Cosmetic and Plastic Surgeons

Sometimes a plastic surgeon can mess up. That is what happened to me, and the worst part is that it was a nose job. I went online to see if there was anything at all that I could do, and then I found a Los Angeles plastic surgeon’s website. It talks about nasal revision surgery and says, “Unfortunately, subsequent surgeries to the nose are more difficult than the preceding one(s) due to the formation of scar tissue that lessens the options during a revision surgery.”

I have been wanting a nose job since I was in elementary school, but my parents would never let me get one. I eventually gave up, but now I can finally afford my own nose job. I looked into how the procedure is performed so I would know what to expect. I found an Anaheim plastic surgeon’s website with my answer. It says, “In most procedures, the skin of the nose is lifted away from the bone and cartilage framework beneath, which is then shaped and sculpted as desired.”

My friend recently received a nose job. It’s already been about a week, but she continues to complain that it still looks big. I repeatedly tell her that it’s due to swelling. So I am going to save myself trouble and find a site with information on nose job recovery. I found a Honolulu plastic surgeon’s website with just the information I need. “The patient will have an external splint or cast which will protect the nose for 1 week and the nose may be packed for 24 to 48 hours. The swelling and bruising improves to acceptable levels within 2 to 3 weeks. The final result is more apparent after 1 to 2 years.”

Being African-American and wanting a rhinoplasty may be tricky. I wanted to make sure that if I were to receive one that I would still have the features of my heritage. I did some searching to see what plastic surgeons have to say about this. I found a Los Angeles plastic surgeon’s website with information. It says, “The approach to nasal surgery varies from individual to individual. Patients may have a specific area of the nose they want improved. Ethnic characteristics must be respected when enhancing the appearance of the African-American, Asian, Caucasian, Hispanic or the Middle Eastern nose.”

Primary rhinoplasty indicates that it is the first time an operation is being performed. The first operation offers the best opportunity to obtain an excellent and predictable outcome. Seeking out a rhinoplasty specialist for this first operation significantly increases the chances of obtaining an excellent rhinoplasty result and decreases your chances of a revision.

It is important to have realistic goals and expectations regarding the outcome of the surgery. It is also important to consider why you want to have nose surgery. The goal is to improve the nose aesthetically to better balance with the other facial features; sometimes breathing is improved at the same time. Rhinoplasty is performed by making small incisions on the inside of the nose. There are no external incisions. The skin is lifted off of the cartilage and bone and the nose is then sculpted to the appropriate shape. The skin is then placed back in position and dissolvable sutures are used to close the incisions inside the nose.

When looking to perform a rhinoplasty, realistic expectations from the patient’s perspective are very important. The goal of rhinoplasty is to reshape and sculpt a new nose that fits harmoniously with the face and fits into the facial balance for each individual patient. Every nose job is different. There is no one perfect nose.

Because of the special nature of the blood supply to the nose and surrounding area, it is possible for retrograde infections from the nasal area to spread to the brain during cosmetic nasal surgery. To reduce the risks follow the doctor’s advice both before and after the surgery.

Reasons for a nose job include reducing the size of the nose, removal of bumps as well as improving the angle of a nose. Conditions may be natural or due to external trauma to the face. This operation will also help patients who have difficulty breathing. The operation can be performed on all age groups, including teens and the elderly.

Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and your surgeon’s preferred technique. Finally, the skin is redraped over the new framework.

Nose reshaping is intended to produce a more attractive nasal shape and/or a nose in better proportion to other facial features. Rhinoplasty is most often done on an outpatient basis under sedation, and local or general anesthesia. Your plastic surgeon will decide which techniques should be used.

Rhinoplasty, or surgery of the nose, is one of the most complex procedures performed by plastic surgeons. Each individual part of the nose influences the others and can have a significant effect on both function and appearance.
Some plastic surgeons are double board certified in both plastic surgery and also otolaryngology - head and neck surgery, the two specialties which focus most on the nose and its function. This unusual dual background allows them to achieve the highest aesthetic results while at the same time maximizing both breathing and airway.

Rhinoplasty was first developed by sushruta, an important physician, who lived in ancient India circa 500 BC. He and his later students and disciples used Rhinoplasty to reconstruct noses that were amputed as punishment and for crimes. He developed the techniques of forehead flap Rhinoplasty which is practiced almost unchanged to this day. This knowledge of plastic surgery existed in India up to late 18 century. The first intranasal Rhinoplasty in the west was performed by john Orlando roe in 1887. In 1898 Jacques Joshep used it for cosmetic purposes to help those who felt that the shape or size of their nose caused them embarrassment and social discomfort.

