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Study Reveals Top Reasons Patients Undergo Second Nose Surgery
Dissatisfaction with the symmetry of the nose tip is the top reason that a rhinoplasty patient considers getting a second nose surgery, according to a new study.
Between 5 percent to 15 percent of nose surgery patients want revision surgery, according to Dr. Kathy Yu, of Columbia College and Cornell University, New York and one of the authors of the report.
Dr. Yu and her colleagues had 104 patients who were seeking nose revision surgery in 2008 and 2009 fill out a questionnaire that asked them why they wanted the second nose surgery. The top three reasons were:
- Nose tip asymmetry
- Difficulty breathing or nasal obstruction
- A crooked middle third of the nose
A surgeon who examined the participants had slightly different findings, which suggests that communication about nasal aesthetics could be improved, according to the study.
The surgeon reported three primary aesthetic reasons for revision: tip asymmetry, a crooked middle third and irregularities in the upper third of the nose.
The authors said the discrepancy between patient concerns and surgeon findings arose for a variety of reasons. “One of the main reasons is the surgeon’s use of a conventional set of anatomical boundaries, specifically regarding the upper vs. middle third of the nose. Patients often do not have intricate knowledge of nasal anatomy to properly distinguish between nasal thirds,” wrote the authors.
Of the 64 patients (62 percent) who reported breathing problems or other nasal obstruction issues, the surgeon confirmed problems in 60 of those patients (94 percent).
The findings “emphasize the importance of physician awareness of patients’ concerns, understanding the causes of post-surgical nasal obstruction and clearly explaining nasal aesthetics to patients seeking revision rhinoplasty,” concluded the researchers.
“Functional and Aesthetic Concerns of Patients Seeking Revision Rhinoplasty” appears in the September/October issue of the journal Archives of Facial Plastic Surgery.
HOW BOTOX IS BEING USED AS A TEMPORARY ALTERNATIVE TO FACIAL SURGERY
Facial surgery has been extremely popular for men and women between the ages of 40 and 65 as a way to address the various signs of aging. A nonsurgical alternative, Botox procedure, has been popular with those who are not yet ready to pursue a surgical solution. Botox can now address more of these signs of aging with its new FDA approved use: treating crow’s feet.
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WHY FACIAL SURGERY IS GAINING POPULARITY IN THE WORKPLACE
Competing in a Youth-Driven Economy
Take a quick look around the office. In many cases, companies are favoring youth more than ever before when it comes to who they choose to hire. It is this shift in the average age of employees that is prompting more men and women to seek the help of facial surgery procedures like the face lift.
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Double Eyelid Blepharoplasty Becoming More Popular with Chinese
In China, more young women are getting cosmetic surgery, and they see it as a way to gain an advantage in their careers, reports Reuters. They also tend to favor facial procedures, such as eyelid surgery and nose surgery, over body procedures. Another trend is for a more Western-looking eyelid, achieved through double eyelid blepharoplasty.
According to a study, students made up as much as 80 percent of cosmetic surgery patients in Beijing last summer.
“Parents want their daughters to be beautiful so they’ll have an easier time finding a job or a husband,” said Ding Xiaobang, a Beijing surgeon. “They’ll often bring the child to get surgery the summer before college or even high school.”
Sandra Zheng, a director at a Chinese television station, said she got two injections of hyaluronic acid to raise the bridge of her nose last summer after graduating from school.
“I got it to improve my self-confidence,” said Zheng, 23.
Some Chinese choose double eyelid blepharoplasty to get double-fold eyelids, which is a common attribute of Westerners that is increasingly popular in China.
This Asian eyelid surgery is also performed in the United States. Recently, some cosmetic surgeons have reported an increased demand from the Asian community for this double eyelid surgery, which either creates a fold on the upper eyelids if there isn’t one, or adjusts the height of the existing fold to a higher position.
“Creating a double eyelid fold is a very precise procedure and requires careful pre-operative planning. It is critical to work with an experienced cosmetic surgeon familiar with the procedures and the particularities of the Asian anatomy and skin due to the tendency to hyper pigment, the increased risk of keloids or hypertrophic scars,” said facial cosmetic surgeon Dr. Ioannis Glavas, who performs the procedure. “Communication with your doctor is the key factor to success.”
HOW FACEBOOK IS CHANGING THE WAY WE GO ABOUT COSMETIC SURGERY
A recent survey has made an interesting connection between social media and cosmetic surgery procedure. This is how popular social media sites like Facebook and Instagram are quickly changing the way that many Americans are handling their looks.
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Lose Under-Eye Bags with an Eyelid Lift in Maryland
One of the telltale signs of aging is hooding or sagging of the upper eyelid. You may also notice that the skin around the lower eyelids stays puffy most of the time and you might have developed very noticeable under eye bags as a result. If you want to restore your youthful look without extensive surgery, talk to Dr. Will about the benefits of eyelid surgery.
