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In the before picture, you can see some white marks in the middle of her
dorsum that are reflections from the flash, right where the hump was.
The marks are crooked, indicating that her nose was a little crooked
in that area before surgery. I mentioned in the section on nasal
reconstruction that correcting a crooked nose is one of the hardest changes to
make in rhinoplasty. However, if the crooked area is small, and if it's on the hump, sometimes
simply removing the hump removes the crookedness entirely.
We also know that her nose was shortened somewhat during her rhinoplasty,
because we get a better view of her nostrils in the after picture.
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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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