The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you’re physically healthy, psychologically stable, and realistic in your rhinoplasty expectations, you may be a good candidate.
Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes-to correct birth defects or breathing problems.
Age may also be a consideration. Many surgeons prefer not to operate on teenagers until after they’ve completed their growth spurt-around 14 or 15 for girls, a bit later for boys. It’s important to consider teenagers’ social and emotional adjustment, too, and to make sure it’s what they, and not their parents, really want.

The three basic procedures that involve alteration of the nose are: rhinoplasty, septoplasty, and tiplasty. Rhinoplasty is surgery of the nose to augment, shorten, elongate, thin, straighten, or otherwise balance the overall impression of the face. Patients who seek nasal surgery for more cosmetic reasons often elect rhinoplasty, which includes alteration of the nasal bone and cartilage. Septoplasty is surgery of the nose that restores or improves its functionality in terms of breathing more easily. This procedure corrects a deviated nasal septum as mentioned earlier. Tiplasty is surgery of the cartilage of the nasal tip. Patients elect this procedure to refine and define the tip of the nose. Because rhinoplasty refers to the overall reconstruction of the nose, it may also include straightening of the nose, refinement of the nasal tip, narrowing of the nose width, or reduction of the “nasal hump,” as a combined surgery.

Most rhinoplasty patients have a definite idea as to how they would like to “improve” or refine the shape of their nose. Usually they don’t like the “hump” on the bridge, the thickness of the tip, or the width of their nose.
The nasal septum, (the structure that separates the two nostrils inside the nose), is composed of cartilage and bone. It may become deviated or twisted, either through the trauma of birth or as the result of an accidental injury. This deviation may alter the pattern of air flow through the nose, making it more difficult to breathe. In addition, the nose may appear crooked with a “hump”.

Rhinoplasty, or nasal surgery, can enhance the shape, size, and general appearance of your nose by correcting a drooping nasal tip, a bump on the nasal bridge, and other unfavorable attributes. Chin enhancement is a procedure often performed alongside rhinoplasty to achieve optimal facial balance.
The procedure is done on an outpatient basis under sedation or general anesthesia. Working through nasal incisions, the nose’s framework of bone and cartilage is sculpted to the desired shape. Changes may be made to reshape the tip, reduce the size or width of the nose, increase or decrease the nasal bridge, or change the angle between the nose and the upper lip.

After the patient makes the decision to undergo rhinoplasty surgery, he or she will proceed with completing specified laboratory tests and a history and physical examination. The plastic surgeon will provide the patient with written preoperative and postoperative instructions, which are also discussed in their entirety. The patient will receive a list of medications that may conflict with the use of anesthesia. In addition, a re-evaluation appointment is available to the patient prior to the date of surgery. During this time before surgery, the patient should direct any and all questions and concerns to the plastic surgeon and his or her staff.

Many features which are not desirable in a nose may be improved through cosmetic surgery. Noses may be made narrower, straighter, longer or shorter. Humps may be removed and the shape, size and angle and definition of the tip of the nose may be altered. Breathing problems caused by a deviated septum may be corrected. Rhinoplasty may be performed at any time after facial growth has been completed that is age 15-16 for women and age 16-17 for men. The ideal outcome in rhinoplasty is a natural appearing with balance and harmony, enhancing beauty of the eyes and lips.
Because of the special nature of the blood supply to the nose and surrounding area, it is possible for retrograde infections from the nasal area to spread to the brain. To reduce the risks follow the doctor’s advice both before and after the surgery.

Rhinoplasty (or Nose Refinement Surgery) is the most intricate cosmetic surgery performed today. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury and help relieve some breathing problems.

The best candidates for rhinoplasty are people who are looking for improvement in the way they look, are physically healthy, psychologically stable, and have realistic expectations. During the initial consultation, the surgeon will evaluate the structure of your nose and face and discuss the possibilities for enhancement with you. The doctor will also explain some factors that can influence the procedure and results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.

Nose reshaping is intended to produce a more attractive nasal shape and/or a nose in better proportion to other facial features. Rhinoplasty is done on an outpatient basis under sedation, and local or general anesthesia. Your plastic surgeon will decide which of the following techniques should be used:

* STANDARD RHINOPLASTY: Incisions are made inside the nostrils. The nasal bones, cartilage, and soft tissues are reshaped to improve the external contour.
* OPEN RHINOPLASTY: Frequently used for difficult or larger noses. Involves one external incision across the columella (strut between the nostrils). Bones, cartilage, and soft tissues are reshaped under direct vision.
* TIP-PLASTY: If only the nasal tip is abnormal, it may be corrected with either a standard or external (open) approach.
* Large nostrils may be reduced through tiny incisions at the outer base of the nostrils with either type of rhinoplasty.

