Asian, Latin, and African American rhinoplasties require a special skill set. Surgeons say the challenge lies in reshaping and resizing the nose while retaining its distinct features and keeping it proportional to the face. “Typically, African American, Asian, and Latin noses have flat bridges and wide tips,” says Dr. Miller. “The number-one goal is to create a new tip [through cartilage grafting] that has better support.” Patients also often request a reduction in nostril size.
A: It’s difficult to answer “how much” sensitivity you can expect to lose after breast lift surgery but most patients report that they are able to retain complete or near complete sensation. During the initial postoperative period, there may be a temporary loss or decrease in sensation primarily due to swelling. As the swelling subsides, the sensation will return. There is the potential that you may experience a change in the sensitivity of your nipples and the skin of your breast. On occasion, patients have reported that their nipples are “supersensitive.” In this case desensitization, exercises can be performed to diminish the sensitivity. This involves gently rubbing the nipples with cotton ball and then progressing to a more course material.
The procedure also does not permanently change the breast shape and firmness. As time marches on, you may expect the effects of aging and gravity to continue. In these cases, a secondary revision surgery may be required. The best candidates for this cosmetic surgery are women who are emotionally well-adjusted, have realistic expectations, and understand the procedure thoroughly.
Case 21: For our patients who are in image-centered occupations such as modeling or acting, nasal refinements often focus on small changes that will enhance the overall look and remove subtle cues about the nose that preoccupy or distract the eye. This successful model had a look that really worked for her but had always felt that her tip and nostrils were too wide, flared, and slightly droopy. Creation of a slightly narrower and more structured tip draws unwanted attention away from her nose and, instead, enhances her overall look.
In addition to a breast lift, many women also consider having other procedures performed at the same time to enhance the overall result. For example, a “mommy makeover” is a combination of different surgical procedures reserved for women who have been pregnant and want to look like they did before the pregnancy. This may include a tummy tuck, liposuction surgery and breast enlargement or breast reduction. There is also a cost savings of having multiple procedures done at the same time.
Arm LiftBody ContouringBody LiftBotulinum ToxinBreast AugmentationBreast Implant Removal & ExchangeBreast LiftBreast ReconstructionBreast ReductionBrow LiftButtock Lift with AugmentationChin AugmentationCleft Lip and PalateDermal FillersEar SurgeryEyelid SurgeryFaceliftGynecomastia SurgeryHair TransplantLip AugmentationLiposuctionRhinoplastyThigh LiftTummy Tuck
Case 48: This is a good example of finesse rhinoplasty where subtle changes can make for a very nice and meaningful difference. This young woman liked the overall shape of her nose but wanted it slightly smaller in all dimensions to match her pretty, petite features. We were able to achieve these goals by always relying on techniques that produce stable and precise results. Subtle fat transfer to the under eye area further helped to reduce under eye circles and soften her overall look.
Tip: Look for a board-certified plastic surgeon with plenty of experience performing breast surgery. The American Society of Plastic Surgeons provides a free referral service. When you meet with a surgeon, discuss your expectations to find out whether they are realistic. Also discuss risks and disadvantages. One major disadvantage of the breast lift procedure is that it inevitably leaves scars, which can be red, bumpy and very noticeable. Also, the surgery can cause numbness, tingling and loss of sensation in the breasts and nipples, which usually, but not always, disappear over time.
Case 40: Excessive nasal width can cause the nose to dominate other fine, delicate facial features. In Ethnic Rhinoplasty, the key to obtaining a more refined nose is to create a nasal framework upon which the thick skin will wrap around. This pretty young Persian woman wanted to reduce her nasal width, the fullness in her tip, and the sense that her tip was downturned. These six month photos show significant improvements in achieving these goals and her nose will only get better yet.
However, it’s not without real risks. A liquid nose job should be done only by a skilled plastic surgeon with extensive knowledge of facial anatomy, using only hyaluronic-acid-based fillers. Misplaced filler can cut off blood flow and cause skin necrosis (tissue death). If it’s caught quickly, the hyaluronic-acid filler can be dissolved by a doctor, using an injection of hyaluronidase. But because this risk is serious, fillers have not been approved by the U.S. Food and Drug Administration for use in the nose.