Unqualified Practitioners Pose a Problem

Information and access to plastic surgeons has never been greater with the internet explosion. Likewise, the potential to be deceived by slick online advertising and fraudulent marketing may lead patients to unqualified practitioners.

When information is so easily accessible and the tools available to self-promote are readily attainable, it becomes a sort of wild west where potential plastic surgery patients could be led astray. Two board certified plastic surgeons discuss in this video how patients can combat misinformation and stray from unqualified practitioners who may be deceiving or even lying about their experience with procedures.

Perhaps most disturbing is the fact that the patients who choose the unqualified practitioner may be doing so to spend less than a legitimate practice.

KEY TAKEAWAYS:

• Plastic surgery like most other purchases, must be an informed decision.
• Beyond meeting and talking about a physician’s background, judging a before and after gallery can provide the evidence.
• Unqualified practitioners are perhaps getting into the business to make more and easier money.

“I’m sitting here today with the real deal, two board certified plastic surgeons. But there are providers out there who are not qualified, who are doing procedures and it’s costing people injuries and also costing people their lives.”

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The Rhinoplasty Society in Versailles

Established in 1996, The Rhinoplasty Society is the premier organization in the world dedicated to the ongoing education of surgeons interested in nasal surgery.

Through this “fraternity” over 100 of the most respected rhinoplasty surgeons in the world dedicate their efforts and share their innovations to improve the quality of rhinoplasty. Dr. Geoffrey Keyes of Los Angeles, California is the President of the Rhinoplasty Society.

The International Meeting of Rhinoplasty Societies (IMRHIS) in Paris-Versailles, France, took place in September 8-10.

“This joint meeting organized by the societies of the United States and the Europeans promises to be the largest meeting devoted to rhinoplasty in history.

Not only this was a fabulous social experience with our French hosts, but 50 great surgeons demonstrated a wide variety of techniques and new procedures that are sure to refine our collective approaches to the art of rhinoplasty.”

 

KEY TAKEAWAYS:

• A change in the tip of the nose may influence a change in the bridge or radix.
• Cartilage and bone are quite hard and little irregularities can occur over the years.
• Even in the case of a primary rhinoplasty, there are a number of interrelated steps required to achieve facial harmony.

“Aside from the aesthetic pursuit of the “perfect” nose, there is also a functional aspect that is equally important, so breathing quality cannot be compromised.”

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Rhinoplasty Benefits That You Should Know

The driving force behind the need to have a nose job is mainly aesthetic. Many people are not happy with the way their nose looks and wish to change it.

The operation is essentially a minor one and patients can return to their homes when the operation is done. Only those who are prone to risks and complications are kept overnight at the hospital for monitoring after the rhinoplasty.

There are two main techniques in implementing the changes and improvements that the patient would like. These are the open and closed techniques, which refer mainly to the types of incisions that are made.

The operation can make different kinds of alterations and improvements on the person’s facial feature.

The aesthetic benefits of getting a nose job are dependent on the preferences of the individual and his or her point of view.

There are also health benefits that rhinoplasty can bring to people. There are some individuals who have some difficulty breathing.

KEY TAKEAWAYS:

• Self-satisfaction is something that a person gets when he or she is happy with the results of the operation.
• Symmetry of the face and its features is something that is usually sought by the patient.
• Birth defects can also affect how a person breathes.

“Speaking to a certified and qualified surgeon will enlighten the patient more about other benefits.”

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Rhinoplasty: Part Science, Part Art

Many people don’t like the look of their nose. The American Society of Plastic Surgeons statistics show that rhinoplasty or nose surgery is the second most popular cosmetic procedure in America.

As well as patient’s desires of the shape of a new nose, the surgeon also have to take into account his or her anatomy.

Rhinoplasty is one of the most difficult procedures, and patients can be male or female, older or younger, and any and all ethnicities.

It requires a balance between science and art, which makes rhinoplasty surgery so difficult.

KEY TAKEAWAYS

• To find the right proportion, your surgeon must look at the relationship between your nose and the rest of your face.
• When someone has a dorsal hump, the surgeon needs to remove it slowly and carefully.
• When a surgeon changes one thing, it affects everything else.

