Most surgeons are more comfortable with the “open” rhinoplasty approach that inflicts a scar at the base of the nose. This could become a motivating factor for them to convert you to an “open” rhinoplasty because it is easier for them to personally perform. But that may not necessarily be in your best interest. Always ask if it can be done scarless.
The average surgeons who perform breast surgery, facelifts, liposuction, noses, and eyelid surgery take much longer to achieve mastery because their concentration and dedication are being split amongst too many endeavors, and in effect, end up spreading themselves thin. They may be very good at one thing or another, but if they claim to be amazing at them all, which just quite frankly, can’t be true, how do you trust what they are actually good at? This may sound irrelevant but it is extremely relevant when you understand the depths and difficulty of scarless rhinoplasty. When surgeons focus 100% of their energy in a single craft, it allows them to grow within the craft to expert levels far faster than their peers ever can. Mastery is not developed by dabblers. To become a Master of One, you must dedicate yourself wholeheartedly to the craft. Always ask if Scarless Rhinoplasty is 100% of their surgical practice.
Most surgeons are trained classically to be scientist surgeons. This means they think mathematically and look at the nose like an engineering project. They use classical formulas and angles to construct the “perfect nose” on every patient. But this leads to repetitive workshop results with every patient getting the same surgery. We agree there is a mechanical component to scarless rhinoplasty, especially with open or reconstructive scarless rhinoplasty, but for a primary nose (that has never been operated on before) it is much more of an art than a science. Artistry is mandatory to perform this type of finesse surgery because when the math doesn’t add up, the surgeon’s eye remains most important. In an operation of micro-millimeters, 1 millimeter can make or break the surgical outcome. Always ask yourself if the surgeon’s artistic vision is in alignment with your own.
This is extremely important. Scarless rhinoplasty is a surgery of patience. Ask any scarless rhinoplasty surgeon and they will tell you their patience has never been tested like it has been during a difficult nose. Sometimes a difficult nose will require an extra hour or two of a surgeon’s time because of repeat stitching, or repeat maneuvering, or repeat shaving. The key is patience. If your surgeon seems rushed or forceful during your consult, imagine what the surgery itself might feel like when you aren’t even awake for them to answer to. You want to know you are with a surgeon who doesn’t rush and will take the extra time needed especially in the operating room to deliver the optimal outcome for you. Always ask if your consultation felt rushed or forced.
As an Otolaryngology-Ear Nose and Throat trained Plastic Surgeon, Dr. Dugar specializes in internal nasal surgery of the septum, turbinates, and nasal valves. Your breathing from the nose will be assessed right from the beginning of the consultation and if there is an anatomical problem (such as a Deviated Septum, Inferior Turbinate Hypertrophy, or Nasal Valve Collapse), it will be discussed and can be addressed independently as a Functional Surgery or in conjunction with a Cosmetic nasal surgery at the same time. As always, all of the nasal breathing surgery, as well as cosmetic nasal surgery, is done via scarless (closed) approaches only. Always ask about your nasal breathing.
When contemplating surgery to change the shape of your nose, it is extremely important to be able to visualize the changes that will impact the future of your face for the rest of your life. While facial morphing software and image design are important, the most important analysis is studying before and after photos of the surgeon’s work in person in the office. This will show you true realistic results based on real people who underwent the same journey as you are considering. Morphed images of your own nose, while fun and exciting, are ironically less important because technology allows us to morph almost any result, even if it is not surgically realistic. So be dubious of the morphing software and put more trust in real results from before and after images you can see in the office. Always ask to see before and after images in the office.
Whether you are considering changing the shape of your nose or just fixing the breathing from your nose or both, we are glad you are here. We hope you find this site a tremendous educational resource for the options available to you today. It is very hard to find the best nose surgeons today, especially in the world of marketing, PR, social media, paid advertisement, and over-hype, but we don’t believe these things make the strong foundation of a good scarless rhinoplasty practice.
It’s important to know you aren’t alone. There are more than 220,000 scarless rhinoplasty surgeries performed every year in the United States. But unfortunately, over 50,000 of them are revision surgeries, so picking the right surgeon the first time is extremely important.
Success in scarless rhinoplasty is truly based on mastery of your surgeon. Mastery is only achieved when total dedication and concentration is given to a task whether it's playing soccer, playing the piano, or performing scarless rhinoplasty. When a pianist decides to master the piano, there is a 99% chance she will forgo playing all other instruments and purely dedicate herself to the piano. When a soccer player decides she wants to train to go professional, she will forgo playing all other sports and purely dedicate herself to soccer. However, when surgeons decide they want to become the best at a surgery, most still perform other surgeries… usually due to a financial desire. This is where we differ. Like the professional pianist and soccer player, Dr. Dugar has decided to forgo all other surgeries in order to purely dedicate himself to the mastery of Scarless Noses.
But your Success in scarless rhinoplasty is truly multifactorial. There are hundreds of small variables involved in the healing of a nose postoperatively. The overall goal is to create a functional, structurally sound, and cosmetically appealing nose that balances the face and allows you to breath better. The goal is for your nose to blend in with the face and make your profile look more elegant without drawing specific attention to your nose, and without any external cuts or scars ever.
It is, however, important to discuss is the idea of the “perfect nose.” Almost no one has a “perfect nose” and furthermore, even if the concept of a “perfect nose” existed, it would have virtually no basis in reality or surgery. Yes, we can create almost any shape nose– but would it match your face? We, as a society, often see celebrities and idealize their cosmetic features without realizing part of our idealization is the aura of their lifestyle/success/fame/sex appeal – not just their nose. So even if you think Ashlee Simpson’s nose looks amazing, it may or may not be the type of scarless rhinoplasty that fits your face. We are not aiming to create a “perfect nose” – just one that fits your face beautifully and allows you to breathe better – without any external cuts or scars ever.
Not every patient is a candidate for a Scarless Nose surgery. Some major revision surgeries or reconstructive type rhinoplasties may require traditional “open” rhinoplasty. Dr. Dugar will guide you through whether or not you are a candidate for Scarless Nose surgery openly and honestly. Achieving the best possible outcome for your nose is far more important than whether or not you end up doing the surgery with us. Whether it's in your best interest to undergo an “open” rhinoplasty elsewhere or to not undergo any surgery at all, we will be the first to let you know and guide you safely. If you have never had any prior work done on your nose, you are almost always a great candidate for the Closed Scarless Rhinoplasty by Dr. Dugar.
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*Individual Results May Vary
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