Medical columns written by board-certified plastic surgeons
When the skin of the nose is thin, the outline or color of the implant beneath it can show through. The skin and soft tissue do not fully mask light and color, and this is most noticeable at the tip and along the implant edges. Material choice, tissue-layer placement, and autologous coverage reduce the risk, and examination first determines skin thickness and cause.
A contracted nose appearing long after rhinoplasty often reflects contraction of the capsule around an implant together with scar-related change. The approach is to remove the causative implant and capsule to release the contracting force, restore the shortened length, and rebuild support with autologous rib cartilage — with the material and technique decided by examination findings.
Ear (conchal) cartilage and septal cartilage differ in harvest site, strength, and shape, so the choice depends on which part of the nose needs reinforcement. Septal cartilage is straight and firm for tip support, while ear cartilage is curved and better for wrapping the tip or fine contouring — and the final choice is made after examining the remaining cartilage and skin/support condition.
Because preservation rhinoplasty keeps the natural roof (dorsum) of the bridge intact instead of shaving it, a key advantage is that it does not create the "open roof" that hump removal leaves behind. With less need to close that roof with osteotomies and cartilage grafts, it is well suited to preserving the original smooth bridge line (varies by individual).
A dorsal hump makes the middle of the nasal bridge look raised in profile, and it usually takes more than simply shaving the bump away to correct. This column explains the structures behind a hump nose and the points worth considering before correction.
A crooked nose often involves not just the visible bridge but a deviated septum and misaligned bone and cartilage underneath. This column explains why the underlying structure matters and what to consider before correction.
If you are considering rhinoplasty after having nose thread lifting, there are things worth knowing. Here is how remaining threads can affect surgery, and why it can be more challenging.
Some say plastic surgery should be avoided in summer, but care matters more than the season. Here are the precautions and care tips for surgery during the summer months.
The forehead-nose angle, the nasolabial angle, eye proportions, and facial contour — a look at the professional metrics used to analyze a face, and the currently preferred tendencies. These are references, not absolute standards.
Ptosis correction is often mentioned alongside double-eyelid surgery. Here is a balanced look at what it actually does, when it may be considered, and when it may not be needed.
A contracted nose, where the tip lifts and the nose appears shorter, can develop after rhinoplasty. Here is a balanced look at the causes, correction methods, and the limits of revision surgery.
Lower blepharoplasty and under-eye fat repositioning both address under-eye bags and dark circles. Here is a balanced look at how they differ, the pros and limitations of each, and when each may be considered.
Why do sedation-related accidents happen, and how do the clinic and patient prevent them together? Understanding the principles can ease vague anxiety.
From double-eyelid methods to recovery time and side effects — here are the key points worth sorting out before deciding on eye surgery.
Rib cartilage used to rebuild the bridge and tip of the nose comes in two forms: autologous and donor. Here is a balanced look at the features and pros and cons of each.
The materials used to raise the nasal bridge range from artificial implants to your own tissue. Here is a balanced comparison of five options — standard silicone, custom silicone, gluteal dermis, block rib cartilage, and diced rib cartilage.
Infection is one of the concerns after rhinoplasty. Here is a balanced guide to how the clinic and the patient can work together to reduce the risk, before and after surgery.
Recovery after rhinoplasty depends greatly on how you care for the nose. Here is a balanced, stage-by-stage guide to what to watch for from the day of surgery to the months that follow.
The difference between implants and autologous cartilage, recovery time, side effects, and what to check before your consultation — the key points people considering rhinoplasty most often wonder about, organized in one place.
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