Rhinoplasty is the most complicated procedure for a Plastic Surgeon. The anatomical variables: from the delicate nasal cartilages and the sturdy, hard substance of bone to the soft fat tissues of the nostril area; make Rhinoplasty challenging. For Double Board Certified, Award Winning Beauty Theorist, Published Author, Beverly Hills trained Facial Plastic Surgeon Dr. Philip Young and Our Amazing Team Rhinoplasty is an art. We concentrate on Quality not Quantity. We work extremely hard to achieve the results that You desire. Through at least 3 discussions: 1.) The Initial Consultation; 2.) The Pre Procedure Appt; 3.) The Day of the Procedure (where we will spend another at least another 30-45 minutes and where we go over everything again); we wil find all of your desires, preferences, and ultimately, your most ideal nose. Most of this is done and aided through our computer morphing program. Simulating the results markedly help us understand your thoughts on how you want Your Rhinoplasty results to be.
What may help us tremendously during your Rhinoplasty consultation are pictures of noses that you like. We would love for you to bring in these pictures to further aid our discussion. This will add to our knowledge of what your thoughts may be. Although we can't make you look like someone else and we can't make your nose exactly like these pictures, we feel strongly that we can get something similar and ultimately you will look a lot better.
Below is a before and after image of a Rhinoplasty. The patient had a prominent bridge, large and outwardly protruding nose, a bulbous tip, and a droopy tip. A rhinoplasty was performed to refine and narrow the tip, the bridge and make the nose generally smaller.
Finding out Your Preferences is vitally important. We want to find whether you would prefer generally a smaller tip than what we morphed or a larger tip. We will find out your tendency to have more of a slope in your bridge as it progresses to the tip or more of a straight line. In general, women have more of a slope and men have more of a straight dorsal | bridge profile. The reason is based on beauty. With the tip more outwardly protruding relative to the bridge, the tip will take on more light. This allows the tip to stand out and be the center piece of the nose. Based on the Circles of Prominence, Dr. Youngs Award winning theory on Facial Beauty, the tip's shape and position in the face helps determine a basic element of beauty in the face (Click here to Learn More about Facial Beauty and Rhinoplasty. We will find out if you prefer more of an outwardly protruding nose versus a nose that is closer to the face. We will also discover your desire regarding how turned up your nose will be. Finding these preferences allows us to make important decisions for you while you are sleeping and comfortable during your procedure. Knowing you as much as possible and your thoughts will help us get the best results. This knowledge is important because we are creating a nose for You and no one else!"
Below is a picture of the inner anatomy of the Nose. A rhinoplasty surgeon considers the nose as 3 relatively distinct parts. It is broken up into the upper, middle and lower third. The upper third is made up of bone and knowledge on how to manipulate the bone is essential for this area. The middle third is composed of cartilage, specifically the upper lateral cartilages. How you treat the upper lateral cartilages will determine how wide your bridge is and have major influence on your nasal airway. The lower third is made up of lower lateral cartilages and is responsible for the shape of the tip. This perhaps is the hardest part of rhinoplasty. The tip, many times, takes the most time to manipulate and change. It is the most delicate part of the nose and the most sensitive to manipulation which can lead to good or bad results.