Your nose. Love it or hate it, it sits smack in the middle of your face.
Ideally, your nose should be in such harmony with the rest of your facial features that it’s barely noticed. If you’re not one of the lucky ones to have been born with such an ideal nose, you have probably considered rhinoplasty. Long noses, wide noses, crooked noses, bumpy noses: They all can cause their “owners” enough distress to want to change them through rhinoplastic surgery (aka a nose job).
But even if you’ve thought about a nose job, you may feel leery. First, you've heard it can be painful. Second, you’re not sure you’ll like it. Third, you’re afraid you’ll look too obviously different and that may make you even more self-conscious. Fourth — and this is a big one — you’re afraid you’ll get a bad nose job.
While most rhinoplastic procedures that are performed by excellent cosmetic surgeons in Las Vegas like Dr. Julio Garcia in Henderson, Nevada, go unnoticed because they simply make their patients look more attractive, rather than “done,” a bad nose job can make a strong — and strongly negative — impression.
What are the top things that can go wrong with a rhinoplasty procedure when performed by someone who is not an expert, and how can you avoid them? Here are a few:
- Your plastic surgeon gave you a “pig nose”
The “pig nose” is probably the most obvious sign of a bad nose job. However, did you know that even in an excellent rhinoplasty, an upturned nose is actually just a stage of normal healing?
When a plastic surgeon shortens a nose and/ or refines the tip, we do something called “tip rotation” — which is actually an over-correction that is necessary in order to ensure that the tip will descend to a beautiful position after the nose has finished healing. The nose tissues take a year to heal. If we didn’t overcorrect the tip, once the swelling subsided, the tip would droop.
However, an inexpert surgeon will perform a tip rotation that is too drastic. Thus, even after the nose has healed, the tip is still turned upward, revealing too much of the nostrils.
If, after a year of healing from your rhinoplasty, you still have an upturned nose, you may need rhinoplastic revision surgery, in which the tip will be lowered so that the nostrils are in a more flattering position. Revision rhinoplasty is an even more challenging procedure than an original rhinoplasty, so it is important to work with someone who has expertise in this area.
2. Your new nose doesn’t match your ethnicity.
Decades ago, it was common to see ethnic celebrities whose noses did not match their faces. This was because there were very few rhinoplastic surgeons at the time who were familiar with the anatomical differences between Caucasian faces and those of other ethnicities, such as Asian, African American, and Hispanic.
Now there are many expert plastic surgeons who understand the differences in the composition of cartilage, the thickness of the skin, and the specific aesthetics that are unique to various ethnic groups and also to each individual. As part of your rhinoplastic consultation, you should be shown beautiful before-and-after photos of people who have your same ethnic traits. Be sure that the plastic surgeon you choose has been trained to work with faces of all ethnicities and that you feel your heritage is respected during your consultation and when deciding on your final nose shape.
3. Your nostrils are crooked.
If a plastic surgeon is not careful and meticulous when repositioning the tip cartilage, your nostrils may be crooked or asymmetrical. One side may look bulkier. Or one of the nostrils themselves might have a smaller opening.
As with an overcorrected tip rotation, crooked nostrils and other types of asymmetry can be addressed with a revision rhinoplasty.
4. You’re left with a pollybeak deformity.
A pollybeak deformity, which can also be called a parrot beak deformity, usually occurs when the bridge of the nose is reduced too much, but the rest of the cartilage is not. The result is a nose that has a hump before the tip and excess skin and cartilage that push down on the tip, much like the slope of a parrot’s beak.
Pollybeak deformity can also occur naturally in patients who have excess cartilage. Whether it arose from a botched surgery, or from nature, a pollybeak deformity can be corrected by an expert plastic surgeon.
5. Your nose looks “scooped out”.
When an inexpert surgeon is using nasal rasps to file down a bump, he or she may remove too much cartilage, resulting in a “scooped out” look. This can be corrected with dermal fillers, such as Sculptra, or by revision rhinoplasty.
6. You have tip bossae.
A tip bossae is a knobby protuberance on the nasal tip. This may occur when the cartilage on the tip of the nose is cut too aggressively and loses its elasticity. Under the weight of the skin, it becomes deformed and bulbous. Usually tip bossing can be rectified with a tip revision, which can be performed under local anesthesia.
7. Your nose looks twisted or knuckled.
Rhinoplasty is actually one of the most challenging of all cosmetic surgery procedures. This is because the nose cartilage —which usually needs to be reshaped or shortened — is highly resilient. This means that it has a tendency to return to its original shape, even after a surgeon has attempted to straighten it. In general, it is extremely difficult to straighten the nose cartilage, which is why it is essential to hire an expert plastic surgeon who has performed hundreds of successful rhinoplasties. The most important part of an excellent rhinoplasty, in fact, is finding the right surgeon for the job.
Top things that can go right with a rhinoplasty procedure.
Although rhinoplasty is a challenging procedure, there many talented and skilled plastic surgeons who will be able to give you a nose that matches your ideal. Take your time to find the right surgeon, look at his or her before-and-after photos, meet their happy patients, and feel free to ask as many questions as you’d like.
When you find the right surgeon for your rhinoplasty in Las Vegas, you can expect the following results:
- A beautiful, straight nose free of lumps, bumps and crooks
- Finely shaped, lovely and symmetrical nostrils
- A nose length that matches your face shape and your unique features
- A nose that respects your ethnicity
- A nose that looks ideal for your face
- A nose that lets the viewer focus on what’s really important: your eyes, lips and the overall harmony of your unique beauty.