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The following information has been prepared to familiarize you
with facts about the surgical procedure known as rhinoplasty. You
are requested to read this information thoroughly and to discuss
any questions which might arise with your surgeon before you proceed
with the nasal operation.
Such an operation may be designed to:
- Improve the general cosmetic appearance of the patient by reducing,
recontouring or reshaping the external nose
- Straighten a previously injured nose
- Improve the patient's ability to breathe.
Rhinoplasty surgery is ideal for the patient who would like to
modify their nose to be in harmony with their other facial features.
If you are unhappy with the size or shape of your nose or have problems
breathing, there is a high probability that your nose can be modified
to allow you more comfort breathing and pleasure in your appearance.
It is important that you understand that no nose is perfectly symmetrical.
Every attempt will be made during surgery to minimize your side
to side dissimilarities, but such differences always persist to
some degree even with the most successful operation. The two nostrils
are never exactly the same shape or size. Some of the irregularities
and asymmetries may persist after a corrective operation.
Many patients have a fear that the nasal change will be so great
as to create subject of discussion among family members and friends.
Actually, following a well done rhinoplasty, neither the patient
nor the patient's friends and relatives usually remember the shape
of the patient's original nose. The patient usually has a natural,
non-surgical appearance to the nose.
The patient's input is always sought regarding the desired nasal
change, but the patient must accept the judgment of the plastic
surgeon as to the type, shape and contour of the nose as he or she
is more acquainted with limitations imposed by the patient's tissues
and facial features. A nose that is attractive on one face may very
well be inappropriate for another. Since no two people are alike,
a patient should not expect to "select a nose" by studying
other people's noses or photographs but such input is helpful in
giving the surgeon a general impression of the patient's desires.
A surgeon must consider the patient's entire facial profile when
planning nasal surgery. Patients with moderate sized noses but very
weak chins will appear to have much larger noses than they actually
have. In such cases, it is impossible to reduce the nose sufficiently
to provide a satisfactory profile. Facial balance may only be achieved
by simultaneous chin implant surgery. Additional ancillary procedures
such as liposuction of the neck or a facelift may enhance the result
of rhinoplasty even further by restoring facial harmony.
Occasionally, if in addition to a weak chin, severe mal positioning
of the jaw and teeth is present, an evaluation of the dental abnormalities
by an oral surgeon will be recommended before making a final decision
about the nasal surgery. Conversely, it may occasionally be necessary
to reduce the size of an excessively large chin in conjunction with
the nasal surgery, if the ideal profile is to be obtained for the
patient.
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