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PROFILES Modern Rhinoplasty Textbook

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Finesse Rhinoplasty

Written by Dr. Litner and Dr. Solieman

For Those Who Want Minimal Changes

Plastic surgery, and rhinoplasty in particular, can often lead one to a discussion of not only beauty and aesthetics but also psychology and philosophy. As today’s society becomes ever increasingly more concerned with aesthetic perfection, it can sometimes become difficult to draw the line and decide when nothing should be done. And so, perhaps in no place is philosophical digression more fitting than in addressing finesse rhinoplasty.

Almost all rhinoplasty is, at least in part, elective and cosmetic in nature. We recognize that some patients indeed undergo reconstructive or functional procedures in isolation; however, the vast majority of our patients have aesthetic concerns, usually as their main focus.

At Beverly Hills Profiles, patients seeking finesse rhinoplasty are often actors, models, entertainers, or others having a professional persona. Counter-intuitively, while small changes are sought, these are often the most demanding of cases, since the window for improvement is likewise small.

The challenge for Drs. Solieman and Litner is manifold. First and foremost, they must make an honest appraisal of the possibility of achieving your desired changes, balanced against your particular anatomic constraints. For instance, in the thin-skinned individual (and we don’t mean metaphorically), any tip asymmetry becomes glaringly evident and hiding even the most subtle bony irregularity is nearly impossible. Moreover, technically, Drs. Litner and Solieman must find ways to effect a change in one part of the nose without disturbing the dynamic appearance of the whole. Occasionally, in some patients who have only the very minimal aesthetic concerns, our surgeons will occasionally recommend what has been termed a non-surgical rhinoplasty. In these rare cases, the result achievable with surgery can be closely approximated by injection of a small amount of soft tissue filler such as Restylane, Juvéderm, or Radiesse.

Young woman's face - before rhinoplasty treatment, front view, patient 1Young woman's face - after rhinoplasty treatment, front view, patient 1BeforeAfter
Young woman's face - before rhinoplasty treatment, right side view, patient 1Young woman's face - after rhinoplasty treatment, right side view, patient 1BeforeAfter

For us at Beverly Hills Profiles, it is important to understand and explain that the psychological relief that our patients receive from rhinoplasty should not be measured by the degree of deformity, but rather by the quantity of psychic energy devoted to it.


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