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Plastic Surgery Washington DC

Philip S. Schoenfeld, M.D.

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Does It Involve Going Into The Bone?

March 31, 2012 by Dr. Schoenfeld

Question:

I am a 45 year old professional woman. I would describe my nose as bulbous and it takes over my entire face. I would like to have a nose job, but have some concerns. If my nose is greatly narrowed and the tip completely reshaped, wouldn’t that result in a lot of scar tissue that is visible? When changing the size and shape of a nose so drastically, does that involve going into the bone?

Answer:

Your questions are good ones and your nose is the shape that I have a great deal of experience with in performing rhinoplasty. The most important discussion regarding rhinoplasty in an individual with a large bulbous tip who desires cosmetic changes to the nasal tip, is the pre operative conversation. It is extremely important to set realistic expectations with the individuals who present with the type of nose that you have described. I use computer imaging in my rhinoplasty consultations and in patients such as yourself, I am very careful as to how narrow or how well defined I make the nasal tip as your particular nasal structure will likely prevent me from making your tip very narrow because of the reasons that you have outlined yourself. A wide bulbous tip usually has thick skin with a great deal of subcutaneous fat. Even with cartilage reshaping and defatting of the nasal tip, there is going to be scar tissue that forms which prevents the tip from narrowing further. The good news is that this scar tissue of the nasal tip is completely invisible beneath the skin, and injections of steroid into the nasal tip can decrease the amount of scar tissue that forms giving you a very satisfactory post rhinoplasty appearance. Changing the shape of the nasal tip rarely involves changes to the bony portion of the nose.

Posted by Dr. Philip Schoenfeld

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Reviews

Dr. Schoenfeld fixed my broken nose last St. Patty's Day and I couldn't be happier with the results. I fell on my nose multiple times as a kid and officially broke it 3 years ago, so let's just say my nose was pretty messed up and useless. I finally decided it was time to get it fixed at the beginning of 2017. Dr. Schoenfeld has a great bedside manner, is honest about expectations, and exudes a confidence that immediately made me trust him as a surgeon. The surgical team at River Road Surgery Center was also excellent. They answered all of my questions, made me feel at ease, and pumped me…

5 stars

Thanks again for the most excellent work you did on my nose -- I am just thrilled (yet still recovering.) It has made a world of difference to my breathing and I couldn't be happier with the work you did! I've almost got my smile back. Best wishes -- and thanks so much again to you (and Dawn, too). Sincerely,

5 stars

Thank you so much for not only beautifully repairing my nose, but for rearranging your schedule and going out of your way to help me in my time of need. Your friendly and distinctive assistance is appreciated more than you know. Thank you,

5 stars
(301) 652-7368
5454 Wisconsin Ave #1625, Chevy Chase, MD 20815

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