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Rhinoplasty Gallery


                   Dr. Azizzadeh Primary

What is Rhinoplasty?

These pages will have an archive of all the rhinoplasty content and discussion we had on our site. A lot of usefull information will be in these archives. Over 100 pages of content will be added.

Suggestion:

Make a cardboard or thin plastic template in 1:1 of the profile & radix that you want to have and give this to the doctor for using during the surgery!
'Template surgery' is a very appealing concept, SWYWG surgery/ See What You Will Get, that's what more surgeons should offer instead of the 'freehand work' they perform, more planning is put into the building of a garagebox than in a complicated 3D surgery of the nose, it's a shame!!!

I myself made 1:1 drawings of my original and current nose, did overlap them and so I know exactly what needs to be done; only one surgeon appreciated my homework en intends to use my plan & templates during the surgery. I would not hesitate to go ahead with him if I had not heard a few scaring stories about him. Though, stories are relative since people don't come forward with pictures & more details, they remain vague.

Confusing, rhinoplasty is Russian Roullette and the only way to go safe is a thorough pre-planning and full scale drawings & templates! We hire an architect for making an accurate scale drawing of our garagebox, let's do it for the nose as well!!!!

Template surgery: http://members.ozemail.com.au/~oknoses/

Max.

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Dr. Torumi's fellow told me and showed me 3-D computer imaging software that he uses in the OR to help him plan proportions for the construction of the nose that plus the imaging that he creates for the patient. Don't know how effective it is but sounds similar to what you are proposing.

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I see.

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If you are interested and want to go to his website and click the link on the bottom of the page in the right hand corner to the paper he's written there's a snapshot of the software imbedded in that paper.

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Dear Anon,

You mean the tip contouring article?

Max.

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Yes. It shows an image of a nose reproduced as a grid diagram. If I understood correctly, he scans the patient's imaging photo and the software reproduces the image in 3-D which allows him to make more precise observations and measurements as he works.

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Mmmm, that sounds good & advanced indeed, the state of the art surgery! If you strongly emphasize that you don't want a high radix, over-grafting and a broad nose, he will take that in accounnt?

Max.

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Well, I suppose that depends on which patient of his you ask....
I'm pretty sure that he doesn't think that he overgrafts so would probably not respond well to that characterization of his work. He does say that he overcorrects by 10% to allow for scar contracture. This is important if you have an overresected nose because you are replacing missing cartilage and if you don't allow for some graft "shrinkage" you'll end up with dents and irregularities--I'm speaking from personal experience on that front. An undergrafted nose can be just as unattractive as an overgrafted one. Just a different set of problems is all....

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I see & agree, as long it's 10% and not more! Did you have surgery with him? I need substantial lengthening & augmentation of dorsum.

Max.