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The structure of the nose is complex and delicate, which means that in order to preserve functionality while also achieving the desired aesthetic results, plastic surgeons must use a variety of specialized techniques.
Before choosing to undergo rhinoplasty, it is important to familiarize yourself with the available technology and techniques. By understanding the limitations of the procedure, your expectations will be more realistic, resulting in less dissatisfaction and helping you choose the best possible surgeon.
The two major techniques used in nose jobs are the open and closed methods. The open method is where a small v-shape incision is made in the columella, or the cartilage between the two nostrils. The tip of the nose can then be flipped up upwards, giving the surgeon more room to work and easier visibility.
Scarring is minimal and practically non-existent in most cases; however there is the potential for greater swelling and pain during the recovery period. There will also be other incisions made on the inside as well. The closed technique involves incisions only made within the nasal passage.
Some surgeons specialize in performing primarily open or closed techniques, but many believe that the open is superior, especially when performing challenging cases. If you're adamant about one technique over the other, be sure to adjust your expectations accordingly.
It's also helpful to be aware of other techniques that a surgeon may potentially utilize. For example, when reducing the size of a bulbous tip, many surgeons simply cut out and reshape the cartilage. However, this also results in rotating the tip upwards.
So, if you already have an upturned nose, this technique could potentially result in an undesirable "pug" effect. A technique better suited for a bulbous, but upturned nose would be to suture the cartilage down in order to soften the appearance.
Although you can't turn yourself into a nasal anatomy expert, a little bit of knowledge of the nasal structure and your own desired outcome can go a long way in helping you choose a suitable surgeon. During consultations, communicate candidly and clearly about your exact dislikes and expectations of your plastic surgery.
Sometimes bringing pictures from magazines of a look that you particularly like can be helpful. Ask plenty of questions and don't be afraid to have potential surgeons explain how they will perform the techniques in detail.
Although many are happy with the outcome of their surgery, some will have to undergo minor revisions or additional surgeries in order to achieve their desired results. But remember that it can take up to two years for the nose to fully heal and take on its final shape, have patience during recovery.
Not even the best cosmetic surgeons can give you the perfect nose, but many can make great improvements and help sculpt a profile that will blend in with your unique individual features.