“Because of the inherent difficulties in rhinoplasty surgery, patients need to go to a board certified plastic surgeon who performs a lot of rhinoplasties. This is definitely a surgery where practice makes perfect.”

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Plastic Surgery – Feel Better About Yourself

Kim Kolciak always seems to say some entertaining stuff when giving interviews. She is not afraid to defend herself when it comes to plastic surgery.

Kim explains why it’s important for her to be honest about her cosmetic procedures, she said, “I’m happy with doing it or not doing it, I just want to always feel the best I can about myself.”

Kim makes an effort to change the view of plastic surgery from something that’s so taboo to something that can do a lot for women and their self esteem.

With careful research, proper safety precautions, positive motivation, cosmetic procedures can be a good thing for women. It just really depends on the circumstances and people need to relax and stop being so automatically judgmental about everything plastic surgery-related.

KEY TAKEAWAYS:

• There’s stuff out there you can do to make yourself feel better.
• For the most part, Kim keeps it real and I appreciate her hustle.
• Not everyone who gets plastic surgery is superficially motivated.

“I just want women to know there’s stuff out there you can do to make yourself feel better. I feel like women should empower other women.”

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Plastic Surgery Study

Anyone wishing to perform any type of surgery should be aware that there are risks, yes. Plastic surgeons and anesthesiologists always discuss this theme and even request that patients read and are aware of operative risks.

Medicine is a biological science and has its limitations. Rhinoplasty has become quite common over the last decades, but nevertheless, as a surgical procedure, all operations are exposed to certain risks.

The leading allegations by patients was improper performance of surgery (49 percent of claims). The top factors resulting in injuries:

1. Technical performance (42 percent)
2. Patient factors (41 percent)
3. Communication issues between the patient or family and the physician (10 percent).

The study is available at http://ift.tt/2d6pqun and at the American Society of Plastic Surgeons’ Plastic Surgery The Meeting, September 23 to 27 in Los Angeles.

KEY TAKEAWAYS:

• The study’s insights also highlight the important role patients play in their own care and recovery.
• Strategy a surgeon needs to take to ensure that he or she practices in the most risk-free environment they can.
• Both patients and physicians should work together to reduce the risk of injury

“This study is invaluable in that it spots important trends early, such as the finding involving technical errors,” said David M. Charles, MD, retired plastic and reconstructive surgeon in Denver, Colorado, and a member of The Doctors Company’s Board of Governors. “With this knowledge, plastic surgeons can work to enhance technical skills and program directors can more keenly focus on technical skills when instructing residents.”

Original Source: Study Looks at Factors That Lead to Patient Injury in Plastic Surgery

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Social Media Changed Plastic Surgery Landscape

Grafts and Implants Specifically Involved in Rhinoplasty

The immense progress of biomedical engineering, has been adding to search for the ideal graft to be used in Rhinoplasty procedures.

It should be removed easily without any morbidity, be available in sufficient amounts, show no long-term resorption, and no risk of infection.

Currently, the grafts are obtained from the person (autograft) or produced synthetically (alloplastic).

Although the use of alloplastic grafts have unlimited availability, the autograft is the graft of choice of many surgeons.

Implants typically bring balance and better proportion to the structural appearance of the face.

Facial implants are made from biocompatible material designed to improve or enhance the face physical structure. The type and the precise size of the most suitable implant for the person needs to take into consideration the goals, the characteristics they want to correct and evaluation of the surgeon.

Listen to interview with host Eric Michaels and guest Dr. Jay Dutton discuss types of grafts and implants involved in rhinoplasty, some factors to consider in selecting a graft or implant, injectables used in performing non-surgical rhinoplasty, risks and complications involved.

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KEY TAKEAWAYS:

• Whether done with implants or injectables, rhinoplasty can achieve beautiful, sculpted results.
• Rhinoplasty can improve the shape of the nose, straighten a crooked nose, correct a broken or injured nose, increase the size of the nose for better facial proportions and improve a patient’s ability to breathe and sense of smell.
• Dr.Dutton speaks about the injectables used in performing non-surgical rhinoplasty as well as the risks and complications involved in “injection rhinoplasty”.

“Dr. Jay Dutton, founder of Rhinoplasty Institute of Chicago, a plastic surgery practice in Chicago, IL, was recently interviewed by host Eric Michaels of eHealth Radio and the Plastic Surgery Information and Skin Care Channels to discuss implants and injectables in rhinoplasty.”

