Undergoing elective cosmetic surgery can be a physically and mentally challenging ordeal.  While most surgeries are due to necessity such as trauma or cancer, cosmetic surgery patients are otherwise healthy patients who choose to undergo surgery.  Essentially Plastic Surgeons take healthy patients, put them through the meat grinder, make them bruised and swollen and distorted and give them pain mixed with numbness, all in the hope of improving what the patient perceives as a cosmetic issue. 

Obviously there are various degrees of this.  You can argue that a simple upper eyelid blepharoplasty is a relatively benign surgery with a benign recovery – if everything goes well and the surgeon is skillful.  You could also argue that a total body lift combined with a facelift and browlift and breast reduction is certainly much more involved surgically and post-surgically than a simple skin only upper eyelid lift.  So objectively there are differences between cosmetic surgery procedures.  But the human element cannot be under estimated.  Subjectively there are patients who are much more bothered and adversely affected after a “simple” upper eyelid blepharoplasty while other patients may seem totally fine after an extreme body and face makeover lift.  There are patients who break down socially and mentally after a slightly asymmetric nasal tip post Rhinoplasty, while other lead very healthy and productive happy lives after being butchered by extremely over aggressive Rhinoplasty.  To each their own.  We are not all created equal and we do not all react to the physical and mental stress of elective cosmetic surgery the same way.  There is no right or wrong.  But it is the plastic surgeon’s responsibility to evaluate and assess his patient’s physical and mental capacity for dealing with elective cosmetic surgery. 

All surgeons would agree it is important to catch bleeding disorders or correct high blood sugars in a diabetic patient before undergoing plastic surgery.  However, many surgeons fail to spend enough time getting to know the person and the character behind the patient in their office.   It is crucial to understand the mental reserve of our patients.  We must understand their goals and fears and driving motivations.  We need to get to know their friend and family network.  Why is a patient choosing to undergo a Rhinoplasty is much more important than the size of their nasal tip or dorsal hump. 

Throughout the years I have seen several unique but reproducible patient characteristics that can lead to “post-operative mental complication.”  I have tried hard to educate and dissuade these patients from undergoing elective cosmetic surgery.  Some have taken my advice.  Some took the time to self introspect and identify their inner adversely driving issues and then came back with a much healthier mindset and attitude, undergoing surgery with great post-operative outcome.  And yet others have bad mouthed me on the internet saying things like “he does not know what he is talking about,” or “he did not see my problem,” etc. 

What I have seen that alarms me as a surgeon and as a compassionate human are the following scenarios:

• Patients who have had over critical parents.  Parents who have destroyed their self-esteem.  These are heart-breaking cases.  I have witnessed moms and dads in my office point to and grab their children’s faces, noses and chins so aggressively, and talk harshly about their offspring’s features in a way that would bring shame and depression to any child or young adult.  While the post surgical results may be excellent and the patient may be very happy, the parents often are impossible to please and continue to “point out” non-existent issues on their children’s faces!  I much rather deal with a parent who does not think his or her child needs plastic surgery and is against it than one who encourages and urges their child to get plastic surgery. 
• Patients who have over critical friends, siblings or spouses.  These are not as troubling as over critical parents but these patients do have external motivating factors which are not healthy causes for seeking cosmetic surgery. 
• Patients who are in the search of “perfection.”  Often these patients are very well put together and pay particular attention to their looks and attire but they simply do not understand the limitations of science and plastic surgery and continue to seek cosmetic surgery after cosmetic surgery. 
• Patients who do not seem to care about their body or look or attire or even hygiene but for some reason are focused on one feature and want that feature to be perfected. 
• Young and middle aged male patients who are self absorbed and even narcissistic in some respect and feel more important than other patients.  They may be single or married but often have very unhealthy preoccupation with their looks and especially noses. 
• Patients with Body Dysmorphic Disorder.  These are patients who perceive their own faces and bodies as flawed and no matter what, they see a different, more negative image of themselves than the rest of the world sees of them.
• Patients who are overly emotional when discussing their perceived or real flaws.  For example, patients who break down in tears remembering being teased in school for having big ears or a big nose. 
• Patients with dependant personalities but with lack of support from friends and family for elective surgery.
• Patients with unrealistic motivations such as helping save a rocky marriage or landing a great job after improving their nasal tip, etc.

