I want a natural nose!

Written by Escobar MD   

It is very usual for me to hear this a lot on the first consultation. The artificial-looking results that are often associated to a nose surgery or rhinoplasty are mainly due to old techniques that sadly are still performed today by many surgeons.

Fortunately for the patient, the current tendency is to avoid every sign of surgery, for nobody to find out that they have had surgery, for the results to be natural and proportional to the result of your face. To my understanding, good results are the ones that keep the surgeon in anonymity.

The best techniques to achieve good results are the ones that are conservative at the moment of removing cartilage or bone, so we not only obtain natural results, but also maintain a good breathing function. What is most important is that we will achieve results that are predictable at long-term.

What do I mean by predictable? Basically that with the passing of time the nose will not change, that the results obtained in the first months do not get worse. This point in unskilled hands, or with the use of old or aggressive techniques with the cartilages or the nasal bones is very common, and it is sad to see how the nose becomes uglier day by day, condemning the patient to a second intervention to correct a first bad surgery.

Being conservative is the best road to achieving good results in a rhinoplasty. Let us not forget that what really is beautiful is what looks natural, harmonic, and balanced with the other parts of the patient's face.

Another important point to keep in mind is that in order to obtain natural results, it is not only enough to know the correct surgical technique, but the most important point is surgeon's ability to perform a technique skillfully enough for the results to be as artistic as possible.

It can sound somewhat corny, but the key in rhinoplasty is combining science and art. As a surgeon, I consider that good results are a work of art that not all surgeons have the ability to do, because good surgeons usually have an artistic talent that will differentiate them from the rest of the specialists.