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He smiles. "I call the nose 'God's five-mile-anhour bumper.' It's soft and pliable. It can take a bump and spring back into shape. Nothing else in our anatomy 'gives,' but the nose can, and it can spring back into its original shape — while still maintaining its function!" But sometimes it shifts, a bump is created, and breathing can become difficult. In those instances, "The key to success in rhinoplasty is to respect the tissues that one is born with," says Dr. Tobias, explaining his surgical approach. "Rather than aggressively removing these valuable tissues, the aim is to preserve the inherent structural integrity, and to resculpt these tissues into a more esthetically pleasing and balanced appearance. "We want to create a nose that has balance and harmony with the rest of the facial features." He calls his new technique 'nasal memory rhinoplasty.' "Rather than removing cartilage to refine the nose, with this technique I reshape existing cartilage. "The procedure is done internally. I place delicate, microscopic sutures within the cartilage to bend and resculpt it. So it conforms to the new, more attractive ?hape — while maintaining a natural look." These techniques are also employed, when necessary, in building up the nose, once again with similar tissues from other areas in the body, such as deep inside the nose or the ear, "in a way that effectively mimics the original nasal architecture." In this manner Dr. Tobias recreates the shape of an attractive nose on the outside, while also reconfiguring the interior of the nose to function better. The doctor works closely with each patient to achieve the desired result. "We determine the patient's aspirations, so I have an exact idea what they're looking for." After taking highly detailed medical photographs, revealing even the slightest variation of the nose. Dr. Tobias sits down with the patient. "We examine the photos and reach a conclusion, then we're able to set certain goals, and realistically assess how close they can be achieved." Sometimes people will come in with a photograph of their favorite actress, actor, or model and say, 1 want that nose.' "Even if 1.could duplicate that nose," the doctor explains, "it would probably look out of place on their face, and that's what I tell them. However, if the face in the photo they bring in is fairly close to their own, maybe we could get close to that nose, and it would look good on their face as well." That is key. "The nose is part of your whole face, and its attractiveness is a function of how it looks within the environment of your face! |
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