A new approach in rhinoplasty

A City Center doctor, near the age of 60, was not pleased with the slight curvature (bending) of his nose.

A former Israeli soldier, now a night club manager, felt that his crooked nose had a negative impact on his self-esteem.

A New Jersey teenager, star of his hockey team at school, feels uncomfortable with his nose and wonders if everyone notices it.

 A Jamaican woman, in love with her Caribbean characteristics, feels that her nose is disproportional to the rest of her face. Today, all four of them have new noses – they are symmetrical, straight, smoother or have an enforced cartilage, or their nasal tip has been reformed or the nasal bridge is reduced.

Collectively, they represent the new face of rhinoplasty, a procedure no longer constrained to a stereotype Long Island clientele starting rhinoplasties at the age of 16.

“Now, there is not just one ideal appearance of the nose”, says Julius Few, plastic surgeon from Chicago, whose medical practice includes Latinos, African-American and Asian patients. “Beauty has multiple definitions now”.

 According to the American Society of Plastic Surgeons, 252,000 were subjected to rhinoplasty in 2010. Of those, 25% were men and 57% were over the age of 29.

As patient demographics show – ethnic minorities represented 29% of all cosmetic surgeries in 2010, i.e. 14% more compared to 2000-, some surgeons have developed a specialization in “ethnic rhinoplasty”, preserving the inherited look of a patient after the procedure.

“Everyone coming to our office wants preserve his facial features”, says Robert Glasgold, plastic surgeon from Highland Park, NJ. “They don’t want their postoperative result to be evident”.

That was something true for Bruce, a physician from Philadelphia, who asked that his surname was not disclosed due to concern that his private life might be disturbed. A football injury in high-school left me with a slight twist on my nose, and a previous rhinoplasty was unsuccessful”, he says.

“Everyone said they hadn’t noticed, but I knew. Especially when my moustache was getting bigger, it would make the nasal asymmetry more noticeable.” Three years ago, when he was 57, he underwent a revision rhinoplasty.

When the time came to check the results, one week after the surgery, he noticed it was swollen, but looked rather good. It was great. A lot of rhinoplasties show, but mine was practically unnoticed.”


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