Beverly Hills Rhinoplasty (Nasal Surgery)

Part One: General Overview

Step by step analysis of Nasal Surgery (Rhinoplasty) as performed in Beverly Hills (greater Los Angeles area).

There are several parts to the nose that can and are manipulated during a Rhinoplasty or Revision Rhinoplasty and include:

1. The Nasal Bridge. This is the height of the nose and is comprised of nasal bones at the upper most regions (by the eyes) to the mid nasal region and cartilage the rest of the way down to the nasal tip. This layer sits on the face like a pyramid with the base on the face. Underneath and inside the pyramid is the nasal septum which divides the space into right and left nasal cavities. This section of the nose can be reduced if the nose appears to large or bulbous. The nasal bones can be broken and narrowed if this area appears to wide from a frontal view.

2. The mid-nasal section: This area, composed of cartilage is just above the nasal tip and may cause the nose to appear wide. This area can be manipulated and narrowed through various techniques including, cartilage trimming, resection and sutrure placement to further thin the cartilages in this area.

3. The nasal tip: The tip is comprised of 2 cartilages, each shaped like a question mark without the period. The central regions of these two cartilages, when looked upon from below the nose, can be close together (narrow tip) or wider apart imparting a wider, more boxy-look to the nasal tip. These cartilages also have a width that can make the tip appear bulbous from a frontal view. The nasal tip cartilages maybe thin, moderate or very thick cartilage. The overlying skin maybe thin, moderate or oily/thick in nature. All things being equal, cartilage that is thicker, has more ability to support the nasal skin. The thicker, the skin, the less definition the tip cartilages appear to have. Then there is the issue of tip symmetry (right versus left tip cartilage shape, placement etc) and tip rotation as measured in degrees from a vertical line drawn through the plane of the tip cartilages. Typical ideal tip rotation is between 105 and 115 degrees.

Tips that have lower angles of rotation ~ 95 or 90 degrees appear long while those rotated at 120 degrees or more, appear short and over-rotated.

In each case, all of these nasal characteristics must be analyzed and factored into a reasonable, workable plan for your Nasal Surgery (Rhinoplasyy) to be successful….in other words for the outcome of your Rhinoplasty to be a naturally, aesthetically sleek and appealling nose.
Stay tuned for Part Two: Surgery of the Nasal Tip.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
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