Does the tiny cute Disney® Princess nose exist in real life? Yes, it does, but it is indeed rare. Your nose is made for breathing, and must be large enough inside for healthy air flow with reserve capacity. Still, as the centerpiece of your face, the aesthetically pleasing nose is a reproductive advantage, and therefore natural selection favors the beautiful nose.
If nasal pulchritude is not part of your genetic inheritance, no problem: You can buy it, more reliably now than ever before. Plastic surgical techniques to feminize nasal features are better understood by doctors, including ethnic variations in anatomy. The surgical procedure to change shape and/or size of the nose is called “rhinoplasty,” (rhino = nose, plasty = to mold, to shape) and is accomplished by specialists in plastic surgery.
High speed surgical burrs soften visible angles and projections, precise instrumentation re-arranges bony support, cartilage grafts add pretty curves and inflections, and fine sutures skillfully placed bend or re-positioning cartilage. These methods are all part of the modern plastic surgeons’ armament. Rhinoplasty related deformities and irregularities that divulge surgical modification are less common because of improvements in nasal aesthetic surgery technique and because new materials are available to conceal minor imperfections. Dermal matrix, injectable fillers, and other off-the-shelf products are used as camouflage when necessary to improve the result. Most operations to beautify nasal appearance are accomplished under direct vision, the “open” approach. In the past, rhinoplasty was performed by feel and by appearance of the evolving result beneath nasal skin (closed approach).
Rhinoplasty is an operation that changes shape and size of bone and cartilage support of the nose. Your outcome results from skin re-draping over the changed underlying structures, and emerges after months of healing and slow resolution of swelling. Some maneuvers, such as narrowing the base of your nose or improving definition of finer features are accomplished by thinning or removing specific portions of nasal skin and soft tissue.
As a plastic surgeon with over twenty years of rhinoplasty experience, Dr. Steve Laverson is excited about these developments. Together, they help plastic surgeons achieve more predictable outcomes, and offer the possibility of improved lifelong beauty for many. Every woman can now have a Disney® Princess nose!
Cosmetic surgery requires evaluation of human features, consideration of their shape and attractiveness, and incorporation of structural changes for the benefit of the bearer. The appearance of each part, however, is very much dependent not only on its anatomy, but its relationship with surrounding features. For example, a large nose diminishes the size of eyes and lips. Reducing nasal width, length, and projection creates an apparent enlargement of the eyes and lips, without touching the eyes or lips. A narrow waist enlarges the breasts, trimming a full neck increases projection of the chin, and liposuction of the flanks enlarges the buttocks. Relativity, that is, the significance of objects depends on their relationship with other objects around them, is obvious everywhere in our universe.
This “Aesthetic Theory of Relativity” must be appreciated when planning treatment. Before embarking on any cosmetic surgery, the effect on surrounding parts must be considered. For example, cheek implants, while they can add angularity or fullness to cheekbones, often create the undesirable appearance of a lower eyelid hollow where there was none before. By pushing the cheeks out, the adjacent eyelids appear more sunken.
In seeking consultation from your plastic surgeon, it’s reasonable to ask about these secondary and perhaps unintended consequences of many procedures.