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Old 03-11-2010, 09:09 AM   #31
 
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Docs can take off too much. Look at Latoya Jackson for example. She is an extreme case, but yes, it does happen. Rhinoplasty is a very intricate surgery. Many surgeons claim to be experts or include as one of the operations they perform, but you really have to be careful with who performs it.

When you see the surgeon ask to see before and after pics of individuals with similar concerns to yours. You can ask how many rhinoplasties he performs annually or has performed. Surgeons tend to elevate this number to boost patient confidence. Take his expertise into consideration for possible compromise, but do not allow the surgeon to push you into getting procedures you are uncomfortable with. Visit multiple surgeons.

Good luck and keep us posted!!!


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Old 03-12-2010, 05:56 AM   #32
 
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hey,
im new here and just came across this thread - you seem like a nice (and handsome) guy.
I agree with robyne - focus on the nose. Don't even think about cheek implants (they rarely look natural) or lip injections. And you definitely don't need a chin implant; you have a strong chin.
The thickness and projection of your nose are fine. It's the tip that you want to address. Right now the tip curves down (you can definitely see this from the front). From the profile, notice how the nose looks like it projects downwards. I know it can be measured at 90 degrees but follow the 'point' of the nose - it's definitely downwards. You want it to 'point' slightly upwards (in the pictures of your profile, put your finger over the end of the nose and imagine it going slightly up). So that's the primary thing you to discuss with the surgeon. Ideally, the bridge will be shaved down a bit as well (you did a good shop reflecting this in your morph) to conform with the improved tip.
Anyway, hope this helps


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Old 03-12-2010, 06:05 AM   #33
 
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I agree with everything Marky said except for the fact that you want your nose to point upwards. As a man, especially, td475 should be trying to keep his nose "on the level". Imagine a classic nose ... like a Roman nose. I do agree with Marky regarding the downward slope.

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Old 03-12-2010, 06:44 AM   #34
 
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Quote:
Originally Posted by marky444 View Post
hey,
im new here and just came across this thread - you seem like a nice (and handsome) guy.
I agree with robyne - focus on the nose. Don't even think about cheek implants (they rarely look natural) or lip injections. And you definitely don't need a chin implant; you have a strong chin.
The thickness and projection of your nose are fine. It's the tip that you want to address. Right now the tip curves down (you can definitely see this from the front). From the profile, notice how the nose looks like it projects downwards. I know it can be measured at 90 degrees but follow the 'point' of the nose - it's definitely downwards. You want it to 'point' slightly upwards (in the pictures of your profile, put your finger over the end of the nose and imagine it going slightly up). So that's the primary thing you to discuss with the surgeon. Ideally, the bridge will be shaved down a bit as well (you did a good shop reflecting this in your morph) to conform with the improved tip.
Anyway, hope this helps
Thanks Marky and welcome to the forum! I definitely notice the tip to curve downwards from the front too. I didn't notice this prior to getting a septoplasty two years ago. Now, whenever I am looking in the shower mirror or the one in my car, I notice it especially... I never did before the septoplasty, so I think that certainly has something to do with it. I'll keep you posted on how the consultation goes next week!

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Old 03-12-2010, 08:53 AM   #35
 
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I posted up a picture of my brother in profile and think you will all find this very interesting. Many people confuse us for each other. People have walked right up to me and addressed me by his name. A girl he slept with once was talking to a friend of mine at the bar and she thought I was him, while looking at me in profile!! I know, this may not be appropriate, but I just had to say it to illustrate the resemblence.

His nose however, does not look like it projects downward like mine. With all this in mind, I tend to think that people in the real world don't notice or pay attention to imperfections like my nose projecting downward. If they did, then they wouldn't mistake us for each other. I notice it though and I think thats all that really matters as far as wanting to fix it. Perhaps I should take a picture of him to my consultation and tell the plastic surgeon I want my nose to look just like that!


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Old 03-12-2010, 09:29 AM   #36
 
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Too funny!!!

Yes, you should bring your brother's pic. You guys almost look identical, except for the minimal nose difference.

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Old 03-16-2010, 12:05 PM   #37
 
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LOL yes, you guys do look very much alike in profile!

The simulations were fun to see, but yes, unfortunately they aren't ever a good representation of what the outcome will be. Especially the tip, it would not be easy to make your tip that pointed and angular.

In your family, do the noses droop with age? If so, that may be something to take into account when deciding the angle, but you don't want it jutting up into the air even if you have a family history of drooping. A strut graft placed at the bottom supposedly prevents age-related drooping, but I'm skeptical to say the least.

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Old 03-16-2010, 01:36 PM   #38
 
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LOL yes, you guys do look very much alike in profile!

The simulations were fun to see, but yes, unfortunately they aren't ever a good representation of what the outcome will be. Especially the tip, it would not be easy to make your tip that pointed and angular.

In your family, do the noses droop with age? If so, that may be something to take into account when deciding the angle, but you don't want it jutting up into the air even if you have a family history of drooping. A strut graft placed at the bottom supposedly prevents age-related drooping, but I'm skeptical to say the least.
I dont think noses droop with age in my family...my grandmother is 85 and I dont think her nose droops. Prominence does certainly run in the family though; my fathers nose is literally at least one and a half times the projection mine is... so I'm actually quite lucky to even have the nose I do. lol I will let you know how the consulation goes this friday.. I'm really most interested in seeing how a refined tip will look from front view.. I wasn't really able to simulate that on the program at all.

Even with the nose improved in the morphs, I dont really think it does a whole lot to enhance my overall appearance in profile... not at least compared to most successful before/after rhinoplasty pictures ive seen.

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Old 03-16-2010, 04:12 PM   #39
 
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Definitely let us know how Friday's consultation goes.

Good luck!!!

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Old 03-20-2010, 02:32 PM   #40
 
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I had my first consultation yesterday...I will not need any revision work as far as septum work to improve my breathing. The doctor said the septoplasty I had done a few years ago was a success.

As far as cosmetic work, the PS said it would be ideal to make my nose straighter by doing some tip work, shaving a small amount off the bridge, and removing a small bump on top of the bridge. Basically, the same as the suggestions made on this forum. Overall, the PS seems very confident that he can deliver me a successful rhinoplasty and that I am,without a doubt, a great candidate. Also, he by no means came across as agressive; he said he will be sending me a moprh next week and the ball is in my court from there.

Though he was not aggressive in that sense, he did give his input as to what should be done to my nose as soon as I mentioned that I was interested in doing some cosmetic work. He didn't really ask me exactly what I didn't like about my nose...instead just told me more of what he thinks is wrong with it and how it could look better. Not saying this is positive or negative... just something I figured I should take note of.

Also, I asked him about what to expect as far as anyone being able to tell I had surgery. He said most of his former patients told him that nobody could tell they actually had surgery, but instead just thought they looked better and couldn't tell exactly why. Furthermore, he said this is true in my case especially, since I'm not the guy with the huge nose that everyone talks about. Basically, he said when people think of me, they dont think of my nose as the first thing, so it shouldnt be obvious if I make the changes that he has in mind... just an overall enhancement. This sounded great, but almost like it may have been an easy answer for what is probably a very big concern many plastic surgery patients have.

With the quote at $8500.. I wasn't extremely happy, but know that isn't outrageous or anything. I will post the morphs as soon as I get them!

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