Facial Plastic Surgery Blog | Facial Rejuvenation Procedures
The nasal bones and septum are typically to blame for the crooked nose. This frequently results in breathing issues as well as cosmetic deformities, which can have an impact on exercise, sleep, and sinus issues. In this area, The Seattle Facial Plastic Surgery Center has conducted a lot of research.
When we say that cartilage has “memory,” we mean that it prefers to return to its previous state. To guarantee that the cartilage stays in its new, straight position, our surgeons employs every technique at his disposal. However, over time, cartilage can warp (bend) on its own. Spreader grafts, strut grafts, PDS foil, and even extracorporeal Septoplasty—which entails removing the crooked piece of the septum and repairing it entirely—are methods used by our surgeons to reduce the degree of change following surgery. Few surgeons in the world are able to perform this sophisticated operation.
Treatment of the Crooked Nose
A crooked nose can take a lot of different forms. The nose is divided into thirds on the outside and on the inside. middle third, bottom third, and top third.
This “Principle of Thirds” helps our surgeons decide how to treat a crooked nose. One of the trickiest procedures in rhinoplasty surgery is correcting a crooked nose.
There are numerous methods currently available to address the malformation of the crooked nose. Surgery patients have a variety of surgical objectives, and it is crucial for the surgeon to comprehend these objectives. While some patients are more interested with the aesthetic result, others are more concerned with the improvement in practical quality. Patients more frequently have both cosmetic and functional issues.
Causes of a Crooked Nose
Congenital (present at birth), traumatic (resulting from an accident), or iatrogenic (caused by prior surgery) factors can all contribute to a crooked nose.
There is frequently a connection between an inherently crooked nose and overall facial asymmetry. Most patients exhibit minor asymmetry in their faces. Prior to surgery, the patient should be made aware of these facial asymmetries and how they might or might not effect their outcome. Congenitally crooked noses can be difficult to treat since it is difficult to locate a common midline because of the surrounding deviation of the internal and external facial framework. Traumatic crooked noses can be caused by a high velocity force or a low velocity force that causes the septum to deviate and produces irregularities in both the nasal bridge and the nasal tip.
Our facial surgeons will conduct a complete physical examination and history during your consultation.
In order to come up with the ideal strategy for achieving the most straight a nose can be, it is crucial to ascertain the cause of the deviation.
Depending on the degree of the treatment and the patient’s request, rhinoplasty can be done under local or general anesthesia. It is carried out in a hospital, an outpatient surgery facility, or a surgeon’s office. A brief hospital stay may be necessary for complicated treatments. A typical procedure lasts between an hour and two. longer may be needed.
The nose and the area around it are numbed by local anesthesia. During the procedure, you will likely be minimally sedated yet conscious (relaxed and not feeling pain). You can experience general anesthesia to sleep through the procedure.
Typically, an internal nasal cut (incision) is used for the procedure. In rare instances, the cut is made from the outside, at the nose’s base. If you need revision surgery or to perform work on the tip of your nose, this kind of cut is frequently employed. The incision may go all the way around the nostrils if the nose needs to be made smaller. To shatter and restructure the bone, small incisions may be made on the inside of the nose.
On the outside of the nose, a splint (made of metal or plastic) may be applied. When the surgery is over, this aids in maintaining the bone’s new shape. The nostrils may also be covered with nasal packs or soft plastic splints. This aids in maintaining the stability of the septum, which separates the air passageways.
The purpose of the procedure
one of the most popular plastic surgery treatments is rhinoplasty. It may be utilized for
Shrink the nose’s size.
Modify the nasal bridge’s or tip’s form.
Narrow the nostril openings.
Angle the top lip and nose differently.
The treatment of a congenital abnormality or injuryassists in easing nasal breathing issues.
When a nose operation is performed for cosmetic purposes, it is regarded as elective. In these situations, the goal is to alter the nose’s form to one that the person considers more appealing. In many cases, aesthetic nose surgery is done after the nasal bone has fully developed. For girls, this is about the age of 14 or 15, and for guys, it’s a little later.
Anesthesia risks and surgical risks in general include:
Medication reactions and respiratory issues
Infection, bruising, or bleeding
among the risks of this operation are:
Loss of the nose’s support
Nose contour abnormalities
breathing through the nose is becoming more difficult
It requires more surgery.
