Posted on Jul 29, 2019

Center For Cosmetic Surgery: Todd Gerlach MD

The cosmetic procedure of recontouring the nose is one of the most popular operations performed by plastic surgeons today. The patient's input is always sought regarding the desired nasal change, but the patient must accept the judgement of the plastic surgeon as to the type, shape and contour of the nose as he is more acquainted with limitations imposed by the patient's tissues and facial features.

Since no two people are alike, a patient should not expect to "select a nose" by studying other people's noses or photographs, but such input is helpful to the surgeon as it gives some idea of the patient's general desires.

A surgeon must consider the patient's entire facial profile when planning nasal surgery. Patients with moderate sized noses, but very weak chins will appear to have much larger noses than they actually have. In such cases, it is impossible to reduce the nose sufficiently to provide a satisfactory profile, but facial balance may be restored by simultaneously performing a chin augmentation. Additional ancillary procedures such as a liposuction of the neck or a face lift may enhance the result of the rhinoplasty even further by restoring facial balance.
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