Dr. Bray's Plastic Surgery Blog

There are many reasons why a rhinoplasty may need to be redone. The reasons may either be due to appearance or problems with nasal function. These indications may be a cosmetic or functional problem. Reasons for a revision rhinoplasty procedure include: open roof deformity, inverted V deformity and pollybeak deformity.

Open roof deformity sometimes occurs after the nasal hump has been taken out. Fractures of the nasal bones close the open roof. Or, in some instances, a dorsal cartilage graft improves an open roof deformity.

Inverted V deformities can occur when the upper lateral cartilages of the nose collapse. Your physician should pinpoint the deformity’s cause and plan proper treatment accordingly.

Pollybeak deformities may be caused by from unsatisfactory tip projection, less-than-adequate dorsal hump reduction, or even by scar tissue. Your surgeon can find out why the deformity exists and correct it.

Other problems can occasionally occur with rhinoplasty surgeries. Correction procedures are extremely complex and require the skills of a highly trained and experienced cosmetic surgeon.

If you are undergoing problems with your rhinoplasty procedure, please schedule a revision rhinoplasty consultation with Bray Plastic Surgery Medical Center at 310-534-8300 to schedule an appointment to learn more about how we may assist you.

A variety of techniques are available for Hispanic individuals who seek out the rhinoplasty procedure. Hispanic nasal characteristics vary widely and are even explained in medical literature. Distinctions include the Castilian nose, reflecting Mediterranean ancestry and the mestizo nose, reflecting Native American heritage.

Typically, the Castilian nose has a high nasal bridge and a normal nasal tip. The mestizo nose involves a somewhat broad base and a thicker tip. Of course, many, many Hispanic patients are not in either of these classifications. Since Hispanic’s nasal characteristics are so wide-ranging, a nasal analysis should be carried out before any type of rhinoplasty surgery is performed.

If, however, the nose does fall into one of the two categories mentioned above, the following procedures are generally followed. For the Castilian nose, the dorsal hump is decreased in size, and the tip is refined. The mestizo nose typically does not have a nasal hump. Instead, the mestizo nose involves techniques for shaping and projecting the nasal tip outward. Suturing procedures and cartilage grafts are employed. Cutting away excess nostril skin can also help to reduce the size of nostrils.

Should you wish to explore the possibilities of rhinoplasty, Dr. David Bray is highly familiar with assisting Hispanic individuals in this area. Please schedule a Los Angeles rhinoplasty consultation with Bray Plastic Surgery Medical Center at 310-534-8300 to schedule an appointment to learn more about your cosmetic surgery options.