Finesse Rhinoplasty
Making an already "good" nose into a "perfect" nose requires a great deal of experience and skill on the part of the surgeon, as well as attention to detail. Computer imaging is very important in these cases so that you and your surgeon agree on what the goal is- and that it can be accomplished. Indeed- no one can promise you a "perfect" nose-and perhaps there is no such thing. The actual goal is to make the nose "better" or "near perfect" - and to do so without compromising function or long term beauty.
Endonasal or "closed" rhinoplasty can be the preferred approach for patients like this; it allows access to the bridge without compromising supporting structures of the tip of the nose, and thus minimizing the amount of surgery needed for an otherwise attractive part of the nose. Often, finesse rhinoplasty will be combined with a chin implant or neck liposuction in order to create an ideal profile.
As in any cosmetic surgery, both patient and surgeon should weigh risk versus benefit. Patients should examine rhinoplasty before/ after photos of patients with similar noses treated by their surgeon to get an idea of the results they may obtain.
Labels: ethnic rhinoplasty, finesse rhinoplasty, rhinoplasty, rhinoplasty before and after


2 Comments:
That's a good point that making a tiny adjustment to the nose can actually take more skill than a major revision. It is probably harder to satisfy these patients as well since they are looking for perfection. A surgeon taking on this type of patient would have to be pretty confident that the desired result is achievable.
The endonasal approach does make sense for these patients since it doesn't create any external scarring. A lot of surgeons are using it for all rhinoplasty procedures except major revisions for this reason.
D. McCarty
San Diego Plastic Surgery
Thank you for your comment. Endonasal rhinoplasty often allows for more exact bridge refinement because the skin envelope is still intact as you're sculpting. Nevertheless, open rhinoplaty can still be a preferred approach in primary rhinoplasty if the tip needs complex work.
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