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Rejuvenate Your Look with a Facial Fat Transfer Procedure in Maryland
Have you ever thought about getting dermal fillers to enhance your look? Dermal fillers and injectables are popular, minimally-invasive facial rejuvenation treatments for men and women who want to eradicate lines and wrinkles, or plump up sunken cheeks.
Continue reading “Rejuvenate Your Look with a Facial Fat Transfer Procedure in Maryland” »
Facelift Surgery Risks May Depend on More Than Age
Age alone is not an independent risk factor for facelift surgery, according to a new study that found complication rates were not statistically different when comparing older facelift patients to younger ones.
The retrospective study included 216 women who had a facelift between 2005 and 2008 performed by a single surgeon at the Cleveland Clinic. The patients were divided into two groups by age: those under 65 (148 patients) and those 65 and older (68 patients). The average age was 57 in the younger group and 70 in the older group.
“Facelift surgery in the elderly has always been perceived to carry more post-operative risk,” said Dr. James Zins, Chairman of Plastic Surgery at Cleveland Clinic. “According to our study and pre-operative screenings, patients over 65 had no statistically significant increase in complications.”
Over 12 percent of the U.S. population is over the age of 65, and by 2030, there will be about 72.1 million older persons, more than twice their number in 2000, according to the Department of Health and Human Services, so the number of older people seeking cosmetic surgery will mostly likely grow.
The study showed that screening patients is an important part of the process before surgery. The older patients in the study were more likely to have higher ASA (overall health status) scores — which assess the physical status of patients before surgery — than the younger patients.
“It should not be generalized from the study that elderly patients can undergo a facelift operation with the same low complication rate as seen in the younger age group,” said Dr. Zins. “Careful screening of the elderly patients and excluding those with significant co-morbidities led to the low complication rate.”
The researchers said further studies are needed to define whether an age limit for safe facelift surgery beyond age 65 exists.
Learn more about facelift surgery.
Interest in Chin Surgery Grows after Palin’s Jaw Surgery
Given the interest in Bristol Palin’s new look — everyone from US Weekly magazine to the Associated Press to ABC News reported on it — it’s no surprise that there’s been more interest in chin surgery. Palin recently debuted a more angled jaw and defined chin that she told US Weekly was a result of corrective jaw surgery, not cosmetic surgery.
Palin said she had her procedure so her jaw and teeth could properly realign, but she admits she is happy with her new look as well.
For those looking for a transformation like Palin’s, chin surgery could be the answer. Also referred to as genioplasty, mentoplasty, or chin augmentation, the procedure balances a person’s face by adding projection to the chin. During the surgery, an implant is inserted in front of the jawbone.
There are also non-surgical options, such as injectables, for improving the look of the chin. For instance, a concave chin could be corrected with hyaluronic acid fillers by temporarily building out the chin.
Facial liposuction on the neck and/or chin can also improve the look of the chin area by removing fat below the chin and restoring contour to the lower face.
The Washington Post asked an oral and cosmetic facial surgeon’s opinion on Palin’s look, and he believes she did undergo “some procedure on her chin … It also appears as if she has had liposuction under her jaw.”
But Palin said that she wouldn’t consider cosmetic surgery unless she “got in an accident or something terrible and got disfigured.”
Whether it was cosmetic, corrective or a combination, Palin is satisfied. She told US Weekly, “I am absolutely thrilled with the results. I look older, more mature, and don’t have as much of a chubby little baby face!”
Can Elevating Your Brow Raise Your Happiness?
Here’s news that should raise some eyebrows: Most patients undergoing an endoscopic brow lift are pleased with the results and would recommend the procedure, according to a recently published study in JAMA Facial Plastic Surgery.
The telephone survey, which examined satisfaction, recovery and outcomes, involved 57 patients who had undergone either a brow lift alone or concurrently with a facelift.
Also known as a forehead lift, a brow lift can provide a more alert and youthful appearance, improving frown lines and furrows. It can also help minimize creases across the forehead or high on the bridge of the nose as well as correcting low or sagging brows. In some cases, brow lifts have also reduced or even helped eliminate migraine headaches.
Researchers found that 93 percent of patients reported the procedure as successful and 96 percent would recommend it. Nearly three-fourths of those surveyed stated that they had been told looked younger and less tired and that the procedure helped bolster their self-confidence.
Along with a quick recovery of about a week– return to normal activities after more than two weeks was mostly reported by those who also underwent a facelift – scars and swelling were minimal, as were complications such as numbness. And 50 percent of the patients who reported headaches prior to surgery experienced a reduction in their frequency and intensity.
Such surveys not only enhance research but assist consumers in making informed decisions. Additionally “relying on patient-reported information helps us to better understand the surgical experience and to improve preoperative counseling,” the authors write.
Photo by Walt Stoneburner
