Plastic surgery is one of the marvels of modern medicine, with a wide range of options for face and body improvements. And today’s media outlets make it easier than ever before to gather information on the latest plastic surgery procedures. But how does this information apply to you and your concerns?
Every person is unique and has his or her own desires. What procedure or combination of treatments is right for you? And what can you really expect? EXPLORE PLASTIC SURGERY with Dr. Barry Eppley, Indianapolis plastic surgeon, who can provide you with a wealth of practical and up-to-date insights into the world of plastic surgery through his regular blog posts. In his writings, Dr. Eppley covers diverse topics on facial and body contouring procedures. You will be sure to find useful information that will help broaden and enrich your plastic surgery education.
‘For the most part I like my nose, but I have a slightly rounded, bulbous tip. I don’t really want to change my nose… just tweak it a little bit and give the tip of my nose slightly more definition.’
‘I have a decent nose. However, as I’ve gotten a little older, I noticed the tip of my nose has became more rounded and less defined. I wanted a “tweak” to refine the nose.’
These are common statements that I have heard in my Indianapolis plastic surgery practice from patients seeking nose changing surgery. Often in rhinoplasty, patients are concerned about one specific feature of their nose that they don’t like. As a plastic surgeon, I am trained and experienced to see the entire nose and how it relates to the rest of their face. This perspective allows me to offer suggestions about other changes to the nose that may also be beneficial. However, it is important to respect a patient’s concerns, particularly if they are concrete about one specific change. After all, patient’s know their own nose the best and they have to live with the result.
The tip may be the smallest third of the external nose by surface area but it is the complex. Its shape and angulation has a profound impact on nasal and facial appearance. It is the one feature of the nose that is the most unique between every person.
A tip rhinoplasty is a variety of operative manuevers that seeks to change the volume, angle, or height of the nasal tip. Alterations can range from simple to complex, depending on the degree and scope of an individual patient’s problem. Many different outcomes are possible, depending on both the patient’s desires and the plastic surgeon’s aesthetic sense.
Anatomically, a tip rhinoplasty involves changing the relationship of the lower lateral (alar cartilages) with the upper lateral cartilages and the caudal (end) of the septum. It can be as ‘simple’ as a cephalic trim, a reduction of the upper part of the bulbous tip cartilage, or more involved with adjustment of the septum at its base and grafts placed between the nasal ala to enhance and rotate the tip. Various types of techniques, including suture modification, cartilage excision, or structural grafting may be used to achieve the desired aesthetic outcome.
Most commonly when a patient refers to tweaking the nose, they usually mean making it a little narrower (more refined) or lifting it just a bit… or both narrowing and a little lift combined. Such changes can be done through either an open or closed approach. When the changes are small, I prefer a closed or endonasal approach to lessen the duration of time that the patient has to endure the surgical swelling.
When modifying the tip of the nose, it is critical to not ‘over tweak’ it. This means to not make the tip into a single point (too narrow) or lift it too high or short. When this happens one will have an operated look which is synonymous with having had one’s nose done…exactly what patients are trying to avoid.
Barry L. Eppley, M.D., D.M.D.
http://www.eppleyplasticsurgery.com
Clarian North Medical Center, Carmel, Indiana
Clarian West Medical Center, Avon, Indiana
Indianapolis
Tags: dr barry eppley, indianapolis, nose job, nose tip narrowing, plastic surgery, tip rhinoplasty, tweaking the tip of the nose
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