Nose job,nosejob,nose surgery,rhinoplasty,Toronto,Ontario,Canada

| Rhinoplasty | Revision rhinoplasty |
| Non-caucasian rhinoplasty | Facts about rhinoplasty |

Plastic surgery of the nose is thought to be the most difficult among all the plastic cosmetic operations. Most surgeons consider a rhinoplasty a significant challenge, as it requires not only considerable artistic sensibilities but also scientific understanding of function. In my practice, I see numerous patients still legitimately concerned about their nasal appearance despite having undergone multiple operations by more than one surgeon (Fig. 7).

Figure 7-a
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Figure 7-b
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Figure 7-c
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Figure 7-d
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The exotic beauty of this lady was almost destroyed
by previous poorly performed multiple nasal
operations. I succeeded in restoring her nasal
breathing and normal nasal anatomy, giving
her a nasal contour she had always desired.

Figure 17-a
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Figure 17-b
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Figure 17-c
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Figure 17-d
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Figure 17-e
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Figure 17-f
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Figure 17-g
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Figure 17-h
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Figure 17-h-b
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Figure 17-i
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Excessive excision of nasal septal cartilage (a
partition dividing the nasal passage into 2 tunnels)
during the original surgery resulted in this serious deformity.
Such a problem could have also arisen from infection.
A permanent aesthetic correction was achieved,
together with excellent nasal breathing.

Special techniques and considerable surgical experience are needed for successful treatment of such cases. Tissue grafts with material being harvested from the nasal septum, ear cartilage or iliac crest (Fig. 8), are sometimes used together with suitable synthetic implants to rescue some of these ravaged noses.

Special techniques are now available to improve inadequate projection and definition of the nasal tip. This will also create better harmony and balance between the upper and lower part of the nasal bridge.

In most instances, improvement or almost total restoration is possible. Naturally, the risk of complications and a need for further treatment is greater in patients having revision surgery (correction of surgery performed by other surgeons) than in those undergoing first correction. There is a higher risk of skin showing permanent redness or uneven surface. Subcutaneous infections although extremely rare, may occur. The grafts and implants may require reinsertion as they could be extruded or displaced. Despite all the potential problems, this group of patients can be significantly helped. (Fig 39)