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3D Print Rhinoplasty System

Plastic Surgery Gift – Holiday Season

This Holiday season, while you can choose to give clothes, champagne and jewelry, you should know that each of these treats may disappear with time. So why not give a gift that continues to last for a long time, why not offer to your beloved one what he or she has in mind: cosmetic surgery.

Be a little facial rejuvenation to reduce the signs of ageing or a procedure such as rhinoplasty, both parties will enjoy these wonderful improvements. Nowadays there is no embarrassment to the male receiving a present of plastic surgery, as more and more men have procedures done.

Plastic surgery of the nose or rhinoplasty is a procedure aimed at improving the appearance of the nose, improving the ratio, facial harmony and improving self-esteem. In addition, nose surgery can correct or improve difficulty breathing.

It is clear that our face is the most exposed part of our body, the nose has a fundamental importance in the composition of the face. The fact that the nose draw attention ultimately affects the self-esteem of the patient, and rhinoplasty can help significantly.

KEY TAKEAWAYS:

• A great way to embrace the plastic surgery as a gift trend is by helping your loved one attain better results through an advanced procedure.

• Many spouses opt to give their partner a gift certificate for botox or facial fillers, for example, viewing such minor procedures as much like presenting them with a spa day.

• Giving the gift of plastic surgery is not all that different than giving your loved ones a gym membership, spa and salon services, or a trip to a yoga retreat.

“Finally, its become relatively common for husbands to give their wives plastic surgery procedures as gifts after they had a child. Childbearing is hard on the body, and many women struggle to overcome body image issues in the months and years after. Its also a way for husbands to thank their wives for giving them a beautiful child. “

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Rhinoplasty: How to Achieve The Best Nose For Your Face

 

It takes a lot of courage to even decide on going under the knife. Once decided, you must then trust the doctor and yourself who chose the surgery that all will end up well.

Now, getting through the process to achieve the best nose job requires courage and responsibility on an entirely different level.

Rhinoplasty does not end upon release from the operating room. It goes beyond the hospital and reaches further to your home and places you intend to go.

After surgery is a constant responsibility of taking care of the post-operative site. In the end, the way you handle yourself after the surgery will greatly affect the results of your surgery.

KEY TAKEAWAY:

• Cosmetic surgery is art in itself. No two surgeons will perform the surgery the same way. Find a surgeon you can trust and be comfortable with.
• Knowledge is the key. Do your research ahead of time. Be aware of the possible effects of the surgery and the best way to control it. Ask your doctor for the best sleeping position to avoid damaging the surgical site.
• Your nose can take up to a year to fully heal. Avoid eating salty foods and crying as this may cause inflammation.

Caution is key to making sure you obtain a satisfying rhinoplasty result.

Take your recovery seriously, as the first few weeks will greatly affect the final outcome.

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Favorable Results for Open Rhinoplasty Suture Closure

There are several rhinoplasty techniques but there is only one that usually heals to a nearly undetectable scar on the skin. Considered by many surgeons as the the best technique given the circumstances of the patient, and that is Open Rhinoplasty.

KEY TAKEAWAYS:

• Open technique is most common approach/technique
• Creates a mid-columellar scar
• Almost undetectable scar
• Favorable alternative to Non-resorbable sutures.
• Trimming the knots of the Vicryl sutures significantly less uncomfortable results
• Almost 1/3 of the suture extraction patients found it to be very painful

“This study confirms what I have practiced for more than a decade in open rhinoplasty surgery. I converted to 6-0 plain (an even faster resorbing suture that does not even require trimming of the knot) to close the transcolumellar incision long ago and have seen the same similar scar results.”

This study is very favorable, and considered by many to be the tell-tale sign of where Rhinoplasty procedures are heading. Open rhinoplasty procedures continue to fare well with results and should be considered when you are facing surgery.

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Cosmetic Surgery: Are the Benefits Worth the Risks?

As outstanding our generation may be in terms of cosmetic surgery and all its’ benefit, it comes with a cost.

As with any procedure that affects any aspect of the physiological function of the body, cosmetic surgery including Rhinoplasty, carries with it risks that each person has to weigh.

