Knowing When To Stop

Just this week I saw a very nice patient whom I had seen in 2006 and again in 2011.  At that time, she had already had multiple nasal surgeries, the previous two by a superb surgeon.  Her nose was straight and worked well.  But she wasn’t happy.  Her descriptions were filled with disaster language: every […]

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“I Don’t Look Like Myself Anymore”

This is a sad complaint that I hear from many patients who have had rhinoplasties.  Too drastic a change is one of the things that patients fear most before surgery.  Just recently I received two emails from patients who have undergone surgery in the last month and feel that the change was just intolerable.  They […]

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How To Correct A Crooked Nose Safely

There are many ways to correct crooked noses, and some of the published results are very dramatic.  But like stock market investments, the bigger the potential gains, the bigger the risks. For example, some surgeons completely remove the deviated septum, taking out all the support for the lower two thirds of the nose, straighten the […]

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Why Patients Often Develop Runny Noses After Nasal Surgery

One of the most common complaints patients have after rhinoplasty is a new runny nose (rhinitis).  If it existed before surgery, rhinitis can indicate allergies.  When it appears only after surgery, it’s not allergies.  There are two common causes. The more common one is a new airway obstruction.  When the surgeon reduces the height of […]

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Why Open Rhinoplasty Keeps Getting More Complicated – Part Two

Every year, open rhinoplasty has gotten more complicated, with more steps, wider dissections and disruption of normal nasal architecture, and more complex suture and grafting techniques.  The upshot of all of that dissection is more postoperative swelling and even skin loss from poor circulation. What is important to note in all of these procedure changes […]

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