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Plastic Surgery Washington DC

Philip S. Schoenfeld, M.D.

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301-652-7368

I want my nose to look like that

March 14, 2007 by Dr. Schoenfeld

Every so often I am asked by a patient who is requesting rhinoplasty surgery for their nose to look like someone that they had seen in a magazine.  I believe there are several opinions amongst surgeons how to best manage this particular situation.  I have always felt that being honest with the patient is the best way to approach such a request.

The first thing I do is discuss with the patient whether they are interested in the particular shape or characteristics of the nose of the person in the picture they have asked me to look at or are they actually interested in looking like the person they have presented to me.  Assuming that their answer is that they like many of the features of a particular nose, I proceed with a physical exam and take photographs which are standard for rhinoplasty preoperative planning.  During the physical exam, I try to assess the  overall structure and strength of the nasal bones and cartilages and then feel for the thickness of the nasal skin envelope.

These steps are important because if the person presents to me with thick skin and poorly developed structural nasal support (ie. pushing on the tip even slightly causes the tip to collapse), I am obligated to tell them that they are unlikely going to be able to have the same nose as the chiseled, air-brushed model they have presented to me as their rhinoplasty objective.  What I find is that with a good consult and even better explanation, I can show the patient what truly can be achieved and, in an overwhelming majority of the situations, the patient is thrilled with the prospects.  Of course, there are those individuals who do present to my office with pictures of very sculpted noses, and I can, in fact, exceed their desired outcome.

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Before & After Photo Patient

Before Facelift photo in 5454 Wisconsin Avenue, Suite 1625, Chevy Chase, MD, 20815 After Facelift photo in 5454 Wisconsin Avenue, Suite 1625, Chevy Chase, MD, 20815
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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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