The Tent Pole of the Nose Revisited in Rhinoplasty

The Tent Pole of the Nose Revisited in Rhinoplasty I think it is worth exploring a concept that allows me to discuss with prospective rhinoplasty patients exactly how I approach noses and what the specific limitations are for a particular individual based on the unique characteristics of one’s anatomy.  The tent pole analogy is my […]

Cut-off Nostrils Following a Nose Job (Rhinoplasty) One of the ugliest things that I see with a traditional rhinoplasty, or traditional nose job, are cut-off nostrils.  A nostril should naturally taper and curve onto the face with a shelf like portion on the upper lip known as the nasal sill, like a window sill.  When […]

Notched Nostrils Following a Nose Job (Rhinoplasty) Another problem after a bad nose job rhinoplasty that to me is a telltale sign of bad work is a notched or V-shaped nostril.  The curvature of the nostril rim should form a gentle upside U-shape.  When it has been operated on in the past, it can look […]

Getting Past Revision Plastic Surgery One of the toughest things that I have to deal with is a patient who is dissatisfied either with my work or with another surgeon’s work.  I have many individuals who come to me with a sullen demeanor about what another physician created and what could I do to fix […]

Cartilage grafts for Nose Jobs/Rhinoplasties:  Pros and Cons There are three principal supplies for cartilage grafts to build up a nose.  They are the septum (from inside partition of the nose), the ear (conchal bowl cartilage), and rib (either cadaver or one’s own).  Each type of cartilage has its pros and cons for use in […]

Revision Rhinoplasty:  What Are My Standards of Naturalness I had a lady who came to me wanting to perform facial enhancement and I asked if she had any previous surgeries.  She said, “No.”  I asked her, “How about your rhinoplasty?”  She was startled that I could tell.  I reassured her that probably most people could […]

Notched Noses: How To Fix Them Without Rhinoplasty For me one of the biggest telltale signs a nose underwent previous rhinoplasty is the nostril is notched like an upside V-shape rather than a gentle upside U-shape. This notching that occurs after previous aggressive rhinoplasty may remain unaware to the individual that it is unnatural but not […]

Revision rhinoplasty and ethnic rhinoplasty may be better conceived by virtue of Dr. Sam Lam’s thinking of a tent pole metaphor, as exemplified in this video: