Rhinoplasty in San Francisco
Because the nose is such a central feature of the face, the slightest flaw can cause facial imbalance and may lead to problems with low self-esteem and embarrassment. Nose surgery (rhinoplasty) is designed to provide men and women with a balanced, harmonious facial appearance through the reshaping of the nose. Our board-certified plastic surgeons in SF are highly trained in providing this technically challenging procedure for men and women of all types of ethnic backgrounds, including those of Asian descent.
What to Expect from your Nose Surgery Consultation
Initial and subsequent consultations are key in establishing a rapport and understanding realistic goals and outcomes. We ask for you to bring several photographs of a nose shape you like. The goal of this exercise is for one of our doctors to determine your perception of a pretty nose shape. After reviewing the photographs, we can determine a realistic shape for your own unique procedure.
How Does Rhinoplasty Work?
Reshaping the Dorsum and Bridge
This refers to the bony area of the nose that runs from between the eyes through the tip of the nose. The important feature of all dorsum is the smoothness in its transition. The transition from the forehead to the nose should be smooth and curved. The transition from the dorsum to the tip should also be smooth. Some people may wish for a slightly curved profile from the dorsum to the tip, and others may wish for a straighter profile. With very few exceptions, most men and women desire a smoother, more natural, and not very high bridge and dorsum.
There are many different types of material that can be used to augment the dorsum. Using your own tissue is ideal, but there is often not enough cartilage to augment the dorsum. Many synthetic materials are available, but at Wave Plastic Surgery our trained plastic surgeons prefer to use a smooth silicone implant. If the overlying skin is too thin, then the implant is covered with Alloderm to provide additional soft tissue coverage and avoid visibility of the implant.
Reshaping the Columella
The columella is a structure that is located from the tip of the nose to the upper lip. The angle created between the columella and the upper lip determines the rotation of the tip. A feminine nose-lip angle is 110 degrees for women and 90 degrees for men. Too much upper rotation will cause more visibility of the nostrils and an unnatural appearing nose.
Some patients may also have either a hanging columella or retracted columella. Correcting this condition is an important point in the overall aesthetics of the nose.
Some people have a deep groove of the columella/upper lip junction or have a retrusion of the midface. Without doing major craniofacial surgery, this area can be filled with diced cartilages to give more projections.
Correcting the Alar Rim and Width
Some people have an alar rim that is thick and/or flared out. This can create an appearance of increased nostril size or show. Lowering the alar rim so that the nostril is not as visible is another subtle, but an important point to a good nose surgery.
After refining the tip and increasing the tip projection, the alar width will become narrower. For some, if this is not enough, the width can be narrowed using various methods of excising the alar sides.
Our doctors are all trained in paying attention to all of the details of an individual’s nasal anatomy so they are best able to provide them with a nose they are happy with.
Begin Your Nose Surgery in San Francisco
Please fill out the form on this page to schedule your consultation at Wave Plastic Surgery in San Francisco or call us at (866) 552-0803 today.