Rhino is one of the most complicated procedures to do out there

lurking truecel

lurking truecel

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Esp for what people on this site often wants to fix. A bulbous nose tip, or increasing projection. And if its not complicated then you probably didnt need it in the first place as the nose is not suppose to be perfect. It just needs to be good enough so you dont drag focus away with it
 
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are you trolling?
 
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are you trolling?
Def not, rhinos have the highest revision rate out of any surgery out there. And most of the results are dog water . The nose can litteraly change years after you did it aswell. Also most people get more bulbous tip because of scar tissue over time. Many surgeons also use dog teqniques. Its absolutely one of the worst procedure out there and hardest to get right unless like i said you didnt need the rhino to begin with.

Bur ofc people on this site has mostly zero surgery experience and thinks rhino is like getting a haircut. Nah its complicated, maybe even more complicated to get right then jaw surgery
 
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Isnt it one of the safest one to do no?
 
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Isnt it one of the safest one to do no?
Safest in what sense ? Its one of the most unpredictable when it comes to aesthetic outcome. As most surgeon just break the bones and hope it heals right and also just shaves and removes cartiallage and hope it heals right. It has the highest revision rate for a reason
 
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soft tissue is tough to nail especially something so central like the nose
 
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Def not, rhinos have the highest revision rate out of any surgery out there.
Isn't that just because it's easy & beneficial to get revision rhino then jaw surgery revision?
like most surgeons just do a little bit adjustments & people end up getting perfect nose, no?
And most of the results are dog water . The nose can litteraly change years after you did it aswell. Also most people get more bulbous tip because of scar tissue over time. Many surgeons also use dog teqniques.
can you elaborate on this one?
Its absolutely one of the worst procedure out there and hardest to get right unless like i said you didnt need the rhino to begin with.
Are you saying slight refinement or modification is easy to get right & problem starts when you want major changes? or something else?
 
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Isn't that just because it's easy to get revision rhino then jaw surgery revision?
like most surgeons just do a little bit adjustments & people end up getting perfect nose, no?

can you elaborate on this one?

Are you saying slight refinement or modification is easy to get right & problem starts when you want major changes? or something else?
Yea ofc any minor adjustments becomes easier. But then you probably didnt need it anyways.
 
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@lurking truecel
"Many surgeons also use dog teqniques."

What do you mean by that? elab pls
 
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can you explain, how does that happen?

But then again, If someone has giga chopped nose & they get a surgery to get sub-ideal nose, it's still a big improvement, no?
I mean it doesnt necessarily needs to be easier and scar tissue which is a fuck up for most. Because no one want a more bulbous less defined nose that scar tissue creates. Most people get a straight nose from the side but just overall zero diff in appeal. So it needs to bad bad for it to be worth it. And most peeps problem is the mouth to nose ratio. And this is a complicated project because you risk breathing and obstructing if you remove to much cartilage but thats somerhing you need to to make it more narrow. And most have excess skin and fat and surgeon are scared to remove because it can make the skin die thats why surgeon rather get more scar tissue build up because you remove cartiallge but keep skin thick. The skin dont reattach fast enough(because of thick skin and fat)before a permanent layer of scar tissue has build up which is also the reason people get a hard and not so movable nose after surgery
 
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Esp for what people on this site often wants to fix. A bulbous nose tip, or increasing projection. And if its not complicated then you probably didnt need it in the first place as the nose is not suppose to be perfect. It just needs to be good enough so you dont drag focus away with it
Agree. If you want just rapped gay clav nose you can pay 3k and be fine.
Good rhinoplasty has many things so expect to pay 8k for top specialist
 
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@lurking truecel But how likely is scar tissue raping refinement after full recovery?
 
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@lurking truecel But how likely is scar tissue raping refinement after full recovery?
I mean when you have scar tissue its permanent, but you could take steriod shots during recovery to make it less
 
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Nasal tips
 
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@lurking truecel
you're saying scar tissue buildup will rape refinement
But If we're talking about just cartilage & not skin, shouldn't that be avoidable with corticosteroid, nose taping etc.
I thought surgeons knew how to take care of it?
 
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@lurking truecel
you're saying scar tissue buildup will rape refinement
But If we're talking about just cartilage & not skin, shouldn't that be avoidable with corticosteroid, nose taping etc.
I thought surgeons knew how to take care of it?
I mean you only tape the first week
 
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Its not rare, but it depends on skin type
I thought it's already like less than 10%
If you use steroids & get a revision, shouldn't you be able to come out with a W
or will the nose look fake or something?
 
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can you use that drug which prevents scarring
 
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So on that basis should we just be getting liquid (filler) rhinoplasty?
 
So on that basis should we just be getting liquid (filler) rhinoplasty?
i mean it could work, depends on the problem. Is filler to make humps and irregularities go away ? I dont really understand nose fillers
 
i mean it could work, depends on the problem. Is filler to make humps and irregularities go away ? I dont really understand nose fillers

Well you can only add material. Most cases I see these foids end up having zero glabellar notch and it looks stupid. But it might be good for example if you got upturned nose after bimax.
 