Small red spots on the skin’s surface following surgery may be caused by tiny blood vessels that have ruptured. It is usually small but nonetheless persistent. If the rhinoplasty is carried out from inside the nose, there are no obvious scars. Small scars that are rarely visible may be present at the base of the nose if the surgery narrows the flaring nostrils.
Rarely, a slight abnormality requires a second procedure to be corrected.
The Procedure Before your operation, your surgeon can give you instructions to follow. You might have to
Stop taking any blood thinners. You will receive a list of these medications from your surgeon.
Have some standard tests performed by your normal doctor to see whether it is safe for you to have surgery.
To promote healing, stop smoking at least two to three weeks before and after surgery.
Make plans to have a ride home after surgery.
Following the operation you will often leave the hospital on the same day as your operation.
Your nose and face will be sore and swollen just after surgery. Headaches frequently occur.
After the nasal packing, if any, has been removed, which typically takes 3 to 5 days, you will feel better.
For a period of one to two weeks, the splint and cast may be worn.
Outlook (Prognosis) (Prognosis)
Although it takes a year for complete recovery, most edema will have subsided by then.
Healing happens gradually and slowly. For several months, the tip of the nose could be swollen and numb, but these symptoms will eventually go away. The final outcomes could not be available for up to a year.
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Should I lose weight before rhinoplasty?
If you are thinking about getting plastic surgery, you are surely anticipating physical improvements that will enhance your appearance and give you greater confidence and happiness in your own skin. The optimal time to get plastic surgery is once you are at or very near to your ideal weight, despite the fact that waiting for this transformation might be challenging. Due to this, the majority of plastic surgeons advise dieting and exercising to shed extra pounds before surgery. There are numerous benefits to reaching your ideal weight before having cosmetic surgery, though there are a few exceptions.
It is always preferable to be in top health before having surgery
Making sure your body is in optimal shape for recovery is a part of preparing it for surgery. Your ability to recover after surgery and your overall well-being are influenced by regular exercise and a nutritious diet. For this reason, it is important to develop these healthy behaviors before having plastic surgery if you haven’t already. Being at a healthy weight can be a sign that your body is in good enough shape to have surgery and recover from it. This isn’t always the case.
Your surgeon will be able to optimize your procedure if you are at your ideal weight
Cosmetic surgery is a time and financial commitment to improve your physical appearance. Your surgeon can adjust your operation to offer you the best outcomes when your body is at or very close to the weight you’d like to be at. Some operations, like liposuction, will drastically alter your shape while helping to address “problem areas.” and once you’ve shed the majority of the unwanted fat, you may achieve the greatest contour imaginable. For example, if you have a significant amount of weight to lose before having surgery like a stomach tuck, your surgeon may not be able to remove as much extra skin as they could if you were at your ideal weight. This is why achieving your weight loss objectives before your surgery is likely to provide you with the best surgical benefits.
The results can be affected by weight changes
You want to know that the results of your plastic surgery will last. After all, you spent time and money on the procedure, will need time to recover, and don’t want your benefits to be fleeting. However, you should anticipate that your results will vary if you significantly gain or lose weight following your treatment. The contours you get through surgery will change as you add or subtract fat from your body. Because of this, the majority of plastic surgeons advise will last. After all, you spent time and money on the procedure, will need time to recover, and don’t want your benefits to be fleeting. However, you should anticipate that your results will vary if you significantly gain or lose weight following your treatment. The contours you get through surgery will change as you add or subtract fat from your body. Because of this, the majority of plastic surgeons advise you to keep your weight consistent after cosmetic surgery. Therefore, having surgery once you’ve lost all or most of the weight makes sense.
I just can’t seem to lose my extra weight. Is it okay to get plastic surgery?
Even while it is preferable to have plastic surgery after reaching your ideal weight, some people are unable to reach their weight goals by diet and exercise alone. Some of these people seek out weight loss surgery, which can successfully aid those who have tried numerous other weight-reduction strategies. The weight loss from the weight loss surgery does, however, take time. You might consider having plastic surgery to fix the loose, sagging skin that the weight loss has caused. Once more, it is preferable to hold off on having this surgery until you have attained your desired weight.
