What is surprising to most patients is how little most surgeons see on a rhinoplasty. Most surgeons only see a fraction of the nose and do most of the procedure “blind”. Many of these surgeons will claim to have years of experience and learned how to do this procedure over many years. However, we find that this is unlikely for the following reasons:
Most Surgeons Only Show One or Limited Views of the Nose
- Dr. Shah shows video on the nose as well so patients can appreciate the nose in almost lifelike appearance and so any flaw will be apparent to the viewer.
- Dr. Shah sees many issues from other surgeons indicating that they did not visualize the nose properly.
- The overall revision rate remains around 1/3 of rhinoplasty patients (Dr. Shah’s numbers are less than 1% of his patients- Revision is any patient who requires additional surgery)
What Is the Complete Visualization Approach to Rhinoplasty?
Dr. Shah essentially sees parts of the nose that others normally do not. The reason he is able to do this is because of instrumentation and his setup. Normally, this portion of the skin remains attached. When it is lifted, the entire upper 1/3 as well as the rest of the nose can be more readily seen. Every little nuance is then time-stakingly reshaped to the best possible way to get the smoothest shape. This does not mean your nasal bridge will be perfect, but it increases the chance of improvement.
Why Don’t Other Surgeons Expose the Rest of the Nose Like Dr. Shah?
Without the nasal skin, the nasal bones are not supported. Since most surgeons use chisels (a less expensive alternative to Dr. Shah’s technology to adjust nasal bones), it is not possible or even safe to expose this. It will cause the nasal bones to fall into place since the internal lining of the nose is RIPPED with osteotomes. Since Dr. Shah’s approach preservest the lining of the nose and is super precise (verified in multiple ultrasonic vs chisel tests), the lining remains intact and the nasal bones can be adjusted under direct visualization.
