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Are characteristically subtle and natural
Focus on strengthening and restructuring the cartilage framework of the nose nose, and
Correct abnormalities caused by weaknesses in the nasal framework.
   
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Revision Rhinoplasty Specialist

Dr. Binder Discusses Revision Rhinoplasty

 

Beverly Hills rhinoplasty specialist, Dr. Binder strongly supports the philosophy that nasal surgery must achieve natural-looking results that work in harmony with and enhance the overall appearance of the face. He believes that no two noses are alike, and applies his knowledge and diverse experience in all aspects of nasal surgery to design an individualized approach aimed at each patient's specific needs.

This philosophy is the basis of Dr. Binder's "structure" technique for revision rhinoplasty.

The old approach to rhinoplasty was a "reduction" procedure based on the theory of reducing size or "sculpting" the nose. Often too much cartilage or bone was removed resulting in a nose that was poorly shaped, fragile and barely functional.  A number of Beverly Hills revision rhinoplasty patients mentioned the result was often a 'nose job' look; scooped out, turned up, pinched and very obviously "done".

Instead of removing cartilage, with structural rhinoplasty, Dr. Binder repositions, identifies, and reinforces weaknesses in the nose that contribute to problems in both structure and function.  Especially when performing a revision rhinoplasty, the rhinoplasty specialist Dr. Binder often adds cartilage back to the nose because too much had already been removed.

 
 
 
"CLOSED" VS. "OPEN" RHINOPLASTY

With the closed technique, the entire procedure is performed from the inside of the nose without severing the columella, or delicate island of tissue between the nostrils, so there are no visible signs of scarring.  For this reason, Dr. Binder performs the majority of his cases through a closed approach.

Dr. Binder has noted that "closed rhinoplasty” is becoming a lost art. It requires a longer learning curve than the open approach and most training programs do not have sufficient case loads to teach both methods. Also, many new surgeons opt for the open technique to access the nasal skeleton for easy viewing.  However, Dr. Binder says the open technique can, in some cases, cause significantly more scarring, skin shrinkage, and long-term unpredictability. In his many Beverly Hills revision rhinoplasty cases, Dr. Binder is often faced with the resultant scars underneath the nose that are difficult or impossible to correct.