May 7th 2019 Everything to Know About Getting a Rhinoplasty by NewBeauty | Yahoo Lifestyle
Dr Jay Calvert MD on What to expect: Irregular Nostrils “Selfie nation has caused people to really look more carefully at their nostrils so we’re doing a lot more nostril modifications these days” says Beverly Hills, CA plastic surgeon Dr Jay Calvert, MD. Surgeons can do any number of things to create a complementary set, “from moving the septum and adding cartilage to the rim of the nostrils, to moving the alar base and tucking up the mucosal lining of the nostrils,” says Dr. Calvert. Some of these tweaks can even be done in the office under local anesthesia.
Deemed one of the most challenging procedures in plastic surgery—one where “millimeters and symmetry really matter,” notes Philadelphia facial plastic surgeon Jason Bloom, MD— rhinoplasty (the “nose job”) can reduce or enhance the size of the nose, smooth away humps and bumps, tweak the shape and orientation of the tip, raise or lower the bridge, and relieve breathing problems. “Our aim is not just to make the smallest nose we can,” Dr. Bloom adds, “but to balance the tip and nostril size with nasal function and support”—objectives often achieved by using grafts (made of the body’s own cartilage and fascia) to change the framework of the nose. Done right, the high-impact procedure can bring overall balance to the face, and in many cases, make patients look younger. By “enhancing the supporting structures and making the link between the tip and other parts of the nose stronger, we assure that the nose won’t be as susceptible to dramatic gravity forces and the droopiness that occurs to every nose with age,” says Cleveland plastic surgeon Bahman Guyuron, MD.
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Along with a slew of technical upgrades, an evolved aesthetic has helped make the surgery a 21st-century staple. “The goal of any rhinoplasty is a natural, un-operated look—never the scooped-out slope with pointy, turned-up tip,” says Dallas plastic surgeon Rod Rohrich, MD. Meeting expectations starts at consultation, when you and your surgeon will map out your new nose—typically with the help of 3-D imaging, which lets you glimpse every angle, and tweak accordingly—and discuss the surgical maneuvers that may be required to create it, or at least come close (as doctors can’t guarantee your final result will be an exact replica of the computer-generated image).
Two Approaches to Rhinoplasty: Open
“While closed rhinoplasty is the classic approach to the nose, open rhinoplasty rose to popularity in the early ’80s, and became the more common method for teaching residents in training, as the operating surgeon was able to point out the anatomy with the nasal skin elevated,” explains Los Angeles plastic surgeon Geoffrey Keyes, MD.
The closed, or endonasal, approach is sometimes dubbed “scarless rhinoplasty” because incisions are hidden inside the nose. Despite the name, Dr. Bloom says, “We can still see everything we need to. We’re taking the still-attached cartilages out of the nose through the nostrils, suturing them, modifying them, and putting them back.”
Key Questions to Ask During Your Consultation
Are You Board-Certified?
Your doctor should be certified by the American Board of Plastic Surgery (ABPS) or the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS).
How Many Rhinoplasties Do You Perform Weekly?
While there is a select lot of rhinoplasty specialists who operate on multiple noses daily, Dr. Rohrich says a true expert should do three to five rhinoplasties a week, and have at least 10 years of experience.
May I See Before-and-After Images of My Specific Problem?
“At the end of the consult, when we’re looking at before-and-afters, most of my patients will say, ‘Her nose looks like mine!’ during our review. And that’s my goal: to show patients I can address their particular issues,’ notes Dr. Bloom. Ask to see 10 or more relatable B&A photos. And beware of cookie-cutter results: “Older techniques called for removal or interruption of too much cartilage, which resulted in prototype noses—everyone had the same nose,” says Dr. Guyuron.
What Approach Would You Use for My Nose, and Why?
When it comes to open or closed, one method isn’t superior, but ideally, your surgeon will be proficient in both, so he or she “can match the approach with the complexity of your case,” says Dr. Bloom. “You want the surgeon to be comfortable with the approach they choose, not adapt their style to fit your requests.