Facial Symmetry - Rhinoplasty Clinic Sydney

The Right Nose for You

March 10, 2014 By @RhinoplastySyd

Are you unhappy with the shape of your nose? Do you feel like the focal point of your face outweighs your eyes and mouth? Have you broken your nose in the past, and would you like to have it reconstructed to be symmetrical and aesthetically appealing? Many people feel the same way you do. Rhinoplasty, commonly known as a nose job, is not just for the very rich and famous anymore. You may be able to benefit from this surgery to feel better and more confident about your appearance. There are a few things you should know before you go in for surgery.

First of all, are you fit for surgery? Every facial plastic surgeon you consult with will want to know that you do not have any health issues that would compromise your safety in an elective surgery. If you have any health conditions that might cause a surgeon to worry for your safety, they will require you to get prior approval from your general practitioner and anaesthetist. If you know of any pre-existing condition you might have, you may want to consult your doctor before consulting a surgeon. If you can get approval for surgery before talking with a plastic surgeon, you can streamline the process and move safely forward toward your new nose.

Be safe and thorough

Now, when you go to a surgeon for a consultation, they will discuss what shape and size the reconstruction will take. You may have an idea for what you want your nose to look like, but, keep in mind, these people are professionals. The purpose here is for your new nose to look natural on your face. People notice celebrities who go too far with his plastic surgeries. No surgeon wants to be known for doing that to you or anyone else. When you consult with your surgeon, they will construct a shape and size that will look natural and beautiful on your face.

After your surgery, you won’t just hop right up and look like a movie star. That’s not to say you won’t look like a movie star once you’ve recovered, but you have to recover first. As part of that surgery, you’ll need to make check-up appointments with your surgeon every three months for the first year and then annually after that.

Following up after rhinoplasty you may feel like you don’t need to go, but you should go anyway. This is so that your surgeon can make sure that your appearance is as you like it, and that you’re not going to have any issues with airflow through your nasal passages. The last thing your surgeon wants is for you to compromise breathing capacity because of your surgery.

With this information, you should be prepared well for your rhinoplasty. As with any surgery – elective or not – you should get more than one opinion. If your goal for your nose is a drastic change, you should most likely get the opinions of at least two or three surgeons. If one says he’ll do it, but another says she thinks you’ll have issues with your nasal lip relationship, your nasal chin relationship, or your breathing passages, you may want to reconsider the change you’re considering. Consulting with a third surgeon is not a bad idea, either. Above all else, do not rush into this process. You will be living with the result of this surgery for the rest of your life; you want to be happy about that.

If you have questions about rhinoplasty surgery, contact your local doctor, who will arrange for you to see a rhinoplasty specialist.

Impact of crooked nose rhinoplasty on observer perceptions of attractiveness

March 25, 2012 By admin

Crooked Nose Rhinoplasty

Christopher Roxbury BS, Masaru Ishii MD, PhD, Andres Godoy MD, Ira Papel MD, Patrick J. Byrne MD, Kofi D.O. Boahene MD, Lisa E. Ishii MD, MHS, The Laryngoscope, Volume 122, Issue 4, pages 773–778, April 2012

Objectives/Hypothesis

To evaluate the impact of a crooked nose on observer perceptions of facial asymmetry and attractiveness and the ability of rhinoplasty to minimize it. We hypothesized that the presence of a crooked nose would penalize symmetry and attractiveness ratings as compared to normal faces. We further hypothesized that straightening rhinoplasty would restore symmetry and improve attractiveness.

Study Design – Randomized controlled experiment.

Methods

A group of 39 naïve observers viewed pictures of patients with crooked noses before and after straightening rhinoplasty, and normal patients. Observers rated the overall asymmetry and attractiveness, and the asymmetry of facial subunits using a survey with a rating scale of 1 to 10 for each category.

Results

For asymmetry, patient group (preoperative, postoperative, normal) was statistically significant by multivariate analysis of the variance. Post-analysis of variance showed significant differences in asymmetry scores for overall, nose subunit, and mouth subunit. Pairwise testing then showed significantly different overall asymmetry scores between normal and preoperative (P < .001), and preoperative and postoperative (P < .001), but not between normal and postoperative (P = .215) groups. Mixed linear regression analysis showed that decreasing nasal asymmetry by 1 point increases attractiveness by 0.18 points or 0.082 attractiveness standard deviations (P < .001).

Conclusions

Faces with crooked noses were rated less symmetrical overall and less symmetrical at the nose and mouth subunits as compared to normal and postoperative faces. Straightening rhinoplasty diminished overall facial asymmetry and subunit asymmetry scores. Decreasing nasal asymmetry led to significant improvements in facial attractiveness. These data provide objective evidence supporting the idea that a straightening rhinoplasty can improve attractiveness.

Cosmetics and function: Quality-of-life changes after Rhinoplasty surgery

February 10, 2012 By admin

After Rhinoplasty: Study objectives and hypothesis

From the Department of Otorhinolaryngology, University of Pennsylvania School of Medicine. Amy M. Saleh MD, Ahmed Younes MBBCh, MSc, Oren Friedman MD*. The Laryngoscope, Volume 122, Issue 2, pages 254–259, February 2012

To measure patient quality of life after rhinoplasty in regard to nose appearance and function with use of the modern structural and functional surgical approach.

Methods:

We performed a retrospective chart review with prospective follow-up. All patients with rhinoplasty in the past 5 years by the senior author were identified. Patients who simultaneously underwent additional nasal surgery were excluded. McNemar test was used to compare preoperative and postoperative clinical evaluations. Paired t tests were used to evaluate questionnaire scores preoperatively and postoperatively from the nasal obstruction symptom evaluation and rhinoplasty outcome evaluation. Two-group t tests were used for comparative analysis after dividing patients into two groups on the basis of dorsal reduction, osteotomies, open versus closed approach, and revisions.

Results:

Among 370 patients invited, 126 participated and 113 provided completed questionnaires. Analysis of preoperative and postoperative nasal-obstruction symptom evaluation scores showed a median difference of −40 (quartiles, −25 and −60), indicating improvement (P < .01). Preoperative and postoperative rhinoplasty outcome evaluation scores showed a median difference of 29.2 (quartiles, 12 and 50), also indicating improvement (P < .01). Difference in improvement in scores was not significant when groups were divided on the basis of dorsal reduction, osteotomies, and open versus closed approach or whether rhinoplasty was primary versus revision.

Conclusions:

Modern rhinoplasty techniques that depend on a strong structural framework of grafts compared with the traditional reduction rhinoplasty techniques significantly improve patient quality of life in regard to nose function and appearance.