The patient characteristics listed above are all worrisome characteristics that can set up patients for mental depression and perception of surgical failure after elective cosmetic surgery, despite potentially fantastic surgical results.  

Being able to cope with post op edema and healing variations takes mental fortitude.  Being able to block out the negative comments of ill-advised friends or relatives takes mental strength.  These are all issues too often neglected by plastic surgeons for lack of time, attention to detail, or fear of losing an eager to pay cosmetic surgery patient.  

While usually increased self-confidence and self-esteem and happiness can be brought on after and as a result of elective cosmetic surgery, deepening depression and social and mental dysfunction can also result from such procedures.  Loss of normal human function and preoccupation with chat rooms and blogs can take over ones life.  Proper patient selection and education are keys to post surgical patient happiness and avoidance of such serious issues.  While a bad nose job can be fixed, the perception of a bad nose job cannot easily be corrected.  Obviously the importance of an artistic surgeon’s skills cannot be highlighted enough but that alone does not guarantee patient happiness when it comes to elective cosmetic surgery and especially Rhinoplasty.

Though every human body has its own structure and qualities, a rhinoplasty specialist can help you in shaping your nose in a better way. some individuals like to opt for eyelid and facial surgery also in addition to the rhinoplasty.

In every culture the nose forms a significant part of the facial beauty. Gone are the days when it was meant only to help body in the usual breathing. Today, if someone doesn’t have an attractive nose, the person feels awkward in social life.

Lipstick can be applied to lips to make them fuller or slim but there isn’t any makeup alluring. Debaters of african american rhinoplasty always raise a points that what is more important for the nose is to function in sync to the body and its cosmetic front can be ignored. In the current times, such debates are no longer able to hold their ground. Today, people want that there nose should be big enough to inhale oxygen naturally and small enough to look good on their faces.

Asian rhinoplasty is famous because it helps people who are born with distinct features enhance them for physical attractiveness. Some, in their desire to have a small nose ask the cosmetic surgeon to restructure in such a way that it gets difficult for them to even breathe later.

A common suggestion given to all the folks interested in rhinoplasty is comply completely with the doctor’s wisdom. Use rhinoplasty only when necessary. Certainly if you have a bump or other regularities, you must opt for it but not in the case when you have found a new boyfriend who has loads of money to let you do whatever you’d like to do with it.

Though it is still not out in open too much, people of some distinct ethnicities are more likely to have some characteristic nasal forms that are different from those found amongst Caucasian people. These differences alter the strategies for ethnic rhinoplasty surgery to a great extent. Ethnic rhinoplasty enables patients of East Asian, African, and Hispanic origin can receive the surgery of rhinoplasty without diminishing the appearance of the ethnic heritage they belong to.

Nose jobs for non-Caucasian or ethnic class of people can be a surgical challenge due to their significant variability from the standard American or European nose. For a surgeon, it is therefore necessary to become aware to the anatomic differences that ethnic rhinoplasty patients have.

According to a leading rhinoplasty surgeon, a good candidate for ethnic rhinoplasty would be a person who has typical nasal features of an ethnic group. For example, many people of African and Asian descent are born with noses that have a wider base and flat tips.

These people also have slightly thicker skin on the nose that gives it a round, balloon type shape. For them, ethnic rhinoplasty will help to get rid of their distinctive feature and get a leaner and straight nose. For females belonging to these ethnic sectors, this can be a blessing as many of them find it difficult to adjust into Western culture due to their distinctive features.

The ethnic rhinoplasty surgery reshapes the nose by changing the structure of the nasal bone and the cartilage under it without any unwanted scarring on the external side. The flatter, round shaped nose can be taken care of by grafting in a little extra cartilage from a different body part and thereby shaping the skin of the nose tip in a fine way.

According to a leading nose surgery specialist, all the patients are encouraged to ask their physician any questions that make them feel uncomfortable.

Usually a nose surgery is done to cure nasal obstruction caused by a crocked or deviated septum or enlarged tissues within the nose of an individual. A septoplasty is an advanced operation done to correct this deformity of the septum (partition) between the two sides of nose.

