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Category Archives: rhinoplasty

The Tent Pole of the Nose Revisited in Rhinoplasty

The Tent Pole of the Nose Revisited in Rhinoplasty I think it is worth exploring a concept that allows me to discuss with prospective rhinoplasty patients exactly how I approach noses and what the specific limitations are for a particular individual based on the unique characteristics of one’s anatomy.  The tent pole analogy is my […]

Cut-off Nostrils Following a Nose Job (Rhinoplasty)

Cut-off Nostrils Following a Nose Job (Rhinoplasty) One of the ugliest things that I see with a traditional rhinoplasty, or traditional nose job, are cut-off nostrils.  A nostril should naturally taper and curve onto the face with a shelf like portion on the upper lip known as the nasal sill, like a window sill.  When […]

Notched Nostrils Following a Nose Job (Rhinoplasty)

Notched Nostrils Following a Nose Job (Rhinoplasty) Another problem after a bad nose job rhinoplasty that to me is a telltale sign of bad work is a notched or V-shaped nostril.  The curvature of the nostril rim should form a gentle upside U-shape.  When it has been operated on in the past, it can look […]

Cartilage grafts for Nose Jobs/Rhinoplasties: Pros and Cons

Cartilage grafts for Nose Jobs/Rhinoplasties:  Pros and Cons There are three principal supplies for cartilage grafts to build up a nose.  They are the septum (from inside partition of the nose), the ear (conchal bowl cartilage), and rib (either cadaver or one’s own).  Each type of cartilage has its pros and cons for use in […]

Revision Rhinoplasty: What Are My Standards of Naturalness

Revision Rhinoplasty:  What Are My Standards of Naturalness I had a lady who came to me wanting to perform facial enhancement and I asked if she had any previous surgeries.  She said, “No.”  I asked her, “How about your rhinoplasty?”  She was startled that I could tell.  I reassured her that probably most people could […]

Functional & Cosmetic Rhinoplasty in My Facial Plastic Surgery Practice

Functional & Cosmetic Rhinoplasty in My Facial Plastic Surgery Practice Most of what I do is cosmetic in nature with very little functional surgery for the face. About the only thing that I do that is functional in nature is rhinoplasty, i.e., to help one breathe better afterward. However, first of all I do not […]

Notched Noses: How To Fix Them Without Rhinoplasty

Notched Noses: How To Fix Them Without Rhinoplasty For me one of the biggest telltale signs a nose underwent previous rhinoplasty is the nostril is notched like an upside V-shape rather than a gentle upside U-shape. This notching that occurs after previous aggressive rhinoplasty may remain unaware to the individual that it is unnatural but not […]

Understanding Double Dome Highlights in Rhinoplasty

Understanding Double Dome Highlights in Rhinoplasty One of the major issues with traditional rhinoplasty has been to create an overpinched nasal tip that has been dubbed the “unitip”.  This unitip simply looks unnatural because it is not the natural shape of a nasal tip.  When one looks at a nose, especially a white person’s nose, […]

Blink Effect: How We Perceive Beauty and the Role of Cosmetic Surgery Enhancement

Blink Effect:  How We Perceive Beauty and the Role of Cosmetic Surgery Enhancement One of the most important things that a woman typically wants fixed is the fine lines around her mouth.  I have found this to be the case no matter if she is 33 years old or 85 years old.  Why is this […]

Injectable Rhinoplasty: When, Why and Why Not

Injectable Rhinoplasty: When, Why and Why Not With the desire for non-invasive techniques today, many patients are turning to injectable rhinoplasty to make themselves feel better about their nose shape without undergoing surgical rhinoplasty. However, is this a good thing?  Who is a good candidate? First, let’s define what injectable rhinoplasty is.  It involves injecting […]