Rhinoplasty Surgery at Profiles: Experience the Difference
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- Candidates for Rhinoplasty
- Understanding the Rhinoplasty Procedure
- What makes a nose look natural and beautiful?
- The Structure of Your Nose
- Surgery to Improve Nasal Breathing
- Nasal Tip Surgery- Most patients want a smaller nose
- The Nasal Hump
- Rhinoplasty in Men
- The Iranian, Mediterranean, and Middle Eastern Nose
- The African American Nose
- Hispanic Rhinoplasty
- The Asian Nose
- Rhinoplasty in Older Individuals
- Treatment of Broken, Crooked Noses
- Finesse Rhinoplasty: Surgery for those who want small changes
- Alar Base Reduction: Treatment of Nostrils That Are Too Wide
If you are considering Rhinoplasty or Revision Rhinoplasty in Los Angeles, you have come to the right place. Our unique two-surgeon team, made up of Dr. Solieman and Dr. Litner, specializes in naturally beautiful Rhinoplasty results. Here at PROFILES Beverly Hills, we care passionately about Rhinoplasty and have made it a focus of our facial plastic surgery practice. Here are a few reasons why you should choose us:
- Two surgeons are better than one.
Rhinoplasty experts in their own rights, Drs. Solieman and Litner perform all of their surgeries together, a one of a kind benefit that produces exceptional results.
- We stand behind our work.
Drs. Solieman and Litner will do everything possible to make sure that your first nose surgery with us is also your last. Our revision rate on our own work is among the lowest you will find anywhere in the world. In fact, we are so confident that we can achieve your goals that we can offer you our Profiles guarantee. Should we find that a revision would be beneficial, we will do so at no cost to you.
- Our results speak for themselves.
You will discover from our photo page and the many postoperative patient pictures available in the office how beautifully natural your rhinoplasty at Profiles can look. Find out why we’re often sought out by other surgeons for their revision work and even for their own rhinoplasties. It is these natural, refined results that attract patients to Profiles from around the world.
- We customize your procedure.
We are proud to say that there is no such thing as a “Profiles” nose. There are no cookie-cutter, generic noses here. Your desires and concerns direct your extensive consultation. With you, Drs. Litner and Solieman will create a plan that is tailored to your aesthetic and your anatomy.
- We care.
Our commitment to you begins with your first visit. We’ll take as much time as you need with your computer imaging to understand the result you want, answer your questions, and make sure you are completely comfortable. During surgery, we minimize your down time and discomfort by treating your tissues delicately, keeping bruising, and swelling to an absolute minimum. So, we do not need to use packing, ever! Our revision patients constantly tell us their experience at Profiles was like a different world compared to their previous surgery.
- We are innovators.
The Profiles surgeons are authors and teachers of the latest techniques available that are proven for reliability and longevity. And, we place as much importance on healthy breathing as on appearance. At Profiles, you can be sure that your satisfaction with your beautiful new nose will last for a lifetime.
Experience & Expertise
At PROFILES Beverly Hills, Drs. Litner and Solieman trained separately with world experts in Rhinoplasty and Revision Rhinoplasty, and their combined years of experience and patient follow-up ensure that your great result will stand the test of time. They know what works and what doesn’t, and will only use techniques that produce predictable and stable results for a lifetime.
Not only have our doctors published and taught extensively on the latest techniques in Rhinoplasty and Revision Rhinoplasty, they combine that knowledge with the technical skill needed to achieve your goals. In fact, they are often the surgeons’ choice for Rhinoplasty referral.
Caring & Comfort
Located in Los Angeles, California, here at PROFILES Beverly Hills, we treat every Rhinoplasty patient like you are our only patient. That means we’ll make sure to listen to you, answer your questions, and arrive at the surgical plan that’s right for you. Then, both surgeons will apply their expertise to make those goals a reality. And, we won’t disappear after the procedure. You’ll see our doctors at each and every post-operative visit to make sure that you obtain the result you want.
Ensuring minimal downtime comes with being careful and meticulous during the procedure. We take our time and take great care with your nose. We do not need to use nasal packing and many of our patients require almost no pain medication after Rhinoplasty. Bruising and swelling are also kept to a minimum which means you’ll be back on your feet in no time, with people guessing at why you look so good.
Personalization & Commitment
Unlike many surgeons, we never take a ‘cookie cutter’ approach to Rhinoplasty. Because our surgeons have extensive expertise, they can choose the best tools to fit your situation. So, there is no such thing as a ‘Profiles Nose’. Instead, we start with your vision for your new nose and adapt our techniques to bring that vision to life. The result is a balanced and beautiful nose that completely matches your features.
We recognize that trusting anyone with your nose is a big step, and so, we return that assurance by committing to your happiness. We care enough to follow you for years to make sure you stay happy. And, we’ll prove it by standing behind our results. It is that enduring commitment that continues to keep our personal revision rates at close to zero.
