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Today's Improved Nosejob Surgery

Rhinoplasty is cosmetic reshaping of the external parts of your nose. It is a top five commonly requested procedure in plastic surgery in the United States. Whether it is a hump reduction or shortening and lifting of the nasal tip, changing the shape of one's nose can make a dramatic change in the appearance of one's face. Because of the intricate and complex anatomy of the nose and its very visible position on the face, anything less than a near perfect rhinoplasty result will be evident.

Contrary to public perception, the need to do revisions in rhinoplasty surgery is not uncommon. One reason is that rhinoplasty surgery is not easy. I consider it the most difficult of all cosmetic facial surgeries. And the way tissues heal and shrink after surgery is not always predictable which can cause undesired results in even the best performed rhinoplasty.

Historially, rhinoplasty surgery was performed in a 'closed' fashion, meaning work was done by looking up inside the nose. Seeing up through the nostrils is difficult, whether you are a plastic surgeon or not...and do exacting work on its delicate structures. As a result, the need for a second surgery after an initial rhinoplasty using a closed approach was not low, averaging a rate of 10% to 20% if not higher. It took a lot of years and a lot of rhinoplasty surgery cases to become really good at it. In other words, the learning curve was long and steep.

In contemporary rhinoplasty, improved methods have resulted in lower revision rates down around 5% or less. One of these newer methods is the conversion to the 'open' approach, meaning the skin is peeled back and the structures of the nose can be widely seen. The concept of peeling the skin off of the nose sounds horrifying to many patients. And justifiably so. But the reality is this is all done using just a tiny incision at the midway point of the skin between the nostrils. Scar healing in this small area does well with a near inconspicuous scar in almost all patients. This is a very small price to pay for improved rhinoplasty results. ASccuracy and predictability of results are improved when you can see clearly what you are doing.

As a result of using the open rhinoplasty approach, the changing of the shape of the tip cartilages has become much more predictable. The tip can be sculpted better with less removal or destruction of the tip support as was more commonly done with the closed approach.

Dr Barry Eppley

Dr Barry Eppley runs a private plastic surgery practice through his hospital-based medspa locations at Clarian Health in Indianapolis. To learn more about the latest trends in plastic surgery, spa therapies, or skin care, go to his daily blog, http://www.exploreplasticsurgery.com .

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1. BIG NOSE GUY (03:32, 22.01.2009)
A BIG LIE = THE NATRUL LOOK ..WHAT KIND OF EXCUSE IS THIS FOR DOING MINIMAL CHANGE..WHY BOTHER AT ALL TO GO THROUGH THIS ORDEAL??
IN SEMETRY WITH YOUR FACE !!!.IN HARMONEY WITH THE FEATURES OF YOUR FACE..

**WHAT OTHER RHETORIC CAN I SHOUT OUT ..

NOSE JOB = COMPLEAT RADICAL OVER HALL /RENOVATION ,PLAN AND SIMPLE .
IF THE DOCTORS HANDS ARE NO GOOD HE LIES AND TRYS TO CONVINCE YOU ABOUT SMALL CHANGES...
0
2. GOOD-NOSE-NOW (00:47, 08.02.2009)
I LET SEAN YOUNAI DO MY NOSE ..
THIS MAN SHOULD NOT BE CALLED A DOCTOR ..
HE HAS BAD HANDS..
DOES NOT FOLLOW ORDERS .
WILL NOT OR CAN NOT PREFORM AS DIRECTED..

SEAN YOUNAI IS NO GOOD DONT RISK YOUR NOSE AND MONEY ON THIS BAD PREFROMER....

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