| |
RHINOPLASTY (Cosmetic Nose Reshaping, or "Nose Job" Surgery)- Dallas,Texas
|
Dr. Lam is uniquely qualified to enhance your nose. He has written extensively
in his two
textbooks and in numerous scientific articles about his method of
both cosmetic and functional (improving
nasal airway) nose surgery. Dr. Lam also performs complicated,
revision cosmetic nose surgeries in those individuals with an unsatisfactory
prior result. He has knowledge and experience with the full gamut of nasal
surgery, including repair of traumatic nasal injury, reconstruction
of the nose after significant tissue loss from cancer, skin resurfacing
of the nose, and complicated repair of the nasal airway. He has intimate
knowledge of both the inside and outside of the nose, and every consultation
involves a detailed examination of the nasal airway passages and the external
anatomy of the nose. As the nose is first and foremost a respiratory
organ, Dr. Lam’s objective in every surgical endeavor is to either
preserve or enhance breathing besides simply cosmetic enhancement of the
nose.
RHINOPLASTY FOR THE HOOKED, OR HUMPED, NOSE
 |
A nose with a prominent bump or hump can detract from overall facial harmony and draw undue attention to it; whereas, a beautiful, well-proportioned nose oftentimes goes unnoticed. Although a hump nose may not always be undesirable in a man, this condition may masculinize the appearance of a woman. At times, a humped or hooked nose can also unfairly stereotype someone’s ethnicity. When reducing the hump of a nose, Dr. Lam is always careful to preserve a strong, straight nasal bridge. A scooped nose is a telltale sign that rhinoplasty was performed and is a result of overaggressive surgery. Dr. Lam is meticulous in maintaining a proper nasal profile when performing cosmetic nose surgery. Digital photographic analysis may also provide a useful method to help you understand the benefits of profile reduction.
|
RHINOPLASTY FOR THE CROOKED OR TWISTED NOSE
 |
A nose can be twisted or crooked from birth or acquired after an injury. Repair of a crooked nose can involve simply realignment of broken or malpositioned nasal bones or more elaborate methods. For example, crushed nasal cartilage can also be part of the problem and lead to both impaired nasal breathing and/or a cosmetic deformity that needs to be addressed. Dr. Lam begins his analysis with a detailed physical examination of your nose and airflow patterns to determine what combination of corrective procedures will be most suitable to improve your nasal appearance and/or breathing. |
RHINOPLASTY FOR THE TENSION NOSE
 |
A tension
nose deformity suggests that the nose is overgrown in all
directions: the top, the front, and the bottom. Correction of
a tension nose requires careful reduction of each of the parts
that are oversized in a proportionate fashion. Typically, the
part of the nose that is most overgrown is the central septum
that pushes the nose down, forward, and up, while even shortening
the upper lip to create a "gummy smile". A three-dimensional
understanding of the nose permits appropriate intervention that
will yield the optimal aesthetic result. |
RHINOPLASTY FOR THE TRAUMATIC NOSE
 |
A traumatic
nose arises, as the name implies, from a past injury. If the
nose was perfectly straight prior to the accident, correction
of the nasal bones alone will oftentimes suffice. However, airway
compromise that partly arises from a deviated septum can also
contribute to airway problems and should be carefully analyzed
and, if needed, corrected. |
RHINOPLASTY FOR A SADDLE NOSE DEFORMITY
 |
A saddle
nose often has been described as a "boxer's nose"
in which the central third of the nose has collapsed inward from
prior trauma. When the septum loses support, the middle third
of the nose can fall inward causing both a problem with nasal
airway breathing as well as a cosmetic deformity. The name "saddle
nose" is derived from the characteristic saddle appearance
that a collapsed middle third of the nose imparts. Rather than
incorrectly diagnosing the upper
third of the nose to have a hump, which should not be taken
down, the skillful surgeon will understand the importance of rebuilding
the central nose as the singular priority. |
RHINOPLASTY OF THE NASAL TIP (TIP-PLASTY)
 |
At times, an individual may only complain of the
shape and size of the bottom third of the nose, known as the nasal
tip. A more conservative rhinoplasty approach can permit correction
only of the region of the nose that is a perceived concern. Refinement
of the nasal tip, known as a tip-plasty, can change the appearance
of an individual in subtle yet profoundly dramatic ways. Raising
the angle of the nose gently, refining the width of the nose without
overly doing so, and reducing some of the fullness of the nose
are common objectives of this kind of nose
reshaping. |
MALE RHINOPLASTY
 |
The key to male rhinoplasty is preserving a strong masculine shape that matches both the individual’s character and desires. Even at times leaving a little “bump” on the nose can be acceptable as long as the patient and physician have arrived at a suitable and mutual agreement on the desired objectives. Digital morphing analysis during consultation can facilitate more accurate communication between the prospective patient and Dr. Lam. |
REVISION RHINOPLASTY
 |
Hopefully, aggressive reduction surgery of the nose is a thing of the past. However, some surgeons continue to practice an excessive form of rhinoplasty that can leave noses unnaturally scooped, curved, pinched, or otherwise deformed. Dr. Lam is a very experienced revision rhinoplasty specialist who takes pride in not only restoring and enhancing the shape of one’s nose but also returning a damaged nose back to a functioning, breathing condition again. |
FUNCTIONAL RHINOPLASTY
 |
Functional rhinoplasty refers to the art of shaping a nose so that the individual can breathe better. Rhinoplasty simply means changing the shape of a nose, whether for cosmetic or functional (i.e., breathing) purposes. At times, functional rhinoplasty may require a change of only the inside of the nose to enhance breathing such as straightening a deviated septum, modifying an enlarged turbinate, correcting internal or external nasal valve collapse. At times functional rhinoplasty may also involve changing the shape of the external nose to help with breathing but at the same time permit enhanced cosmetic results. In the accompanying photograph, this woman had undergone over-reductive rhinoplasty so that she looked “scooped” out with an over-rotated nasal tip (pig nose) and also could not breathe. By correcting both the outside and inside of the nose, she could finally breathe well and also look much more natural in appearance. |