Some want to achieve perfection to gratify personal satisfaction. Some, find resolve to fit in the standards of the society.

No matter the reason behind the decision, you have to think hard whether it’s all worth it in the end.

KEY TAKEAWAYS:

• According to the U.S. Food and Drug Administration about 1% of women experience breast implant post- complications.
• Medical evidence shows that hyaluronic acid fillers can cause blindness, facial collapse, herpes, rheumatic disease and blue-tinged flesh according to Mail Online.
• Liposuction may be considered a minor operation but it carries some serious risks to patients.

Complications usually require more surgery to correct the problem.

Since cosmetic procedures are not medically necessary, really take the time to decide if the risks are worth it. Once you go forward, you may never be able to go back.

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What You Need to Know Before Getting Plastic Surgery as a Teen

In today’s generation, beauty is defined by the standards set by different societies.  Sadly, beauty is now a depiction of filtered realities.

In a bid to be equally or more beautiful than the rest, most people turn to plastic surgery to enhance their physical form. Apparently, the teens are not spared from this stereotype. With the need  to fit in with their peers, today’s teens are willing to go beyond imagination just to get what they want.

The stigma on getting under the knife have long been eliminated. Paving the way to the swift rise of plastic surgery. With more and more people trying to up themselves to the social  standards, plastic surgery becomes a go to treatment. It then becomes a matter of need rather than want.

The increasing trend of plastic surgeries in teens have raised plenty of eyebrows from on lookers that are mostly adults. This is more likely triggered by concerns on the physical and emotional aspect of undergoing plastic surgery.

KEY TAKEAWAYS:

• It is important to know the reason for undergoing plastic surgery

Most of the teens undergoing plastic surgeries have very low self esteem or have experienced childhood trauma. It is important to note the reasons of each teen to address the deep seated causes of trauma.

• Plastic surgeries can make you look older and sexualized.

Any change on a person’s physical form creates a great impact on how a person is viewed by other people. Fillers and other surgical treatments can make you look more than your age.

• Doctors require consent to operate from parents.

To ensure a sound legal operation, doctors require a parental consent. This is to ensure that the teen and their parents have a mutual decision before undergoing surgery.

“Rather than feeling victimized by their bodies, they appreciate the opportunity to appear more like their peers,”

“The question that’s especially important when it comes to teens and cosmetic surgery is ‘Why now?’”

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Cosmetic Surgery: The Obsession With Perfection

Who we are today is a product of who we were yesterday.

As cosmetic surgery becomes more available and affordable, people with perceived physical flaws turn to science to fix what they apparently think is wrong. Some may be left satisfied with the changes in their bodies after the surgery but some are constantly urging for perfection despite proper education on the results of these surgeries.

Now surgeons are often blamed by this misfortune. Patients then turn to social media to disgrace the surgeon and they are absolutely at a loss how to conquer it. It turns out there are some people who will never be satisfied with their bodies. They will never be satisfied despite constantly being under the knife.

Then comes a recent study of Body Dysmorphic Disorder in cosmetic surgery patients by Dr. Mark Constantian. It is noted that extreme dissatisfaction with cosmetic surgery may have a deeper root on childhood trauma. This study sheds light on the significant increase of dissatisfied patients relative to childhood trauma and BDD.

Studies show that 49% of surgical patients suffered from emotional abuse while some are suffering from emotional neglect and living with drug/alcohol abuse at 43% and 40 % respectively.

It is important to note the patient’s general well being before undergoing cosmetic surgery. This will lessen dissatisfied patients and settle agreements on anticipated outcome.

Our general well being is often defined by the circumstances we had to go through in early years.

KEY TAKEAWAYS:

• The flaw perceived by the patient may be non- existent or very minor.

Dr. Katherine Phillips told the Cosmetic Surgery times that plastic surgery is rarely a fix to these patients. Patients have developed a clear state of mind on their physical flaws rendering all other options obsolete. It’s not the surgeon’s fault neither the patient’s. It is a state of their physical conditioning that hinders them from fully seeing the improvement.

• Trauma (abuse/neglect) history was the most significant mediator between patient satisfaction and number of operations and the most prominent factor driving surgery in patients with milder deformities,” the researchers wrote.

