Analyzing Your Nose

One of the most important variables associated with rhinoplasty is your initial shape. It is crucial that the surgeon is skilled in properly assessing an individual’s nose and face properly in order to determine the best techniques for his or her nose job in Newport Beach. At The Rhinoplasty Center, Drs. Daniel and Kosins have the experience and knowledge to fully evaluate your nose in order to approach the procedure correctly. It is not enough to simply understand that no 2 noses are alike; a rhinoplasty specialist must know how to go about producing the best results for a specific shape. The nose is separated into the upper, middle and lower thirds, and each third is assessed individually and also with regard to the overall nose and face. Likewise, the bone, cartilage and soft tissue covering are assessed and procedures vary depending on the characteristics of each. This is done to bring congruency and harmony to the nose and face.

During your initial consultation, you will learn which types of procedures are correct for your specific, nasal shape. It is important that we explain our analysis in detail, so that you understand what we want to do and why. We are analytical physicians, and we assume that you are as well. For this reason, we want you to understand our thoughts and processes. No matter the method that we use for your procedure, a patient can anticipate beautiful, natural-looking results – outcomes that were created because a specific, personalized method was designed just for your rhinoplasty in Newport Beach. At The Rhinoplasty Center, each surgery is designed to provide the patient with a newly improved shape that is complementary to the rest of his or her face.

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Analyzing Your Skin

The Rhinoplasty Center - Analyzing Your Skin

The soft tissue envelope of the nose affects the final surgical result, and can in some cases limit the expected improvement.  In 2015, Dr. Kosins validated the “Skin Pinch Test,” a simple and reliable method to determine the thickness of the skin, using ultrasound technology.  To do this, simply pinch your nasolabial fold — the fold of skin between your nose and cheek.  If the pinch is less than 1cm, you have thin skin.  If it is over 2cm, you have thick skin.  Anything in between is considered normal.  Also, if your skin is oily that also increases the thickness of the skin because oil glands live in the skin and if they are bigger, your skin becomes thicker.

In our practice, up to 1/3 of patients have skin that is thin or thick, and this creates special challenges to the rhinoplasty surgeon.  Thin skin has the advantage that the rhinoplasty surgeon has the opportunity to achieve maximum definition of the nose. However, patients with thin skin also can have the opposite problem where even subtle irregularities are both visible and palpable.  During surgery, I often dissect at a deeper level so the skin is not thinned out.  Also, a fascial (connective tissue) blanket may be added between your skin and bone/cartilage to increase padding.

Thick skin is an issue in cosmetic rhinoplasty that for many surgeons seems insurmountable. Unlike the thin-skinned patient where even subtle irregularities are present, in thick skinned patients achieving definition is the most difficult issue.  Because of this, a strong cartilaginous framework is necessary to push against the skin in order to achieve definition.  At times, thicker skin can be modified before and after surgery with creams and even medication that control oil production.

Analyzing Your Tip

The Rhinoplasty Center - Analyzing Your Tip

Analyzing Your Bridge

The Rhinoplasty Center - Analyzing Your Bridge

Analyzing Your Nostrils

The Rhinoplasty Center - Analyzing Your Nostrils