Mar 7

Want a great-looking, natural nose? Don't get a perfectly straight profile.

A bump seen in the profile view is one of the most common concerns we see in patients seeking Rhinoplasty. Many wonder about or ask whether they can achieve a perfectly straight-line profile after surgery? You may have seen Rhinoplasty results such as these or those that go one step further and scoop out the nasal bridge.

Primary Rhinoplasty

The fact is that even beautiful unoperated noses are NEVER perfectly straight in profile. You could even say that nature hates a straight line since all of our features are made up of gentle curves and geometric shapes. Our eyes are drawn to straight lines. We recognize them and pick them out easily. So, a scooped out or even straight nasal profile is usually a dead giveaway that someone has had Rhinoplasty surgery. Not only is it unnatural, a ski-slope profile overly softens the nasal appearance, making it appear ‘washed out’ and child-like.

A naturally appealing profile has a very slight fullness or ‘strength’ in the area of the bridge and just a hint of a depression or ‘break’ just above the tip. This is the post-operative profile we often recommend and strive for in our practice, though we will work with you during your consultation to see what is optimal for you. So, if you want a great-looking and inconspicuous Rhinoplasty result, ask us about going ‘natural’.

You can read more about this and other topics in our online book about Modern Rhinoplasty.

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2 Comments so far

  1. Adam March 8th, 2008 9:45 am

    This is a very informative. Can you comment on the differences between and “open” and “closed” procedure?

  2. Admin March 10th, 2008 12:31 pm

    Thanks for your question, Adam. You can read more details about this topic in our blog entry dated February 29 entitled “Should I have an Open or Closed Rhinoplasty?”. The short answer is that Closed Rhinoplasty is done by concealing all of the incisions inside the nose. The obvious advantage is that there is no incision that is visible to the outside. But, every technique has its trade-offs. In Closed Rhinoplasty, the surgeon must operate on the bridge and tip from inside the nose. Many of these alterations are made blindly with the instruments passing underneath the skin. This is a bit like putting up a tent while standing on the inside. It can be done, and you sort of know where everything should go, but can you be sure that it was done precisely?

    Open Rhinoplasty extends a small incision across the columella or vertical tissue between the nostrils. But, does this small incision ever make a big difference! By doing this, the surgeon can lift up the skin over the nose to expose and see the nasal skeleton directly. So, the appropriate changes can be made more directly and exactly. Also, the tissues can often be better stabilized with sutures so these changes will be more predictable over time.

    That’s why we use Open Rhinoplasty for many of our cases, expecially revisions, or complicated primary (first-time) surgeries that require work on the tip. Occasionally, we will use the Closed Approach for more straightforward situations. Hope this answers your questions. Please feel free to write back if we can clarify anything.

    Drs. Litner and Solieman

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