December 23, 2011
Question: Is it possible for the nose to continue to grow after a nose job even for an adult?
Answer: When individuals age, they often experience drooping of the nasal tip. This is due to a loss of support. A drooping tip may create the appearance of a dorsal hump, and the dorsum now appears convex. This can contribute to the appearance of a larger nose. A rhinoplasty can help to bring up the tip and increase the nasolabial angle for a more youthful appearance. As one ages following a rhinoplasty, you may still notice subtle changes. However, if a solid support system is in place, the tip will not have a tendency to droop and add to the appearance of a larger nose. As a result, any effects of aging will not be as noticeable. Thank you and I hope this helps.
December 22, 2011
Question: Can you correct my deviated septum and do a cosmetic nose procedure during the same appointment?
Answer: Yes, this is a very common procedure known as a septorhinoplasty. Oftentimes, patients experience breathing issues from a deviated septum and desire a cosmetic improvement at the same time. Sometimes, a cosmetic change will also be necessary to improve one’s breathing. For example, for a patient with a deviated septum and pinched nostrils, cosmetic alteration will be necessary to improve the patient’s breathing. Thank you and I hope this helps.
December 20, 2011
Question: I heard that over-resection can cause an over short nose, but how does it also cause a droopy nose?
Answer: Over-resection of the lower lateral cartilage complex in patients with a heavy sebaceous skin-soft tissue envelope can cause tip ptosis and nasal obstruction. This problem often occurs in Hispanic, Asian, Middle Eastern and African American patients. Thank you for the question.
December 16, 2011
Question: I feel like my nose droops down, not the tip exactly but more the skin that is between the nostrils. It almost seems like the skin there is too long and needs to be leveled off. Can this be done?
Answer: Correction of a hanging columella is commonly performed during rhinoplasty. In skilled hands, excellent results can be attained.
December 14, 2011
Question: I had a nose job and my nose looks pinched. I’m also having trouble breathing. Is this just caused by the swelling? Will it get better once the swelling goes down or is this something I would need a revision procedure for?
Answer: Over-aggressive removal of cartilage and tissue from the nose during a rhinoplasty can lead to a “pinched” appearance and difficulty breathing. When too much cartilage is removed, often in an attempt to make the nose or tip smaller, the structure of the nose can be weakened causing it to collapse or narrow, both of which lead to trouble breathing.
December 10, 2011
Question: Since my nose job, I have some really ugly broken blood vessels on my nose. Was this caused by the surgery? Will they go away?
Answer: The small vessels on your nose, or telangiectasias, likely became more pronounced due to the dissection of the skin performed during surgery. Many times these will fade with time, but laser treatments may help to lessen their appearance more quickly.
December 8, 2011
Question: I had a nose job to remove a hump and straighten my profile. I now have a small depression a little more than halfway down my nose just above my tip and the hump seems to have returned. Why would this occur?
Answer: I would need to know more about the nature of your surgery, and the amount of time that has passed since your surgery to provide you with the best advice. It is possible you are still swollen, and this will influence the final result. It is important to be patient during the healing process, as the final result will not be evident for 18 to 24 months following your procedure. 70% of the swelling is resolved after the first three months and the remainder of the swelling goes down over time. Thank you and I hope this helps.
December 6, 2011
Question: I have developed what seems like a small callous on my nose since my nose job. Will this resolve or can it be treated in some way?
Answer: It depends on the nature of the callous. An exam would be necessary to provide you with the best advice. Thank you for the question.
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