The approach to rhinoplasty should be individualized as the goal is to reshape the nose in a way that it suits the face or as if the patient was born with it. Nonetheless, some people remain adamant that they want the nose of their celebrity idols and so bring their “wish pics” during consultation.
In the 70s and 80s, it was fashionable to have a nose with a ski-slope look—i.e., markedly narrow and with a slight upturn tip—which was commonly seen among famous female celebrities at the time. Of course, it rarely gave natural-looking results especially in people of ethnic background.
And even in Caucasian patients, the ski-slope look may not provide the most natural results. This is particularly true for women with elongated face and of “high stature.”
More recently, one of the most common requests is the “button nose” or something that closely resembles Kate Middleton’s. The slight aquiline look is also “fashionable” thanks to the growing influence of Ivanka Trump.
Renowned Beverly Hills plastic surgeon Dr. Tarick Smiley says the ideal nose is not confined by strict beauty standards, although there are some “anatomic benchmarks” based on some complex angles and measurements. Nonetheless, the results should look natural rather than “manmade,” and must complement the patients’ ethnicity, gender, body frame, and ultimately their face. Even the great philosopher Aristotle, who coined the phrase “the whole is greater than the some of its parts,” would likely agree to such idea.
Of course, the person’s cosmetic goals are also of paramount importance. After all, rhinoplasty is a cosmetic, elective procedure in which the goal is to elicit a smile from the patient.
The celebrity plastic surgeon says that many patients today like subtle or moderate improvements—e.g., reduction of the hump, slight narrowing of their tip, conservative augmentation or reduction of the entire nasal profile, etc.—instead of dramatic changes.
Going the conservative route also prevents common problems associated with drastic changes that often warrant over-aggressive removal of the cartilage, which is the framework of the nose. After all, the nose is an organ whose function must be preserved or improved by the surgery lest the patient is not going to be happy regardless of how much the new nose looks good.
When too much cartilage has been removed, the nose may collapse and result in deformity and breathing functions.