Rhinoplasty Operating Room Footage - Tip Cartilage Contouring (Nose Job)

http://www.rhinoplastyspecialist.com
Join Rhinoplasty Specialist Dr. Paul Nassif, of Spalding Drive Cosmetic Surgery & Dermatology located in Beverly Hills, in the operating room as he performs Tip Cartilage Contouring.

Although techniques and methods employed during rhinoplasty surgeries are the same regardless of race, there are some trends that apply to patients of certain ethnic backgrounds.

East Asian patients often want their noses to appear narrower. This can be done through the use of infractures, where the nasal bones are broken and moved in or reset to thin out the nasal area and add projection in the process. Outfractures, where the nasal bones are broken and moved outwards, are used to widen a too-narrow dorsum. East Asian patients typically seek augmentation (adding material) of the bridge of their nose which will make the nose appear narrower as well. In Asia, patients typically use a variety of alloplastic implants including Gore-Tex, Med-Por, or silicone. Due to the risks of alloplastic materials, natural materials to the bridge of the nose, such as rib cartilage (costal cartilage) or ear cartilage (auricular cartilage) are being used more commonly.

Patients of African descent commonly seek narrowing of wide nostrils. This procedure may include removing sections of the base of the nostrils or sections of the nose where it meets the face. The tip of the nose can be restructured by removing tiny sections of cartilage to give the nose more shape, or even adding cartilage to provide additional structure to the nasal tip.

AFRICAN AMERICAN NASAL ANATOMY:
1. Skin: Thick, Abundant Fibrofatty tissue
2. Radix: Deep, Inferiorly-Set & Low
3. Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition
5. Base: Wide, Thick, Horizontal & Flaring Nostrils
6. Nasolabial Junction: Retracted, Under-Developed Nasal Spine
7. Maxilla: Usually Retrusive & Hypoplastic

HISPANIC NASAL ANATOMY:
1. Skin: Thick, Abundant Sebaceous Glands
2. Radix: Low to Normal
3. Nasal Bridge: Wide
4. Dorsum: Convex (Nasal Hump)
5. Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition
6. Columella: Short to Normal
7. Base: Wide, Thick, Horizontal & Flaring Nostrils
8. Maxilla: Within Normal Limits




ASIAN NASAL ANATOMY:
1. Skin: Heavy, Thick & Sebaceous
2. Radix: Deep & Flat
3. Nasal Bridge & Dorsum: Low, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
5. Columella: Short, Minimal Show (Retracted)
6. Base: Wide, Thick, Oblique & Flaring Nostrils
7. Maxilla: Usually Retrusive

DESIRED RHINOPLASTY GOALS:
1. Bridge: Moderately Thinner
2. Dorsum: Higher (Augmented)
3. Tip: Refined, Increased Projection, Increased Rotation
4. Base: Vertical-Oblique Nostrils & Triangular Nasal Base
5. Columella: Increased Columellar Show & Length
6. Maxilla: Less Retrusive
7. Skin-Soft Tissue Envelope: Moderate Thickness that Provides Good Tip Definition

Category:

Education

Tags:

• Rhinoplasty
• Operating
• Room
• Footage
• revision
• nose
• job
• nosejob
• ethnic
• plastic
• surgery
• surgeon
• dr
• paul
• nassif
• nasal
• beverly
• hills
• 90210
• Tip
• Cartilage
• Contouring
• african
• american
• hispanic
• asian

[DontForgetIran2010]

is tip cartilege contouring less expensive than a rhinoplasty? where do you operate?

[drpaulnassif]

@DontForgetIran2010 Hello,

It really depends on your individual needs. Rhinoplasty is performed under general anesthesia or local anesthesia with sedation in our outpatient Medicare Certified surgery center. Please feel free to send any photos to my office and I would be happy to evaluate them for you!

[sohoboyuk]

Wow! She does look a lot better/ happier. Great job Dr Nassif! I would also like to have something similar done - I've a broad tip & deviated septum which makes breathing difficult. Do you have a practice in London? I was actually going to see Dr Basim Matti in Harley Street about it but find you more approachable having after seeing this video.

[drpaulnassif]

Dr. Nassif unfortunately does not practice in London. However, he does have patient's come from all over the world to have him perform their surgery. If you visit our website there is information on how this works and how we will assist you with travel accommodations, etc. Both websites are in the videos description.

-Moderator for Dr. Nassif

[ixiko]

omg she does look a lot better!! but ouchhh... that was a little weird to watch. Success though!

[drpaulnassif]

Thanks!!!

[scarred10]

@Kra7as your nose cannot have shrunk,thats impossible,the rest of your face may just have filled out to make it less obvious.No surgeon will operate on a kid that hasnt stopped growing.

[Kra7as]

@scarred10

thanks man my previous comment was posted 1.5 year ago when I was 16 I'm 18 now and you won't believe how much I changed my nose looks perfectly fine now. a message to all the teenagers out there who aren't satisfied with their nose WAIT until you stop growing.

[scarred10]

@Kra7as a good rhino surgeon can change any part you want to a certain degree

[idunno4got]

what about inserting a cartilage to help define the tip? do you have any pictures or videos of the before and after? how safe is inserting our cartilage to the nose tip? any pros and cons?

[RMSkuting]

I dont like it.... Thanks God for giving me a natural beauty and cute nose ;-) ahihihi..

[MadWeiner]

What are the risks associated with Medpor?

[Kra7as]

Do you only reshape the nasal tip or can you make the nasal bridge appear flatter and smaller too? I have a large middle eastern nose with a bump in the middle and I want it to become flatter and less prominent. Is that possible?