We believe one thing is clear: nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining central characteristic of the face, a slight alteration can greatly improve your appearance.
Drs. Litner and Solieman are double board certified facial plastic surgeons, providing you with the highest level of training and expertise. They understand that good communication is essential in the planning of your rhinoplasty. Skin type, ethnic background, and age are important factors to be considered in discussions with Drs. Solieman and Litner prior to surgery. The PROFILES Beverly Hills website has been designed so that you may freely choose to read the links that most specifically address your particular concerns.
Modern Rhinoplasty: All You Need to Know to Understand Your Surgery
Drs. Litner and Solieman are trained to perform your nasal surgery in either the “closed” or “open” technique. In the closed technique, they perform rhinoplasty from within the nose, concealing the incisions inside the nostrils. In other cases, an “open” procedure is warranted, especially in more complicated cases or when the nasal tip is the focus of the surgery.
Drs. Litner and Solieman know that they can be technically perfect, but if what is achieved is not considered by you to be aesthetically pleasing, surgery will be considered a failure. So rather than discussing an “ideal” nose, they recognize that they must discuss with you what your desires are rather than what any preconceived notions of beauty might be.
Today, computer imaging is an enormous help in the exploration and dialogue between you and your surgeons. Utilizing the imaging system at our office in Los Angeles, Drs. Solieman and Litner can clearly define your present asymmetries and contour irregularities, and will then show a realistic view of what can be accomplished to balance your nose with your other facial features.
During the preoperative evaluations, Drs. Litner and Solieman will both listen carefully to you as you voice your concerns, not only with respect to what you want changed, but also what you wish to remain the same. In other words, exploration of your aesthetic goal is essential in planning your individualized surgery. For that reason, we don’t rush you out of the office. You’ll find our atmosphere relaxing and non-intimidating so that you can make the best decision for you.
As rhinoplasty and revision rhinoplasty surgeons, Drs. Solieman and Litner know that it is critical to recognize that nasal aesthetics and form cannot supersede function. In other words, we know that it would make no sense to give you an attractive nose through which you cannot breathe.
As a result, when you come to PROFILES Beverly Hills, you will find that we only employ proven surgical techniques that will achieve your desired aesthetic changes while allowing for long term support and function. Our expertise allows the PROFILES Los Angeles surgeons to shape your nose in the desired way without causing you problems with breathing.
If you have trouble breathing through your nose, it is important to let the nasal experts- Drs. Litner and Solieman- do a thorough evaluation. Nasal obstruction is a complicated issue that is all too often ignored, attributed to “allergies or sinuses,” or to a “deviated septum.”
Oftentimes, our PROFILES Los Angeles doctors find that the diagnosis previously given to patients for their breathing problems does not fully account for all findings. In fact, reports suggest that 20%-30% of patients who undergo septoplasty find that their breathing symptoms are not adequately corrected. The complexity of this problem is one of the reasons that Drs. Litner and Solieman, both Double Board Certified Facial Plastic Surgeons, have devoted so much of their training and research to the proper diagnosis and treatment of these problems.
Many patients present for rhinoplasty because they are unhappy with either how wide their nasal tip is (how bulbous it is) or how far it sticks out from their face (how over-projected the tip is). Drs. Solieman and Litner recognize that, while there are many nasal tip techniques involving modification of the nasal tip cartilages, with time certain techniques result in excessive narrowing or asymmetries of the nasal tip with or without attendant nasal dysfunction. Moreover, they know that one of the main reasons so many patients have revision rhinoplasty is because their first surgeon did not know how to safely make the nasal tip smaller (de-project the nose).
Having recognized early on that most patients want smaller noses, our Los Angeles doctors have researched and published extensively on the techniques that are safe and effective in accomplishing exactly that goal. Our techniques rely primarily on precise suture placement and tension control to create a natural-appearing and stable nasal tip contour. Other techniques that modify the cartilage itself always retain your cartilage strength to ensure predictable healing. So whether you’re considering your first nose job or a revision, you should know that our powerful techniques can give you the smaller, refined tip you want.
Nasal bump reduction is one of the most commonly performed procedures in rhinoplasty. Surgical websites are full of patient photos, usually in profile view, having had hump reductions. While they look dramatic, an impressive reduction in this view is one of the relatively simpler things to accomplish in rhinoplasty. When evaluating a surgeon’s results, look for examples showing multiple views so that you get a better perspective of the overall outcome. As in life, what may look good from one vantage point may look decidedly different from another angle. At PROFILES Beverly Hills, Drs. Litner and Solieman specialize in removing unwanted bumps while retaining a natural, un-operated profile.
A masculine nose is characterized by a profile with a strong, straight nasal dorsum. In approaching male rhinoplasty, Drs. Litner and Solieman have learned numerous lessons regarding male aesthetics by listening to the concerns of patients presenting for revision rhinoplasty previously done elsewhere.
