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...
Category Archives: revision rhinoplasty
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...
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...
Getting Past Revision Plastic Surgery
Getting Past Revision Plastic Surgery One of the toughest things that I have to deal with is a patient who is dissatisfied either with my work or with another surgeon’s work. I have many individuals who come to me with a sullen demeanor about what another physician...
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). ...
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...
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...
Rethinking Revision & Ethnic Rhinoplasty: Tent Pole Metaphor
Revision rhinoplasty and ethnic rhinoplasty may be better conceived by virtue of Dr. Sam Lam's thinking of a tent pole metaphor, as exemplified in this video: