Over the past few decades, surgical techniques employed during rhinoplasty have changed dramatically, allowing for much more natural results. At one time, the ultimate goal was size reduction. Commonly, people seeking to undergo nasal tissue reduction surgery have an enlarged dorsal hump that can be corrected.
Overly aggressive surgical practices eliminated the convex formation of the hump, so much so that this portion of the nose often became concave. The patient would be left with a smaller nose, albeit an obviously cosmetically altered one with what modern surgeons term the “scoop nose deformity,” often with a “pinched tip.” During these unevolved surgical practices, the bridge of the nose often was made too thin and incorrectly shaped for the face. In addition, the nostrils were made too thin, and the nose took on what is referred to as a “ski jump”look that was upturned and unnatural. These cookie cutter noses did not suit the many faces on which they were created, and had clearly had surgical “look”.
Cutting Edge Rhinoplasty less is more
Current surgical practices promote natural results, as this is truly what most patients truly desire. South Florida facial plastic surgeon Dr. Andres Bustillo states on his main page, “I am conservative. Less is more in plastic surgery.”Small changes can heal to create optimal results. Think about the nose as a single structure; though it may appear quite large on the face, in comparison with other body parts it does not have great mass.
Though many of the same changes are still requested – a reduction in size, smoothing of the dorsal hump, tip refinement, and nostril shape alterations – the approach now differs. Doctors have access to advanced computer imaging equipment that allows them to create minor changes to the face so the patient has input as to how their final results may look. Additionally, with more conservative surgical techniques, the results are more natural and longer lasting. Rather than viewing the nose as a singular feature, doctors now view the nose in comparison with surrounding features and can use specific measurements to ensure the facial harmony is both scientifically mapped and appealing.
New natural looking solutions for revision Rhinoplasty
While synthetic nasal implant material may have been used in the past, now the patient’s own biological materials can serve to replenish depleted structures during revision rhinoplasty. Those who have undergone rhinoplasty from less qualified surgeons or prior to the new, more natural approach may come to Dr. Bustillo for the secondary surgery. The facial plastic surgeon specializes in both rhinoplasty and revision rhinoplasty, among other facial cosmetic procedures.
Dr. Andres Bustillo MD, FACS can be contacted at his Coral Gables, Florida office at (305) 663-3380. The doctor has patients from all over the world visit him seeking his surgical expertise, and his office staff works hard to accommodate those with distance considerations. To view some of Dr. Bustillo’s extraordinary revision rhinoplasty cases, view his facial plastic surgery patients’ photo gallery.