Specifically, men present when there is scooping out of the nasal bridge, overrotation of the tip (tips that are turned up too much), excessive narrowing on frontal view, or a nose that has been excessively shortened. And so, Drs. Litner and Solieman approach the male patient conservatively in order to maintain a “strong masculine” aesthetic.
Oftentimes, Drs. Solieman and Litner find that their Iranian, Middle Eastern, and Mediterranean patients have an overall larger nose, with either a straight bridge or a large hump. In these patients, the nasal tip is also typically large. Sometimes, Iranian and Middle Eastern patients have noses that are generally more droopy and lacking in adequate tip support compared to the average Caucasian nose. These noses require a different approach to achieve the beautiful result you are looking for. Drs. Solieman and Litner will discuss the importance of skin thickness and impress upon you the benefits and difficulties that arise due to the heavy, thick skin often found in patients of Mediterranean and Middle Eastern descent. And, they’ll tell you why they are able to achieve the natural, beautiful nose you want without causing the scooped out or pinched look that is all too frequently seen.
Over the years we have found that many of our African American patients who present for rhinoplasty feel that their nose is too wide, “too big,” and undefined for their face. So, you can imagine there is often some confusion when we explain that augmentation rhinoplasty is often needed in order to make their noses look smaller.
Another way of understanding this is to see that in order to correct a nose that is too wide and too short, it is important to build up and add to the tip structure in order to not only provide adequate support but also to give lasting tip definition and refinement. The result for you is a thinner, more refined nose.
As with African American patients, poor tip definition represents one of the challenges in Hispanic rhinoplasty. In fact we have found most of our Hispanic patients have:
- Thicker skin
- Shorter wide, nasal tips, and
- A Nasal hump
By providing structure and support, we are able to give meaningful definition while still making the nose smaller and more refined.
A low nasal bridge is probably the most common surgical indication for rhinoplasty in our Asian patients. However, unlike many other surgeons who use unnatural silicone implants, we utilize your own natural cartilage to build up the bridge and give the tip more meaningful definition. The result is a natural look that lasts.
Many of our older patients have “always wanted something done” and have now found motivation to have rhinoplasty secondary to a variety of circumstances including: newly acquired economic independence, nasal trauma, undesirable changes in appearance, or seeing a friend or family member having a surgical success. In general, our older patients are seeking refinement of the changes brought on by aging. By providing conservative and subtle changes, we are able to accomplish a natural look that provides a meaningful overall rejuvenation to the face.
In many ways, the very challenging correction of the twisted nose can be viewed as the final step in the mastery of rhinoplasty. It challenges the great surgeon to restore the various deformities present using a detailed understanding of both cosmetic rhinoplasty and functional reconstruction. Reconstructive rhinoplasty provides optimal aesthetics in these cases because it not only allows us to make your nose look straighter but also to restore the underlying framework to its normal pre- injury positions. This approach is balanced and allows us to address each cosmetic concern while maintaining and maximizing long-term support and function.
Finesse rhinoplasty is the elective cosmetic case for those of our patients who desire or need the most subtle of refinements. In many cases, family and friends tell them they do not need surgery at all. However, even “small” deformities may be a source of lost work for models/actors and a genuine concern for others. Most of you have attractive noses to begin with, but wish to get even closer to your ideal. In these cases, we perform the very subtle changes that necessitate our most precise understanding of facial aesthetics and adept surgical control.
The complaint of a nostril that is “too wide” is a problem which we more frequently encounter among many patients, and especially in certain ethnic groups. Alar base (“nostril narrowing”) surgery poses a unique set of difficulties. External incisions can be noticeable, especially if they are designed incorrectly. Most commonly, evidence of alar resection is noted as a teardrop or “Q” deformity in the base of the nostril. In others, the nasal base appears abnormal, as the smooth contour of the nasal sill has been interrupted or because resection has resulted in more marked asymmetry. Moreover, overresection can result in a narrow dysfunctional nostril opening that is difficult, if not impossible, to correct. In other words, when alar base reduction is done incorrectly, a patient can lose the natural curve to the nostril and be left with a very triangular look (think Michael Jackson or Latoya).
Drs. Litner and Solieman employ alar base reductions in the context of an overall surgical plan and normally defer this portion of the case to the end of the surgery. No surgeon can determine preoperatively the exact location, shape, and amount of alar base alteration which is required because nostril size and shape as well as alar base width and flare are all affected by other changes made during rhinoplasty. Specifically, increased tip projection (making the tip bigger), will often sharply reduce the alar flare and alar base width. On the other hand, retrodisplacement of the nasal tip (making the tip smaller) has, at least classically, been noted to create alar flaring as well as a rounded nostril. As such, Drs. Solieman and Litner view alar base surgery as a useful adjunctive measure that they employ to provide an additional measure of refinement. Moreover, their specific techniques, developed over many years, maximize the chances for a smooth, natural nostril contour with no discernible scar.
For more information, please feel free to read our very detailed blog post regarding how we narrow the nostrils