It is still possible for people who are not at their ideal weight and who are unable or unwilling to undergo weight loss surgery to achieve positive results via plastic surgery. Even if they may need to lose more weight following surgery, patients can have plastic surgery and still see changes in certain elements of their appearance. It is advisable to discuss your worries, desired results, and history and goals of weight loss with your surgeon so that you are aware of what to anticipate and can decide together on the optimum time for you to have surgery.
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Does a nose job change your face?
More people than ever before are curious about what plastic surgery can do for them. Selective procedures have increased as a result of increased acceptability of cosmetic surgery, improved affordability, and technological advancements. A good rhinoplasty, for example, has outcomes that are visible everywhere. Since they blend in so well with the individual, you will not even detect them. “Surgical seeming noses” are a thing of the past. But there is still a lot of confusion and mystery about the topic. This is often because of social taboos that keep people from talking about the details of the process.
Here, we’ll look more closely at how rhinoplasty can change the way your nose looks, feels, and functions, the effects it may have on your life, and what you should know before having the procedure.
What Affects Your Face After a Nose Job?
It’s common to believe that altering just one aspect of your appearance won’t have a significant impact on how you look as a whole. However, a lot of patients who are thinking about rhinoplasty do so because their nose is disproportionally upsetting the balance of their entire face.
When a facial feature is out of proportion and throws off the harmony of the face, the expression “thrown off” is frequently used to describe it. Most of your genetic makeup and inherited qualities impact the size, shape, and structure of your nose. However, nasal deformity and blockage may be caused by trauma and other external sources. Unfortunately, there isn’t much that can be done non-surgically to alter the nose’s general shape or the proportions of the face as a whole.
It’s remarkable how much a nasal hump or protruding tip may detract from the overall harmony and beauty of the face. The inside of the nose’s cartilage and bones are altered during rhinoplasty, or “nose job,” surgery, which significantly alters the external look. In addition to restoring facial harmony, a cosmetic nose operation can correct problems ranging from enlarged or turned-up nostrils to a hooked nasal tip. Patients with structural problems inside their noses that make it hard to breathe may also benefit from rhinoplasty.
Would Getting a Nose Job Boost Your Confidence?
The problems with our noses are addressed during rhinoplasty surgery. It is possible to fix problems with your nose’s size, symmetry, and nasal defects like humps and bumps. Many patients have found that it actually makes them feel a lot better about themselves, which goes a long way.
A “focal point” on the face, the nose is situated directly in the middle. It’s also one of the characteristics that causes the greatest controversy. Rhinoplasty can improve the form of your nose and has several important advantages.
Additionally, a skilled nose job can assist individuals in overcoming wounds or deformities that have harmed their confidence for a long time. As a result, it can really help you regain your self-esteem. Not only should rhinoplasty be thought about for the physical changes it can make, but also for the psychological changes it can make as well.
Preparing for a rhinoplasty
It’s critical to have clear goals and open lines of communication with your surgeon in order to achieve the best results. While it may be clear to many people that they dislike their noses, they frequently struggle to describe the specifics of their dislike. A skilled facial plastic surgeon can advise you on facial proportions and assist in deciding what kind of nose will look best on your face.
Therefore, it is advised that you schedule a consultation with a qualified facial plastic surgeon with experience in rhinoplasty. The top nose surgeons are accustomed to working with patients and assisting them in identifying all the enhancements that can be made. Inquire if they can offer you a general sense of how your nose will appear after the procedure is completed.
In addition to knowing how to modify a nose, a skilled rhinoplasty surgeon is also aware of the symmetry and balance difficulties that contribute to facial attractiveness. He or she will take into account height, sex, ethnicity, skin thickness, and facial features. They are also aware that each patient’s face is special and deserves to be treated as such. In this way, the surgery gives you a “better nose” that goes better with the rest of your face than just a “better nose.”
Recovery Following a Rhinoplasty Procedure
Beyond the surgery itself, rhinoplasty is successful. You must also pay close attention to the post-operative care recommendations given by your surgeon if you want to guarantee the best possible outcomes. An expert surgeon will provide you with great post-operative care guidelines. Recovery happens in stages, and to get the best results at each stage, you need to be both patient and careful.
