Case 26: Narrowing a wide tip can really soften the face. The challenge in Ethnic rhinoplasty is in making a nose smaller while still maintaining good structure and support so that definition is enhanced. In these 15-month photos, you can now see how tip narrowing along with reduction of the bridge convexity has created a very pretty, feminine nose that enhances her beauty.
As with most plastic surgery, getting more than one procedure done at one time can save you money in anesthesia and facility fees. Prices will vary by surgeon, but it is always best to look for the most qualified doctor rather than the lowest price. Also, some doctors will offer discounts to patients who agree to give testimonials or allow the doctor to use their before and after photos.
This procedure is for women who need additional volume as well as a lift. Depending on the placement of the implant, a breast lift can occur as a result for women with a low degree of droop, without the need to make any incisions. For women who have a moderate to severe breast droop, breast lift incisions along with breast implant insertion will be needed to achieve optimal results.
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.
Case 4: Some might think that this patient had had previous rhinoplasty with tip collapse, but she did not. Occasionally, the shape of the tip cartilages is very vertically-oriented, causing a deep groove in the nostril. She felt this, along with her marked tip crookedness, drew unwanted attention to her nose. Now, her nose is smaller, smoother, more defined, and just blends with the rest of her face.
Over time, pregnancy, weight changes and aging take their toll. Your breasts may have changed in shape and size. You used to have full perky breasts but now, they just sag. They're elongated and flattened against your body. Your areolas are also enlarged and irritation has developed within your breast folds. That's why breast lifts are so popular! In one 5-year study of 125 women in the Journal of Plastic, Reconstructive & Aesthetic Surgery, 91.5% reported that their expectations for their breast lifts were met or exceeded. 89.3% reported an improved self-esteem and 69.5% reported an improved quality of life as a result of their breast lift procedure. This makes breast lifts an effective way to regain self-esteem and reclaim your youthful appearance.
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.
Case 47: This patient’s primary surgery left her with valve collapse, nostril notching, persistent tip rounding and hanging columella. Secondary surgery involved correction of these issues with repositioning and reconstruction of the tip cartilages to improve tip contour. Although she is still a little swollen in the after photos, she is already happy with her new nose.
A: In general, no plastic surgeon can guarantee that breastfeeding will still be possible after the breast lift surgery. But in most cases, you should be able to breastfeed after a breast lift if the nipple was left intact during the procedure, and was still connected to all the anatomical structures underneath the nipple. However, if you are planning to become pregnant, its recommended that you wait until after your pregnancy to have a breast lift. Reason being, as your breasts enlarge during pregnancy the skin will stretch. Depending on the elasticity of your skin before pregnancy and the degree to which your breasts enlarge during pregnancy, your breast skin may permanently stretch. In this case the results of breast lift surgery performed before pregnancy would be lost.
Dr. Miller says it’s also important for patients to have realistic expectations. “It’s not a good idea to take a wide, thick nose and turn it into one that’s thin and tiny,” he says. “But if the steps are done properly, we can make the desired changes.” Thick nasal skin that makes it challenging to refine the nasal tip needs to be thinned out, for example. It’s important to find a board-certified facial plastic surgeon who specializes in ethnic rhinoplasties. 
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