The research shows that 90% of patients with three or more operations have experienced emotional distress during childhood. Some of these patients go to a surgeon’s office to relieve the feeling of worthlessness rendered to them by their childhood experiences. Most get under the knife to boost their self esteem.

• The patient needs to understand that there is no such thing as perfect.

Childhood trauma can produce people who are perfectionists. These patients tend to become irrational as they seek physical perfection. It is often difficult to reason with them. Therefore, the most effective way for them to be satisfied with their current physical form is to make them understand that perfection can never be achieved.

• BDD is a very treatable condition

A shift in perspective can often lead others to fully accept their physical form and fully embrace their imperfections. These issues can be addressed by seeking help from a professional to gain a different view of beauty.

“BDD causes sufferers to become preoccupied by perceived body flaws to the extent that they can’t function properly.”

“It’s not an unrecognized genetic abnormality or a neurotransmitter problem. They started off in an abusive situation.”

“The problem is with their tendency to focus on tiny details, to obsess and worry about how they look with an inability to see the big picture.”

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The Internet: Helpful or Harmful Finding a Plastic Surgeon?

In recent times, plastic surgery held a firm market in the society. As it wasgetting the love out there, more and more people turn to the Internet to gain access to information they need to decide on the best possible option.With cutthroat competition in aesthetic surgery, views towards plastic surgery are posted in the web for the whole world to see.

The Internet have a great impact on the surge of plastic surgery in terms of marketability and knowledge availability.

Now the bigger question is: Is the Internet helpful or harmful to plastic surgery patients?

As information on certain surgical methodology are made available to the public, a bigger threat is now posted as the credibility of these statements will always be questioned.

There are also variable opinion on plastic surgery as surgeons have different approaches or opinions on beauty and how best to achieve it.

Now, keep in mind that you are responsible for the things you read and believe in. Be wise in your search for surgeons. Be intelligent in your search for answers.

Nevertheless, here are some things that may help you on your search:

KEY TAKEAWAYS:

• Always check the credibility of the surgeon

According to Dr. William P. Adams of Dallas, here are four clues that your surgeon is a legitimate expert:

1. Has the surgeon been invited to educate at national meetings?
2. Has he or she been invited to perform live surgeries at these meetings.
3. Has the surgeon written certain peer reviewed publications
4. Has the surgeon had any books published?

• Trust a surgeon that bears the American Society of Plastic Surgeons or the American Society of Aesthetic Plastic Surgery.

When you see it, you’re safe. It means the surgeon underwent rigorous training for his profession.

• Just because you’ve read about it doesn’t mean you’re an expert

Not everything you see in the web is right. Some may fabricate information for the sake of posting interesting things online.

• Surgeons have varying views on plastic surgery.

Find a surgeon that you can be comfortable with and has the same view on achieving beauty.

Plastic surgeons are like designers. Each has his or her own unique opinion on beauty and how best to achieve it. Which is one of the reasons that patients can find such differing views on the right approach to a procedure when doing their Internet research.

Certain websites have gotten credibility because of their popularity, not because they are actually accurate.

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Rhinoplasty Recovery: A Quick Guide For After The Procedure

The recovery process following rhinoplasty and nasal procedures is essential to the long-term results of your procedure.

There are a variety of aspects of your recovery that you know before going in, what you should expect recovery time will look like.

While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. However, during this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.

Swelling may come and go and worsen in the morning during the first year following your rhinoplasty surgery.

You will be given specific instructions that may include:

• How to care for the surgical site
• How to care for the surgical site
• Medications to apply or take orally to aid healing and reduce the potential for infection
• Specific concerns to look for at the surgical site or in your general health.
• When to follow up with your plastic surgeon

Be sure to ask your rhinoplasty surgeon specific questions about what you can expect during your individual recovery period:

• Where will I be taken after my surgery is complete?
• What medication will I be given or prescribed after surgery?
• Will I have dressings/bandages after surgery?
• When will they be removed?
• Are stitches removed? When?
• When can I resume normal activity and exercise?
• When do I return for follow-up care?

Though the time of recovery will vary from person to person, being armed with knowledge going into Rhinoplasty procedure will keep you ahead of the game.