The Value Of Selecting An Expert Surgeon
Choosing one of Chicago’s finest rhinoplasty doctors is very different from simply selecting a physician from the list of top results on Google or Yelp. Experience and results are typically the key differences. When comparing various practices, pay close attention to the services they claim to provide. It’s possible that they don’t perform rhinoplasty very frequently if they don’t have a lot of knowledge or information about the process.
Make sure to carefully review the surgeon’s website, contact their office, and go to their clinic in person when looking for a doctor to perform a nose operation. You should get a solid sense of their work history, educational background, level of professionalism, and training from it. Watch out for specialists who have a long history of doing rhinoplasty. Request to see images of the patient’s before and after. Make sure to consider the photography’s caliber. The lighting, background, and distance for each photo should be the same. The alternative is careless. Check to see if the patient examples are similar to you in terms of sex, age, ethnicity, and skin tone.
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How do you breathe during a rhinoplasty?
Like the majority of people, you probably consider rhinoplasty, sometimes known as a “nose job,” to be a cosmetic treatment. However, rhinoplasty serves much more than just cosmetic needs. Additionally, having your nose altered can help with respiratory issues.
Taking care of breathing issues
The majority of the time, breathing problems are caused by structural abnormalities. The most common structural issue that might cause difficulties breathing through your nose is a deviated septum. The nose is divided into two chambers by a thin piece of cartilage called the septum. Air easily passes through both sides of this construction when it is about in the middle.
One side of a septum that is crooked or unevenly shaped will be thinner than the other, and this imbalance will affect how well air flows through the septum. Additionally, you might not even be aware of having a deviated septum.
Most people’s septa are slightly off-center. Frequently, the variation is slight, poses no serious issues, and doesn’t need to be treated. But if your septum is very out of place, it may be hard to breathe through your nose, which can lead to other health problems.
Symptoms of nasal breathing problems
The following are the most typical signs of nasal dysfunction:
- Breathing problems with one or both nostrils due to nasal clogging
- nasal migraines
- facial pressure and pain, as well as nasal tension
- Why is proper nasal airflow important?
- In addition to filtering warm and cool air as it enters the nose, the nasal passages play a crucial role in respiratory function by supplying oxygen.
- Any blockage makes it harder for air to move through the nasal passages, which makes it harder for the nose to drain well.
You have a greater risk of recurring nose infections if you have a deviated septum. The associated breathing issues can disrupt sleep and lead to obstructive sleep apnea, a condition where you frequently stop breathing while you sleep. If you experience daytime fatigue, a sleep disorder caused by respiratory issues may be to blame.
What is a nose job?
In functional rhinoplasty, the nose is reshaped to improve nasal airflow and drainage. It improves your ability to breathe. Surgery to fix a deviated septum is known as a septoplasty. Your doctor will straighten the septum during a septoplasty to improve ventilation.
Further root causes of respiratory issues
Your sinuses may develop growths known as “nasal polyps” that obstruct airflow. They are connected to asthma, allergies, and recurrent infections. These gentle, painless growths can occasionally get big enough to obstruct regular airflow. Your ability to breathe better may result from having your nasal polyps surgically removed.
Another significant factor in breathing issues is allergies. Chronic nasal irritation brought on by allergies can make it challenging to breathe through the nose. Our physicianscan help you breathe again using a variety of surgical and non-surgical techniques.
A non-invasive, non-surgical method to open the nasal passageways is balloon sinuplasty. Your surgeon will insert and inflate a medical balloon into the nostrils using specialized tools. The nasal passageways should stay open after the balloon has been deflated and removed.
When should you visit a physician?
You don’t have to put up with nose breathing issues all the time. It’s time to see a qualified ear, nose, and throat specialist if you discover that you can’t breathe easily when you seal your mouth and take a deep breath through your nose.
In order to help you breathe better and feel better, our team of otolaryngologists and head and neck surgeons determines the underlying reason for your breathing disorder and develops a treatment plan that addresses it.
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Is 40 too old for rhinoplasty?
There is no upper age limit for cosmetic rhinoplasty. The general rule is that you are probably a suitable candidate for surgery if you are in good health.
But as patients get older, surgeons may have to deal with more difficult situations that could hurt the patient’s long-term appearance.