Rhinoplasty can be used to make the nose more delicate, remove bumps, and to sculpt it. A California board certified plastic surgeon employs the newest techniques available, using grafts to augment the nose, as opposed to older techniques that remove cartilage and sometimes lead to a “ski jump” appearance. Every patient’s goals are different, so your surgeon will work with you using computer imaging to achieve your ideal.

Rhinoplasty scars are hidden within the nostrils. You may not see the final results of your surgery until swelling resolves, which may take several weeks.

Rhinoplasty was first developed by sushruta, an important physician, who lived in ancient India circa 500 BC. He and his later students and disciples used Rhinoplasty to reconstruct noses that were amputed as punishment and for crimes. He developed the techniques of forehead flap Rhinoplasty which is practiced almost unchanged to this day. This knowledge of plastic surgery existed in India up to late 18 century. The first intranasal Rhinoplasty in the west was performed by john Orlando roe in 1887. In 1898 Jacques Joshep used it for cosmetic purposes to help those who felt that the shape or size of their nose caused them embarrassment and social discomfort.

Most patients have a definite idea as to how they would like to ‘improve’ or refine the shape of their nose. The common concerns are the “nasal hump” on the bridge, the thickness of the nasal tip, and the width of their nose. The most important step in the process of learning about rhinoplasty or nasal surgery is for the prospective patient to have an in-depth consultation with a board certified plastic surgeon.

Good aesthetic judgment is essential to fit your face and frame your smile. Surgery can reduce or increase the size of your nose, taper the bridge or tip, narrow the nostrils or even improve the angle between the nose and upper lip. And, all can be accomplished through one operation.

Surgery of the nose or Rhinoplasty is performed to increase or decrease the size of the nose, sculpt and change the shape of the tip, bridge, bones, cartilage or nostril size. Nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one’s appearance.

Nasal Surgery, or surgery to reshape the nose, is one of the most common of all Cosmetic Surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

The nose is the most prominent feature of our face. Its size and shape influence our entire facial appearance. A well-shaped nose appears balanced and in harmony with all of a person’s facial features. When the nose is too large or too small for the face it will seem out of balance or asymmetric. Even if the nose is properly sized, but the individual parts of the nose are not well proportioned to one another, then the nose will appear out of sync with the rest of the face. These problems can be due to trauma, genetics, or previous surgery. A well-balanced, proportionate and harmonious nose is essential for a beautiful or handsome appearance and it is for this reason that so many people seek to change and improve the shape of their nose.

Reconstructive nasal surgery, or rhinoplasty, can be done for cosmetic and/or functional problems, such as septal deviation. As the most prominent feature on one’s face, the nose is a defining characteristic of your overall appearance. The nose also functions as an important organ of respiration. Rhinoplasty addresses both aesthetic and functional concerns.

Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

I always thought nasal surgeries were only for cosmetic purposes.

Rhinoplasty may be appropriate for you if you are dissatisfied with the shape of your nose or if you do not breathe well through your nose. The operation is rarely done before facial growth is completed, that is, age 14 -16. The thickness of the skin on the nose is different in different people. Thinner skin allows any changes made in the underlying skeleton of bone and cartilage to show through clearly. Thick skin tends to hide such changes and may limit the production of a fine delicate look. As we get older it becomes harder to adjust to the look of a very different nose, and dramatic changes may not be a good idea after age 35. Only a Board Certified Plastic Surgeon can help you achieve the look you desire.

I find is interesting they recommend you not get a nose job after the age of 35. Has anyone had one done after that? How has it affected you?

Many features which are not desirable in a nose may be improved through Rhinoplasty. Noses may be made narrower, straighter, longer or shorter. Humps may be removed and the shape, size and angle and definition of the tip of the nose may be altered. Breathing problems caused by a deviated septum may be corrected. Rhinoplasty may be performed at any time after facial growth has been completed that is age 15-16 for women and age 16-17 for men. The ideal outcome for Rhinoplasty is a natural appearing with balance and harmony, enhancing beauty of the eyes and lips. Always use a board certified plastic surgeon to perform your rhinoplasty.
I never realized how many different things they can fix performing nasal surgery on someone. Do you have any personal experiences with rhinoplasty? Please discuss.

