Why Are There So Many “Botched” Nose Jobs??

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    30+ Years Experience

    30+ Years
    Corporate Experience

    Asia's Only US Based Medical Center

    Asia’s Only US Based
    Medical Center

    Board Certified Rhinoplasty Surgeons

    Board Certified
    Rhinoplasty Specialists

    Satisfied Clients From 102 Countries Worldwide

    102 Countries
    World Wide

    Thousands And Thousands Of Satisfied Clients

    353,010 Extremely
    Satisfied Clients

    We’ve Done It Time And Time Again – Thousands Of Times At a Cost You Can Afford! Providing the Best in Rhinoplasty (Nose) Surgery for over Thirty Years.

    Why Are There So Many “Botched” Nose Jobs??

    Rhinoplasty is among the most difficult of all cosmetic surgery procedures because the nose has many intricate moving parts. Poor, or “cavalier” surgical techniques can sometimes lead to long lasting deformity, so it is very important that you do your research to choose the surgeon best suited for your nose. 

    An Anatomy Of The Nose

    Rhinoplasty can completely transform a large or misshapen nose, sometimes dramatically, but the basic architecture can only change so much. The most attractive nose is one that is in harmony with YOUR unique facial features, so be realistic!

    With that being said, following is a bit of nasal anatomy so you understand why the nose is such a difficult little facial feature to refine. The nose consists of paired nasal bones and two different sets of paired cartilages. The upper-set start below the nasal bones and are called the upper lateral cartilages. The tip is made up of paired cartilages called the lower lateral cartilages. These have three parts, each in a different plane. There is also cartilage and bone in the center of the nose called the septum. Each and every surgical maneuver can alter a number of things, like the intricate workings of a fine timepiece; each change must be made with precision and care. Narrowing the tip cartilages can alter not only the size but the position, angle, strength and how far the tip sticks out from the face. 

    Multiply that times 10 for more major maneuvers in Rhinoplasty and the chances for inexact results are present. A strong, well-proportioned nasal skeleton is the key to long lasting beauty and functionality. Reshaping the nose by removing large amounts of tip cartilage weakens skeletal support, often producing unsightly deformities – we see these from revision rhinoplasy surgery patients all too often! 

    An Overdone Nose Job.

    Removing too much septal-cartilage in an effort to reduce the size of the nose will surely lead to Revision Rhinoplasty in the future. Instead of removing skeletal support, Dr. Pearlman preserves the cartilage by reshaping, repositioning, and reinforcing the tip, not chiseling it away. If this means you cannot get a tiny little button nose, then so be it. 

    The ability to breathe far surpasses cuteness any day of the week. The septum gives support and structure to the nose, once that cartilage is removed it is gone forever, if your nose collapses as a result of too much cartilage being removed often times ear or rib cartilage must be harvested to correct your surgical deformity. This is one of the main reasons why you should choose a surgeon who is double-board certified in Otolaryngology (ENT) as well as Facial Plastic and Reconstructive Surgery, your nose not only has to look good, it has to function properly as well! Dr. Pearlman is known as one of the world’s top nose surgeons and specializes in primary and revision Rhinoplasty, it is about 70% of our surgical practice.

    What Is A Bad Nose Job!

    Some patients that desire a revision rhinoplasty feel like their nose looks “operated on”. This may be the result of the nose healing in an irregular manner or too much cartilage was removed during the first surgery.

    Perhaps too much alteration took place, or not enough. It looks unnaturally overdone – its too small, too short or too pinched.

    Why Have Revision Rhinoplasty!

    Sometimes, even the most skilled surgeons can get unfavorable results due to the intricate nasal anatomy.  Perhaps too much alteration took place, or not enough. You are experiencing  a failed rhinoplasty. 

    How you wish to even get your original Virgin Nose back. Your embarrassed to even go out.  You need A REVISION BECAUSE your new nose:

    1. Doesn’t match your face.
    2. Is Now Infected!
    3. You cant breathe.

    Let’s face it! Your Cosmetic Surgeon Wasn’t Qualified.  You are now part of a 15% statistic of a Botched Rhinoplasty.

    Patients who are looking for a revision or secondary rhinoplasty challenges the skills and experience of plastic surgeons. Revision rhinoplasty applies to any patient who has previously undergone rhinoplasty one or more times and desires improvement in the appearance and often the function of the nose. These are among the most difficult cases aesthetic plastic surgeons face for several reasons.