Many patients decide to undergo cosmetic surgery in their 40s and 50s, before the aging process significantly alters the nose’s basic shape and appearance. The rejuvenating results of rhinoplasty are often well-liked by these patients, and in many cases, they have wanted to improve their looks for a long time.
Is 40 too old to get a nose job?
According to the american society of plastic surgeons, 78,054 rhinoplasty surgeries were completed on adults between the ages of 40 and 54 in 2021. (Asps). You might gain from the operation as long as your physical and mental health are both good. When you are most certain of your choice and knowledgeable about the operation, then that is the ideal moment to undergo a rhinoplasty. Additionally, you need to feel at ease with your surgeon, who will be your guide on the way.
50th-year nose job
50 is not “too old” for rhinoplasty as long as you are in good health and have adequate time in your schedule for a thorough recovery. Rhinoplasty is a cosmetic operation that can be customized for patients of any age with the goal of improving how they appear and feel about their noses. You will require a physical examination and approval from your doctor prior to surgery, just like any other patient. Don’t allow your advanced age to prevent you from seeking advice from a facial plastic surgeon.
Over 50 rhinoplasty procedures
The technical stages are the same for patients over the age of 50 as they are for patients who are younger. You may even look younger after a rhinoplasty at this age because the nose may vary over time and contribute to an older appearance. Patients in this age bracket are more likely to have underlying diseases, including diabetes and hypertension, which could raise the risks of surgery.
When a patient is 60 years of age or older, physiological changes in the nose necessitate a careful assessment by the operating surgeon to evaluate whether a successful cosmetic outcome is feasible. Additionally, any underlying health issues must be taken into account. Before surgery, Dr. William portuese will have a thorough conversation with you about your medical history to make sure it will be both safe and beneficial for you.
Numerous pre-operative problems could also exist. For instance, can the patient handle the anesthesia? In what condition are the nasal cartilage, facial skin, and bone structure in? Is there a big difference between the nasal dorsum and nasal airways, or do they both hang down?
Years of sun exposure could have had a severe impact on the quality of the skin. As we age, the body produces less collagen and elastin, which are responsible for the facial skin’s natural fullness and volume. As a result, the skin becomes thinner. Older people bruise more easily as a result, and healing takes longer. Additionally, there may be a higher chance of bleeding and scarring.
Your objectives and aspirations will be compared to the practical realities of the operation by Dr. William portuese. Only then can he assess whether rhinoplasty is right for you. Everyone will be content in the end if you both believe that the operation will be safe and successful.
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Rhinoplasty for Different Ethnicities
Ethnic rhinoplasty is a nose operation or a nose reshaping treatment done to enhance and improve the contour of the nose for various ethnic groups. The intricate surgical process includes reshaping and reconstructing the bones and cartilage in the nose. If you have a deviated nasal septum, rhinoplasty can also be performed to improve breathing or the appearance of the face. Other disorders such as cleft lip, cleft palate, chronic allergies producing nasal inflammation or any mass in the nose may be treated with this procedure.
Different forms of rhinoplasty are required for various types of noses. The type of nose surgery you have depends on the results you want or the condition you are having rhinoplasty for. The goal of traditional rhinoplasty is to alter the nose’s structure to a particular degree. Numerous procedures also result in the nose seeming pinched and out of proportion. During a regular rhinoplasty, your tastes and the traits of your culture are often not taken into account.
A professional plastic surgeon, Dr. William Portuese Hunt has performed hundreds of successful nose operations. Dr. William Portuese is a well-known plastic surgeon who does nose surgery.
What is ethnic nose surgery?
Ethnic rhinoplasty is a specialized type of rhinoplasty in which the nose’s shape is changed without sacrificing or diluting the distinctive features of your heritage. To preserve the characteristics that are unique to a certain ethnicity, this operation demands considerable attention. These characteristics are used by ethnic rhinoplasty to alter the nose’s appearance. When obtaining a rhinoplasty, many people don’t want to forget who they are, where their family is from, or their own cultural origins.
An idea that is relatively new, ethnic rhinoplasty will retain your facial history and give you a well-balanced appearance that matches your ethnicity.
What distinguishes an ethnic rhinoplasty?
