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Techniques for Natural Profile Results

Dr. Sam Rizk is a nyc rhinoplasty surgeon and world renown rhinoplasty expert who is double board certified in facial plastic and reconstructive surgery. Dr. Sam Rizk adds his artistic touch to nasal profiles. Dr. Rizk customizes the nasal profile to the patient’s face and every profile on his photo gallery is different-some noses are shorter, some are longer, each nose has a different angle between the nose and forehead (an area known as the radix) and the nose and the upper lip (or nasolabial angle), male noses have a more masculine profile and are usually longer; whereas, female noses are usually shorter and have more of a supratip break-BUT most importantly none of the noses on Dr. Rizk’s photo gallery (male and female) have a scooped or saddle nose like the old 80’s nose jobs.

New techniques for nose job

How do Dr. Sam Rizk’s methods/techniques differ from other surgeons to achieve a natural profile that fits one’s face?

1. Dr. Sam Rizk will discuss his aesthetic judgement with the patient on his/her first consult and will usually demonstrate it with computer imaging. Dr. Sam Rizk will have a vision for your nose from his aesthetic and artistic viewpoint and will recommend a certain profile for the patient. Many factors are taken into account and this is specific to Dr. Rizk. Aesthetic judgement is one of the most important factors which separates one surgeon’s results from another, just like one artist’s viewpoints differs from another. This is why it is important to review the profiles on Dr. Sam Rizk’s gallery and see how they differ from each patient and see if you like them. Factors which are taken into account when Dr. Sam Rizk creates your new profile is the size, width, and projection of the forehead, chin, cheeks, the shape of the face, and the height of the patient, etc.

2. Dr. Sam Rizk has pioneered and uses 3-d high definition telescope (see published articles on this technology/methods in other sections of the website) technology to view your bump and bridge internally from small incisions. This 3d visualization technology is used during the rhinoplasty and is a break-through way to achieve precision in the profile with less bruising/bleeding/swelling. Traditionally, surgeons would only use their eyes from the outside (at least 1 foot away from the nose) to make millimeter judgements which can make the difference between a natural profile and a scooped/saddled one. Dr. Sam Rizk’s 3d high definition methods introduces specialized high definition cameras/telescopes into the nose through small incisions to see the bridge much closer in high definition on a 3d screen. This allows a much more precise view of small nuances, small irregularities which may not be easily seen with traditional methods. Additionally, the 3d high definition system allows visualization of small blood vessels and the ability to avoid them which filing down the nasal bump and thus less bleeding results in less swelling and bruising.

3. Dr. Sam Rizk has also pioneered and introduces powered micro-instruments ( micro-rotating powered sanders) to reduce the nasal bump and bridge making millimeter changes and smoother results much more possible. Also realize that the nasal bridge (profile) is composed of cartilage and bone connected together (see diagram below). Dr. Sam Rizk’s micropowered sanding instruments works on the bone and the cartilage to reduce it precisely and is able to smooth out the transition zone as well. The old techniques which many surgeons still use involve large instruments called rasps (like large and rough nail files) that are introduced to reduce the bony bump. Since the rasps do not work on cartilage, the surgeon then introduces a knife or scissors to reduce the cartilage portion of the bridge so what happens is that the transition point between the bony and cartilage portions of the nose bridge becomes irregular since 2 different instruments are used for the bony and cartilage bridges. In contrast with the micro-powered sanding instrument, Dr Sam Rizk is able to smooth out the bridge and this transition zone between the bone and cartilage without irregularities and much more accurately. In addition, Dr. Sam Rizk’s micro-rasping sanding technology does not involve the back and forth motion of the traditional rasps since the micro-sanding powered instrument is round (versus the traditional rasps which are straight and not powered). The back and forth motion of the traditional rasps causes trauma to the overlying skin and results in more swelling and bruising since it is constantly rubbing against the overlying skin in a back and forth motion. Dr. Rizk’s micro-rotating rasps DO NOT touch the overlying skin and therefore, result in Less Trauma and Less Swelling.

Profile of a nose below showing the bony bridge (white area) and cartilage bridge (brown area) and the cartilages of the tip (blue area) Red arrow points to the connecting zone between cartilage and bony bridge.

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