Archive for the ‘Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping’ Category

« Older Entries
Newer Entries »

Will the nose continue to grow even with rhinoplasty at a young age?

Wednesday, July 15th, 2009

The nose has been shown to grow as people age.  Much of this growth is actually due to parts of the nose losing its resiliency and structure that it had at a younger age.  Cartilages lose their structure and relax and this can make the nose drop from gravity which ultimately lengthens the nose.  The ligaments that hold the nose together also loosen over time and this also allows the nose to descend vertically.  Also with age, the skin can thicken.  Sebeceous gland growth can happen to some degree in everyone but is most pronounced in people with rosacea who can have a rhinophymatous type of changes to the nose.  But when the time comes when your nose is larger, there are ways to make it smaller again through Rhinoplasty

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Will the nose continue to grow even with rhinoplasty at a young age?

What to do about a bad result after a rhinoplasty?

Wednesday, July 8th, 2009

This is a question that I answered for someone who had aRhinoplasty done by another surgeon:

A bad nose job really depends on how long ago it was done.  Right after surgery, your nose usually doesn’t look very good. The swelling and the bruising usually distorts the area so that it really won’t look like it should for weeks to months.  This especially occurs in the tip area. Sometimes, after your rhinoplasty, results that are not going to turn out as promising can be determined.  Usually they are very obvious things like a deviated nose still appearing deviated after the procedure.  Or the bump over your nasal bridge is obviously still apparent.  One thing to know is that the tip area takes the most time to refine itself.  The swelling in this area takes patience for it to go down.  Your doctor will consider steroid injections and oral steroids to help this in some cases but using steroids can be a risky thing to do especially if it is not injected deep enough.

Don’t worry though. There are a lot of great surgeons out there that can improve almost any situation in the nose from a prior rhinoplasty.  It might take some work but there are options to improve the situation.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on What to do about a bad result after a rhinoplasty?

Can you nasolabial angle be changed or the way the nose relates with the upper lip?

Monday, July 6th, 2009

This was a question a patient had regarding the relationship the nose was taking with the upper lip and how the angle was more obtuse. He wanted it more acute:

Yes, your nasolabial angle can get more acute after yourRhinoplasty. This can happen when you interrupt forces that hold your nasal tip up. The exposure that you do can also interrupt forces that hold your tip up. Trimming the top of the tip cartilages and interrupting the connection between the tip cartilages and the lateral cartilages higher in your nose can also cause your tip to descend and decrease the angle.

Also, interrupting the connection of your tip with your septum can also contribute to this drop in your tip and affect the nasolabial angle. The way to prevent this is less trimming of the tip cartilages and the usage of sutures to shape the tip. You also have to make sure to reconstruct the forces that hold the tip up through septal sutures that connect the tip with the septum. A graft in the area under your tip that extends from your tip to the top of your upper lip can increase the nasolabial angle and help maintain it.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Can you nasolabial angle be changed or the way the nose relates with the upper lip?

Can rhinoplasty results be previewed before surgery?

Monday, July 6th, 2009

Yes, you can alter the image of your nose through computer programs before a Rhinoplastyprocedure. This is a great way to convey to your surgeon what you want and for the surgeon to use as goals for the procedure. Although one thing to realize is that these are computer images and that the results cannot be guaranteed. You should be realistic about what can be done. Most plastic surgeons have this type of programs and you should ask for it because it helps. Some surgeons don’t believe in this and rely on pre and post procedure photographs to explain what can be done.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Can rhinoplasty results be previewed before surgery?

Rhinoplasty or nose reshaping just by working with the skin?

Monday, July 6th, 2009

The question was whether you could just do surgery with the skin of the nose to change the appearance of the nose:

You can remove the skin around the sides of your nose by your nostrils to make them look less wide in this area. But if you want to make the tip smaller and the nasal bridge smaller, it will take a formal rhinoplasty. This at times will entail breaking the bones to narrow the bridge. Thicker skin near the tip area of your nose makes a little harder to narrow the nasal tip.  Some people reduce the skin from the inside to make the tip more refined, but this is not a safe procedure many times especially when your nose is done in an open fashion.

An open rhinoplasty entails making a incision under your nose to elevate the nasal skin envelope to directly work on the nasal structure under direct vision. Asian rhinoplasty / cosmetic surgery is unique and you should go to someone who has experience with the Asian nose.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Asian Cosmetic Surgery, Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Rhinoplasty or nose reshaping just by working with the skin?

Uneven nostrils and bridge too low after Rhinoplasty from another surgeon.

Monday, July 6th, 2009

It’s still early after one month from a Rhinoplasty so you might want to wait a few months. I know this is hard, but a lot of times what you are looking at is swelling that is affecting the way it looks. Swelling can make a big difference.

