The Nose

The nose: it has been the subject of comic ridicule, emotional turmoil, artistic interest, poetic odes, scientific study, and surgical manipulation perhaps more than any other feature. For those gifted with a beautiful nose that works well, it is often taken for granted. However, for those who are self-conscious about their nasal appearance or have difficulty breathing, it can become an obsession. After 22 years as a rhinoplasty surgeon, I have heard a litany of complaints about the nose: too wide, narrow, long, short. Patients say, “I hate my bump, my nose is too scooped, my nose is crooked, my father’s nose looked good on him but not on me, my nose doesn’t fit my face, I hate the ball at the end of my nose” and on and on. I have had patients bring me scrapbooks with 100+ examples of noses they like cut from magazines, and another 100+ they don’t like. I have heard stories about needing to see a psychiatrist and being treated with antidepressants because individuals didn’t like their noses. My response to this is you can continue along that path, or spend about 2 hours in the operating room and I will fix your nose.It is extremely gratifying to be able to improve something in a matter of a few hours that has been a negative psychic focal point for years. Seeing the patient smile at that moment is a deeply satisfying feeling and reminds me why I chose to be a facial plastic surgeon in the first place.However, getting consistently beautiful and natural results is challenging. Rhinoplasty, the cosmetic manipulation of the nose, is recognized as the most difficult procedure in aesthetic plastic surgery. There are many reasons for this, but simply put, millimeters matter and there is no room for error. Combine this with the emotional energy many patients invest in their decision to pursue rhinoplasty, their desire to look great and their need to breathe well, and you begin to understand how true that statement is.With that said, modern rhinoplasty is a structural operation, often adding support to the nose and not simply removing a bump, with the intent of creating a natural, beautiful appearing nose that fits the person’s face, functions well and looks great for decades. Given the infinite variations of nasal anatomy, facial proportion and individual expectations, getting consistently pleasing results requires great knowledge, skill and years of experience.

Dr. Yellin’s patient on whom he performed a revision rhinoplasty, upper eyelid blepharoplasty and facial reshaping with injectable fillers.

On another subject all together, as many of you know, we had a serious flood due to a ruptured sprinkler head during the deep freeze earlier this year. I am excited to report that we are using this opportunity to give our office a “facelift”. Work will begin in the next few weeks and will take about a month to complete. We will be open during renovations but ask for your understanding during this time. Thanks for your ongoing support of our practice and your patience during construction.

Seth A. Yellin, MD, FACSFounder and Director, Marietta Facial Plastic Surgery, Laser & Aesthetics Center