In a closed approach the surgeon cannot see the structures as well. Clear visibility is helpful when making anatomic changes. If things look good on the inside, then they will almost always look good on the outside. I can accurately determine how much to remove or leave behind for the best result--altering as I go.
Paramus, NJ (PRWEB) October 8, 2008
Nose reshaping, also called rhinoplasty, can alter a person's appearance more than any other single operation. Since the nose is the most prominent facial feature, even small changes can make a big impact.
In 2007, rhinoplasty was the 6th most popular aesthetic surgery overall and the 3rd most requested operation by men. Due to its inherent functional and conceptual complexity, rhinoplasty is widely considered the most difficult procedure in cosmetic surgery.
New Jersey plastic surgeon, Dr. Paul M. Parker, Medical Director of the Parker Center for Plastic Surgery in Paramus, NJ, says many things must be considered for the final result to be declared "perfect." "A patient's overall facial appearance, proportion and structure have to be examined to create harmony among the nose and other facial features. In addition, ethnicity, gender and correcting breathing abnormalities come into play."
He continues that rhinoplasty is "the true artistic test of a plastic surgeon."
Dr. Parker listens carefully to his New Jersey rhinoplasty patients' concerns about their noses during the initial consultation and has a keen sense of what can and cannot be achieved. Size, crookedness, profile, irregularities in the bridge, bumps, reducing or enlarging the tip, tip asymmetries and changing the position of the nostrils are some of the more common complaints he addresses.
Using Dr. Parker's favorite visual communication tool, computer imaging, a patient can see their own "before and after." Dr. Parker says, "A picture is worth a thousand words. We use computer imaging extensively to give our patients a sense of what can be accomplished. It serves as an excellent medium to put the patient and me on the same page. I then take the imaged pictures with me to the operating room and use them as a sculptor uses his sketches to guide his hand."
Liz, the Parker Center's imaging technician, is one of the most experienced professionals in the country. In fact, she has trained plastic surgeons and their staff members around the country. Dr. Parker comments on the benefits of imaging, "Patients quickly see the importance of harmony and balance and how the nose must be in concert with the rest of the face."
Postoperative pictures of Dr. Parker's patients consistently confirm the accuracy of the imaging process in predicting postoperative results. This type of predictability requires both an expert imager and expert surgeon working together on a daily basis so that both are aware of one another's capabilities.
Dr. Parker prefers an open rhinoplasty technique, in most cases. Here, the skin is lifted up like a curtain after a small incision is made at the base of the columella allowing cartilage and bone to be exposed. Dr. Parker again, "In a closed approach the surgeon cannot see the structures as well. Clear visibility is helpful when making anatomic changes. If things look good on the inside, then they will almost always look good on the outside. I can accurately determine how much to remove or leave behind for the best result--altering as I go."
According to Dr. Parker, his approach combines not only surgical technique but also a heavy dose of judgment and artistic affinity. "I strive for an un-operated look following rhinoplasty. No one wants a pinched, artificial looking nose with a distorted tip. Rhinoplasty often gets a less than wonderful reputation because of unnatural and overdone results. An attractive nose is one that blends in rather than standing out."
If you are considering a rhinoplasty, plan on a two-week recovery for bruising and swelling to subside. Nose surgery involves very little pain and Dr. Parker is able to avoid packing the nose for the vast majority of his patients. Within three months, the nose is 90% "done" but may take up to a full year for complete definition of the tip to be apparent.
For rhinoplasty in New Jersey, Dr. Parker's keen aesthetic eye, deep understanding of anatomy and remarkable technical proficiency give him the ability to strike the perfect balance between form and function for his patients.
About Dr. Paul M. Parker:
Dr. Paul M. Parker graduated from George Washington University of Medicine in Washington, DC, where he was the recipient of the distinguished CV Mosby Award of Excellence.
He completed residencies in both General Surgery and Plastic Surgery at New York University Medical Center, where he received the Theodore Barnett Award for Excellence in Teaching. He also completed a fellowship in Microsurgery at New York University Medical Center's Institute of Reconstructive Plastic Surgery with heavy emphasis on innovative methods of breast surgery and breast reconstruction.
Dr. Parker is certified by the American Board of Plastic Surgery and is a Fellow of the American College of Surgeons and an active member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, the Northeastern Society of Plastic Surgeons, the American Society for Laser Medicine and Surgery, and the New Jersey Society of Plastic Surgeons.
Consumer's Research Council of America has selected him as one of the top surgeons in his field, and Castle Connolly named him one of "America's Top Doctors."