narrowed and more refined but are afraid of having a pinched or unnatural look. Excessive pinching from tip narrowing is really a preventable complication that happens from overaggressive cartilage removal or inappropriate suture techniques.
Anatomy of a wide tip nose
Anatomy of a wide tip

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Should you choose open or closed rhinoplasty

This is a big question for people. There is a lot of fear about the open rhinoplasty incision. Will it be noticeable? Maybe you’ve seen examples of poor scars from an open rhinoplasty. The fact is poor scars happen when poor technique is used.

You should know that, in the hands of a careful and experienced open rhinoplasty surgeon, the open incision heals beautifully. Below is a typical example of how one of our open rhinoplasties looks before and after just 3 months. We hope you’ll agree that without showing you where the incision is placed in red, you’d have a pretty hard time finding it.

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