Q. I hate my new nose, but I am afraid of a revision. What can I do?

Rhinoplasty, also known as nose reshaping or a “nose job” gets scrutinized more than any other plastic surgical procedure..  And perhaps for similar reasons, revision creates tremendous anxiety.  It may be an issue of a surgeon’s technical ability, his knowledge of nasal anatomy or surgical aesthetics but in the end the patient has a well-founded fear of going through another surgery. High anxiety is common. The patient was promised an enhancement in their appearance that was never realized.

The answer may lie in trying an injectable rhinoplasty. It’s a good first step with little risk. Many people are unaware that significant aesthetic changes are possible using injectables to the nose. Nose length and shape, height of the bridge, rotating a tip, treating arched nostrils and tip sculpting can all be achieved incrementally.

Injectable rhinoplasty benefits both the patient and the surgeon. Revision rhinoplasty puts pressure on the surgeon who is dealing with issues such as quality of the skin, underlying scar tissues and patient expectations. Injectable rhinoplasty allows the patient to “try on” their new nose. It helps the patient get a sense of the surgeon’s aesthetic interpretation. It lets the surgeon know if he can make a particular patient reasonably happy. Think of it as a test drive of mutual visions prior to committing to another surgery.

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profile-thumbExperience matters–not only the number of years, but the number of cases performing a particular procedure successfully. This gives you the highest probability of a great result. A deep understanding of individual anatomy, aesthetics, the best alternatives, and proper techniques breeds consistency.   

No painting by the numbers– Knowing the mechanics of a procedure whether surgical or non-surgical is not enough. A true expert doesn’t follow a set formula for every procedure and every patient. Great surgeons are fluent in many procedures and are able to look at an individual and anticipate what combination of techniques will deliver an optimal result.

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