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This nose was missing some of its middle section, along the dorsum.
I reconstructed it by placing an artificial material in the
depression.
There are many materials that can be used successfully to build up part of
the nose. Some of the materials are natural (the patient's own bone or
cartilage, stolen from another part of the body), and some are artificial.
I generally prefer the artificial materials, at least today, for several
reasons. One of the most important reasons is that a soft, artificial
material can sit in the nose without showing a sharp edge or corner.
Smoother materials can make the nose look more natural.
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Questioner:
Is it good to get a rhinoplasty done by a doctor that uses computer imaging than one does not?
i have been reading dr in tx that uses this technology in the surgery room. is it necessary to get an optimum out come with out it?
(Questioner submitted photos)
Dr. Denenberg's answer: Don't select your doctor based on whether he uses imaging, But ...
Computer imaging can be very, very helpful in rhinoplasty. It's helpful mostly so that you can communicate better to your surgeon what you want to change, and by how much you want to change it. I use imaging on almost every rhinoplasty. It's useful to show the patient how much change is possible, but even more, it's useful to me because I can understand even better what bothers the patient and what our goal should be.
It's best if the doctor runs the program, so you can continually address different areas and make changes. It's not useful to you as the patient if the nurse makes an unrealistic perfect morph that you don't get to modify or bring into the area of realism.
Having said all that, don't reject a doctor for not using imaging, **as long as he has excellent before and after photos**, but understand that without imaging, it might be harder for you to communicate to him accurately what you want.
Link to this question on RealSelf.com
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