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What are the options for rhinoplasty, and what can I realistically expect?

I'm unhappy with the appearance of my nose. What are the options for rhinoplasty, and what can I realistically expect?

2 Answers

PlasticSurgeonPlasticSurgeon
I would need to know what aspects of your nose you are unhappy with.
Please contact our patient coordinator Vilma at 310-777-2627 or email
vilmapcc@drhhlee.com
Thank you.

Dr. Harrison Lee
Thank you for your question!

I am sorry to learn that you are not happy with the appearance of your nose. You have not had a rhinoplasty, have you?

You know, it would be hard on you when the outcomes were not what you expected, not what you had pictured in your mind; when just a little change here and there were all that you wanted. Rhinoplasty has a higher revision rate; some people have had it more than twice and are still unhappy.

You know, rhinoplasty is a complex operation; and aesthetically, it is difficult to predict the final contours of your nose as it is being formed. Even experienced surgeons could not be so sure how your new nose would finally look on your face. The software that some surgeons use to explain to you comparing the before-and-after photos does not give you a reliable prediction. It just shows what changes may likely happen and can be used as a guide.

It is complex since the nose is structurally complex; so the procedure can be quite complicated and unpredictable. And, it depends a lot on the operator and your individual nose, and yes, on your expectations, how you want it to look.

You have asked me about your options. I don't know if you don't like the appearance, the shape of your nose in general, or just some parts of it. Your surgeon may need to do an open or closed rhinoplasty to modify and/or reconstruct the bone-and-cartilage frame; he may need to remove or rearrange soft tissues under the skin envelope to shape it. Your doctor will use appropriate techniques for each step of the procedure.

Then you need to get used to the appearance of your new nose. You are going to look at it even more critically. You feel fantastic when it comes out so much better than you have expected. Of course, you feel disappointed and sad if it now looks so different, not what you have had in your mind when you had it done. But sometimes it is subjective, everyone has an opinion. Just believe in yourself. You need to communicate with your surgeon how you want your nose to look, the more specific the better, and if your doctor is confident to deliver the results. This makes rhinoplasty so difficult for both of you.

As an aesthetic surgeon, I will look at your face first then your nose to see how your nose could make you look more attractive. I will picture it in my mind what changes should be done to make it look better on your face. This is only my subjective evaluation. Then I will listen to your concerns to see if I can meet your expectations. So, in the end I will try my best to make the changes that you want. I will tell you if I cannot deliver it. I will try but I usually plan to do some touch-up latter if necessary to make a bit of an improvement.

I hope I have answered a part of your question!

Khiem Lai, MD
Aesthetic Physician and Surgeon