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Well you can only add material. Most cases I see these foids end up having zero glabellar notch and it looks stupid. But it might be good for example if you got upturned nose after bimax.
Yea true, seems reasonable
 
I mean it doesnt necessarily needs to be easier and scar tissue which is a fuck up for most. Because no one want a more bulbous less defined nose that scar tissue creates. Most people get a straight nose from the side but just overall zero diff in appeal. So it needs to bad bad for it to be worth it. And most peeps problem is the mouth to nose ratio. And this is a complicated project because you risk breathing and obstructing if you remove to much cartilage but thats somerhing you need to to make it more narrow. And most have excess skin and fat and surgeon are scared to remove because it can make the skin die thats why surgeon rather get more scar tissue build up because you remove cartiallge but keep skin thick. The skin dont reattach fast enough(because of thick skin and fat)before a permanent layer of scar tissue has build up which is also the reason people get a hard and not so movable nose after surgery
People with thick nasal skin should take low-dose Accutane for 6 months pre-op. The reduction in nasal skin volume gives surgeon more flexibility and improves post-op outcomes.
 
People with thick nasal skin should take low-dose Accutane for 6 months pre-op. The reduction in nasal skin volume gives surgeon more flexibility and improves post-op outcomes.
holy fucking idiot, it doesnt make the skin less thick. And you shouldnt take it before because it makes wound healing and risk of scarring more prounced. Its like people taking steriods and doing surgeries when its studies on it where it confirms worse soft tissue healing and higher risk of infection. Bro science should never be part of surgery related topics :feelsuhh::feelsuhh::feelsuhh:
 
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holy fucking idiot, it doesnt make the skin less thick. And you shouldnt take it before because it makes wound healing and risk of scarring more prounced. Its like people taking steriods and doing surgeries when its studies on it where it confirms worse soft tissue healing and higher risk of infection. Bro science should never be part of surgery related topics :feelsuhh::feelsuhh::feelsuhh:

Old research said that Accutane worsens wound healing and increases the risk of scarring. Modern studies have found that Accutane does not affect wound healing or risk of scarring (https://pubmed.ncbi.nlm.nih.gov/28658462/). That's why they used to recommend stopping Accutane before skin treatments, but now derms will say you can do lasers and Accutane together no problem.

Also, it does reduce nasal skin thickness, especially in thick-skinned patients (https://pubmed.ncbi.nlm.nih.gov/34820691/). Some rhino surgeons actually get their thick-skinned patients to take a course of accutane pre-op for the very purpose of thinning the skin.
 
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@lurking truecel can u make a thread about rhinoplasty long time results
 
holy fucking idiot, it doesnt make the skin less thick. And you shouldnt take it before because it makes wound healing and risk of scarring more prounced. Its like people taking steriods and doing surgeries when its studies on it where it confirms worse soft tissue healing and higher risk of infection. Bro science should never be part of surgery related topics :feelsuhh::feelsuhh::feelsuhh:
its the same for accutane and topical isotretinoin/retinoin ?
 
Old research said that Accutane worsens wound healing and increases the risk of scarring. Modern studies have found that Accutane does not affect wound healing or risk of scarring (https://pubmed.ncbi.nlm.nih.gov/28658462/). That's why they used to recommend stopping Accutane before skin treatments, but now derms will say you can do lasers and Accutane together no problem.

Also, it does reduce nasal skin thickness, especially in thick-skinned patients (https://pubmed.ncbi.nlm.nih.gov/34820691/). Some rhino surgeons actually get their thick-skinned patients to take a course of accutane pre-op for the very purpose of thinning the skin.
I mean the first study didnt prove anything. And no normal doctor want you to have it 3 momths prior to the rhino.
 
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Honestly I agree, rhino botch rate is super high that's why I'm scared of doing it, a bad rhino looks horrible
 
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Honestly I agree, rhino botch rate is super high that's why I'm scared of doing it, a bad rhino looks horrible
yea it mostly has to with that old teqniques are being used all the time. Just like for jaw surgery, many surgeons still uses extremly old methods. Its scary really how bad many surgeons adapts becausw they are used and have been taught one method. Actually becoming better and learning new teqniques takes effort which many surgeons like most people dont want to do becausw of introduction to new problems
 
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Esp for what people on this site often wants to fix. A bulbous nose tip, or increasing projection. And if its not complicated then you probably didnt need it in the first place as the nose is not suppose to be perfect. It just needs to be good enough so you dont drag focus away with it
Do you have any surgeon recs?
 
For nose bulbosity there are a decent amount of non surgical options, plasma fibroblasts, hydrocortisone, fat dissolvers, retinoids etc
 
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It costs a lot, but Raj Kanodia has the best natural-looking results I've seen and consistently good.
 

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