Another type of nose surgery is turbinectomy, which is done by surgically removing an abnormally enlarged turbinate inside the nose. Its direct benefit for the patients include improve breathing. Some of the goals of all these nasal airway surgeries include improving the airflow through nose, control unwanted nosebleeds, enhance visualization of the internal side of nose, relieve pain and constant nasal headaches that are associated with abnormal swelling of the internal nose part, and to promote smooth flow of sinus cavities. Like closed rhinoplasty and revision rhinoplasty, nasal airway surgery is also done through the nostrils of the patients and does not need external incisions.

For the patients planning to undergo any type of nose surgery, here are some instructions to be followed. Though it is not the medically prescribed set of instructions but following these will ensure that your nasal surgery experience is as comfortable as possible.

Before you make up your mind for the surgery, consult your doctor to discuss anatomy and medical conditions of your body. Some individuals are allergic to anesthesia while others may take longer time to heal. Therefore, never rush into any decision and ensure that you have considered all the aspects of the procedure before going forward with it.

Ethnic Rhinoplasty saves many people from potential embarrassment. There are people having noses that are too long, wide, crooked or narrow. Nose jobs are done to help you in correcting whatever you don’t like about it.

All the leading rhinoplasty surgeons offer the procedure in two ways – open rhinoplasty and closed rhinoplasty. Rhinoplasty can ensure that you not only have a nose that is cosmetically beautiful but also free from all medical hazards.

Often, people get confused about both types of rhinoplasty procedures. In the open rhinoplasty, incision is made from the outside of the nose skin. As a patient, you must take utmost precaution of going to only the best rhinoplasty surgeon as one wrong cut can leave its mark on your skin forever. The incision is from columnella, the visible divider between the nostrils till the point where the bone ends. Some cases, depending on the severity of the operation, the incisions made is very tiny and generally doesn’t leave any scarring. It is however still necessary to stay updated about the procedure.

Open and closed rhinoplasty procedures have some pros and cons and generally it is of your surgeon to decide which one to opt. Some surgeons do not like to go for closed procedure as it becomes complex for them to see the part of nose they are operating.

Since cosmetic surgery industry and especially rhinoplasty has seen a massive rise in number of patients opting for it in recent years, this has made opening up of many new clinics and medical centres for people to get operated. The best way to go for it is to be fully prepared by reading and understanding all the relevant information.

Our technology has advanced so much now that we can choose to change the way our face looks and the procedure of rhinoplasty is one of them. Another major reason for people to opt for nose jobs is to fix a imperfection or fault that blocks the breathing process of the individual. The effects of trauma or an injury can also a reason to opt for reconstructive rhinoplasty.

Don’t you remember the well-known scene where Marsha was wiped out straight in the face with a football? Her nose just grew four folds due to swelling! When someone fractures or dislocates their nose bone, they are left with unattractive bumps on their face and sometimes it looks crooked after healing. Normally, when a bone or cartilage gets fractured, there aren’t a lot of options with the individual than getting it repositioned and stabilize.

A rhinoplasty surgeon can correct the dislocation after the initial injury has healed and can see exactly what he or she is dealing with. Remember how Marsha healed back to its perfect little shape? Yes, it doesn’t happen exactly the same way in real life. Scars, curved cartilage and dislocated bones are the usual tell-tale marks of a broken one.

A dislocation or break does not just causes cosmetic concerns, it can also be a cause of breathing problems. Damaged cartilage may obstruct the airways from nostrils and demand immediate correction. Using either the open or closed rhinoplasty technique, surgeons can go in and mend up the damage, relocate the bones and cartilage and even graft skin tissues if required.

The problems attached to one’s body part are not only limited to enhancing one’s appearance; it is also related to regaining the normal functioning of a body part. Apart from their expertise in nose surgery, Rhinoplasty surgeon, Virginia are also capable of performing other types of cosmetic plastic surgeries like facelift etc. Some people suffer from breathing problems due to incorrect shape of the nose. In such cases, surgical procedures like rhinoplasty, often performed by nose surgery specialist, are helpful for correcting the breathing problem as well as the shape of the nose.

