Rhinoplasty surgery, or nose job, is one of the most technically challenging facial plastic surgeries. Not only does it involve the anatomical limits of the nose, a prudent surgeon should also take into consideration the patients’ motives and expectations, their gender and ethnicity, and even their facial features.
While there is no specific number after which nose surgery becomes too risky, take note that revision rhinoplasty procedures are technically more challenging than primary nose surgeries because of the presence of scars, which makes the skin thick and harder to work with.
And the more nose surgeries you receive, the more difficult it is to achieve good results. Other common side effects include increased infection and higher complication rate, which could result in long-term or permanent deformity.
If you have suboptimal results after a nose surgery, a good amount of improvement can be still achieved with the right surgical planning and honest communication between you and your plastic surgeon.
When choosing your plastic surgeon, board certification is just one of the most important factors that can help you achieve good cosmetic results and avoid breathing or function-related problems.
Another important prerequisite is to choose your surgeon who regularly performs revision rhinoplasty, which is way more complicated than initial nose surgeries. In fact, some doctors offer this as their “niche” procedure due to its level of difficulty.
Dr. Karan Dhir, one of the leading Beverly Hills plastic surgeons, says proper patient selection also plays a crucial role in the success of revision rhinoplasty. To be considered a good candidate, you must have realistic motives and expectations, physically fit, and emotionally and psychologically stable.
The celebrity surgeon says that your underlying anatomy will also determine your candidacy. If there is significant scarring and other barriers that could make it near impossible to achieve good results or “acceptable” amount of improvement, the best approach is to leave the nose alone.
Aside from careful patient selection, Dr. Dhir highlights the importance of good communication between you and your surgeon.
3D computer imaging is particularly helpful in improving patient-doctor communication. This technology will allow you to preview the results and discuss your “options” to the point that you can “design” the possible outcome together with your plastic surgeon.
According to studies, 3D computer imaging technology can lower the revision rate of rhinoplasty: however, this potential benefit only applies to patients with realistic goals and they have full understanding of the surgery’s ramifications.
Rhinoplasty surgery, or colloquially referred to as nose job, has a relatively high revision rate that some studies even suggest that it could reach as high as 20 percent. Experts believe the “trend” is caused by the surgery’s innate complexity since other facial features and their distance from one another are all taken into account.
The first step to avoid or at least minimize the risk of revision is for rhinoplasty surgeons to build rapport with their patients. The goal is to know their cosmetic objective in the most accurate manner.
While revision rhinoplasty procedures are often requested to address residual asymmetries and breathing difficulties, anecdotal reports show that a good number of corrective surgeries also involve patients whose postop nose appear attractive by normal standard but are not happy with the results probably due to communication “issue” with their surgeons.
To close the communication gap, today’s rhinoplasty surgeons are using 3D computer imaging that allows their patients to preview the desired result and assess if it looks natural and balanced relative to their facial features. This also allows them to raise pertinent questions and concerns about the procedure.
Most Los Angeles plastic surgeons today use VECTRA 3D Imaging because of its high accuracy in making digital simulation. It has 3D camera that captures several images of patients from different angles, which are then fed into a computer so they can be altered to come up with the “after” photos.
The “after” image can be shown on the screen and rotated at different angles to further help patient visualize the desired result and its appearance among the rest of the facial features.
Some experts believe that 3D imaging technology is particularly helpful in ethnic rhinoplasty, which is a broad term used to describe any nose-reshaping surgery performed on Non-Caucasian patients. In the past, the cosmetic procedure had received some notoriety because of the surgeons’ tendency to be “over-aggressive,” leading to a fragile-looking, super narrow nose that looked operated.
But with the growing understanding of ethnic beauty, Los Angeles plastic surgeons have come up with a gamut of surgical techniques to preserve the patient’s racial traits, with some even allowing a slight nostril flare to create a beautiful nose that appears ethnically consistent with the rest of the face.
Aside from rhinoplasty, 3D imaging technology is also used in a variety of plastic surgery procedures, including breast augmentation and reduction, facelift, and neck lift.
Pop diva Janet Jackson allegedly had a facelift surgery in an attempt to turn back the clock, according to showbiz reports. But instead of looking younger, the star’s cheeks look unusually puffier, while the lateral side of her face appears overly tight and her eyebrows look too arched.