What distinguishes a rhinoplasty from an ethnic rhinoplasty, then? Both processes are comparable. They carry out aesthetic alterations using the same strategies and procedures. Ethnic rhinoplasty, however, pays close attention to your particular facial traits and nasal architecture. It gives the nose a natural appearance that doesn’t appear to have been altered surgically. Your physiognomy is not compromised because it is a nose job.
The intricate and challenging procedure of ethnic rhinoplasty will benefit from the expertise of highly trained surgical hands. When doing ethnic rhinoplasty, certain nasal traits can be challenging for surgeons with less experience. For a successful ethnic rhinoplasty, you should only trust the most skilled plastic surgeons.
How is ethnic nose surgery carried out?
Prior to surgery, Dr William Portuese will inspect your nose as part of the pre-operative consultation for ethnic rhinoplasty. Based on the maturity of your nose, he will also decide if you should have the treatment or not. A treatment strategy will be suggested for you after a study of your medical history. We’ll take photos of your nose to compare it before and after the procedure. Additionally, you will receive detailed instructions that must be followed before the process to guarantee the best outcomes. It is advised that you avoid wearing makeup the day of the operation. A numbing lotion will be applied after cleaning the nose and its surroundings. You’ll feel more at ease throughout the process if you do this.
What can you anticipate from an ethnic nose job?
While honoring and keeping your cultural traits, an ethnic rhinoplasty treatment can assist in enhancing and improving the appearance of your nose. Results can be seen right away, but swelling can make them harder to see. Once the swelling goes down and your skin heals, you’ll see that the problem areas are getting better.
A bulbous nose tip can be less noticeable with ethnic rhinoplasty. It can make and strengthen a flattened nasal bridge, narrow the nose overall, and give the nose a balanced, attractive look.
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What should I know before getting a nose job?
On your face, your nose is a rather prominent feature. It can alter the look of the rest of your face and detract from other attractive characteristics when it is crooked, overly wide, or even too small. A nose job, also known as rhinoplasty, is a cosmetic surgery operation that can help change the shape of your nose in a way that balances the rest of your features and the rest of your face. Here are five things you should be aware of before getting a nose job, though.
- Request prior procedure before-and-after photos
Your surgeon must have a depth and breadth of experience in rhinoplasty and facial cosmetic surgery. Asking your surgeon about their expertise in this field is nothing to be afraid of.
To have a better understanding of the outcomes and to form an opinion about your surgeon’s surgical abilities, you should look through before and after pictures of patients they’ve previously operated on.
- Ask your surgeon several questions
Make sure you choose the best surgeon for your needs when you’re thinking about getting a nose operation.
Ask specific questions prior to any surgical operation, such as if the surgery is a good option for you, the surgical technique they plan to use, and the degree of patient satisfaction.
You’ll feel more at ease knowing that both the operation and the doctor performing it are the best choices for you as a result.
Did you know that rhinoplasty is one of the most common cosmetic procedures?
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- You must take a minimum of two weeks off from work
One of the most difficult types of facial cosmetic surgery is rhinoplasty, and depending on the degree of the procedure, recovery could last up to two weeks. You’ll have to skip work at this time.
It’s important not to blow your nose because doing so could make the procedure less effective.
Your surgeon will give you painkillers and anti-sickness medicines to help offset some of these symptoms. Rest and sleeping with your head raised will be required of you. You should be able to socialize one week after surgery, at which point your nasal splint will be removed.
- The full results may not be available for up to a year
Your surgeon could put a splint over your nose throughout the procedure for support and to stabilize your new form. When your splint is removed, around 1-2 weeks after surgery, you should be able to instantly notice changes in the contour of your nose, despite being swollen.
After surgery, you can experience brief but lingering edema for several months. Your surgery’s ultimate outcome could not be apparent for up to a year, and occasionally longer. During this time, the swelling will slowly go down, and the skin and soft tissues around the nose will tighten and adjust to the new shape.
- Set attainable outcome goals
Do not be reluctant to communicate your desires to your surgeon. They’ll let you know if your goal is doable and reasonable. I think that the best results come from keeping your nose’s function and giving it a natural look.
The goal of cosmetic rhinoplasty is to enhance the appearance of your natural nose. It’s crucial to keep in mind that you shouldn’t strive for “perfection” or assume that you have someone else’s nose.
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