Great rhinoplasty results are impossible to identify because there are no surgical stigmata and the new nose looks in harmony with the face. Hence, leading Beverly Hills plastic surgeon Dr. Tarick Smiley says he performs meticulous facial and nasal analysis that takes into account each patient’s ethnicity and gender as well as the established guidelines of aesthetics.
The ideal nose is not defined by a strict set of traits, although there are beauty tenets that can guide the surgeon to achieve natural results from rhinoplasty, or nose job in layman’s term. For instance, the width of the nose is ideally contained within the space or distance between the inner eyes; however, this does not apply to some ethnic noses such as the African that can tolerate a slight nostril flare without losing its attractiveness.
During the sixties and seventies, some doctors erroneously idealized the “ski jump” nose, which is manifested by having a narrow profile, with a dip in the middle and an upturned tip appearance. This highly specific aesthetic goal does not give justice to ethnic beauty and in fact may even look unnatural in a many Caucasian patient with strong chin and broad forehead.
Fortunately, the tenets of facial plastic surgery nowadays are culture and ethnic sensitive. After all, the vast majority of patients today define great rhinoplasty results as something that looks in harmony with their face.
But what constitute a natural-looking, attractive new nose?
Dr. Smiley says rhinoplasty is a “perfect amalgamation of art and science,” requiring precise measurement of the nasal and facial dimension. The quintessential goal, he says, is to create a new nose that “naturally occurs within the context of the patient’s ethnicity, gender, and pre-existing anatomy.” Hence, great results generally show subtle to moderate improvements, as opposed to a complete overhaul. After all, the basic architecture of the nose can only be changed to a certain degree.
Meanwhile, a nose that looks “done” is not in sync with the patient’s facial features, ethnicity, and gender. Or it has the classic signs of surgical enhancement such as hanging or very visible columella (wall between the nostrils), incorrect tip angle (too upturned or too elongated), collapsed appearance, and overly narrowed profile.
These classic signs give rhinoplasty a bad rep, while great results remain unseen or unappreciated because after all, they look as if the patients were born with the attractive nose.
Dr. Smiley, who has performed more than 2,000 rhinoplasties as of this writing, says that prudent patients should choose their surgeon carefully (he or she must have extensive experience and an eye for detail, and a member of the American Board of Plastic Surgery) to achieve results that will satisfy them long term.