This presentation is intended to give you an idea
of what changes in the structure of the nose may be
accomplished with the intent that your expectations
and desires may be met. Another way to express it is
I hope you can visualize and learn to express what you
don't like about your nose so I can discuss what may
be done through surgery.
With few exceptions most people want their nose made
smaller. Thank goodness for this, it is much harder
to make a nose larger. The most common wishes are to
take away the hump on the top of the nose, to make the
tip of the nose less "boxy", to narrow the
nose, and to narrow the nostrils. All of these may be
accomplished through surgery. The biggest problem that
a surgeon encounters is thick skin. There is nothing
that can change the texture of the skin. Fortunately
thick skin is not often a problem.
The nose is made up of bone, cartilage, and skin.
Obviously we do not want any visible scars after surgery.
I frequently use small incisions in the nasal columella
to allow me to visualize the bone and cartilage so I
can be more exact in surgery. This "open rhinoplasty"
technique is commonly used and scars are nearly impossible
to detect after surgery. The benefits of this approach
in reducing the size of the nose far outweigh the small,
inconspicuous scars. As to narrowing the nose at the
nostrils the incisions are made inside the nostrils
and again they are inconspicuous. All in all, in order
to make a nose smaller something must be taken away.
There will be shrinking of skin, controlled by dressings,
where bone and cartilage are removed to make the skeletal
base smaller. Thus, a reduction in size and a change
in the shape of the nose.
The surgery is performed on an outpatient basis under
general anesthesia. My outpatient surgical center is
licensed and supervised by both state and federal government
agencies. Our anesthesiologists are physicians who specialize
in anesthesia. They are board certified and have extensive
experience.
There is no substitute for personal consultation with
a cosmetic surgeon. If you choose to see me I will spend
the time necessary to enable you to let me know what
you want and for to me to explain what is possible through
surgery. If you desire please call and speak with my
secretary or nurse to make an appointment.
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