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You're listening to where before meets after? How long do
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rhinoplasty patients think about getting rhinoplasty before they come in
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to actually talk to you.
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It's a good question. Most of them have researched it extensively,
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and there may be varying amount of time, but oftentimes
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it's a year plus that they have really been looking
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at it, thinking about it, and then they want some
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information about it. Many come in with pictures and those
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kinds of things and ready to really talk about their thoughts.
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It's definitely not a thing that people come in on
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a whim and want to talk about their nose.
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Do you ever hear people say they've been thinking about
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it since they were like little kids or teenagers.
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Teenagers is probably when it really starts coming to mind.
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Kids start looking at themselves in the mirror more and
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their mid face has finished growing and their nose is
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starting to grow or finished growing, and so that's when
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they start seeing traits that maybe they're not happy with
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or that at least they want to talk about. And
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also sometimes as teens, that's when sports injuries other things
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happen where sometimes they may have an injury or something, what.
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Kinds of things do they complain about. Do they use
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the same words when they are talking about what they
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don't like.
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A lot of people come in complaining that something on
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their nose is too big. Often there's a bump on
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the nose, the tip is bigger than they would like
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it to be, the nose is wider than they would
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like it to be, and so a lot of rhinoplasty
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surgery is a reduction kind of effort making things smaller.
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Does anyone ever say their nose is too small?
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Occasionally it's sometimes more of an ethnic thing, such as
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an Asian nose may have a flatter dorsum, so the
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back of their nose may be a little flatter than
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they would like it, and so sometimes you're building things
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like that up. Sometimes the tip of the nose is
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a little flatter from a number of ethnicities, they want
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just a little more projection on their profile. But for
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the most part, it's a reduction kind of procedure.
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What can't you fix with Briana Placi are correct.
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There are some things about how the nose is attached
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on the face that you can't really change. So if
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one nostril is literally attached higher than the other, you
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can make things smaller, but you can't really attach certain
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or change certain things as to where their origin is
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on the face. Other than that, you can change a
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lot of things and correct a lot of things.
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Is there such a thing as a perfect nose?
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I mean, I think a lot of noses look perfect,
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but it's not necessarily a specific shape or what have you.
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Because I think when you're looking at noses, they fit
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the whole. It's part of the whole face. And a
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nose on one person may be perfect, But you take
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that exact nose and try to put it on someone else,
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and it changes the balance of the face, the facial structures,
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the harmony between the eyes, the nose, the mouth, the cheeks,
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the length of the face, the width of the face,
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all of those things. And so I think there are
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a lot of perfect noses out there, but they're not
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necessarily the same nose.
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How do we perceive our own nose? And I think
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where I'm going with this is is it possible that
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when we look in the mirror we see things that
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may not actually be there.
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People often see things that are not really there because
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either a child made a comment about their nose at
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a vulnerable time, and they carry that with them even
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when it's not real or true. It doesn't mean that
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there aren't things that can be changed, but it may
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mean that there's not really anything wrong with what they're
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looking at.
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Do you use any tools or are there any specific
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ways that you show people what you see so that
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you're all on the same page and really so that
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you know that you're thinking about it the same way
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when you're talking about having surgery.
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Yeah, I think with rhinoplastic surgery, because it is such
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a specific procedure in the middle of your face, it's
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important that you really sit down and talk and sort
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out what it is that the patient is interested in changing,
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as well as what anatomically is there and can be changed.
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So I spend a lot of time talking to people.
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I use touch in D and look at graphics that
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include diagrams of where the cartilages are, where the shape is.
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I show photos in the office, and then I also
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utilize vectra so three D imaging in order to help
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try to shape the nose the way I think is
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a realistic outcome for the patient and make sure that
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we're on the same page. And then I always encourage
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people to bring in photos of what they're hoping to
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see in order to see if it's something that is
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even feasible or reachable goal.
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When you take those photos, I think you're able to
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draw on them. Can your patients who come for consoles
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take the photos with them?
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We use a system them that electronically will send them
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pictures or give them access to the photos that are
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saved in their chart, and so through touch them D
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they're able to look at their own photos and anything
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that we've saved along the way they can evaluate at
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home or look at with their family or friends or
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whoever they're using at home.
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For support, Thanks for listening, I'm your host, Eva Shay.
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Follow the show and submit questions for our experts at
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Wherebefore Meets After dot com. Where Before Meets After is
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a production of the Axis