Rhinoplasty or nose surgery is a surgical procedure performed by a plastic or a qualified rhinoplasty surgeon with an intent to improve the appearance or to the function of a person’s nose. Nose surgery is also well known as nose reshaping or nose job procedure. A lot of people have been benefitted by getting relief from traumas, breathing problems, and birth defects.

Some of the best- known and well-qualified rhinoplasty surgeons are based in Virginia. Some other non-surgical types of cosmetic procedures include laser skin resurfacing, laser hair removal and scar removal etc.

It is always advisable to check the profiles of each of Virginia’s rhinoplasty surgeons to acquaint yourself with their education, knowledge, experience, and success rate. It is important to thoroughly understand the complications and outcomes of the procedure in advance. A detailed consultation and evaluation of the cosmetic surgery should be considered to enable a confident and right decision.

Ethnic Rhinoplasty procedures involve special considerations because the nose should match the rest of the face, providing the improvements and enhancements sought in the nose. The goal is to achieve an aesthetic result while retaining a natural appearance for the patient. While some patients like to bring in photos of movie stars or other persons whose noses they admire, other patients simply want their nose straighter, more refined and balanced with their face. This can be achieved while maintaining one’s overall ethnic characteristics and facial harmony.

Some common techniques in ethnic nose jobs include bridge augmentation and nasal base reduction. Bridge augmentation can be performed using one’s own cartilage (nasal or ear cartilage) as well several well-tolerated implant materials. Nasal base reduction can reduce the size of the nostrils as well as narrowing the overall width of the base of nose. Learning surgical limitations is important in order to develop realistic expectations. If you would like more information about ethnic rhinoplasty, contact a rhinoplasty surgeon expert for a free consultation.

Rhinoplasty, along with a host of related cosmetic services, has grown to fame through the endorsement and indulgences of Hollywood celebrities. Although the primary objective is to reconstruct damaged noses and heal from breathing disorders, the “beauty aspect” of the surgery has gained large prominence of late. Thus, the definition of the need for a nose surgery has shifted slightly; instead of being based on curing a defect, a nose job is performed to fulfill the aesthetic concerns of clients. The medical fraternity’s habit of referring to cosmetic surgery patients as ‘clients’ suggests a change in the way rhinoplasty surgery is now perceived.

In the United States, it is not at all difficult to find a good rhinoplasty surgeon. Virginia itself, for example, hosts a large number of specialists capable of performing most jobs.

There are two methods to the procedure of rhinoplasty: open or closed. Closed rhinoplasty required incisions made inside the nostrils, to separate the soft tissues and to shape the cartilage. In open rhinoplasty, one more incision is made to the skin separating the two nostrils.

A customer dissatisfaction count of 20% indicates revision rhinoplasty is a common procedure for most specialists. However, nose surgery remains a frequent choice for several people from across varied job profiles. It is considered necessary sometimes to get ahead in a job, to make an impressive first impression, to present a more pleasing front as a sales operative or in other similar appearance dependent professions.

Incisions are made either on the front of nose or near nostrils for the surgery. Closed rhinoplasty is the more famous out of the two as it no scar is left after that. However, in the past few years open rhinoplasty approach has also become popular and some people especially like to go for it due to the added advantages it offers. In some of the cases where the patient is not happy with the result, revision rhinoplasty is done after the first wound heals.

Some of the other benefits of closed rhinoplasty include reduced surgical dissection, smaller recovery time, reduced swelling after the operation and faster return of skin to its normal stage. Only the best rhinoplasty surgeon has the ability to alter the nose appearance without taking it all apart and as a result, one can actually have a slightly pointed or better shaped nose.

According to a renowned rhinoplasty surgeon, the trend of rhinoplasty is towards closed rhinoplasties. However, there is a drawback in the procedure – closed rhinoplasty makes it slightly difficult to have a second revision. If the desired results are not received one may have to live with that for some time. So, if you are planning for taking consultation from some surgeon in rhinoplasty, don’t forget to ensure that the surgeon has been certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). ABFPRS, as most of us know, is a national body and monitors every surgeon associated with it closely.