Fillers for the bridge is a temporary solution that can cause problems. Radiesse is often the most considered for that region of the bridge but there are reports of complications with it there as well. Dr Toriumi, I believe has an article on that.

A rhinoplasty revision might be the best choice for you for your nasal bridge issue. If it is truly short, you might need some grafting material. Ear cartilage and septal cartilage can be used if it is a little deficient. But if you are looking for a big change like 3-4 mm of additional height you will need either a rib cartilage graft or silicone. Goretex is another option in this area.

The nostrils can definitely be different if things were not made even during the surgery.  The open technique is the most accurate means and your incision under your nose is very minimal. And, yes definitely you can bring pictures of yourself and your surgeon can help make it look a little more like what you had before. You’ll get the feeling of the right person to help you with this. You have to find someone that cares and will help you through this process every step of the way.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | 3 Comments »

Rhinoplasty material for Asian Nose and whether Alloderm would be a good option?

Monday, July 6th, 2009

Silicone is a good option, Alloderm will fade with time when consideringRhinoplasty for the Asian Nose. Silicone is the most commonly used. I have a friend that believes in Goretex in the nasal bridge. In my experience, Goretex is hard to make smooth but the mild integration of goretex can help fix it better in the nose.

Silicone has the tendency to move a little bit. But fixed well in the nose, the silicone can maintain a solid fixation to the bone. Silicone has the most experience in the nasal bridge over the years and has proven to be a great graft for the nose. It is really compatible with our tissue because it is right under carbon on the atomic chart.

Most of the time, silicone is placed in the dorsum through minimal incisions within the nose. My approach usually entails an incision under the tip in the columnelar area. I believe this cuts down on variables that can lead to asymmetry and uneven bridge although the recovery is more the results are more reliable. Alloderm does resorb and you won’t be happy after several months to years because it will go away. Also this material is taken from someone else and some people have issues with that with transmission of disease etc.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Rhinoplasty material for Asian Nose and whether Alloderm would be a good option?

Rhinoplasty for a wide nose and with concurrent Acne and whether it is okay to do surgery with Acne?

Monday, July 6th, 2009

Your nose can be definitely narrowed through Rhinoplasty and the Acne should not be a problem. Your acne should be under control before your surgery. There are many ways to control your acne through cleaning with a cleanser with salicylic acid, topical and oral antibiotics, a nightly retin A cream, etc.

For your nose, the width is ideally one iris width. Your nasal tip should also be one iris width. The base of your nose should be approximately 3 iris widths. When I mean an iris width it is the width of the colored portion of your eye. The narrowing will entail manipulating your nasal bones, and cartilage structures that dictate how wide your nose appears. The width at the base will entail taking some skin out around the base of your nose. This part can be done at a later time.

Choosing a surgeon with an eye for facial beauty is half the battle and more. For males, you may not want your nose to be perfectly ideal, as it could feminize your face. A wider nasal dorsum, tip and base is appropriate for the male nose and renders an element of masculinity.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Rhinoplasty for a wide nose and with concurrent Acne and whether it is okay to do surgery with Acne?

Rhinoplasty for the fat nose

Monday, July 6th, 2009

A wide nose can be reshaped through Rhinoplasty. Nose reshaping is one of the most complicated procedures in plastic surgery. The techniques used for the wide nose can vary depending on where the width is of concern.

The top third of the nose is made up of bone and the middle, cartilage and the lower third more cartilage but even more skin. There are different procedures for each area. The upper third requires manipulating and controlled breaking of the nasal bones in rhinoplasty. The middle third requires manipulating cartilage and part of the process of breaking the bones allows the middle third to become narrowed. The lower third requires or can require making the tip smaller and sometimes excising some skin on the sides of the nose can help make the base of the nose more narrow.

Sometimes, it is harder to make the nasal tip narrower if the cause is due to skin thickness. People try to overcome this by defatting the tip or adding grafts to shape it more. Consulting a surgeon who has extensive experience and a deep fundamental knowledge of rhinoplasty is a must for a great result. You want to go to someone with the best training.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Rhinoplasty for the fat nose

How much pain and recovery after a rhinoplasty?

Monday, July 6th, 2009

In general the more manipulation you do during the surgery the more recovery and pain most of the time after Rhinoplasty. This is a general rule. The technique used also makes a big difference. When your procedure is done through the natural planes the pain is less because less nerves are involved. But as a whole, the more you do the more sensitive the rhinoplasty procedure will be afterwards. The area that is worked on also makes a difference. The whole face is more senstive than other body parts. The nose is less sensitive than the lips and eyes in general, however.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on How much pain and recovery after a rhinoplasty?

« Older Entries
Newer Entries »