    For one, patients are often unhappy with their prior surgery and may not understand that further rhinoplasty may not be successful in completely correcting cosmetic deformities which were not corrected in the last surgery or occurred as a result of surgery. Scar tissue from prior rhinoplasty is often an issue in revision cases and can limit the final outcome since it may recur even after successful revision rhinoplasty. Also, revision rhinoplasty often requires the use of cartilage to replace damaged and/or deficient cartilage removed in the prior surgery.

    The nasal septum may be deviated, which requires correction to improve both the appearance of the nose and its function. Nasal obstruction may also be caused by a collapse of the tip cartilages resulting in external valve collapse. Deviation of the nasal septum along with deficiencies in upper lateral cartilages are a common occurrence in revision cases resulting in internal valve collapse requiring the use of cartilage grafts called “spreader grafts” to spread open this narrowed area.

    Get An Expert: ENT/Rhinoplasty Specialist

    Patients who are looking for a revision or secondary rhinoplasty challenges the skills and experience of plastic surgeons. Revision rhinoplasty applies to any patient who has previously undergone rhinoplasty one or more times and desires improvement in the appearance and often the function of the nose. These are among the most difficult cases aesthetic plastic surgeons face for several reasons.

    Revision Rhinoplasty usually applies to cases with several prior surgeries. A nose that is in a bad condition, with previous surgeries, will normally show that the reconstruction needs an expert surgeon and a technique that is capable of solving what was not possible previously.

    For one, patients are often unhappy with their prior surgery and may not understand that further rhinoplasty may not be successful in completely correcting cosmetic deformities which were not corrected in the last surgery or occurred as a result of surgery. Scar tissue from prior rhinoplasty is often an issue in revision cases and can limit the final outcome since it may recur even after successful revision rhinoplasty. Also, revision rhinoplasty often requires the use of cartilage to replace damaged and/or deficient cartilage removed in the prior surgery.

    The nasal septum may be deviated, which requires correction to improve both the appearance of the nose and its function. Nasal obstruction may also be caused by a collapse of the tip cartilages resulting in external valve collapse. Deviation of the nasal septum along with deficiencies in upper lateral cartilages are a common occurrence in revision cases resulting in internal valve collapse requiring the use of cartilage grafts called “spreader grafts” to spread open this narrowed area.

    What Is Done In A Revision Rhinoplasty?

    Revision rhinoplasty often requires cartilage for structural support for the tip and/or bridge of the nose. Septal cartilage is often deficient and plastic surgeons often must choose cartilage from elsewhere in the body, particularly the ear and occasionally the rib. 

    Soft tissue irregularities along the bridge of the nose or tip may also require tissue that provides a cover or camouflage and acts as a “natural filler” which is permanent. An excellent source is “temporalis fascia,” which can be taken from a remote incision within the hairline and results in no noticeable deficit. Occasionally, scarring within the nose requires the use of skin grafts to reopen a distorted and narrowed nasal airway.

    In many of these cases, given that there has been an important damage in the structure of the nose in prior surgeries, it is necessary to reconstruct what was lost or damaged.

    Some surgeons use the patients’ own tissues, or synthetic tissues, or a combination of both. If the patient’s own tissues are used, they can be rib cartilage, septum cartilage or ear cartilage.

    Our personal experience (in a case needs a reconstruction of the support and structure of the nose) is to use ear cartilage. It is strong, flexible and malleable enough to recreate most of the cartilaginous nasal structures (which are the ones that are most damaged by prior surgeries).

    More Things To Consider When Having Revision Rhinoplasty!

    Despite a surgeon’s best efforts, revision rhinoplasty has a higher revision rate than primary rhinoplasty (no prior nasal surgery). It is important that you are aware of this as no ethical plastic surgeon can guarantee the outcome of revision rhinoplasty or any other cosmetic plastic surgical procedure for that matter.

    If you are considering revision rhinoplasty then make sure your board-certified plastic surgeon has substantial experience with rhinoplasty. Experienced rhinoplasty surgeons are more likely to see revision cases than those who do this operation infrequently. Look at your prospective surgeon’s website to see how many rhinoplasty cases are in their photo gallery. Computer imaging may be helpful for your surgeon to visually communicate what potential outcome you may expect from surgery. Previous rhinoplasty patients are also a great resource for prospective patients; your plastic surgeon should be able to supply you with patients who have offered to speak with you and others and discuss their experience in some detail.

    In the end, your decision to undergo revision rhinoplasty is a personal one. Choosing an experienced, board-certified plastic surgeon who has “connected” with you and earned your trust will offer the best chance of a successful outcome. Most patients who are unhappy with the outcome of primary rhinoplasty are pleased with the final result from revision rhinoplasty if they follow these simple recommendations.

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    The Rhinoplasty Center Philippines

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