In a recent Vogue fashion event held in Dubai, the star was photographed with her barely recognizable face, shocking paparazzis and fans alike. However, some celebrity plastic surgeons have been quick to point out that it could be a less invasive form of cosmetic enhancement such as Botox and dermal fillers.
Meanwhile, others think that it could be the works of bad make-up, natural effects of aging that is gradually catching up with her face, or weight gain. Or probably a combination of these factors, as some would allege.
Over the past several years, the 48-year-old pop diva’s appearance has changed dramatically, which many experts attributed to a series of plastic surgery that involved breast augmentation, liposuction, countless of rhinoplasties or nose jobs, and minimally invasive forms of facelift. Some media reports have also alleged that the star regularly receives Botox and dermal fillers to keep her wrinkles at bay.
The singer-dancer has never denied some of her plastic surgeries and even admitted in a previous interview that at the age of 16 she had a nose job.
Aside from a series of plastic surgery, the star has also been hounded by controversies about her yoyo weight loss. Over the years, people have been perplexed by her ability to get a slender waist and well-toned abs in no time before gaining a significant amount of weight—a cycle she couldn’t break.
American Idol star Carrie Underwood has been rumored to have rhinoplasty, or more commonly referred to as nose job, after winning the popular singing contest way back in 2005, according to an article published by Life & Style magazine that cited plastic surgeons who evaluated her before-and-after-photos.
The 31-year-old star is believed to have had rhinoplasty to create a more refined tip and narrower bridge, leading to a more feminine appearance. But overall, the surgeons who evaluated her before-and-after photos have suggested that her new nose flatters her other facial features.
The consensus among experts is that a conservative approach is the “default” mode to achieve natural results with rhinoplasty or any other type of facial plastic surgery.
Aside from minimal nasal enhancement, the star has also been rumored to be a fan of Botox injections to keep her forehead wrinkles and crow’s feet at bay. Some experts have also noted her fuller-looking lips believed to be a work of dermal fillers such as collagen or hyaluronic acids.
At her age, non-invasive procedures such as dermal fillers, Botox, and laser treatments are the right way to go because younger patients in general only require minimal improvements. On the other hand, more invasive approaches such as facelift are only reserved for older individuals or at least 50 years and above.
Unlike other celebrities ridiculed for their “surprised” appearance caused by too much Botox, Underwood’s countenance just looks rejuvenated thanks to minimal injections. It also seems that she has avoided the dreaded “pillow face” from excessive use of dermal fillers by going to a more conservative route.
Whether the star’s seemingly natural beauty is the work of plastic surgeons or just another case of aging gracefully, everyone will likely agree that she looks more sophisticated and beautiful today compared to her appearance during her American Idol stint.
Singer-songwriter Toni Braxton has revealed her celebrity plastic surgery procedures, which included rhinoplasty (nose job) and breast augmentation, in her newly released memoir titled, “Unbreak My Heart.”
According to her book, the 46-year-old star underwent rhinoplasty in the early 90s shortly after launching her first solo recording deal. While she had always been unhappy with her nose’s appearance and wanted to reduce its width, she said the decision to go under the knife was a difficult one especially that she was brought up by a strictly religious family.
In her memoir, the Grammy Award-winning singer said she “struggled with the thought of altering her body due to her conservative ideas” thought by her family.
While this is the first time Braxton admitted having cosmetic surgery, it has long been speculated that the star had rhinoplasty after pictures of her during her younger years appeared in tabloids and Internet.
Some bloggers and even plastic surgeons have praised the result of Braxton’s rhinoplasty because it still appears like a beautiful African nose; this is only possible with a conservative approach that respects the ethnicity and underlying anatomies of the patient.
Instead of over-correcting the nostril flare, the singer’s doctor seemed to go to the “conservative route” by still preserving and even highlighting her ethnic features.
Her second “major” plastic surgery was breast augmentation with smaller implants that complemented her svelte figure. And just like her nose job’s result, many bloggers and cosmetic surgeons have also lauded her decision to choose a conservative size that gave her natural-looking outcomes.
In her book, the singer also added that she would like to have liposuction on her inner thighs, which she admitted to hate.
Meanwhile, there have been rumors that the RnB singer is also regularly receiving Botox and dermal fillers to smooth facial lines and other signs of aging. But despite the proliferation of before-and-after photos alleging that she had some work done on her face, she has remained mum about the issue.