For most people, the nose is the most prominent feature on the face, so it’s no wonder that surgery to change the shape of the nose, known as rhinoplasty Atlanta, is one of the most popular at our Atlanta-area practice. Rhinoplasty Atlanta can be used to decrease or increase the length or width of the nose, or to change the shape or angle of the tip or bridge. It can also be used to straighten or enlarge malformed nasal passages that restrict breathing.

To perform rhinoplasty Atlanta at our Georgia center, Dr. Davoudi begins by making incisions either inside the nose or in the skin between the nostrils, so that there is little of no visible scarring. The skin is gently lifted away from the cartilage which supports the nose, so that it can be sculpted into a shape that is more in harmony with the general contours of the face. If the cartilage in the center of the nose is inhibiting airflow, it will be corrected.

Many features which are not desirable in a nose may be improved through Rhinoplasty Atlanta. Noses may be made narrower, straighter, longer or shorter. Humps may be removed and the shape, size and angle and definition of the tip of the nose may be altered. Breathing problems caused by a deviated septum may be corrected. Rhinoplasty Atlanta may be performed at any time after facial growth has been completed that is age 15-16 for women and age 16-17 for men. The ideal outcome for Rhinoplasty Atlanta is a natural appearing with balance and harmony, enhancing beauty of the eyes and lips.

Rhinoplasty is nasal surgery which is designed to improve the appearance of the nose, and/or the function of the nose in regards to breathing.

Rhinoplasty is often considered the most challenging type of plastic surgery, and choosing the exact procedure involves studying the relationship of the nose to the rest of the face, and reshaping the nose to enhance facial balance. No other plastic surgery is individualized to the degree that rhinoplasty must be. A thorough examination, careful discussion of the patient’s goals, and a review of photographic imaging are important in establishing the surgical plan. I usually recommend at least two separate preoperative consultations, to ensure clear communication between patient and surgeon, and to allow an accurate and complete analysis of the patient’s goals and nasal anatomy.

Either ‘closed’ or ‘open’ techniques of rhinoplasty may be performed. The closed technique uses only incisions inside the nostrils, and may suffice for more straight-forward rhinoplasties, for instance a first-time or ‘primary’ rhinoplasty that involves the reduction of a dorsal nasal prominence or ‘hump.’ In most cases, rhinoplasties will involve precise modification of the nasal tip, which is best performed using the ‘open’ technique. This procedure uses the same incisions as the closed technique, and adds a small incision across the columella (the column of tissue between the nostrils). A small external scar results, but this typically heals very well and can be nearly imperceptible. The advantage of the open technique is that is allows the surgeon to better visualize the framework of bone and cartilage that gives the nose its shape. The framework can be precisely altered with the open technique, so as to achieve the desired result with enhanced reliability and predictability.

Depending on the needs of the patient, rhinoplasty may involve the removal or repositioning of cartilage and bone, or the addition of cartilage from the nasal septum or ear. Other tissues, or even synthetic materials, are sometimes used.

When nasal surgery is performed to enhance breathing, procedures may include: septoplasty (modification of the nasal septum, which is the plate of cartilage between the right and left nasal passages), turbinate surgery (modification of tissues deep within the nasal cavity) , or alteration of the nasal framework– most often in an area of the upper nasal passages termed the ‘internal valve.’

Rhinoplasty is performed as an outpatient procedure, and under a general anesthetic in most cases. After the surgery, a splint is usually placed over the nose for protection and stabilization, and packing may be used in the nostrils if the nasal passages or nasal bones are altered. Pain and discomfort following the surgery are controlled with oral pain medication, and the stitches and splint are removed within one week after surgery. Nasal packing, when used, is removed within one to three days. Most patients feel comfortable returning to work within one to two weeks. Most bruising resolves within two weeks, though more subtle swelling may persist for longer periods.

For rhinoplasty in Beverly Hills contact board certified plastic surgeon Dr. George Rudkin.

Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

The Best Candidates for Rhinoplasty
The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you’re physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate.

Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes-to correct birth defects or breathing problems.

Age may also be a consideration. Many surgeons prefer not to operate on teenagers until after they’ve completed their growth spurt-around 14 or 15 for girls, a bit later for boys. It’s important to consider teenagers’ social and emotional adjustment, too, and to make sure it’s what they, and not their parents, really want.

All Surgery Carries Some Uncertainty and Risk
When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection, nosebleed, or a reaction to the anesthesia. You can reduce your risks by closely following Dr. Ebert’s instructions both before and after surgery.

After surgery, small burst blood vessels may appear as tiny red spots on the skin’s surface; these are usually minor but may be permanent. As for scarring, when rhinoplasty is performed from inside the nose, there is no visible scarring at all; when an “open” technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible.