Drastic Rhinoplasty
There is no Drastic Rhinoplasty
The changes you describe are quite standard and would not be considered drastic by any means. The desired outcome of a procedure is a very personal choice.
What one person thinks is drastic might be considered conservative by another. Most surgeries are easy to accomplish in a single procedure.
That’s not to say that a small percentage of patients will request revision surgery. However, planning two separate stages is not common practice.
If a surgeon recommended this to you, I would be cautious. (Richard W. Westreich, MD, Manhattan Facial Plastic Surgeon)
Your requests for improvement of your nose are quite common. But even in the best hands, there is about a 5-15% revision rate. (Steven Wallach, MD, Manhattan Plastic Surgeon)
Rhinoplasty Surgery may be tailored for your specific needs and you could see dramatic results.
I read your concerns. In my practice, some of my patients require dramatic changes in the appearance of their noses, and some require less.
It depends on what you’re starting with and where you want to go. In general, patients with very large, long noses with droopy, bulbous tips will see the most dramatic change after Rhinoplasty Surgery.
Computer-imaging may be helpful for you to determine what to expect after well-performed Rhinoplasty Surgery.
Drastic Rhinoplasty operation
Rhinoplasty Surgery is not staged over several procedures. (Eric M. Joseph, MD, West Orange Facial Plastic Surgeon)
Even a drastic rhinoplasty is a single procedure
Rhinoplasty is often a procedure of small changes to enhance the characteristics of the nose, though sometimes ‘drastic’ changes are needed to reach the goal of the procedure.
Even with very large hump reduction, correction of a severely twisted nose, thinning a very full tip, rhinoplasty is a single procedure tailored to the task at hand, rather than a ‘staged’ procedure. Even the worst nose can be corrected in a single step. (Peter E. Johnson, MD, Chicago Plastic Surgeon)
“Drastic” rhinoplasty does NOT require more than 1 operation!
Drastic Rhinoplasty surgery
Whatever changes your nose requires to achieve the results you are seeking are best accomplished in as few operations as possible! In most cases this is ONE operation, but every surgeon who does nose surgery has occasional patients who request or require additional surgery.
PLANNING in advance for more than one procedure is generally NOT recommended, though I sometimes will do all of the changes that a patient requests EXCEPT for the Weir excisions (at the side and base of each nostril) to reduce lower nasal width and nostril size. The latter can easily be performed as a separate procedure under local anesthesia if either the surgeon or the patient (or both) are not sure if the decrease in nostril size or lower nasal width is really necessary after all of the other requested changes in the rest of the nose.
These require that all the work be done when the patient is asleep (or sedated) and the nasal skin is elevated from the underlying support cartilages and bony structures. Patients sometimes worry about what happens to all of the “extra” skin after the nasal hump is removed.
Drastic Rhinoplasty reovery
Worry not, the nasal skin is highly elastic and shrinks right down over the “new” nose after removal of even the most prominent of “beaks” is carried out! For examples of this click the link below. Sometimes the more drastic the change requested, the easier the rhinoplasty is able to achieve remarkable results! Often the “finesse” rhinoplasty patient is much more difficult to make happy, and the work harder to do! So not only is it “possible” to have your “drastic” rhinoplasty performed in one stage, it is PREFERABLE! (Richard H. Tholen, MD, FACS, Minneapolis Plastic Surgeon)
Multiple nose issues and rhinoplasty.
Multiple nose issues and rhinoplasty are not “drastic”. Some noses only require one problem corrected while others may require 6 or 7 problems addressed – all in one rhinoplasty. That is different than an “overdone” nose which looks surgical. (Toby Mayer, MD, Beverly Hills Facial Plastic Surgeon)
Rhinoplasty Los Angeles
All the changes that you have listed are usually performed in nose job if they are needed.
I think you should find out whether the “drastic” change that you are looking for can be achieved by nose job, but the issue should not be one or more than surgeries.
See an experienced nose job surgeon who can domonstrate the expected resultes with the help of computer imaging. (Armen Vartany, MD, Los Angeles Plastic Surgeon)
Drastic nose job
Although you are considering multiple changes in your nose, this is not “drastic” surgery. An experienced nose job surgeon will bring all nasal structures into proportion – this can and should be done in one operation.
When I first started in practice 35 years ago may surgeons did aggressive rhinoplasties, removing a lot of tissue, which resulted in noses with pinched tips and scooped-out profiles.
The goal should be refinement with improved definition and a natural appearance. (Richard W. Fleming, MD, Beverly Hills Facial Plastic Surgeon)
Drastic nose job – More Than One Surgery Required?
What you describe is the hallmark of ethnic nose. This is the most challenging surgery requiring surgeon experienced in this type of noses. This is achieved in one surgery.
We have never told patient that two or more surgeries needed. Once, what is needed is done, then all that is needed is occasional steroid injection during the immediate post operative period to reduce the scarring and swelling.
Look at the before and after pictures before your surgery. (Mohsen Tavoussi, MD, DO, Huntington Beach Facial Plastic Surgeon)
Nose job can change the shape in one operation. Best to see a true expert in your area, like Dr Toby Mayer (in LA). (Darryl J. Blinski, MD, Miami Plastic Surgeon)
A conservative approach to nose job can still yield spectacular results,preferably in one single sitting. Find a nose job expert in your area and consult with him/her. (Erel Laufer, MD, Dunedin Plastic Surgeon)