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How Nose Surgery is Performed - Narrowing of Nasal Dorsum - Nose Job

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Uploaded by on Feb 13, 2009

http://www.rhinoplastyspecialist.com
Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.

In this video you'll discover how the nasal dorsum is narrowed by fracturing the nasal bones.

The nasal osteotomy is an integral element in rhinoplasty. A reproducible and predictable technique for the nasal osteotomy is a significant contributor to operative success.

Osteotomies are typically necessary when the nasal hump has been reduced. They are also often neces­sary to narrow an over-wide nose or to improve a twisted nose.

A small bone knife or osteotome is placed at the edge of the bone as shown. A gentle tap-tap technique is used to advance the osteotome along the planned path. Now the bone is cut and may easily be shifted as needed.

Watch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at...
http://www.youtube.com/watch?v=QobQdRapPfs

Dr. Nassif's practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.


African American Nasal Anatomy
Skin: Thick, Abundant Fibrofatty tissue
Radix: Deep, Inferiorly-Set & Low
Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat
Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition
Base: Wide, Thick, Horizontal & Flaring Nostrils
Nasolabial Junction: Retracted, Acute Nasolabial Angle
Maxilla: Usually Retrusive & Hypoplastic

Hispanic Nasal Anatomy
Skin: Thick, Abundant Sebaceous Glands
Radix: Low to Normal
Nasal Bridge: Wide
Dorsum: Convex (Nasal Hump)
Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition
Columella: Short to Normal
Base: Wide, Thick, Horizontal & Flaring Nostrils
Nasolabial Junction: Retracted & Acute Nasolabial Angle
Maxilla: Within Normal Limits

Asian Nasal Anatomy
Skin: Heavy, Thick & Sebaceous
Radix: Deep & Flat
Nasal Bridge & Dorsum: Low, Wide & Flat
Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
Columella: Short, Minimal Show (Retracted)
Base: Wide, Thick, Oblique & Flaring Nostrils
Maxilla: Usually Retrusive

http://www.spaldingcosmeticsurgery.com

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Uploader Comments (drpaulnassif)

  • hello Dr, can you help me with some informations?The thing is that most of the rhynoplastitians I have tracked online are from USA,no doubt there are some of the best surgers there, but my problem is that I live in Southeastern Europe and honestly I cannot afford a rhynoplasty in USA, it is too expensive for me.So I was wondering could you reccomend some really good surgeons from this region (Turkey,Greece,Bulgaria,Romani­a etc) but it would be nice to see their work through websites.

    Thank you

  • @margaritalove

    Hello,

    Sorry, but I do not have any recommendations in Europe. Please feel free to contact my office any time. Thanks for the message, and best of luck to you.

    Dr. Nassif

  • hello dr, im wondering if you have clinic somewhere in the philippines?

  • @horamzevi

    Hello,

    I only perform surgery in my surgery center located here in Beverly Hills. Thank you for the message.

    Dr. Nassif

  • how much is this?

  • @pretty00kitty

    Hello,

    This patient had an ethnic septorhinoplasty, bilateral turbinoplasty, and alar base reduction. The cost of this surgery ranges from $12,000-$15,000 depending on your individual circumstances. Thank you for the question.

    Dr. Nassif

Top Comments

  • she looks exactly the same..

  • If I were to decide on plastic surgery this is EXACTLY what i'd want, still looks very natural just not as pudgy or rounded.

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All Comments (134)

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  • Don't do it at home :D

  • Haha, he's Adriennes husband from The Real Housewives of Beverly Hills! :)

  • i can't see the different

  • IS THIS GUY ADRIENNE'S HUSBAND PAUL FROM HOUSEWIVES OF BEVERLY HILLS?

  • hahah in philippines you can have gortex for 500USD and silicon for 150USD... to think here the problem is flat noses

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