 

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Rhinoplasty Surgery Preparation Guide

Before scheduling rhinoplasty, you must meet with your surgeon to discuss important factors about your surgery. This meeting can include many topics, but generally includes:

1. It is important to discontinue the use of any aspirin, ibuprofen, vitamin E, and herbal supplements two weeks before and two weeks after your rhinoplasty surgery. ~ William Portuese, M.D.

2. Stop smoking for at least two to four weeks before surgery. Nicotine can horribly inhibit healing.

3. Stock up on prescriptions ahead of time if possible.

4. Make sure you have plenty of lip balm and cool beverages on hand. (Your mouth will get VERY dry from breathing through it.)

5. Enlist the help of a relative or friend to help with your first couple days and nights post-surgery. It’s great to have support, someone to fetch your beverages and soft foods, and a person to keep track of when you’ve taken your meds and when you’ll need more.

6. Make sure you and your doctor are on the same page about what you want done to your nose and what you do not want done. This is no time to be a shrinking violet. Speak up or you may regret it later.

7. If you are feeling extremely anxious, schedule another appointment with your surgeon to alleviate your fears and ask more questions.

8. Arrange transportation for after your surgery. You will not be able to drive yourself home after rhinoplasty.

9. Do anything strenuous that needs to be done before surgery. You’ll want to avoid heavy lifting for at least three weeks post-op.

10. Bring comfortable clothes to return home in. Front buttoning tops are better than shirts that pull over your head.

A Word About Food and Medications

Avoid medications containing aspirin or ibuprofen (Advil, Motrin IB, others) for two weeks before and after surgery. These medications may increase bleeding. Take only those medications approved or prescribed by your surgeon.

If you smoke, stop smoking. Smoking slows the healing process after surgery and may make you more likely to get an infection.

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Closed vs. Open Rhinoplasty: Making the Best Choice for You

Often one of the most confusing questions when confronted by a rhinoplasty patient is prospective rhinoplasty with a choice of open versus closed rhinoplasty.

This portrayal often results in puzzling looks from patients. Since virtually all changes to the outer nasal contour result from corresponding changes to the nasal skeleton, the surgical approach, and the corresponding skeletal exposure it provides, has a direct bearing on the ease of surgery and thus, the quality of the rhinoplasty outcome.

Endonasal Rhinoplasty: The Closed Approach

In the closed rhinoplasty approach, also called endonasal rhinoplasty, all of the surgical incisions are positioned inside the nostrils such that no part of the incision can be seen externally and a visible scar is avoided.

Since the right and left nostril incisions remain disconnected, respositioning the nasal skin is difficult. And what makes it even more challenging is the entire operation is performed through narrow surgical openings with reduced visibility. With that being said, many physicians find the endonasal approach to be quit be quite useful in certain situations including when bridge augmentation or minor bridge refinement is performed.

Open Rhinoplasty Approach

Open rhinoplasty involves a small incision placed in the columella (the skin at the bottom of the nose between the two nostrils). This incision allows wide exposure and assessment of the nasal cartilages and bones, and is closed with tiny sutures without tension so as to promote healing.

Which is best for you?

There is a lot of opinion out there about which approach to rhinoplasty is better. The truth of the matter is that best approach is a patient-specific approach – your surgery should be planned and performed in the way that gives you the best result.

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Rhinoplasty Procedure: Correcting the Radix

One of the most common things done during rhinoplasty surgery is taking down a or bump from the bridge. One variation of this problem that creates the illusion of a large bump is what’s called a low radix or pseudo-hump.

The radix is the upper bony portion of the nose. The radix and underlying cartilage may be large, causing a bump. If the radix is shallow, it can cause a depression and a bump. Your surgeon can reduce the radix by carefully shaving away small portions. The surgeon might add volume to a depressed area using a portion of the patient’s own cartilage harvested from elsewhere in the nose. By augmenting the space just above the radix, a surgeon can create a straighter slope.

The analysis of revision rhinoplasty and its underlying structural cause is an insight into the complications of rhinoplasty. Aggressive reductive techniques without structural support will lead to long-term unpredictable outcomes. Contextually deviant and poorly executed technique will often impart the stigmata of an unsuccessful rhinoplasty as well.

Revision rhinoplasty requires proper planning and understanding of the aberrant anatomy. An appreciation of individualized facial proportion and symmetry with recognition of the structural deficiencies or excess will allow for more favorable rhinoplasty outcomes.

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