Rhinoplasty with an Open Mind

  • November 09, 2018
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Think you want a nose job? Images of celebrity transformations and before-and-after photos of rhinoplasty patients can lead people to think they too need this surgery to get their ideal nose. But it’s important to do the research yourself and consult with a qualified doctor, because the results you want may not be possible through rhinoplasty surgery, and what you think you want may not be what is best for you.

It’s important to find a trusted surgeon who will walk you through the whole process of choosing which method of rhinoplasty is right for you.

What will and won’t work for your nose job

nose surgery

When consulting with this specialist, keep an open mind and remember that they are the experts – they know what will and won’t work for your nose. Here are four common requests that rhinoplasty specialists get and why they are misguided:

  1. “I don’t want an open rhinoplasty.” Many patients believe that open rhinoplasty surgery will leave a big scar or increase their recovery time, but the reality is that open rhinoplasty allows doctors to do their job with better skill and precision, and often times the results patients want cannot be achieved as successfully with a closed rhinoplasty. A reputable surgeon will take care to make the incision as small as possible so that it isn’t noticeable after recovery.
  2. “I don’t want to have my nose broken.” Some rhinoplasty procedures involve an osteotomy, or cutting of the nasal bones to shorten or correct their alignment. Many believe this will affect the riskiness of the procedure and lengthen the time to recovery, but osteotomies really have no additional effect on recovery time or risk. With or without an osteotomy, you will need about a week to heal after rhinoplasty. Osteotomies are necessary to avoid an open roof deformity. To reduce the appearance of a hump, surgeons have to shave or cut the tops of the bones, which leaves an opening. Without cutting and realigning the base of the bones, this causes a flat top with raised bumps at the sides, a rather unattractive result. An osteotomy is necessary to achieve the optimal result of significantly reducing the appearance of a hump.
  3. “I don’t want you to make changes to the tip.” Some patients think that changes to the tip of the nose cause more complications and risks, but in reality not changing the tip while altering the bridge is one of the best ways to get unnatural, unattractive results.
  4. “I want a really dramatic change.” Significant changes to the appearance of the nose are not always possible while maintaining a healthy and functional structure. If your doctor informs you that a dramatic change isn’t possible with your anatomy, it is best to trust them. You can always seek out a second opinion, but trying to convince a less-experienced surgeon to make drastic changes can cause disastrous results and potential harm.
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