RECONSTRUCTIVE RHINOPLASTY
 |
Sometimes a nose is destroyed through trauma or other times through cancer. Dr. Lam is skilled in rebuilding a nose that is even partly or entirely missing. In order to recreate a nose that partly or completely is destroyed, he must carefully rebuild all three layers of the nose if need be, i..e., the inner mucosal lining, the cartilage framework, and the outer skin and soft-tissue envelope. The accompanying photograph demonstrates a person with a full-thickness loss of all 3 layers that was rebuilt by reconstituting the inner mucosa with septal hinge flaps, nose and ear cartilage to rebuild the framework, and forehead tissue to reconstruct the skin and soft-tissue in 3 separate operative stages. |
CAUCASIAN RHINOPLASTY
 |
The Caucasian nose is generally classified as leptorrhine with features that usually encompass thinner nasal skin and firmer underlying cartilages. However, every Caucasian nose is different and must be carefully evaluated by both looking and by touching. The most often requested rhinoplasty for the white nose is reduction of a hump and/or refinement of the nasal tip. The Middle Eastern rhinoplasty (see below) shares these similarities oftentimes; whereas the Asian nose more likely is benefited from the opposite, i.e., augmentation or increasing the nasal bridge and tip. |
AFRICAN AMERICAN RHINOPLASTY
 |
The African nose is classified as a platyrrhine nose, which generally means a wider, flatter nasal shape. Often the nasal base is flared and the bridge is wide. The skin can be quite thick and the cartilages thinner and less defined. With Dr. Lam’s extensive experience with all kinds of ethnic noses, he is careful to use techniques that are more suitable for the African nose that helps preserve ethnicity but also soften features that may be overly ethnic in appearance. There is not a cookbook formula that Dr. Lam follows when working on the African nose but instead he considerately listens to his patient’s desires and guides him/her on appropriate techniques based on facial shape and aesthetic motivation. |
MIDDLE EASTERN RHINOPLASTY
  |
Middle Eastern Rhinoplasty encompasses a wide range of nose shapes and types based on one’s exact ethnicity, like Persian (Iranian), Armenian, etc. Most oftentimes, Middle Eastern noses that are considered unaesthetic are, like Caucasian noses, too large in the nasal profile and tip. Dr. Lam is careful in discussing with you how to preserve or soften your ethnicity while having the nose fit your facial features at the same time. Often over-reduced Middle-Eastern noses can look artificial and unaesthetic with one’s surrounding facial features. |
HISPANIC, OR MESTIZO, RHINOPLASTY
 |
The Hispanic nose can be a complex amalgam of various races, as exemplified in the so-called Mestizo nose, which can have characteristics of the Oriental indigenous Indian tribes, African, and/or Spanish white features. At times the nose can be overly protuberant like other Western noses or other times more akin to the retruded Asian nose, or a combination of both. Mestizo rhinoplasty is an art that Dr. Lam has extensive experience with, as he practices in the state of Texas where there is a large Hispanic population. |
INDIAN RHINOPLASTY
 |
Individuals who hail from the Indian subcontinent can also have a different mixture of features, at times having characteristics similar to the Middle Eastern nose and less commonly some Far East Asian features. Most techniques for the nasal profile that Dr. Lam uses in the Indian nose are similar to what he uses for the traditional Western or white nose with some modifications. The nasal tip, however, can have more retrusive features with thicker skin that resembles those of the Far Eastern Asian nose that mandate a different or combined strategy. |
ASIAN RHINOPLASTY
  |
As the author of the definitive textbook on Asian cosmetic surgery, Cosmetic Surgery of the Asian Face (2nd Edition), and a frequent lecturer on the subject, Dr. Lam is considered an authority on the subject. His unique perspective on Asian rhinoplasty affords him a distinct advantage in treating any ethnic nose in his ability to have a more extensive arsenal of rhinoplasty methods that can be suitable for individuals ranging from the thick skin/thin cartilage patient to the other extreme of thin skin/thick cartilage and from the smaller nose tip/bridge to the larger nose tip/bridge, and everything in between. Unlike the very artificial appearing silicone implants that appear shrink-wrapped, make the skin appear red, and look like a popsicle stick in the bridge, Dr. Lam uses a combination of Gore-Tex for the nasal bridge which is smoother and softer along with cartilage techniques for the nasal tip that preserve one's ethnicity and enhance one's appearance. |
RHINOPLASTY FOR THE AGING NOSE
 |
As the nose matures, changes may occur in the elasticity
of the skin and connective tissues that lead to descent of the
nose over time. Recall the deformed noses that Leonardo da Vinci
drew to symbolize the aged appearance of the face. As the nasal
tip falls, a hump along the nasal profile may be evident that
was not observed at a younger age. The descended nasal tip may
worsen the aged appearance of the nose but also may restrict nasal
airflow. Reconstruction of the nasal tip can serve to improve
both nasal airflow and appearance. |
RHINOPLASTY FOR THE RHINOPHYMATOUS NOSE
 |
Gross deformities of the nose can occur as one
ages due to a process known as acne rosacea, which can lead to
an inflamed and enlarged nasal appearance, called rhinophyma.
The nasal distortion that arises can be socially crippling for
the individual who suffers from this condition. Rhinophyma reduction
can help restore an individual back to a normal appearance and
remove the weight of abnormal tissue that can impinge on nasal
airflow. |
|
|
|
|
Dr. Lam has been featured on
Email Us:
|
|
|
|
|
