When
considering a rhinoplasty (nose job) or chin
augmentation procedure, one must assess the overall proportions
of the face. It is necessary to achieve and preserve the balance
between the various facial features, as they all combine to create
ones' overall appearance. Small refinements in the structure of
the nose can achieve dramatic improvements in the nasal appearance
without changing ones overall look. Common areas of correction are
the "bony dorsum" of the nose which may be deviated or
have a "hump" or prominence. A nose can be shortened both
in height, length and width to achieve facial balance.
Deviation
of the nose, which is usually due to curvature of the septum (midline
cartilage) can also be corrected. Dr. Zimmerman finds it especially
beneficial first reviewing the proposed nasal refinements with the
patient using computer imaging prior to surgery. A splint is worn
after surgery for seven to ten days in order to help resolve swelling
and stabilize the nasal bones as they heal.
The relationship of the chin to the projection of the jaws and nose
is an essential relationship to evaluate prior to considering nasal
or chin surgery. A recessed chin can artificially give a nose a
lengthy appearance. If deficient, the chin projection can be enhanced
by insertion of a silastic implant or by a technique of bone advancement.
Computer imaging again greatly facilitates the decision making process
when considering nasal or chin augmentation surgery.