A natural looking nose is the goal of every rhinoplasty surgery. Today's rhinoplasty surgeon aims to achieve a nose that is balanced to one's face and has strong structural support so that it can maintain its shape over many years.
Reshaping of the nose through rhinoplasty surgery is one of the most popular plastic surgery procedures. It has a significant effect on one's facial appearance by putting in proportion the nose to other facial features. While rhinoplasty surgery has a long history, contemporary methods produce a more natural looking nose that holds its shape over time.
Historically, rhinoplasty surgery was associated with after surgery appearances which were 'overdone'. These older forms of reductive rhinoplasty often resulted in noses that were too small for the face, low bridges and up-turned tips. Even if the nose did not appear this way immediately after surgery, this appearance developed months or years later. This nasal appearance was the result of removing too much of the natural structures of the nose. Taking the bridge of the nose down too low (bone and cartilage) or shortening the tip of the nose excessively (all cartilage), while immediately looking good, weakens the support of the nasal framework. Over time, as scar forms and tissues heal and contract, the nose gradually 'falls' and assumes an unnatural appearance. It may look too small, too upturned, or too narrow and pinched at the tip.
It is appreciated by todays plastic surgeons that maintaining as much support to the nose as possible is important. The nose is like a house, the framework must be maintained to keep the roofline intact. Contemporary rhinoplasty is more of a rearrangement of the framework structures with only small removals of cartilage or bone. In this way, the nasal dorsum (line along the bridge to the tip) remains smooth but at a good height, the end of the nose is lifted but not too high, and and the nasal tip is narrowed but is not made into a single point.
Besides less cartilage and bone removal, the natural rhinoplasty makes use of adding support through cartilage grafts as necessary. Supporting the tip of the nose through strut grafts, using small hand-carved grafts to improve tip shape, spreader cratilage grafts in the middle of the nose to open up breathing, and actually increasing the height and line of the nose through onlay or radix grafts are some of the methods by which the nose can be builtup and strengthened. These cartilage grafts are usually acquired from the septum of the nose (which may be simultaneously straightened) or from the back of the ear.
Natural rhinoplasty methods utilize the concepts of nasal tissue preservation, artful alignment of the different areas of the nose, and skillful manipulation of small nasal elements. It is usually best done through an 'open approach' with a resultant indetectable scar across the columella. (strip of skin between the nostrils) Natural noses fit each patient's face more proportionately and never have that 'operated' appearance. The long-term results with these techniques are rewarding to both patient and plastic surgeon alike.
The Future of Injectable Fillers and the Use of Fat
Cosmetic injectable filler treatments today use synthetic compounds that are well tolerated but have a short lifespan. The use of yoru own fat has always been appealing but it is very unpredictable in how much actually survives after injection. New techniques of fat grafting, using stem cell isolation, offers hope of a new kind of injectable filler for the future.Understanding The Advertising Hype in Plastic Surgery
Marketing and advertising in elective cosmetic plastic surgery is common and is a necessary part of this retail medical business. Much of this marketing is based on achieving good results without much downtime or recovery.How much of this is hype and how much is really true?Beard Skin, Ears and the Male Facelift
A facelift in a man poses hair-related issues that are not present in a woman. Beard skin can get displaced onto and into the ear as well as benhind it, posing some new shaving issues. As a result, the issues of a more visible scar in front of the ear and the need to undergo laser hair removal behind the ear after surgery are important issues that men considering having a facelift need to know.