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If you're contemplating having rhinoplasty, remember that everyone is
an individual and all noses should not look alike. Eileen Ford has been
said not to accept a model into her famous Ford Agency School in New
York City, if the applicant even looks like she's had a nose job.
Whether you're a model or not, the individual look is in. It's very
common to observe poor surgery performed on the nose, because noses are
the most difficult to change. The nose tissue, especially cartilages,
will actually want to return to their original shape. Many physicians
will claim their nose surgery will not result in black eyes, but that
is because they are removing only the top hump of the nose instead of
performing a truly proportionate reduction of the hump as seen from
every angle. You want a fairly strong bridge, with not too much of the
top scooped out, as witnessed with nose jobs of the '50s and '60s. In
most noses the length of the bridge needs to be reduced in proportion
to the height reduction and overall size reduction. (i.e., if you take
down the bridge 10% take down the length 10%) Look at the stars on TV
and notice how many noses look good only from a side profile. I am
opposed to the procedure, represented which is called a "profile-plasty,"
because it gives the stigma of a broad plateau when seen from the
front. The proportionate relationship of the tip to the rest of the
nose needs to be taken into consideration when all other parts of the
nose are being reduced. The tip could look enlarged if you do not take
this into consideration. Debulking a tip that is too fat or wide
promotes a nice appearance as well. The roundness of the nostril must
be considered; the nostril should not look completely round, but should
resemble a fine slipper or a slender footprint. The ideal nasolabial
angles are 105 degrees for men; 115 for women. You do not want the nose
turned up too much, but a little upturn goes a long way toward
providing a youthful look.
Rhinoplasty takes from one to three
hours depending on the complexity of the condition of the nose. Most
patients have sedation prior to and during the procedure and other
patients request a general anesthesia. Nearly all rhinoplasty
operations are done in the surgeons office facility.
The amount of brusing depends again on how complex the procedure is,
but in general most patients experience about a week of discoloration
and swelling around the eyes and upper cheeks. The nose itself will be
swollen for around ten to fourteen days or longer. A subtle resolution
of the swelling at the tip of the nose can take several months to go
away.
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